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What the label lists and what reports show

Crizotinib side effects

Crizotinib's FDA label: “The most common adverse reactions (≥25%) in adult patients with NSCLC are vision disorders, nausea, diarrhea, vomiting, edema, constipation, elevated transaminases, fatigue, decreased appetite, upper respiratory infection, dizziness, and neuropathy.” FAERS holds 12,638 reports naming it through July 30, 2026; the reaction reported most often, leaving out the conditions it is used for, product-use terms and outcomes, is nausea (1,118 reports).

  • No generic listed

Check it at the source: the crizotinib FDA label on DailyMed (effective July 22, 2025, Pfizer Laboratories Div Pfizer Inc); the FDA FAERS public dashboard.

What does the patient leaflet say about side effects?

From the patient leaflet: What are the possible side effects of XALKORI?

XALKORI may cause serious side effects, including: • See " What is the most important information I should know about XALKORI? " The most common side effects of XALKORI in adults with NSCLC include: • vision problems • nausea, diarrhea, or vomiting • swelling of your hands, feet, face, or eyes • constipation • increased liver function blood tests • tiredness • decreased appetite • upper respiratory infection • dizziness • feeling of numbness or tingling in your arms or legs The most common side effects of XALKORI in people with ALCL include: • diarrhea, vomiting, or nausea • vision problems • headache • muscle and joint pain • mouth sores • tiredness • decreased appetite • fever • stomach-area (abdominal) pain • cough • itchy skin • low blood counts The most common side effects of XALKORI in adults with IMT include: • vision problems • nausea • swelling of your hands, feet, face, or […]

Source: FDA drug label, NDA217581 (Pf Prism Cv), as published by Pfizer Laboratories Div Pfizer Inc, effective July 22, 2025 (SPL set 2a51b0de-47d6-455e-a94c-d2c737b04ff7), via openFDA; the full label on DailyMed

What does the label list?

From the label: adverse reactions

The most common adverse reactions (≥25%) in adult patients with NSCLC are vision disorders, nausea, diarrhea, vomiting, edema, constipation, elevated transaminases, fatigue, decreased appetite, upper respiratory infection, dizziness, and neuropathy.

Table 13. Adverse Reactions in ≥20% of Patients with Systemic ALCL in Study ADVL0912

ReactionAdverse Reaction All Grades (%)XALKORI N=26 Grade 3–4 (%)
Neutropenia Includes neutrophil count decreased.10077
Lymphopenia Includes lymphocyte count decreased.5838
Anemia543.8
Thrombocytopenia Includes platelet count decreased.3819
Diarrhea9212
Vomiting923.8
Nausea773.8
Abdominal Pain500
Stomatitis Includes oral pain, oropharyngeal pain, stomatitis.468
Constipation310
Blood creatinine increased1000
ALT increased813.8
AST increased653.8
Hypocalcemia623.8
Hypoalbuminemia540
Hyperglycemia460
Hypomagnesemia460
Hypoglycemia350
Hypokalemia313.8
Hypermagnesemia270
Hyperkalemia230
Headache583.8
Dysgeusia230
Dizziness230
Vision disorders Includes blurred vision, visual impairment, photophobia, photopsia,…650

Rows and numbers as the label prints them, under its own column headings (the first rows of a longer table where it runs on). A reaction in a trial table is not necessarily caused by the medicine, and trials differ from everyday use.

From the label: adverse reactions, continued

The following clinically significant adverse reactions are described elsewhere in the labeling: • Hepatotoxicity [see Warnings and Precautions (5.1) ] • Interstitial Lung Disease/Pneumonitis [see Warnings and Precautions (5.2) ] • QT Interval Prolongation [see Warnings and Precautions (5.3) ] • Bradycardia [see Warnings and Precautions (5.4) ] • Severe Visual Loss [see Warnings and Precautions (5.5) ] • Gastrointestinal Toxicity in Pediatric and Young Adult Patients with ALCL or Pediatric Patients with IMT [see Warnings and Precautions (5.6) ] The most common adverse reactions (≥25%) in adult patients with NSCLC are vision disorders, nausea, diarrhea, vomiting, edema, constipation, elevated transaminases, fatigue, decreased appetite, upper respiratory infection, dizziness, and neuropathy. ( 6.1 ) The most common adverse reactions (≥35%) in patients with ALCL are diarrhea, vomiting, nausea, vision disorder, headache, musculoskeletal pain, stomatitis, fatigue, decreased appetite, pyrexia, abdominal pain, cough, and pruritus. Grade 3–4 laboratory abnormalities (≥15%) are neutropenia, lymphopenia, and thrombocytopenia. ( 6.1 ) The most common adverse reactions (≥35%) in adult patients with IMT are vision disorders, nausea, and edema. …

Source: FDA drug label, NDA217581 (Pf Prism Cv), as published by Pfizer Laboratories Div Pfizer Inc, effective July 22, 2025 (SPL set 2a51b0de-47d6-455e-a94c-d2c737b04ff7), via openFDA; the full label on DailyMed

What do FAERS reports show?

12,638 reports list crizotinib among the medicines taken, each a report of something that happened, not proof the medicine caused it; 3,792 are coded as a death and 3,067 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is. Of the 20 reactions below, 12 are named by the same term (in US spelling) in the label's adverse reactions, warnings or patient leaflet; a reaction the label does not name may still be there under another word, and a report does not show that the medicine caused it.

Reports received each year

The 25 most reported reactions

  • Death (an outcome recorded in the report)2,324
  • Disease Progression (a use or a product term, not a reaction)1,216
  • Nausea (named in the label)1,118
  • Neoplasm Progression1,112
  • Diarrhoea (named in the label)847
  • Vomiting (named in the label)796
  • Fatigue (named in the label)554
  • Off Label Use (a use or a product term, not a reaction)475
  • Oedema Peripheral445
  • Constipation (named in the label)440
  • Dyspnoea (named in the label)430
  • Lung Neoplasm Malignant420
  • Visual Impairment (named in the label)403
  • Decreased Appetite (named in the label)380
  • Asthenia340
  • Pneumonia (named in the label)337
  • Dizziness (named in the label)315
  • Malaise313
  • Pleural Effusion309
  • Malignant Neoplasm Progression303
  • Peripheral Swelling294
  • Non-Small Cell Lung Cancer (a use or a product term, not a reaction)282
  • Pyrexia (named in the label)265
  • Cough (named in the label)249
  • Drug Ineffective (a use or a product term, not a reaction)223

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026; reactions as MedDRA preferred terms

What next?

Crizotinib: the full record
label, generics, price, shortages, recalls
Side effects hub
the most reported medicines and reactions