Xgevadenosumab
According to the FDA label: Xgeva is a RANK ligand (RANKL) inhibitor indicated for: Prevention of skeletal-related events in patients with multiple myeloma and in patients with bone metastases from solid tumors. ( 1.1 ) Treatment of adults and skeletally mature adolescents with giant cell tumor of bone that is unresectable or where surgical resection is likely to result in severe morbidity. ( 1.2 , 14.3 ) Treatment of hypercalcemia of malignancy refractory to bisphosphonate therapy.
50,284 adverse event reports submitted to the FDA (2008–2026)
Top Reported Adverse Events
The most frequently reported events in association with Xgeva in the FAERS database. These are events reported by patients taking this medication, not necessarily caused by it. A single report may include multiple events.
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- Osteonecrosis Of Jaw 5,406 reports
Death 4,634 reports
A report that the person died. A death appearing in reports for a drug does not mean the drug caused it. Reports record that a death occurred while the medication was being used, which can happen for many unrelated reasons.
Full definition in the glossary →Fatigue 4,208 reports
Extreme tiredness or lack of energy that does not improve with rest.
Full definition in the glossary → See all drugs reporting this event →Diarrhoea 3,091 reports
Loose or watery bowel movements, often frequent. Also spelled diarrhea in American English.
Full definition in the glossary → See all drugs reporting this event →Nausea 2,901 reports
The feeling of sickness in your stomach that often comes before vomiting.
Full definition in the glossary → See all drugs reporting this event →Off Label Use 2,765 reports
Using a medication for a condition or in a way that the FDA has not officially approved. This is common and often legal, and a report of it does not mean something went wrong. Doctors sometimes prescribe drugs off label based on their judgment.
Full definition in the glossary →Malignant Neoplasm Progression 2,037 reports
A report that a cancer grew or spread. This describes the course of the illness, not necessarily an effect of the drug. Malignant neoplasm is the medical term for a cancerous growth.
Full definition in the glossary →- Hypocalcaemia 1,807 reports
Asthenia 1,696 reports
Physical weakness or lack of strength.
Full definition in the glossary →Neutropenia 1,671 reports
A low level of neutrophils, a type of white blood cell that fights infection.
Full definition in the glossary →Decreased Appetite 1,617 reports
Dyspnoea 1,613 reports
Shortness of breath or difficulty breathing. Also spelled dyspnea in American English.
Full definition in the glossary → See all drugs reporting this event →Metastases to Bone 1,608 reports
Cancer that has spread to the bones from another part of the body. It may appear in reports as part of a condition being treated.
Full definition in the glossary →Pain 1,594 reports
A general report of physical discomfort, used when no more specific location is given.
Full definition in the glossary →Anaemia 1,495 reports
A condition where there are too few healthy red blood cells to carry enough oxygen, often causing tiredness and paleness. Also spelled anemia in American English.
Full definition in the glossary → See all drugs reporting this event →
Ranked by frequency of reports, not severity. The most-reported event is not necessarily the most dangerous or the most common in patients taking this drug.
Who Is Reporting
Demographics of patients in FAERS reports that included this information. Not all reports include patient demographics.
By Sex
View reporter sex data as a table
| Sex | Reports |
|---|---|
| Female | 26,695 |
| Male | 17,761 |
| Unknown | 237 |
By Age Group
View age group data as a table
| Age group | Reports |
|---|---|
| 0-17 | 450 |
| 18-34 | 619 |
| 35-49 | 3,204 |
| 50-64 | 10,057 |
| 65-74 | 11,025 |
| 75+ | 9,882 |
This shows who filed reports, reflecting who takes this drug and who tends to report, not who is at greatest risk.
Reported Outcomes
Outcomes recorded in FAERS reports that included Xgeva. A single report may involve multiple reactions, each with a different outcome. These categories are defined by FDA reporting guidelines, not by PillSignal.
View outcome data as a table
| Outcome | Reports |
|---|---|
| Other Serious | 29,078 |
| Hospitalization | 15,501 |
| Non-Serious | 9,768 |
| Death | 7,760 |
| Life-Threatening | 1,497 |
| Disability | 963 |
Serious outcomes are far more likely to be reported than mild ones, so this overstates how often outcomes are serious. A recorded death does not mean the drug caused it.
Report Volume Over Time
Number of FAERS reports received per quarter for Xgeva. Changes in volume may reflect shifts in prescribing rates, media attention, or reporting behavior, not changes in the medication's safety profile.
View report trend as a table
| Year | Reports |
|---|---|
| 2008 | 1 |
| 2009 | 3 |
| 2010 | 68 |
| 2011 | 441 |
| 2012 | 1,203 |
| 2013 | 1,736 |
| 2014 | 3,426 |
| 2015 | 3,562 |
| 2016 | 4,409 |
| 2017 | 4,195 |
| 2018 | 4,468 |
| 2019 | 3,557 |
| 2020 | 3,499 |
| 2021 | 3,833 |
| 2022 | 3,968 |
| 2023 | 4,052 |
| 2024 | 3,775 |
| 2025 | 3,414 |
| 2026 (partial) | 674 |
The steep increase around 2004 reflects the FDA's move to electronic submission, not a change in this drug's safety. Trends track reporting volume, not risk.
Medications commonly reported with Xgeva
In FDA adverse event reports that mention Xgeva, these medications appeared most often in the same report.
- Palbociclib (4,919 reports)
- Letrozole (4,735 reports)
- Dexamethasone (4,075 reports)
- Fulvestrant (4,042 reports)
- Ergocalciferol (3,921 reports)
This reflects co-occurrence in submitted reports, not evidence of drug interaction or combined risk. People often report several medications taken for the same condition or for unrelated reasons. Talk to a doctor or pharmacist about your specific medications.
Related Drugs
Other medications with similar adverse event profiles in FDA FAERS reports.
Data Source
This data is sourced from the FDA's Adverse Event Monitoring System (AEMS), formerly FAERS, via the OpenFDA API. PillSignal is not affiliated with the FDA.
View this data on the FDA website →Data last updated: June 2026