OSIMERTINIB

85/100 · Critical

Manufactured by AstraZeneca Pharmaceuticals LP

High Safety Concerns with Osimertinib, Particularly for Serious Adverse Events

41,863 FDA adverse event reports analyzed

Last updated: 2026-05-12

About OSIMERTINIB

OSIMERTINIB is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by AstraZeneca Pharmaceuticals LP. Based on analysis of 41,863 FDA adverse event reports, OSIMERTINIB 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 OSIMERTINIB include DEATH, MALIGNANT NEOPLASM PROGRESSION, DIARRHOEA, DRUG RESISTANCE, FATIGUE. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for OSIMERTINIB.

AI Safety Analysis

Osimertinib 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 41,863 adverse event reports for this medication, which is primarily manufactured by Astrazeneca Pharmaceuticals Lp.

The most commonly reported adverse events include Death, Malignant Neoplasm Progression, Diarrhoea. Of classified reports, 93.2% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. The most common serious adverse events include death, malignant neoplasm progression, and interstitial lung disease.

Significant drug interactions and warnings are present, particularly regarding cardiac and pulmonary issues. A high percentage of reports involve serious adverse events, with a serious/total ratio of 93.2%.

Patients taking Osimertinib should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Osimertinib carries warnings for drug interactions, particularly with anticoagulants and antiarrhythmics, and requires monitoring for cardiac and pulmonary adverse events. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 85/100

Osimertinib received a safety concern score of 85/100 (high concern). This is based on a 93.2% serious event ratio across 29,200 classified reports. The score accounts for 41,863 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

DEATH10,777 reports
MALIGNANT NEOPLASM PROGRESSION3,073 reports
DIARRHOEA1,521 reports
DRUG RESISTANCE1,061 reports
FATIGUE905 reports
RASH853 reports
DECREASED APPETITE726 reports
OFF LABEL USE718 reports
DRUG INEFFECTIVE688 reports
DYSPNOEA684 reports
DISEASE PROGRESSION683 reports
NAUSEA653 reports
METASTASES TO CENTRAL NERVOUS SYSTEM621 reports
INTERSTITIAL LUNG DISEASE562 reports
ASTHENIA521 reports
PLEURAL EFFUSION497 reports
ACQUIRED GENE MUTATION473 reports
WEIGHT DECREASED439 reports
PNEUMONIA429 reports
VOMITING415 reports
COUGH381 reports
PAIN365 reports
PNEUMONITIS352 reports
DRY SKIN345 reports
PYREXIA340 reports
FALL323 reports
THROMBOSIS302 reports
MYELOSUPPRESSION295 reports
PLATELET COUNT DECREASED294 reports
PRURITUS291 reports
DIZZINESS287 reports
METASTASES TO BONE284 reports
HEADACHE283 reports
METASTASES TO MENINGES281 reports
MUSCLE SPASMS279 reports
MALAISE271 reports
PULMONARY EMBOLISM262 reports
STOMATITIS261 reports
ANAEMIA249 reports
CEREBROVASCULAR ACCIDENT248 reports
CARDIAC FAILURE240 reports
THROMBOCYTOPENIA239 reports
LUNG DISORDER238 reports
LUNG NEOPLASM MALIGNANT233 reports
PRODUCT DOSE OMISSION ISSUE233 reports
CONSTIPATION232 reports
HEPATIC FUNCTION ABNORMAL229 reports
METASTASES TO LIVER227 reports
DEHYDRATION225 reports
ATRIAL FIBRILLATION209 reports
DEEP VEIN THROMBOSIS203 reports
PARONYCHIA200 reports
ELECTROCARDIOGRAM QT PROLONGED192 reports
ALOPECIA187 reports
NEOPLASM MALIGNANT183 reports
GENERAL PHYSICAL HEALTH DETERIORATION181 reports
RESPIRATORY FAILURE181 reports
ONYCHOCLASIS179 reports
RENAL IMPAIRMENT177 reports
PAIN IN EXTREMITY172 reports
CARDIAC DISORDER170 reports
NAIL DISORDER166 reports
ARTHRALGIA165 reports
TOXICITY TO VARIOUS AGENTS165 reports
DYSPHAGIA163 reports
WHITE BLOOD CELL COUNT DECREASED163 reports
NEUROPATHY PERIPHERAL161 reports
SEIZURE158 reports
GAIT DISTURBANCE155 reports
PERIPHERAL SWELLING155 reports
BACK PAIN153 reports
METASTASES TO LUNG151 reports
EGFR GENE MUTATION147 reports
CONDITION AGGRAVATED145 reports
HYPOTENSION144 reports
MYOCARDIAL INFARCTION144 reports
LIVER DISORDER141 reports
CHEST PAIN139 reports
NEOPLASM PROGRESSION136 reports
PRODUCT USE ISSUE136 reports
RENAL FAILURE135 reports
PANCYTOPENIA134 reports
ERYTHEMA127 reports
INSOMNIA127 reports
URINARY TRACT INFECTION127 reports
PULMONARY OEDEMA125 reports
PERICARDIAL EFFUSION122 reports
METASTASIS121 reports
COVID 19119 reports
INFECTION119 reports
MALIGNANT TRANSFORMATION113 reports
DRUG INTOLERANCE112 reports
NON SMALL CELL LUNG CANCER112 reports
VISUAL IMPAIRMENT111 reports
ILLNESS110 reports
HYPERTENSION109 reports
OEDEMA PERIPHERAL109 reports
EJECTION FRACTION DECREASED108 reports
MYALGIA108 reports
PRODUCT USE IN UNAPPROVED INDICATION106 reports

Key Safety Signals

  • Death and malignant neoplasm progression are among the top serious adverse events.
  • Interstitial lung disease and pulmonary edema are notable respiratory issues.
  • Cardiac disorders, including myocardial infarction and atrial fibrillation, are frequent.

Patient Demographics

Adverse event reports by sex: Female: 16,555, Male: 8,574, Unknown: 3. The most frequently reported age groups are age 70 (380 reports), age 72 (320 reports), age 80 (291 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 29,200 classified reports for OSIMERTINIB:

  • Serious: 27,214 reports (93.2%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 1,986 reports (6.8%)
Serious 93.2%Non-Serious 6.8%

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

Female16,555 (65.9%)
Male8,574 (34.1%)
Unknown3 (0.0%)

Reports by Age

Age 70380 reports
Age 72320 reports
Age 80291 reports
Age 69288 reports
Age 71285 reports
Age 67281 reports
Age 68274 reports
Age 60268 reports
Age 65260 reports
Age 75260 reports
Age 74251 reports
Age 77247 reports
Age 62236 reports
Age 63235 reports
Age 76229 reports
Age 73226 reports
Age 78221 reports
Age 66219 reports
Age 81215 reports
Age 64206 reports

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

Drug Interactions & Warnings

Osimertinib carries warnings for drug interactions, particularly with anticoagulants and antiarrhythmics, and requires monitoring for cardiac and pulmonary adverse events.

What You Should Know

If you are taking Osimertinib, here are important things to know. The most commonly reported side effects include death, malignant neoplasm progression, diarrhoea, drug resistance, fatigue. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Monitor patients closely for signs of serious adverse events such as interstitial lung disease and cardiac issues. Follow dosing guidelines and be aware of potential drug interactions. 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 the FDA requiring post-marketing studies to further evaluate long-term safety and efficacy.

Frequently Asked Questions

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

The FDA has received approximately 41,863 adverse event reports associated with Osimertinib. 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 Osimertinib?

The most frequently reported adverse events for Osimertinib include Death, Malignant Neoplasm Progression, Diarrhoea, Drug Resistance, Fatigue. By volume, the top reported reactions are: Death (10,777 reports), Malignant Neoplasm Progression (3,073 reports), Diarrhoea (1,521 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Osimertinib.

What percentage of Osimertinib adverse event reports are serious?

Out of 29,200 classified reports, 27,214 (93.2%) were classified as serious and 1,986 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 Osimertinib (by sex)?

Adverse event reports for Osimertinib break down by patient sex as follows: Female: 16,555, Male: 8,574, Unknown: 3. 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 Osimertinib?

The most frequently reported age groups for Osimertinib adverse events are: age 70: 380 reports, age 72: 320 reports, age 80: 291 reports, age 69: 288 reports, age 71: 285 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 Osimertinib?

The primary manufacturer associated with Osimertinib adverse event reports is Astrazeneca Pharmaceuticals Lp. 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 Osimertinib?

Beyond the most common reactions, other reported adverse events for Osimertinib include: Rash, Decreased Appetite, Off Label Use, Drug Ineffective, Dyspnoea. 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 Osimertinib?

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

Osimertinib 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. The most common serious adverse events include death, malignant neoplasm progression, and interstitial lung disease.

What are the key safety signals for Osimertinib?

Key safety signals identified in Osimertinib's adverse event data include: Death and malignant neoplasm progression are among the top serious adverse events.. Interstitial lung disease and pulmonary edema are notable respiratory issues.. Cardiac disorders, including myocardial infarction and atrial fibrillation, are frequent.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Osimertinib interact with other drugs?

Osimertinib carries warnings for drug interactions, particularly with anticoagulants and antiarrhythmics, and requires monitoring for cardiac and pulmonary adverse events. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Osimertinib.

What should patients know before taking Osimertinib?

Monitor patients closely for signs of serious adverse events such as interstitial lung disease and cardiac issues. Follow dosing guidelines and be aware of potential drug interactions.

Are Osimertinib side effects well-documented?

Osimertinib has 41,863 adverse event reports on file with the FDA. Significant drug interactions and warnings are present, particularly regarding cardiac and pulmonary issues. The volume of reports for Osimertinib reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Osimertinib?

Regulatory oversight is ongoing, with the FDA requiring post-marketing studies to further evaluate long-term safety and efficacy. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

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

WarfarinAmiodaroneDigoxin
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.