denosumab Side Effects

What the FAERS Data Reveals About denosumab Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 196,342 voluntary reports linked to denosumab and its brand equivalents (Prolia, Xgeva), spanning 2008 through 2025. Of those, 25,105 (12.8%) listed death as an outcome and 30,164 (15.4%) involved hospitalization. The most common indication reported alongside adverse events was Product Used For Unknown Indication.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 84% were female and 16% male; age distribution skews toward 75+, with 49,014 reports in that bracket. The single most reported reaction is off label use with 36,484 submissions, followed by death and arthralgia.

FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice — speak with a licensed clinician about any side-effect concerns.