CD20-directed Cytolytic Antibody side effects compared: 7 drugs, 318,918 FDA adverse event reports
Members
| Drug | FAERS reports | Serious | Death outcome | Boxed warning | Top labeled signals | Unlabeled (unassessed) |
|---|---|---|---|---|---|---|
| Rituximab (Rituxan) | 210,132 | 89% | 37,069 | boxed | Duodenal ulcer perforation; Rheumatic fever; Sleep disorder due to general medical condition, insomnia type | Synovitis; Hand deformity |
| Ocrelizumab (Ocrevus) | 61,582 | 50% | 1,519 | – | Ear pruritus; Genital herpes; Multiple sclerosis pseudo relapse | Covid-19; Cystitis noninfective |
| Ofatumumab (Kesimpta) | 33,036 | 44% | 762 | – | Chills; Brain fog; Cytopenia | Influenza like illness; Temperature intolerance |
| Rituximab-Pvvr (Ruxience) | 5,068 | 90% | 471 | boxed | Throat irritation; Infusion related reaction; Heart rate increased | Covid-19; Cataract |
| Rituximab-Abbs (Truxima) | 4,946 | 73% | 516 | boxed | Infusion related reaction; Systemic lupus erythematosus; Type 2 diabetes mellitus | Helicobacter infection; Synovitis |
| Ublituximab (Briumvi) | 3,775 | 22% | 62 | – | Infusion related reaction; Urinary tract infection; Multiple sclerosis relapse | Balance disorder; Herpes zoster |
| Rituximab-Arrx (Riabni) | 379 | 16% | 14 | boxed | Circumstance or information capable of leading to medication error | – |
Class-wide signals (flagged in at least 4 of 7 members)
No term is flagged in at least half the members.
Member-specific signals (flagged in exactly one drug)
Common questions
Which cd20-directed cytolytic antibody has the most FDA adverse event reports?
Rituximab has the most FAERS co-reports in this class (210,132), followed by Ocrelizumab (61,582). Report volume tracks how widely and how long a drug has been used, and how much attention it has had, far more than its risk.
Which side effects are shared across cd20-directed cytolytic antibody drugs?
No reaction term is flagged in at least half of the members; the signals in this class are largely product-specific or population-specific.
Does a FAERS signal mean the drug causes the reaction?
No. These are disproportionality signals from voluntary reports with no denominator. Each is screened against the FDA label (known vs unlabeled) on the drug pages; causality needs temporality, dose-response, plausibility and trial or cohort evidence.
Sources: openFDA FAERS pair statistics (OpenPV build 2026-09-14), FDA labels via openFDA, seriousness and death counts from openFDA count queries. Generated 2026-10-08. Not medical advice.