Dupilumab side effects: what 478,943 FDA adverse event reports show
Drug class
Interleukin-4 Receptor alpha Antagonist
Brand names
Dupixent
Who reports
478,943 reports · 11% serious · 2,193 with death outcome · 61% female
Used for
DUPIXENT is an interleukin-4 receptor alpha antagonist indicated: Atopic Dermatitis for the treatment of adult and pediatric patients aged 6 months and older with moderate-to-severe AD whose disease is not adequately controlled with topical prescription therapies or when those therapies are not advisable. DUPIXENT can be used with or without topical corticosteroids.
What it is
Dupilumab, an interleukin-4 receptor alpha antagonist, is a human monoclonal antibody of the IgG4 subclass that binds to the IL-4Rα subunit and inhibits IL-4 and IL-13 signaling. Dupilumab has an approximate molecular weight of 147 kDa.
Boxed warning
None in the current label
Causality screen of the 40 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.
- 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, for the 300 most-reported drugs, adjusted for age band), and flags pairs whose reports are unusually skewed by sex or come mostly from consumers. Each row also shows the PRR against the other drugs of the same FDA class, which removes most confounding by the condition being treated, and a calibrated p-value: on validation, known non-causes average an ROR of about 2, so significance is judged against that empirical null (✓ = p < 0.05 after calibration). 1,228 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 |
|---|---|---|---|---|---|---|
| Rebound atopic dermatitis | 2,005 | 12,087.9 5,755.2–25,388.6ROR 12,138.7 · calibrated p 5e-26 ✓ | 43.0 EB05 41.5 · IC025 +5.3 3/3 methods agree | Not in label — unassessed | serious n=86 · 90% clinician | not reported in cached trials |
| Rebound eczema | 2,010 | 2,925.0 2,027.4–4,220.2ROR 2,937.4 · calibrated p 5e-22 ✓ | 42.6 EB05 41.0 · IC025 +5.3 3/3 methods agree | Not in label — unassessed | serious n=97 | not reported in cached trials |
| Dermatitis atopic | 45,026 | 444.6 430.9–458.7ROR 490.6 · calibrated p 7e-14 ✓ | 39.5 EB05 39.2 · IC025 +5.3 3/3 methods agree | Likely indication confounding term in indications; also in warnings | age-adj. PRR 377.5 · serious n=1,831 | NCT01949311: 6/2,677 (0.2%) on Dupilumab (serious AE) |
| Eosinophilic oesophagitis | 1,830 | 106.7 97.9–116.3ROR 107.1 · calibrated p 7e-8 ✓ | 30.9 EB05 29.8 · IC025 +4.9 3/3 methods agree | Likely indication confounding term in indications; also in warnings | serious n=220 | not reported in cached trials |
| Neurodermatitis | 2,356 | 91.8 85.4–98.7ROR 92.3 · calibrated p 2e-7 ✓ | 29.6 EB05 28.6 · IC025 +4.8 3/3 methods agree | Not in label — unassessed | serious n=188 | not reported in cached trials |
| Eczema infantile | 58 | 84.4 54.0–131.8ROR 84.4 · calibrated p 1e-6 ✓ | 28.6 EB05 22.9 · IC025 +4.1 3/3 methods agree | Not in label — unassessed | ♀ 0% (drug 61%) | not reported in cached trials |
| Periorbital irritation | 201 | 73.8 58.7–92.8ROR 73.8 · calibrated p 1e-6 ✓ | 27.4 EB05 24.4 · IC025 +4.5 3/3 methods agree | Not in label — unassessed | – | not reported in cached trials |
| Exposure via skin contact | 13,934 | 70.1 68.3–72.1ROR 72.2 · calibrated p 1e-6 ✓ | 27.0 EB05 26.6 · IC025 +4.7 3/3 methods agree | Reporting / coding artifact | age-adj. PRR 69.8 · serious n=486 | not reported in cached trials |
| Skin weeping | 1,946 | 61.4 57.3–65.9ROR 61.7 · calibrated p 4e-6 ✓ | 25.6 EB05 24.7 · IC025 +4.6 3/3 methods agree | Not in label — unassessed | serious n=166 | not reported in cached trials |
| Eczema eyelids | 297 | 54.7 46.1–65.0ROR 54.8 · calibrated p 9e-6 ✓ | 24.4 EB05 22.1 · IC025 +4.4 3/3 methods agree | Not in label — unassessed | – | not reported in cached trials |
| Eyelid skin dryness | 643 | 53.1 47.3–59.6ROR 53.2 · calibrated p 1e-5 ✓ | 24.1 EB05 22.5 · IC025 +4.4 3/3 methods agree | Not in label — unassessed | serious n=27 | not reported in cached trials |
| Eczema | 26,626 | 48.8 48.0–49.7ROR 51.6 · calibrated p 1e-5 ✓ | 23.2 EB05 22.9 · IC025 +4.5 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 45.3 · serious PRR 21.4 | NCT01949311: 2/2,677 (0.1%) on Dupilumab (serious AE) |
| Nasal polypectomy | 75 | 41.6 30.3–57.3ROR 41.7 · calibrated p 6e-5 ✓ | 21.4 EB05 17.6 · IC025 +3.9 3/3 methods agree | Not in label — unassessed | ♀ 0% (drug 61%) | not reported in cached trials |
| Periorbital inflammation | 107 | 38.3 29.5–49.7ROR 38.3 · calibrated p 9e-5 ✓ | 20.5 EB05 17.4 · IC025 +3.9 3/3 methods agree | Not in label — unassessed | – | not reported in cached trials |
| Chronic rhinosinusitis with nasal polyps | 65 | 37.1 26.6–51.7ROR 37.1 · calibrated p 1e-4 ✓ | 20.1 EB05 16.3 · IC025 +3.7 3/3 methods agree | Likely indication confounding term in indications; also in warnings | – | not reported in cached trials |
| Injection site dryness | 389 | 33.9 29.7–38.8ROR 33.9 · calibrated p 1e-4 ✓ | 19.2 EB05 17.7 · IC025 +4.1 3/3 methods agree | Labeled (related wording) related wording | serious n=25 · ♀ 86% (drug 61%) | not reported in cached trials |
| Injection site eczema | 82 | 33.6 25.1–44.9ROR 33.6 · calibrated p 2e-4 ✓ | 19.1 EB05 15.8 · IC025 +3.7 3/3 methods agree | Labeled (related wording) related wording | ♀ 100% (drug 61%) | NCT01949311: 2/2,677 (0.1%) on Dupilumab (serious AE) |
| Nasal polyps | 2,083 | 32.8 31.0–34.7ROR 33.0 · calibrated p 2e-4 ✓ | 18.9 EB05 18.2 · IC025 +4.2 3/3 methods agree | Likely indication confounding term in indications; also in warnings | serious n=185 | not reported in cached trials |
| Sleep disorder due to a general medical condition | 6,838 | 31.6 30.7–32.6ROR 32.1 · calibrated p 2e-4 ✓ | 18.5 EB05 18.1 · IC025 +4.2 3/3 methods agree | Not in label — unassessed | age-adj. PRR 37.0 · serious PRR 16.4 | not reported in cached trials |
| Unintentional use for unapproved indication | 247 | 30.6 26.0–36.0ROR 30.6 · calibrated p 3e-4 ✓ | 18.1 EB05 16.3 · IC025 +3.9 3/3 methods agree | Not in label — unassessed | serious n=41 | not reported in cached trials |
| Mood disorder due to a general medical condition | 90 | 29.9 22.8–39.2ROR 29.9 · calibrated p 3e-4 ✓ | 17.9 EB05 15.0 · IC025 +3.7 3/3 methods agree | Not in label — unassessed | – | not reported in cached trials |
| Injection site exfoliation | 261 | 28.1 24.0–32.9ROR 28.1 · calibrated p 4e-4 ✓ | 17.2 EB05 15.6 · IC025 +3.9 3/3 methods agree | Labeled (related wording) related wording | ♀ 89% (drug 61%) | not reported in cached trials |
| Eyelid rash | 366 | 27.3 24.0–31.2ROR 27.4 · calibrated p 4e-4 ✓ | 17.0 EB05 15.6 · IC025 +3.9 3/3 methods agree | Not in label — unassessed | serious n=21 | not reported in cached trials |
| Skin fissures | 7,194 | 26.5 25.8–27.3ROR 26.9 · calibrated p 5e-4 ✓ | 16.7 EB05 16.4 · IC025 +4.0 3/3 methods agree | Not in label — unassessed | age-adj. PRR 24.5 · serious n=412 | not reported in cached trials |
| Hand dermatitis | 251 | 26.5 22.6–31.0ROR 26.5 · calibrated p 5e-4 ✓ | 16.6 EB05 15.0 · IC025 +3.8 3/3 methods agree | Labeled (related wording) related wording | – | not reported in cached trials |
| Product dose omission in error | 9,767 | 24.6 24.0–25.2ROR 25.1 · calibrated p 7e-4 ✓ | 15.9 EB05 15.7 · IC025 +4.0 3/3 methods agree | Reporting / coding artifact | age-adj. PRR 27.7 · serious PRR 23.2 | not reported in cached trials |
| Ocular surface disease | 96 | 24.6 19.1–31.6ROR 24.6 · calibrated p 9e-4 ✓ | 15.8 EB05 13.3 · IC025 +3.5 3/3 methods agree | Not in label — unassessed | serious n=95 · ♀ 0% (drug 61%) · 100% clinician | not reported in cached trials |
| Lack of injection site rotation | 624 | 24.5 22.2–27.0ROR 24.5 · calibrated p 8e-4 ✓ | 15.8 EB05 14.8 · IC025 +3.8 3/3 methods agree | Not in label — unassessed | serious n=31 | not reported in cached trials |
| Oesophageal food impaction | 183 | 22.8 19.1–27.4ROR 22.9 · calibrated p 0.001 ✓ | 15.1 EB05 13.4 · IC025 +3.6 3/3 methods agree | Likely indication confounding shares a disease stem with the indications wording | serious n=183 | NCT02134028: 1/517 (0.2%) control (serious AE) |
| Conjunctivitis | 5,872 | 20.2 19.6–20.8ROR 20.4 · calibrated p 0.002 ✓ | 14.0 EB05 13.7 · IC025 +3.8 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 13.7 · serious PRR 15.1 | NCT01949311: 1/2,677 (0.0%) on Dupilumab (serious AE) |
| Perioral dermatitis | 194 | 20.0 16.8–23.7ROR 20.0 · calibrated p 0.002 ✓ | 13.8 EB05 12.3 · IC025 +3.5 3/3 methods agree | Not in label — unassessed | – | not reported in cached trials |
| Eyelid margin crusting | 884 | 19.7 18.1–21.3ROR 19.7 · calibrated p 0.002 ✓ | 13.7 EB05 13.0 · IC025 +3.7 3/3 methods agree | Not in label — unassessed | serious n=87 | not reported in cached trials |
| Eyelids pruritus | 939 | 19.0 17.6–20.5ROR 19.1 · calibrated p 0.002 ✓ | 13.4 EB05 12.7 · IC025 +3.6 3/3 methods agree | Not in label — unassessed | serious n=66 | not reported in cached trials |
| Idiopathic urticaria | 299 | 18.7 16.4–21.5ROR 18.8 · calibrated p 0.003 ✓ | 13.3 EB05 12.0 · IC025 +3.5 3/3 methods agree | Likely indication confounding shares a disease stem with the indications wording | – | not reported in cached trials |
| Eye pruritus | 9,986 | 18.7 18.3–19.1ROR 19.1 · calibrated p 0.002 ✓ | 13.3 EB05 13.0 · IC025 +3.7 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 21.3 · serious PRR 18.4 | NCT01949311: 1/2,677 (0.0%) on Dupilumab (serious AE) |
| Skin swelling | 2,554 | 18.4 17.6–19.3ROR 18.5 · calibrated p 0.003 ✓ | 13.1 EB05 12.7 · IC025 +3.6 3/3 methods agree | Labeled (related wording) related wording | serious n=184 | not reported in cached trials |
| Skin haemorrhage | 4,214 | 17.7 17.1–18.4ROR 17.9 · calibrated p 0.003 ✓ | 12.8 EB05 12.5 · IC025 +3.6 3/3 methods agree | Not in label — unassessed | age-adj. PRR 18.0 · serious n=330 | not reported in cached trials |
| Therapeutic response shortened | 9,229 | 17.6 17.1–18.0ROR 17.9 · calibrated p 0.003 ✓ | 12.7 EB05 12.5 · IC025 +3.6 3/3 methods agree | Reporting / coding artifact | age-adj. PRR 23.9 · serious PRR 10.4 | not reported in cached trials |
| Dyshidrotic eczema | 199 | 17.4 14.8–20.6ROR 17.4 · calibrated p 0.004 ✓ | 12.6 EB05 11.2 · IC025 +3.4 3/3 methods agree | Not in label — unassessed | – | NCT02134028: 1/1,013 (0.1%) on Dupilumab; 1/19 (5.3%) control |
| Eyelid exfoliation | 223 | 17.0 14.6–19.9ROR 17.0 · calibrated p 0.004 ✓ | 12.4 EB05 11.1 · IC025 +3.4 3/3 methods agree | Not in label — unassessed | – | not reported in cached trials |
Clinical concept groups
MedDRA splits one clinical problem across several terms (e.g. "neutropenia", "neutrophil count decreased", "agranulocytosis"), which dilutes term-level signals. These rows count reports with any term in a concept group (an exact union, not a sum), compared with all other drugs. Groups are hand-built and listed in the methods.
| Concept | Reports | PRR 95% CI | Reading |
|---|---|---|---|
| Opportunistic infection | 2,230 | 0.70.7–0.7 | lower than other drugs |
| Serious infection | 9,619 | 0.50.5–0.6 | lower than other drugs |
| Tendon disorder | 346 | 0.40.4–0.4 | lower than other drugs |
| Anaphylaxis / angioedema | 1,014 | 0.30.3–0.4 | lower than other drugs |
| Fall / fracture | 2,971 | 0.30.3–0.3 | lower than other drugs |
| Depression | 2,179 | 0.30.3–0.3 | lower than other drugs |
| Stroke | 1,145 | 0.20.2–0.2 | lower than other drugs |
| Malignancy | 1,705 | 0.20.2–0.2 | lower than other drugs |
| Venous thromboembolism | 817 | 0.20.2–0.2 | lower than other drugs |
| Arrhythmia / qt | 705 | 0.20.1–0.2 | lower than other drugs |
| Pancreatitis | 288 | 0.20.1–0.2 | lower than other drugs |
| Myocardial infarction | 693 | 0.10.1–0.2 | lower than other drugs |
| Heart failure | 581 | 0.10.1–0.2 | lower than other drugs |
| Hyperglycaemia / diabetes | 1,060 | 0.10.1–0.1 | lower than other drugs |
| Seizure | 558 | 0.10.1–0.1 | lower than other drugs |
| Interstitial lung disease | 264 | 0.10.1–0.1 | lower than other drugs |
Trial evidence (ClinicalTrials.gov)
✓ Trial adverse-event data found on ClinicalTrials.gov
Largest completed trials with posted results that list Dupilumab as a study intervention. The right-hand column of the signal table shows whether each FAERS term was also recorded in these trials, with a real denominator (7 of 40 signal terms matched).
- NCT01949311 — Open-label Study of Dupilumab in Patients With Atopic Dermatitis (N=2733, PHASE3; 251 AE terms posted; arms: Dupilumab)
- NCT02134028 — Long-Term Safety Evaluation of Dupilumab in Patients With Asthma (LIBERTY ASTHMA TRAVERSE) (N=2282, PHASE3; 294 AE terms posted; arms: Participants From DRI12544 Study Placebo; Participants From DRI12544 Study Dupilum; Participants From EFC13579 Study Placebo; Participants From EFC13579 Study Dupilum)
Caveats: trial populations, doses and follow-up differ from the reporting population; AE terms are sponsor-coded and matched here by wording; absence from a trial list means the term was not reported above the sponsor's frequency threshold, not that it cannot occur.
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 |
|---|---|---|---|---|---|---|
| Pruritus (itching) | 58,692 | 7.9 7.8–7.9ROR 8.8 · calibrated p 0.048 ✓ | 6.8 EB05 6.8 · IC025 +2.8 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 8.2 · serious PRR 5.6 | NCT01949311: 1/2,677 (0.0%) on Dupilumab (serious AE) |
| Dermatitis atopic | 45,026 | 444.6 430.9–458.7ROR 490.6 · calibrated p 7e-14 ✓ | 39.5 EB05 39.2 · IC025 +5.3 3/3 methods agree | Likely indication confounding term in indications; also in warnings | age-adj. PRR 377.5 · serious n=1,831 | NCT01949311: 6/2,677 (0.2%) on Dupilumab (serious AE) |
| Product use in unapproved indication | 41,225 | 8.7 8.6–8.8ROR 9.4 · calibrated p 0.039 ✓ | 7.4 EB05 7.3 · IC025 +2.9 3/3 methods agree | Reporting / coding artifact | age-adj. PRR 9.0 · serious PRR 9.2 | not reported in cached trials |
| Rash | 38,629 | 4.2 4.1–4.2ROR 4.5 · calibrated p 0.301 | 3.9 EB05 3.9 · IC025 +1.9 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 3.9 · serious PRR 3.2 | NCT02134028: 1/517 (0.2%) control (serious AE) |
| Injection site pain (pain where injected) | 36,707 | 5.9 5.8–6.0ROR 6.3 · calibrated p 0.132 | 5.3 EB05 5.2 · IC025 +2.4 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 5.6 · serious PRR 10.1 | NCT01949311: 2/2,677 (0.1%) on Dupilumab (serious AE) |
| Drug ineffective (drug did not work) | 30,015 | 1.0 1.0–1.0ROR 1.0 · calibrated p 0.305 | 1.0 EB05 1.0 · IC025 -0.0 PRR-only: not supported by EBGM or IC | Reporting / coding artifact | age-adj. PRR 1.1 · serious PRR 1.1 | not reported in cached trials |
| Eczema | 26,626 | 48.8 48.0–49.7ROR 51.6 · calibrated p 1e-5 ✓ | 23.2 EB05 22.9 · IC025 +4.5 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 45.3 · serious PRR 21.4 | NCT01949311: 2/2,677 (0.1%) on Dupilumab (serious AE) |
| Dry skin | 25,981 | 10.6 10.4–10.7ROR 11.1 · calibrated p 0.022 ✓ | 8.6 EB05 8.6 · IC025 +3.1 3/3 methods agree | Labeled (related wording) related wording | age-adj. PRR 9.2 · serious PRR 9.7 | NCT01949311: 8/2,677 (0.3%) on Dupilumab (serious AE) |
| Product dose omission issue | 25,295 | 4.2 4.1–4.2ROR 4.4 · calibrated p 0.318 | 3.9 EB05 3.8 · IC025 +1.9 3/3 methods agree | Reporting / coding artifact | age-adj. PRR 4.3 · serious PRR 5.0 | not reported in cached trials |
| Condition aggravated | 20,686 | 3.1 3.1–3.2ROR 3.2 · calibrated p 0.552 | 3.0 EB05 3.0 · IC025 +1.6 3/3 methods agree | Reporting / coding artifact | age-adj. PRR 2.9 · serious PRR 2.9 | not reported in cached trials |
| Arthralgia (joint pain) | 19,297 | 2.1 2.1–2.1ROR 2.1 · calibrated p 0.984 | 2.0 EB05 2.0 · IC025 +1.0 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 2.0 · serious PRR 2.4 | NCT01949311: 1/2,677 (0.0%) on Dupilumab (serious AE) |
| Inappropriate schedule of product administration | 18,597 | 5.0 5.0–5.1ROR 5.2 · calibrated p 0.214 | 4.6 EB05 4.5 · IC025 +2.2 3/3 methods agree | Reporting / coding artifact | age-adj. PRR 5.2 · serious PRR 5.0 | not reported in cached trials |
| Asthma | 16,153 | 7.2 7.1–7.3ROR 7.4 · calibrated p 0.083 | 6.3 EB05 6.2 · IC025 +2.6 3/3 methods agree | Likely indication confounding term in indications; also in warnings | age-adj. PRR 7.7 · serious PRR 10.0 | NCT01949311: 3/2,677 (0.1%) on Dupilumab (serious AE) |
| Accidental exposure to product | 15,818 | 8.1 7.9–8.2ROR 8.3 · calibrated p 0.059 | 6.9 EB05 6.8 · IC025 +2.8 3/3 methods agree | Reporting / coding artifact | age-adj. PRR 8.4 · serious PRR 13.7 | not reported in cached trials |
| Skin exfoliation | 14,757 | 9.3 9.1–9.4ROR 9.5 · calibrated p 0.038 ✓ | 7.8 EB05 7.7 · IC025 +2.9 3/3 methods agree | Not in label — unassessed | age-adj. PRR 7.8 · serious PRR 8.8 | not reported in cached trials |
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.
- Rebound atopic dermatitis — n=2,005, PRR 12,087.9
- Rebound eczema — n=2,010, PRR 2,925.0
- Neurodermatitis — n=2,356, PRR 91.8
- Eczema infantile — n=58, PRR 84.4
- Periorbital irritation — n=201, PRR 73.8
- Skin weeping — n=1,946, PRR 61.4
- Eczema eyelids — n=297, PRR 54.7
- Eyelid skin dryness — n=643, PRR 53.1
- Nasal polypectomy — n=75, PRR 41.6
- Periorbital inflammation — n=107, PRR 38.3
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 Dupilumab?
In FDA FAERS, the most frequently co-reported reaction terms for Dupilumab are pruritus, dermatitis atopic, rash, injection site pain, eczema, dry skin. 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 Dupilumab have an FDA boxed warning?
No. The FDA label retrieved for Dupilumab has no boxed warning; see the label's Warnings and Precautions for the recognised risks.
Do FAERS signals prove that Dupilumab 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 595f437d-2729-40bb-9c62-c8ece1f82780, effective 20260422; matched on
openfda.generic_name.exact:"DUPILUMAB" AND openfda.product_type:"HUMAN PRESCRIPTION DRUG") - 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, 1,268 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 - ClinicalTrials.gov API v2 (query
DUPILUMAB, results-bearing studies sorted by enrollment)
Page generated 2026-10-14. 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.