Capmatinib side effects: what 2,345 FDA adverse event reports show
Drug class
Kinase inhibitor
Brand names
Tabrecta
Who reports
2,345 reports · 60% serious · 566 with death outcome · 55% female
Used for
TABRECTA is indicated for the treatment of adult patients with metastatic non-small cell lung cancer (NSCLC) whose tumors have a mutation that leads to mesenchymal-epithelial transition (MET) exon 14 skipping as detected by an FDA-approved test. TABREC.
What it is
Capmatinib is a kinase inhibitor.
Boxed warning
None in the current label
Causality screen of the 38 strongest signals
What the badges mean
- Labeled adverse reaction The exact term appears in the label's warnings or adverse-reactions sections: a known, expected effect. The FAERS signal confirms the label rather than discovering anything.
- Labeled (related wording) The label describes this effect under different wording (e.g. 'neutropenia' for 'neutrophil count decreased'). Treated as known.
- Likely indication confounding The term appears in the label's indications: reports probably describe the disease being treated (or its progression), not a drug effect. Classic confounding by indication.
- Reporting / coding artifact An administrative, monitoring or exposure term (product issue, off-label use, 'test normal', overdose...). Not a biological reaction; a high PRR here reflects how reports are coded.
- Lab value / disease marker A laboratory result, investigation or disease-activity marker (antibody positive, CRP abnormal, swollen joint count) not described in the label. These usually mirror the monitored disease or testing protocol rather than a drug effect; not screened further.
- Outcome field, not a reaction Death is a report outcome, not a reaction term. It is dominated by the underlying illness; see the seriousness profile and the boxed warning instead.
- Not in label — unassessed Not found in the label text, not an artifact pattern. This is a genuine candidate for a formal causality assessment (Bradford Hill / WHO-UMC); it has NOT had one here.
Strongest disproportionality signals
Flagged terms (PRR ≥ 2, χ² ≥ 4, n ≥ 10), ranked by PRR; infinite PRRs (no comparator reports) excluded. The EBGM column is a second, shrinkage-based estimate (MGPS) with its 5th percentile EB05 and the BCPNN IC025; a pair flagged by PRR alone is marked PRR-only and should be read as fragile. The strata column recomputes the PRR on serious reports only and flags pairs whose reports are unusually skewed by sex or come mostly from consumers rather than clinicians. 15 further terms are in the interactive explorer. Reaction links open the term's cross-drug page.
| Reaction | Reports | PRR 95% CI · ROR · χ²/p | EBGM EB05 · IC025 | Label screen | Serious-only & strata | Trial cross-check |
|---|---|---|---|---|---|---|
| Generalised oedema | 32 | 23.3 16.5–32.9ROR 23.6 · χ² 659 / p 1e-145 | 23.0 EB05 17.0 · IC025 +3.5 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 19.2 | no trial data cached |
| Oedema | 134 | 22.2 18.8–26.2ROR 23.5 · χ² 2,690 / p <1e-300 | 22.1 EB05 19.1 · IC025 +4.1 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 11.7 | no trial data cached |
| Product use complaint | 32 | 18.5 13.1–26.1ROR 18.7 · χ² 512 / p 1e-113 | 18.2 EB05 13.5 · IC025 +3.3 3/3 methods agree | Reporting / coding artifact | serious n=13 | no trial data cached |
| Oedema peripheral (swelling of legs/feet) | 245 | 17.9 15.9–20.2ROR 19.9 · χ² 3,918 / p <1e-300 | 17.9 EB05 16.1 · IC025 +3.9 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 14.4 | no trial data cached |
| Peripheral swelling | 288 | 16.8 15.1–18.7ROR 19.0 · χ² 4,291 / p <1e-300 | 16.8 EB05 15.2 · IC025 +3.8 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 10.0 · 88% consumer | no trial data cached |
| Metastases to central nervous system | 24 | 16.8 11.3–25.0ROR 16.9 · χ² 340 / p 3e-76 | 16.4 EB05 11.4 · IC025 +3.0 3/3 methods agree | Not in label — unassessed | serious PRR 16.1 | no trial data cached |
| Malignant neoplasm progression | 180 | 15.8 13.8–18.2ROR 17.1 · χ² 2,493 / p <1e-300 | 15.8 EB05 13.9 · IC025 +3.7 3/3 methods agree | Reporting / coding artifact | serious PRR 15.4 | no trial data cached |
| Hepatic cytolysis | 21 | 15.4 10.1–23.6ROR 15.5 · χ² 268 / p 2e-60 | 14.9 EB05 9.9 · IC025 +2.8 3/3 methods agree | Not in label — unassessed | serious PRR 14.7 · 100% clinician | no trial data cached |
| Blood calcium decreased | 16 | 12.7 7.8–20.7ROR 12.8 · χ² 161 / p 4e-37 | 11.6 EB05 7.0 · IC025 +2.4 3/3 methods agree | Lab value / disease marker | serious PRR 14.2 | no trial data cached |
| Deafness | 36 | 12.3 8.9–17.0ROR 12.5 · χ² 363 / p 4e-81 | 11.9 EB05 8.8 · IC025 +2.9 3/3 methods agree | Not in label — unassessed | serious PRR 12.2 · ♀ 22% (drug 55%) | no trial data cached |
| Blood potassium increased | 17 | 9.4 5.8–15.1ROR 9.4 · χ² 119 / p 5e-28 | 8.1 EB05 5.1 · IC025 +2.1 3/3 methods agree | Lab value / disease marker | serious PRR 11.6 | no trial data cached |
| Hypoacusis | 44 | 9.2 6.8–12.3ROR 9.3 · χ² 312 / p 3e-70 | 8.7 EB05 6.6 · IC025 +2.6 3/3 methods agree | Not in label — unassessed | serious PRR 9.8 · 75% consumer | no trial data cached |
| Fluid retention | 52 | 9.2 7.0–12.0ROR 9.3 · χ² 370 / p 9e-83 | 8.7 EB05 6.8 · IC025 +2.6 3/3 methods agree | Not in label — unassessed | serious PRR 7.5 · ♀ 35% (drug 55%) · 73% consumer | no trial data cached |
| Lung neoplasm malignant | 42 | 9.1 6.7–12.3ROR 9.2 · χ² 295 / p 2e-66 | 8.6 EB05 6.5 · IC025 +2.5 3/3 methods agree | Not in label — unassessed | serious PRR 8.7 | no trial data cached |
| Blood creatinine increased | 66 | 9.0 7.1–11.5ROR 9.3 · χ² 464 / p 3e-103 | 8.7 EB05 7.0 · IC025 +2.7 3/3 methods agree | Labeled (related wording) related wording | serious PRR 7.7 | no trial data cached |
| Hepatotoxicity (liver damage) | 22 | 8.9 5.9–13.5ROR 9.0 · χ² 146 / p 6e-34 | 7.9 EB05 5.4 · IC025 +2.2 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 8.3 | no trial data cached |
| Pleural effusion | 58 | 8.5 6.6–11.0ROR 8.7 · χ² 378 / p 1e-84 | 8.2 EB05 6.5 · IC025 +2.6 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 7.0 | no trial data cached |
| Pneumonitis | 25 | 8.3 5.6–12.2ROR 8.4 · χ² 153 / p 2e-35 | 7.5 EB05 5.2 · IC025 +2.2 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 6.9 | no trial data cached |
| Metastases to bone | 15 | 8.2 5.0–13.6ROR 8.3 · χ² 88 / p 4e-21 | 6.9 EB05 4.3 · IC025 +1.9 3/3 methods agree | Not in label — unassessed | serious PRR 7.9 | no trial data cached |
| Blood urea increased | 15 | 8.0 4.8–13.2ROR 8.0 · χ² 85 / p 2e-20 | 6.7 EB05 4.2 · IC025 +1.8 3/3 methods agree | Lab value / disease marker | serious PRR 8.4 | no trial data cached |
| Dysphagia (difficulty swallowing) | 83 | 7.8 6.4–9.7ROR 8.1 · χ² 491 / p 5e-109 | 7.6 EB05 6.3 · IC025 +2.5 3/3 methods agree | Not in label — unassessed | serious PRR 2.8 | no trial data cached |
| Joint swelling | 92 | 6.8 5.6–8.3ROR 7.1 · χ² 455 / p 4e-101 | 6.6 EB05 5.6 · IC025 +2.4 3/3 methods agree | Not in label — unassessed | serious PRR 4.0 · 93% consumer | no trial data cached |
| Conjunctivitis | 14 | 6.8 4.0–11.5ROR 6.9 · χ² 64 / p 7e-16 | 5.7 EB05 3.6 · IC025 +1.6 3/3 methods agree | Not in label — unassessed | serious PRR 12.1 | no trial data cached |
| Product availability issue | 15 | 6.0 3.6–9.9ROR 6.0 · χ² 57 / p 2e-14 | 5.1 EB05 3.3 · IC025 +1.5 3/3 methods agree | Reporting / coding artifact | serious PRR 7.1 | no trial data cached |
| Taste disorder | 13 | 5.8 3.4–10.0ROR 5.8 · χ² 47 / p 4e-12 | 4.9 EB05 3.0 · IC025 +1.4 3/3 methods agree | Not in label — unassessed | serious PRR 5.1 | no trial data cached |
| Blood sodium decreased | 12 | 5.7 3.2–10.0ROR 5.7 · χ² 42 / p 5e-11 | 4.8 EB05 2.9 · IC025 +1.3 3/3 methods agree | Lab value / disease marker | serious PRR 5.2 | no trial data cached |
| Swelling | 59 | 5.7 4.4–7.3ROR 5.8 · χ² 222 / p 2e-50 | 5.4 EB05 4.4 · IC025 +2.0 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 3.9 · 81% consumer | no trial data cached |
| Liver function test increased | 13 | 5.5 3.2–9.4ROR 5.5 · χ² 43 / p 3e-11 | 4.6 EB05 2.9 · IC025 +1.3 3/3 methods agree | Labeled (related wording) related wording | serious PRR 3.1 | no trial data cached |
| Gynaecomastia (male breast enlargement) | 19 | 5.4 3.5–8.5ROR 5.5 · χ² 64 / p 5e-16 | 4.8 EB05 3.3 · IC025 +1.5 3/3 methods agree | Not in label — unassessed | serious PRR 16.7 | no trial data cached |
| Red blood cell count decreased | 17 | 5.3 3.3–8.5ROR 5.3 · χ² 55 / p 5e-14 | 4.7 EB05 3.1 · IC025 +1.4 3/3 methods agree | Likely indication confounding term in indications; also in warnings | serious PRR 5.9 | no trial data cached |
| Neoplasm malignant | 36 | 4.8 3.5–6.7ROR 4.9 · χ² 106 / p 4e-25 | 4.6 EB05 3.4 · IC025 +1.6 3/3 methods agree | Not in label — unassessed | serious PRR 4.6 · 89% consumer | no trial data cached |
| Death | 414 | 4.3 3.9–4.7ROR 5.0 · χ² 1,089 / p 3e-239 | 4.3 EB05 3.9 · IC025 +1.9 3/3 methods agree | Outcome field, not a reaction | serious PRR 4.1 | no trial data cached |
| Thrombosis | 38 | 4.2 3.1–5.8ROR 4.3 · χ² 90 / p 1e-21 | 4.0 EB05 3.1 · IC025 +1.5 3/3 methods agree | Not in label — unassessed | serious PRR 4.1 | no trial data cached |
| Drug resistance | 12 | 4.2 2.4–7.3ROR 4.2 · χ² 26 / p 2e-7 | 3.7 EB05 2.3 · IC025 +0.9 3/3 methods agree | Reporting / coding artifact | serious PRR 4.1 | no trial data cached |
| Hepatic function abnormal | 16 | 3.9 2.4–6.3ROR 3.9 · χ² 31 / p 1e-8 | 3.5 EB05 2.3 · IC025 +1.0 3/3 methods agree | Not in label — unassessed | serious PRR 3.5 | no trial data cached |
| Disease progression | 47 | 3.6 2.7–4.7ROR 3.6 · χ² 85 / p 2e-20 | 3.5 EB05 2.7 · IC025 +1.3 3/3 methods agree | Reporting / coding artifact | serious PRR 2.5 | no trial data cached |
| Neoplasm progression | 11 | 2.8 1.6–5.1ROR 2.8 · χ² 11 / p 4e-4 | 2.6 EB05 1.6 · IC025 +0.4 | Not in label — unassessed | serious PRR 2.7 | no trial data cached |
| Therapy interrupted | 19 | 2.5 1.6–3.9ROR 2.5 · χ² 15 / p 5e-5 | 2.4 EB05 1.6 · IC025 +0.5 | Reporting / coding artifact | serious PRR 4.0 | no trial data cached |
Trial evidence (ClinicalTrials.gov)
Most frequently reported reactions
By raw co-report count, regardless of disproportionality. Common terms here are often the illness itself or generic outcomes.
| Reaction | Reports | PRR 95% CI · ROR · χ²/p | EBGM EB05 · IC025 | Label screen | Serious-only & strata | Trial cross-check |
|---|---|---|---|---|---|---|
| Death | 414 | 4.3 3.9–4.7ROR 5.0 · χ² 1,089 / p 3e-239 | 4.3 EB05 3.9 · IC025 +1.9 3/3 methods agree | Outcome field, not a reaction | serious PRR 4.1 | no trial data cached |
| Peripheral swelling | 288 | 16.8 15.1–18.7ROR 19.0 · χ² 4,291 / p <1e-300 | 16.8 EB05 15.2 · IC025 +3.8 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 10.0 · 88% consumer | no trial data cached |
| Oedema peripheral (swelling of legs/feet) | 245 | 17.9 15.9–20.2ROR 19.9 · χ² 3,918 / p <1e-300 | 17.9 EB05 16.1 · IC025 +3.9 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 14.4 | no trial data cached |
| Malignant neoplasm progression | 180 | 15.8 13.8–18.2ROR 17.1 · χ² 2,493 / p <1e-300 | 15.8 EB05 13.9 · IC025 +3.7 3/3 methods agree | Reporting / coding artifact | serious PRR 15.4 | no trial data cached |
| Oedema | 134 | 22.2 18.8–26.2ROR 23.5 · χ² 2,690 / p <1e-300 | 22.1 EB05 19.1 · IC025 +4.1 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 11.7 | no trial data cached |
| Joint swelling | 92 | 6.8 5.6–8.3ROR 7.1 · χ² 455 / p 4e-101 | 6.6 EB05 5.6 · IC025 +2.4 3/3 methods agree | Not in label — unassessed | serious PRR 4.0 · 93% consumer | no trial data cached |
| Dysphagia (difficulty swallowing) | 83 | 7.8 6.4–9.7ROR 8.1 · χ² 491 / p 5e-109 | 7.6 EB05 6.3 · IC025 +2.5 3/3 methods agree | Not in label — unassessed | serious PRR 2.8 | no trial data cached |
| Blood creatinine increased | 66 | 9.0 7.1–11.5ROR 9.3 · χ² 464 / p 3e-103 | 8.7 EB05 7.0 · IC025 +2.7 3/3 methods agree | Labeled (related wording) related wording | serious PRR 7.7 | no trial data cached |
| Swelling | 59 | 5.7 4.4–7.3ROR 5.8 · χ² 222 / p 2e-50 | 5.4 EB05 4.4 · IC025 +2.0 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 3.9 · 81% consumer | no trial data cached |
| Pleural effusion | 58 | 8.5 6.6–11.0ROR 8.7 · χ² 378 / p 1e-84 | 8.2 EB05 6.5 · IC025 +2.6 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 7.0 | no trial data cached |
| Fluid retention | 52 | 9.2 7.0–12.0ROR 9.3 · χ² 370 / p 9e-83 | 8.7 EB05 6.8 · IC025 +2.6 3/3 methods agree | Not in label — unassessed | serious PRR 7.5 · ♀ 35% (drug 55%) · 73% consumer | no trial data cached |
| Disease progression | 47 | 3.6 2.7–4.7ROR 3.6 · χ² 85 / p 2e-20 | 3.5 EB05 2.7 · IC025 +1.3 3/3 methods agree | Reporting / coding artifact | serious PRR 2.5 | no trial data cached |
| Hypoacusis | 44 | 9.2 6.8–12.3ROR 9.3 · χ² 312 / p 3e-70 | 8.7 EB05 6.6 · IC025 +2.6 3/3 methods agree | Not in label — unassessed | serious PRR 9.8 · 75% consumer | no trial data cached |
| Lung neoplasm malignant | 42 | 9.1 6.7–12.3ROR 9.2 · χ² 295 / p 2e-66 | 8.6 EB05 6.5 · IC025 +2.5 3/3 methods agree | Not in label — unassessed | serious PRR 8.7 | no trial data cached |
| Thrombosis | 38 | 4.2 3.1–5.8ROR 4.3 · χ² 90 / p 1e-21 | 4.0 EB05 3.1 · IC025 +1.5 3/3 methods agree | Not in label — unassessed | serious PRR 4.1 | no trial data cached |
Unlabeled candidate signals
These flagged terms were not found in the FDA label text and do not match an artifact pattern. They are the pairs that would merit a structured assessment (temporality, dose-response, biological plausibility, consistency across databases, trial or cohort evidence). The screen has not done that; string-matching misses label wording, and a strong PRR can still be stimulated reporting, co-medication, or the disease itself.
- Metastases to central nervous system — n=24, PRR 16.8
- Hepatic cytolysis — n=21, PRR 15.4
- Deafness — n=36, PRR 12.3
- Hypoacusis — n=44, PRR 9.2
- Fluid retention — n=52, PRR 9.2
- Lung neoplasm malignant — n=42, PRR 9.1
- Dysphagia — n=83, PRR 7.8
- Joint swelling — n=92, PRR 6.8
- Neoplasm malignant — n=36, PRR 4.8
- Thrombosis — n=38, PRR 4.2
Want to assess one of these properly? The runbook describes the Bradford Hill / trial-evidence workflow used on the assessment page, and handoff_top1000_signals.csv lists the strongest unassessed pairs across all drugs.
Common questions
What are the most reported side effects of Capmatinib?
In FDA FAERS, the most frequently co-reported reaction terms for Capmatinib are peripheral swelling, oedema peripheral, oedema, joint swelling, dysphagia, blood creatinine increased. These are report counts, not rates: FAERS has no denominator, reporting is voluntary and uneven, and a term can be reported because of the illness being treated rather than the drug.
Does Capmatinib have an FDA boxed warning?
No. The FDA label retrieved for Capmatinib has no boxed warning; see the label's Warnings and Precautions for the recognised risks.
Do FAERS signals prove that Capmatinib causes these side effects?
No. A disproportionality signal (PRR, ROR) means a reaction is reported more often with this drug than with others in the database. That can reflect a real effect, but also the disease being treated, stimulated reporting after news or litigation, co-medications, or how reports are coded. Causality needs temporality, dose-response, biological plausibility, consistency across data sources and, ideally, trial or cohort evidence. This page screens each term against the FDA label and ClinicalTrials.gov results; it does not establish causation.
Sources & methods
- FDA label via openFDA (set ID 455892c3-d144-4ba8-9ab4-79cabff9876d, effective 20251215; matched on
openfda.generic_name.exact:"CAPMATINIB") - Bayesian shrinkage measures computed offline over all 1,317,300 cached pairs: BCPNN information component (IC, with Norén closed-form IC025) and MGPS empirical-Bayes geometric mean (EBGM, EB05) with a two-component gamma prior fitted by maximum marginal likelihood (α₁=0.57, β₁=0.02, α₂=1.42, β₂=0.70, w=0.17); unstratified
- FAERS pair statistics from the OpenPV build of 2026-09-14 (openFDA
count=aggregation, fieldpatient.drug.openfda.generic_name.exact, 53 reaction terms, min 3 co-reports); PRR/ROR with 95% CI, chi-square with Yates correction - Serious-only and stratified counts (serious:1, patient.patientsex, primarysource.qualification) from openFDA count queries; serious-only PRR uses the drug serious report total and the term global serious total (N_serious=11,882,979); strata shown only when n ≥ 20
- Seriousness and sex counts from openFDA
count=serious,patient.patientsex,seriousnessdeath
Page generated 2026-10-08. Label and PubChem text are retrieved automatically and may lag the current label; always check the current prescribing information. OpenPV is a beta research tool of the Open Source Medicine Foundation.