FLUDARABINE PHOSPHATE

85/100 · Critical

Manufactured by Fresenius Kabi USA, LLC

Fludarabine Phosphate Adverse Events: High Seriousness and Diverse Reactions

79,367 FDA adverse event reports analyzed

Last updated: 2026-05-12

About FLUDARABINE PHOSPHATE

FLUDARABINE PHOSPHATE is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Fresenius Kabi USA, LLC. Based on analysis of 79,367 FDA adverse event reports, FLUDARABINE PHOSPHATE has a safety score of 85 out of 100. This score indicates a relatively favorable safety profile, with fewer or less severe adverse events compared to many other tracked medications. The most commonly reported adverse reactions for FLUDARABINE PHOSPHATE include OFF LABEL USE, PYREXIA, DRUG INEFFECTIVE, CYTOKINE RELEASE SYNDROME, FEBRILE NEUTROPENIA. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for FLUDARABINE PHOSPHATE.

AI Safety Analysis

Fludarabine Phosphate has a safety concern score of 85 out of 100, placing it in the high concern category based on analysis of FDA adverse event data. The FDA has received approximately 79,367 adverse event reports for this medication, which is primarily manufactured by Fresenius Kabi Usa, Llc.

The most commonly reported adverse events include Off Label Use, Pyrexia, Drug Ineffective. Of classified reports, 97.7% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. High percentage of serious adverse events (97.7%) indicates significant risk.

Diverse range of reactions, including severe infections and hematological issues. Common reactions include febrile neutropenia, pneumonia, and cytokine release syndrome.

Patients taking Fludarabine Phosphate should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Fludarabine Phosphate can cause severe infections and hematological issues, and may interact with other immunosuppressive drugs, necessitating careful monitoring. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 85/100

Fludarabine Phosphate received a safety concern score of 85/100 (high concern). This is based on a 97.7% serious event ratio across 37,592 classified reports. The score accounts for 79,367 total adverse event reports and 100 distinct reaction types. This high score reflects a significant proportion of serious adverse events in the reporting data.

Top Adverse Reactions

OFF LABEL USE4,055 reports
PYREXIA2,873 reports
DRUG INEFFECTIVE2,846 reports
CYTOKINE RELEASE SYNDROME2,758 reports
FEBRILE NEUTROPENIA2,732 reports
PRODUCT USE IN UNAPPROVED INDICATION2,150 reports
NEUTROPENIA1,942 reports
CYTOMEGALOVIRUS INFECTION1,637 reports
THROMBOCYTOPENIA1,545 reports
SEPSIS1,488 reports
ACUTE GRAFT VERSUS HOST DISEASE1,477 reports
PNEUMONIA1,411 reports
INFECTION1,338 reports
MUCOSAL INFLAMMATION1,334 reports
PANCYTOPENIA1,314 reports
GRAFT VERSUS HOST DISEASE1,204 reports
CYTOMEGALOVIRUS INFECTION REACTIVATION1,138 reports
DEATH1,136 reports
ACUTE GRAFT VERSUS HOST DISEASE IN SKIN1,077 reports
DISEASE PROGRESSION1,031 reports
DIARRHOEA1,002 reports
ANAEMIA996 reports
RESPIRATORY FAILURE953 reports
MYELODYSPLASTIC SYNDROME911 reports
CHRONIC GRAFT VERSUS HOST DISEASE909 reports
MULTIPLE ORGAN DYSFUNCTION SYNDROME867 reports
ACUTE KIDNEY INJURY861 reports
PLATELET COUNT DECREASED837 reports
HYPOTENSION822 reports
NAUSEA812 reports
SEPTIC SHOCK806 reports
VENOOCCLUSIVE LIVER DISEASE801 reports
ADENOVIRUS INFECTION771 reports
ACUTE MYELOID LEUKAEMIA754 reports
IMMUNE EFFECTOR CELL ASSOCIATED NEUROTOXICITY SYNDROME751 reports
WHITE BLOOD CELL COUNT DECREASED748 reports
HYPOGAMMAGLOBULINAEMIA744 reports
NEUROTOXICITY728 reports
THROMBOTIC MICROANGIOPATHY703 reports
BONE MARROW FAILURE686 reports
BK VIRUS INFECTION657 reports
GRAFT VERSUS HOST DISEASE IN GASTROINTESTINAL TRACT647 reports
GRAFT VERSUS HOST DISEASE IN SKIN647 reports
EPSTEIN BARR VIRUS INFECTION635 reports
CYSTITIS HAEMORRHAGIC627 reports
NEUTROPHIL COUNT DECREASED622 reports
MALIGNANT NEOPLASM PROGRESSION619 reports
RENAL FAILURE592 reports
CYTOPENIA575 reports
VOMITING553 reports
DYSPNOEA552 reports
CYTOMEGALOVIRUS VIRAEMIA543 reports
HYPERTENSION537 reports
HAEMOGLOBIN DECREASED534 reports
ACUTE GRAFT VERSUS HOST DISEASE IN INTESTINE522 reports
PROGRESSIVE MULTIFOCAL LEUKOENCEPHALOPATHY519 reports
FATIGUE518 reports
POST TRANSPLANT LYMPHOPROLIFERATIVE DISORDER516 reports
LYMPHOCYTE COUNT DECREASED503 reports
BRONCHOPULMONARY ASPERGILLOSIS502 reports
TOXICITY TO VARIOUS AGENTS490 reports
HYPOXIA488 reports
RASH477 reports
PLEURAL EFFUSION474 reports
BACTERAEMIA450 reports
HUMAN HERPESVIRUS 6 INFECTION447 reports
POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME427 reports
FUNGAL INFECTION422 reports
HEADACHE420 reports
STAPHYLOCOCCAL INFECTION415 reports
ACUTE MYELOID LEUKAEMIA RECURRENT412 reports
STOMATITIS411 reports
HAEMOPHAGOCYTIC LYMPHOHISTIOCYTOSIS409 reports
VENOOCCLUSIVE DISEASE395 reports
CONDITION AGGRAVATED392 reports
CONFUSIONAL STATE386 reports
LYMPHADENOPATHY381 reports
ASTHENIA361 reports
MYELOSUPPRESSION359 reports
PRODUCT USE ISSUE358 reports
COUGH356 reports
COVID 19355 reports
RENAL IMPAIRMENT352 reports
ASPERGILLUS INFECTION349 reports
DIFFUSE LARGE B CELL LYMPHOMA346 reports
TRANSPLANT FAILURE344 reports
ABDOMINAL PAIN343 reports
ENCEPHALOPATHY343 reports
HERPES ZOSTER340 reports
ATRIAL FIBRILLATION334 reports
TREATMENT FAILURE326 reports
LEUKOPENIA322 reports
DRUG RESISTANCE321 reports
INTENTIONAL PRODUCT USE ISSUE321 reports
BACTERIAL INFECTION319 reports
DRUG INEFFECTIVE FOR UNAPPROVED INDICATION319 reports
LYMPHOPENIA311 reports
MULTI ORGAN FAILURE311 reports
CARDIAC FAILURE307 reports
HEPATIC FAILURE306 reports

Key Safety Signals

  • Severe infections (febrile neutropenia, pneumonia, sepsis) are frequent.
  • Hematological issues (neutropenia, thrombocytopenia, pancytopenia) are common.
  • Cytokine release syndrome and graft-versus-host disease are significant safety signals.

Patient Demographics

Adverse event reports by sex: Male: 17,123, Female: 11,454, Unknown: 629. The most frequently reported age groups are age 65 (684 reports), age 64 (653 reports), age 59 (597 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 37,592 classified reports for FLUDARABINE PHOSPHATE:

  • Serious: 36,735 reports (97.7%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 857 reports (2.3%)
Serious 97.7%Non-Serious 2.3%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Male17,123 (58.6%)
Female11,454 (39.2%)
Unknown629 (2.2%)

Reports by Age

Age 65684 reports
Age 64653 reports
Age 59597 reports
Age 58583 reports
Age 60554 reports
Age 56553 reports
Age 57542 reports
Age 67540 reports
Age 66536 reports
Age 68534 reports
Age 62514 reports
Age 63507 reports
Age 61501 reports
Age 69494 reports
Age 9475 reports
Age 55475 reports
Age 52468 reports
Age 53466 reports
Age 7460 reports
Age 6458 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Fludarabine Phosphate can cause severe infections and hematological issues, and may interact with other immunosuppressive drugs, necessitating careful monitoring.

What You Should Know

If you are taking Fludarabine Phosphate, here are important things to know. The most commonly reported side effects include off label use, pyrexia, drug ineffective, cytokine release syndrome, febrile neutropenia. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Patients should be closely monitored for signs of severe infections and hematological issues. Healthcare providers should be aware of the potential for cytokine release syndrome and graft-versus-host disease. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

The FDA closely monitors adverse events for Fludarabine Phosphate, and healthcare providers should report any serious adverse events promptly.

Frequently Asked Questions

How many adverse event reports has the FDA received for Fludarabine Phosphate?

The FDA has received approximately 79,367 adverse event reports associated with Fludarabine Phosphate. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Fludarabine Phosphate?

The most frequently reported adverse events for Fludarabine Phosphate include Off Label Use, Pyrexia, Drug Ineffective, Cytokine Release Syndrome, Febrile Neutropenia. By volume, the top reported reactions are: Off Label Use (4,055 reports), Pyrexia (2,873 reports), Drug Ineffective (2,846 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Fludarabine Phosphate.

What percentage of Fludarabine Phosphate adverse event reports are serious?

Out of 37,592 classified reports, 36,735 (97.7%) were classified as serious and 857 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Fludarabine Phosphate (by sex)?

Adverse event reports for Fludarabine Phosphate break down by patient sex as follows: Male: 17,123, Female: 11,454, Unknown: 629. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Fludarabine Phosphate?

The most frequently reported age groups for Fludarabine Phosphate adverse events are: age 65: 684 reports, age 64: 653 reports, age 59: 597 reports, age 58: 583 reports, age 60: 554 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Fludarabine Phosphate?

The primary manufacturer associated with Fludarabine Phosphate adverse event reports is Fresenius Kabi Usa, Llc. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Fludarabine Phosphate?

Beyond the most common reactions, other reported adverse events for Fludarabine Phosphate include: Product Use In Unapproved Indication, Neutropenia, Cytomegalovirus Infection, Thrombocytopenia, Sepsis. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Fludarabine Phosphate?

You can report adverse events from Fludarabine Phosphate to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Fludarabine Phosphate's safety score and what does it mean?

Fludarabine Phosphate has a safety concern score of 85 out of 100 (high concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. High percentage of serious adverse events (97.7%) indicates significant risk.

What are the key safety signals for Fludarabine Phosphate?

Key safety signals identified in Fludarabine Phosphate's adverse event data include: Severe infections (febrile neutropenia, pneumonia, sepsis) are frequent.. Hematological issues (neutropenia, thrombocytopenia, pancytopenia) are common.. Cytokine release syndrome and graft-versus-host disease are significant safety signals.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Fludarabine Phosphate interact with other drugs?

Fludarabine Phosphate can cause severe infections and hematological issues, and may interact with other immunosuppressive drugs, necessitating careful monitoring. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Fludarabine Phosphate.

What should patients know before taking Fludarabine Phosphate?

Patients should be closely monitored for signs of severe infections and hematological issues. Healthcare providers should be aware of the potential for cytokine release syndrome and graft-versus-host disease.

Are Fludarabine Phosphate side effects well-documented?

Fludarabine Phosphate has 79,367 adverse event reports on file with the FDA. Diverse range of reactions, including severe infections and hematological issues. The volume of reports for Fludarabine Phosphate reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Fludarabine Phosphate?

The FDA closely monitors adverse events for Fludarabine Phosphate, and healthcare providers should report any serious adverse events promptly. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

Drugs related to FLUDARABINE PHOSPHATE based on therapeutic use, drug class, or shared indications:

CyclosporineMycophenolate mofetilTacrolimusAzathioprineCytarabine
Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.