OMALIZUMAB

65/100 · Elevated

Manufactured by Genentech, Inc.

Moderate Safety Concerns with Omalizumab: Asthma and Urticaria Predominant

248,573 FDA adverse event reports analyzed

Last updated: 2026-05-12

About OMALIZUMAB

OMALIZUMAB is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Genentech, Inc.. Based on analysis of 248,573 FDA adverse event reports, OMALIZUMAB has a safety score of 65 out of 100. This moderate score indicates a notable volume of adverse event reports that patients and providers should be aware of. The most commonly reported adverse reactions for OMALIZUMAB include ASTHMA, URTICARIA, NO ADVERSE EVENT, OFF LABEL USE, DYSPNOEA. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for OMALIZUMAB.

AI Safety Analysis

Omalizumab has a safety concern score of 65 out of 100, placing it in the elevated concern category based on analysis of FDA adverse event data. The FDA has received approximately 248,573 adverse event reports for this medication, which is primarily manufactured by Genentech, Inc..

The most commonly reported adverse events include Asthma, Urticaria, No Adverse Event. Of classified reports, 53.7% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Asthma and Urticaria are the most common adverse events reported.

Serious adverse events account for 53.7% of total reports. The majority of reports are from adults aged 50-65.

Patients taking Omalizumab should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Omalizumab may interact with other drugs, and warnings include anaphylactic reactions and respiratory issues. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 65/100

Omalizumab received a safety concern score of 65/100 (elevated concern). This is based on a 53.7% serious event ratio across 79,450 classified reports. The score accounts for 248,573 total adverse event reports and 100 distinct reaction types. This elevated score indicates a notable proportion of serious adverse events and warrants careful monitoring.

Top Adverse Reactions

ASTHMA11,600 reports
URTICARIA10,326 reports
NO ADVERSE EVENT10,204 reports
OFF LABEL USE9,929 reports
DYSPNOEA9,875 reports
DRUG INEFFECTIVE7,780 reports
COUGH6,768 reports
PRURITUS5,943 reports
FATIGUE5,824 reports
MALAISE5,429 reports
WHEEZING5,239 reports
HEADACHE5,205 reports
PNEUMONIA4,980 reports
PAIN4,103 reports
ANAPHYLACTIC REACTION3,986 reports
NASOPHARYNGITIS3,843 reports
ARTHRALGIA3,625 reports
HYPERSENSITIVITY3,397 reports
WEIGHT DECREASED3,380 reports
DIZZINESS3,309 reports
RASH3,210 reports
PYREXIA3,166 reports
NAUSEA3,018 reports
BLOOD PRESSURE INCREASED2,955 reports
CHEST DISCOMFORT2,809 reports
DRUG HYPERSENSITIVITY2,758 reports
INFLUENZA2,682 reports
VOMITING2,640 reports
WEIGHT INCREASED2,613 reports
PRODUCTIVE COUGH2,498 reports
PRODUCT DOSE OMISSION ISSUE2,437 reports
ERYTHEMA2,273 reports
PAIN IN EXTREMITY2,193 reports
HEART RATE INCREASED2,191 reports
SINUSITIS2,176 reports
NASAL CONGESTION2,090 reports
BRONCHITIS2,067 reports
OROPHARYNGEAL PAIN2,045 reports
ASTHENIA2,024 reports
CHEST PAIN1,978 reports
ANXIETY1,939 reports
INSOMNIA1,934 reports
INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION1,878 reports
DIARRHOEA1,854 reports
ANGIOEDEMA1,815 reports
OBSTRUCTIVE AIRWAYS DISORDER1,773 reports
ILLNESS1,755 reports
FALL1,699 reports
MYALGIA1,666 reports
FEELING ABNORMAL1,644 reports
RHINORRHOEA1,639 reports
INJECTION SITE PAIN1,630 reports
PERIPHERAL SWELLING1,598 reports
SPUTUM DISCOLOURED1,598 reports
BLOOD PRESSURE SYSTOLIC INCREASED1,572 reports
BACK PAIN1,555 reports
FORCED EXPIRATORY VOLUME DECREASED1,555 reports
SWELLING1,524 reports
ALOPECIA1,490 reports
DEATH1,457 reports
HYPERTENSION1,454 reports
LOWER RESPIRATORY TRACT INFECTION1,356 reports
STRESS1,340 reports
CONDITION AGGRAVATED1,329 reports
COVID 191,328 reports
OEDEMA1,286 reports
MIGRAINE1,205 reports
MIDDLE INSOMNIA1,198 reports
SWELLING FACE1,194 reports
PARAESTHESIA1,163 reports
INCORRECT DOSE ADMINISTERED1,158 reports
ABDOMINAL PAIN1,153 reports
GAIT DISTURBANCE1,115 reports
RESPIRATORY TRACT INFECTION1,088 reports
DYSPNOEA EXERTIONAL1,076 reports
CONTUSION1,003 reports
PRODUCT USE IN UNAPPROVED INDICATION980 reports
HYPOAESTHESIA964 reports
CHILLS942 reports
ABDOMINAL PAIN UPPER941 reports
DYSPHONIA940 reports
SOMNOLENCE921 reports
THERAPEUTIC PRODUCT EFFECT INCOMPLETE905 reports
INFLUENZA LIKE ILLNESS900 reports
OEDEMA PERIPHERAL899 reports
BODY TEMPERATURE DECREASED893 reports
INFECTION892 reports
LUNG DISORDER879 reports
WRONG TECHNIQUE IN PRODUCT USAGE PROCESS872 reports
GASTROOESOPHAGEAL REFLUX DISEASE857 reports
URINARY TRACT INFECTION855 reports
CHRONIC OBSTRUCTIVE PULMONARY DISEASE854 reports
DEPRESSION845 reports
INTENTIONAL PRODUCT USE ISSUE840 reports
LIP SWELLING828 reports
BLOOD PRESSURE DECREASED811 reports
RESPIRATORY TRACT CONGESTION797 reports
BLOOD IMMUNOGLOBULIN E INCREASED792 reports
MUSCLE SPASMS789 reports
MATERNAL EXPOSURE DURING PREGNANCY788 reports

Key Safety Signals

  • Asthma and Urticaria are key safety signals, with high report volumes.
  • Serious adverse events are a significant concern, with a high percentage of reports being serious.

Patient Demographics

Adverse event reports by sex: Female: 52,704, Male: 18,978, Unknown: 179. The most frequently reported age groups are age 65 (1,485 reports), age 60 (1,016 reports), age 53 (888 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 79,450 classified reports for OMALIZUMAB:

  • Serious: 42,639 reports (53.7%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 36,811 reports (46.3%)
Serious 53.7%Non-Serious 46.3%

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

Female52,704 (73.3%)
Male18,978 (26.4%)
Unknown179 (0.2%)

Reports by Age

Age 651,485 reports
Age 601,016 reports
Age 53888 reports
Age 57842 reports
Age 59840 reports
Age 50829 reports
Age 61813 reports
Age 64812 reports
Age 63801 reports
Age 66788 reports
Age 62775 reports
Age 49772 reports
Age 58767 reports
Age 52765 reports
Age 56755 reports
Age 55743 reports
Age 40722 reports
Age 47717 reports
Age 54716 reports
Age 43710 reports

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

Drug Interactions & Warnings

Omalizumab may interact with other drugs, and warnings include anaphylactic reactions and respiratory issues.

What You Should Know

If you are taking Omalizumab, here are important things to know. The most commonly reported side effects include asthma, urticaria, no adverse event, off label use, dyspnoea. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Monitor patients for signs of asthma exacerbation and urticaria, especially during the first 24 hours after administration. Inform patients about the risk of serious adverse events and the importance of following prescribed dosing instructions. 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

Regulatory oversight is ongoing, with no major changes to the drug's approval status.

Frequently Asked Questions

How many adverse event reports has the FDA received for Omalizumab?

The FDA has received approximately 248,573 adverse event reports associated with Omalizumab. 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 Omalizumab?

The most frequently reported adverse events for Omalizumab include Asthma, Urticaria, No Adverse Event, Off Label Use, Dyspnoea. By volume, the top reported reactions are: Asthma (11,600 reports), Urticaria (10,326 reports), No Adverse Event (10,204 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Omalizumab.

What percentage of Omalizumab adverse event reports are serious?

Out of 79,450 classified reports, 42,639 (53.7%) were classified as serious and 36,811 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 Omalizumab (by sex)?

Adverse event reports for Omalizumab break down by patient sex as follows: Female: 52,704, Male: 18,978, Unknown: 179. 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 Omalizumab?

The most frequently reported age groups for Omalizumab adverse events are: age 65: 1,485 reports, age 60: 1,016 reports, age 53: 888 reports, age 57: 842 reports, age 59: 840 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 Omalizumab?

The primary manufacturer associated with Omalizumab adverse event reports is Genentech, Inc.. 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 Omalizumab?

Beyond the most common reactions, other reported adverse events for Omalizumab include: Drug Ineffective, Cough, Pruritus, Fatigue, Malaise. 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 Omalizumab?

You can report adverse events from Omalizumab 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 Omalizumab's safety score and what does it mean?

Omalizumab has a safety concern score of 65 out of 100 (elevated 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. Asthma and Urticaria are the most common adverse events reported.

What are the key safety signals for Omalizumab?

Key safety signals identified in Omalizumab's adverse event data include: Asthma and Urticaria are key safety signals, with high report volumes.. Serious adverse events are a significant concern, with a high percentage of reports being serious.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Omalizumab interact with other drugs?

Omalizumab may interact with other drugs, and warnings include anaphylactic reactions and respiratory issues. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Omalizumab.

What should patients know before taking Omalizumab?

Monitor patients for signs of asthma exacerbation and urticaria, especially during the first 24 hours after administration. Inform patients about the risk of serious adverse events and the importance of following prescribed dosing instructions.

Are Omalizumab side effects well-documented?

Omalizumab has 248,573 adverse event reports on file with the FDA. Serious adverse events account for 53.7% of total reports. The volume of reports for Omalizumab reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Omalizumab?

Regulatory oversight is ongoing, with no major changes to the drug's approval status. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

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

Leukotriene modifiersCorticosteroidsAntihistamines
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.