Evolocumab side effects: what 161,209 FDA adverse event reports show
Drug class
PCSK9 Inhibitor
Brand names
Repatha
Who reports
161,209 reports · 17% serious · 2,035 with death outcome · 58% female
Used for
REPATHA is indicated: To reduce the risk of major adverse cardiovascular (CV) events (CV death, myocardial infarction, stroke, unstable angina requiring hospitalization, or coronary revascularization) in adults at increased risk for these events. As an adjunct to diet and exercise to reduce low-density lipoprotein cholesterol (LDL-C) in: adults with hypercholesterolemia.
What it is
Evolocumab is a human monoclonal immunoglobulin G2 (IgG2) directed against human proprotein convertase subtilisin kexin type 9 (PCSK9). Evolocumab has an approximate molecular weight (MW) of 144 kDa and is produced in genetically engineered mammalian (Chinese hamster ovary) cells.
Boxed warning
None in the current label
Causality screen of the 40 strongest signals
What the badges mean
- 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.
- 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). 1,136 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 |
|---|---|---|---|---|---|---|
| Fractional exhaled nitric oxide increased | 119 | 291.4 210.4–403.7ROR 291.6 · calibrated p 4e-11 ✓ | 88.1 EB05 75.6 · IC025 +5.7 3/3 methods agree | Not in label — unassessed | serious n=119 · ♀ 0% (drug 58%) | not reported in cached trials |
| Incorrect disposal of product | 1,683 | 144.8 135.1–155.3ROR 146.3 · calibrated p 6e-9 ✓ | 68.2 EB05 65.5 · IC025 +6.0 3/3 methods agree | Reporting / coding artifact | serious n=165 · 79% consumer | not reported in cached trials |
| Low density lipoprotein decreased | 726 | 137.2 123.5–152.3ROR 137.8 · calibrated p 1e-8 ✓ | 66.4 EB05 62.5 · IC025 +5.9 3/3 methods agree | Likely indication confounding term in indications | serious n=162 · ♀ 28% (drug 58%) | not reported in cached trials |
| Device difficult to use | 32,925 | 129.9 128.0–131.8ROR 162.9 · calibrated p 2e-9 ✓ | 64.8 EB05 64.2 · IC025 +6.0 3/3 methods agree | Reporting / coding artifact | age-adj. PRR 154.8 · serious PRR 112.9 · 80% consumer | not reported in cached trials |
| Intercepted product administration error | 2,520 | 62.9 60.0–66.0ROR 63.9 · calibrated p 3e-6 ✓ | 42.4 EB05 41.1 · IC025 +5.3 3/3 methods agree | Not in label — unassessed | serious n=80 | not reported in cached trials |
| Low density lipoprotein abnormal | 198 | 61.7 52.0–73.0ROR 61.7 · calibrated p 4e-6 ✓ | 41.7 EB05 37.1 · IC025 +5.0 3/3 methods agree | Likely indication confounding term in indications | serious n=29 | not reported in cached trials |
| Drug dose omission by device | 24,638 | 61.6 60.7–62.5ROR 72.5 · calibrated p 1e-6 ✓ | 41.8 EB05 41.4 · IC025 +5.4 3/3 methods agree | Not in label — unassessed | age-adj. PRR 118.8 · serious n=1,351 · 84% consumer | not reported in cached trials |
| Product communication issue | 2,723 | 61.0 58.3–63.8ROR 62.0 · calibrated p 3e-6 ✓ | 41.6 EB05 40.3 · IC025 +5.3 3/3 methods agree | Reporting / coding artifact | serious n=223 · 88% consumer | not reported in cached trials |
| Type iia hyperlipidaemia | 69 | 56.7 42.7–75.3ROR 56.7 · calibrated p 9e-6 ✓ | 39.1 EB05 32.0 · IC025 +4.6 3/3 methods agree | Not in label — unassessed | serious n=67 · ♀ 0% (drug 58%) | not reported in cached trials |
| Blood cholesterol decreased | 455 | 41.9 37.7–46.6ROR 42.0 · calibrated p 4e-5 ✓ | 31.7 EB05 29.4 · IC025 +4.8 3/3 methods agree | Likely indication confounding term in indications; also in warnings | serious n=80 | not reported in cached trials |
| Computerised tomogram heart abnormal | 18 | 40.2 23.7–68.3ROR 40.2 · calibrated p 1e-4 ✓ | 29.9 EB05 20.0 · IC025 +3.3 3/3 methods agree | Not in label — unassessed | – | not reported in cached trials |
| Lipoprotein (a) increased | 69 | 39.2 30.0–51.4ROR 39.2 · calibrated p 8e-5 ✓ | 30.0 EB05 24.5 · IC025 +4.2 3/3 methods agree | Likely indication confounding term in indications | serious n=22 | not reported in cached trials |
| Lack of administration site rotation | 52 | 27.3 20.2–36.8ROR 27.3 · calibrated p 6e-4 ✓ | 22.5 EB05 17.8 · IC025 +3.8 3/3 methods agree | Not in label — unassessed | 100% consumer | not reported in cached trials |
| Product knowledge deficit | 96 | 26.6 21.3–33.1ROR 26.6 · calibrated p 6e-4 ✓ | 22.1 EB05 18.6 · IC025 +4.0 3/3 methods agree | Reporting / coding artifact | 100% consumer | not reported in cached trials |
| Accidental exposure to product | 16,804 | 26.2 25.8–26.6ROR 29.1 · calibrated p 3e-4 ✓ | 21.9 EB05 21.6 · IC025 +4.4 3/3 methods agree | Reporting / coding artifact | age-adj. PRR 29.0 · serious PRR 30.2 | not reported in cached trials |
| Low density lipoprotein increased | 1,170 | 23.2 21.8–24.7ROR 23.3 · calibrated p 1e-3 ✓ | 19.8 EB05 18.8 · IC025 +4.2 3/3 methods agree | Likely indication confounding term in indications | serious n=209 | not reported in cached trials |
| Occupational exposure to product | 956 | 22.4 21.0–24.0ROR 22.6 · calibrated p 0.001 ✓ | 19.2 EB05 18.2 · IC025 +4.1 3/3 methods agree | Not in label — unassessed | ♀ 80% (drug 58%) | not reported in cached trials |
| Injection site indentation | 300 | 22.3 19.7–25.2ROR 22.4 · calibrated p 0.001 ✓ | 19.1 EB05 17.4 · IC025 +4.0 3/3 methods agree | Labeled (related wording) related wording | serious n=20 · 82% consumer | not reported in cached trials |
| Product preparation error | 2,840 | 20.6 19.8–21.4ROR 20.9 · calibrated p 0.002 ✓ | 17.8 EB05 17.3 · IC025 +4.1 3/3 methods agree | Reporting / coding artifact | age-adj. PRR 38.8 · serious n=152 · 87% consumer | not reported in cached trials |
| Device use error | 4,250 | 18.4 17.8–19.0ROR 18.9 · calibrated p 0.003 ✓ | 16.2 EB05 15.8 · IC025 +4.0 3/3 methods agree | Reporting / coding artifact | age-adj. PRR 30.5 · serious n=305 · 72% consumer | not reported in cached trials |
| Incorrect dose administered by device | 3,021 | 17.5 16.8–18.1ROR 17.8 · calibrated p 0.003 ✓ | 15.5 EB05 15.0 · IC025 +3.9 3/3 methods agree | Reporting / coding artifact | age-adj. PRR 31.3 · serious n=175 | not reported in cached trials |
| Lack of injection site rotation | 194 | 16.4 14.1–19.0ROR 16.4 · calibrated p 0.005 ✓ | 14.6 EB05 13.0 · IC025 +3.6 3/3 methods agree | Not in label — unassessed | serious n=18 · 75% consumer | not reported in cached trials |
| Wrong technique in product usage process | 22,365 | 16.1 15.9–16.3ROR 18.5 · calibrated p 0.003 ✓ | 14.4 EB05 14.2 · IC025 +3.8 3/3 methods agree | Reporting / coding artifact | age-adj. PRR 21.9 · serious PRR 16.2 | not reported in cached trials |
| Incorrect dose administered by product | 166 | 15.8 13.5–18.6ROR 15.9 · calibrated p 0.006 ✓ | 14.2 EB05 12.4 · IC025 +3.5 3/3 methods agree | Reporting / coding artifact | serious n=15 · 74% consumer | not reported in cached trials |
| Vascular stent stenosis | 44 | 15.3 11.2–20.9ROR 15.3 · calibrated p 0.008 ✓ | 13.5 EB05 10.3 · IC025 +3.1 3/3 methods agree | Not in label — unassessed | serious n=44 · 100% clinician | NCT01764633: 2/13,769 (0.0%) on Evolocumab; 3/13,756 (0.0%) control (serious AE) |
| Rubber sensitivity | 156 | 14.7 12.4–17.3ROR 14.7 · calibrated p 0.008 ✓ | 13.2 EB05 11.5 · IC025 +3.4 3/3 methods agree | Labeled (related wording) related wording | serious n=20 · ♀ 82% (drug 58%) | not reported in cached trials |
| High density lipoprotein abnormal | 23 | 14.0 9.1–21.6ROR 14.0 · calibrated p 0.013 ✓ | 12.1 EB05 8.1 · IC025 +2.6 3/3 methods agree | Lab value / disease marker | – | not reported in cached trials |
| Device dispensing error | 115 | 13.9 11.5–16.9ROR 13.9 · calibrated p 0.010 ✓ | 12.6 EB05 10.7 · IC025 +3.3 3/3 methods agree | Reporting / coding artifact | – | not reported in cached trials |
| Application site mass | 27 | 13.9 9.4–20.7ROR 13.9 · calibrated p 0.012 ✓ | 12.1 EB05 8.4 · IC025 +2.7 3/3 methods agree | Not in label — unassessed | ♀ 0% (drug 58%) · 100% clinician | not reported in cached trials |
| Obstructive sleep apnoea syndrome | 129 | 13.2 11.0–15.8ROR 13.2 · calibrated p 0.012 ✓ | 11.9 EB05 10.3 · IC025 +3.2 3/3 methods agree | Not in label — unassessed | serious n=125 · ♀ 12% (drug 58%) | NCT03872401: 3/6,125 (0.0%) on Evolocumab; 1/6,122 (0.0%) control (serious AE) |
| Fear of injection | 626 | 12.7 11.7–13.8ROR 12.8 · calibrated p 0.013 ✓ | 11.6 EB05 10.9 · IC025 +3.4 3/3 methods agree | Not in label — unassessed | serious n=42 | not reported in cached trials |
| Circumstance or information capable of leading to medication error | 2,878 | 12.1 11.7–12.6ROR 12.3 · calibrated p 0.015 ✓ | 11.2 EB05 10.8 · IC025 +3.4 3/3 methods agree | Not in label — unassessed | age-adj. PRR 6.9 · serious n=55 | not reported in cached trials |
| Myoglobin blood increased | 123 | 11.3 9.4–13.5ROR 11.3 · calibrated p 0.022 ✓ | 10.3 EB05 8.8 · IC025 +3.0 3/3 methods agree | Lab value / disease marker | serious n=123 · ♀ 0% (drug 58%) | not reported in cached trials |
| Product storage error | 6,676 | 10.8 10.5–11.1ROR 11.2 · calibrated p 0.021 ✓ | 10.0 EB05 9.8 · IC025 +3.3 3/3 methods agree | Reporting / coding artifact | age-adj. PRR 9.9 · serious PRR 14.2 | not reported in cached trials |
| Injury associated with device | 1,469 | 10.2 9.7–10.7ROR 10.3 · calibrated p 0.030 ✓ | 9.5 EB05 9.1 · IC025 +3.2 3/3 methods agree | Not in label — unassessed | age-adj. PRR 13.0 · serious n=74 | not reported in cached trials |
| High density lipoprotein increased | 66 | 9.3 7.2–11.9ROR 9.3 · calibrated p 0.045 ✓ | 8.4 EB05 6.8 · IC025 +2.6 3/3 methods agree | Lab value / disease marker | serious n=14 | not reported in cached trials |
| Blood triglycerides decreased | 22 | 9.0 5.8–13.8ROR 9.0 · calibrated p 0.057 | 7.5 EB05 5.1 · IC025 +2.1 3/3 methods agree | Lab value / disease marker | – | not reported in cached trials |
| Percutaneous coronary intervention | 18 | 8.7 5.4–14.1ROR 8.7 · calibrated p 0.064 | 7.1 EB05 4.6 · IC025 +2.0 3/3 methods agree | Likely indication confounding shares a disease stem with the indications wording | serious n=18 | NCT01764633: 3/13,769 (0.0%) on Evolocumab; 1/13,756 (0.0%) control (serious AE) |
| Injection site bruising | 4,800 | 8.4 8.1–8.6ROR 8.6 · calibrated p 0.053 | 7.9 EB05 7.7 · IC025 +2.9 3/3 methods agree | Labeled (related wording) related wording | age-adj. PRR 9.0 · serious PRR 15.5 | not reported in cached trials |
| Rhinorrhoea (runny nose) | 3,634 | 7.7 7.5–8.0ROR 7.9 · calibrated p 0.070 | 7.3 EB05 7.1 · IC025 +2.8 3/3 methods agree | Not in label — unassessed | age-adj. PRR 6.8 · serious PRR 8.8 | 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 |
|---|---|---|---|
| Hyperglycaemia / diabetes | 2,584 | 1.00.9–1.0 | no difference |
| Rhabdomyolysis / myopathy | 536 | 0.90.8–0.9 | lower than other drugs |
| Myocardial infarction | 1,328 | 0.80.8–0.9 | lower than other drugs |
| Tendon disorder | 208 | 0.70.6–0.8 | lower than other drugs |
| Stroke | 1,066 | 0.60.5–0.6 | lower than other drugs |
| Pancreatitis | 256 | 0.40.4–0.5 | lower than other drugs |
| Arrhythmia / qt | 614 | 0.40.4–0.4 | lower than other drugs |
| Fall / fracture | 1,072 | 0.40.3–0.4 | lower than other drugs |
| Hypoglycaemia | 245 | 0.30.3–0.4 | lower than other drugs |
| Opportunistic infection | 341 | 0.30.3–0.4 | lower than other drugs |
| Serious infection | 1,766 | 0.30.3–0.3 | lower than other drugs |
| Depression | 595 | 0.30.3–0.3 | lower than other drugs |
| Heart failure | 364 | 0.30.2–0.3 | lower than other drugs |
| Anaphylaxis / angioedema | 254 | 0.30.2–0.3 | lower than other drugs |
| Liver injury | 609 | 0.30.2–0.3 | lower than other drugs |
| Malignancy | 576 | 0.20.2–0.2 | lower than other drugs |
Trial evidence (ClinicalTrials.gov)
✓ Trial adverse-event data found on ClinicalTrials.gov
Largest completed trials with posted results that list Evolocumab 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 (3 of 40 signal terms matched).
- NCT01764633 — Further Cardiovascular Outcomes Research With PCSK9 Inhibition in Subjects With Elevated Risk (N=27564, PHASE3; 1722 AE terms posted; arms: Placebo; Evolocumab)
- NCT03872401 — Effect of Evolocumab in Patients at High Cardiovascular Risk Without Prior Myocardial Infarction or Stroke (N=12301, PHASE3; 1244 AE terms posted; arms: Placebo Q2W; Evolocumab 140 mg Q2W)
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 |
|---|---|---|---|---|---|---|
| Device difficult to use | 32,925 | 129.9 128.0–131.8ROR 162.9 · calibrated p 2e-9 ✓ | 64.8 EB05 64.2 · IC025 +6.0 3/3 methods agree | Reporting / coding artifact | age-adj. PRR 154.8 · serious PRR 112.9 · 80% consumer | not reported in cached trials |
| Drug dose omission by device | 24,638 | 61.6 60.7–62.5ROR 72.5 · calibrated p 1e-6 ✓ | 41.8 EB05 41.4 · IC025 +5.4 3/3 methods agree | Not in label — unassessed | age-adj. PRR 118.8 · serious n=1,351 · 84% consumer | not reported in cached trials |
| Wrong technique in product usage process | 22,365 | 16.1 15.9–16.3ROR 18.5 · calibrated p 0.003 ✓ | 14.4 EB05 14.2 · IC025 +3.8 3/3 methods agree | Reporting / coding artifact | age-adj. PRR 21.9 · serious PRR 16.2 | not reported in cached trials |
| Accidental exposure to product | 16,804 | 26.2 25.8–26.6ROR 29.1 · calibrated p 3e-4 ✓ | 21.9 EB05 21.6 · IC025 +4.4 3/3 methods agree | Reporting / coding artifact | age-adj. PRR 29.0 · serious PRR 30.2 | not reported in cached trials |
| Injection site pain (pain where injected) | 10,927 | 4.8 4.7–4.9ROR 5.1 · calibrated p 0.224 | 4.7 EB05 4.6 · IC025 +2.2 3/3 methods agree | Labeled (related wording) related wording | age-adj. PRR 5.8 · serious PRR 8.9 | NCT01764633: 12/13,769 (0.1%) on Evolocumab; 19/13,756 (0.1%) control (serious AE) |
| Product storage error | 6,676 | 10.8 10.5–11.1ROR 11.2 · calibrated p 0.021 ✓ | 10.0 EB05 9.8 · IC025 +3.3 3/3 methods agree | Reporting / coding artifact | age-adj. PRR 9.9 · serious PRR 14.2 | not reported in cached trials |
| Back pain | 5,587 | 3.2 3.1–3.3ROR 3.3 · calibrated p 0.548 | 3.1 EB05 3.1 · IC025 +1.6 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 2.7 · serious PRR 3.9 | NCT01764633: 30/13,769 (0.2%) on Evolocumab; 30/13,756 (0.2%) control (serious AE) |
| Myalgia (muscle pain) | 5,419 | 4.3 4.1–4.4ROR 4.4 · calibrated p 0.316 | 4.1 EB05 4.1 · IC025 +2.0 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 3.4 · serious PRR 5.8 | NCT01764633: 1/13,756 (0.0%) control (serious AE) |
| Drug dose omission | 4,929 | 3.9 3.8–4.0ROR 4.0 · calibrated p 0.377 | 3.8 EB05 3.7 · IC025 +1.9 3/3 methods agree | Reporting / coding artifact | age-adj. PRR 5.4 · serious PRR 2.6 | not reported in cached trials |
| Injection site bruising | 4,800 | 8.4 8.1–8.6ROR 8.6 · calibrated p 0.053 | 7.9 EB05 7.7 · IC025 +2.9 3/3 methods agree | Labeled (related wording) related wording | age-adj. PRR 9.0 · serious PRR 15.5 | not reported in cached trials |
| Device use error | 4,250 | 18.4 17.8–19.0ROR 18.9 · calibrated p 0.003 ✓ | 16.2 EB05 15.8 · IC025 +4.0 3/3 methods agree | Reporting / coding artifact | age-adj. PRR 30.5 · serious n=305 · 72% consumer | not reported in cached trials |
| Arthralgia (joint pain) | 4,061 | 1.3 1.2–1.3ROR 1.3 · calibrated p 0.497 | 1.3 EB05 1.2 · IC025 +0.3 | Labeled adverse reaction exact term | age-adj. PRR 1.2 · serious PRR 2.2 | NCT01764633: 16/13,769 (0.1%) on Evolocumab; 18/13,756 (0.1%) control (serious AE) |
| Fatigue (tiredness) | 4,059 | 0.7 0.7–0.7ROR 0.7 · calibrated p 0.115 | 0.7 EB05 0.7 · IC025 -0.6 PRR-only: not supported by EBGM or IC | Labeled adverse reaction exact term | age-adj. PRR 0.6 · serious PRR 1.3 | NCT01764633: 2/13,769 (0.0%) on Evolocumab; 4/13,756 (0.0%) control (serious AE) |
| Injection site haemorrhage | 4,029 | 6.9 6.7–7.1ROR 7.1 · calibrated p 0.096 | 6.6 EB05 6.4 · IC025 +2.7 3/3 methods agree | Labeled (related wording) related wording | age-adj. PRR 8.1 · serious PRR 13.8 | NCT01764633: 2/13,769 (0.0%) on Evolocumab; 1/13,756 (0.0%) control (serious AE) |
| Off label use (used outside approved label) | 3,936 | 0.6 0.6–0.6ROR 0.6 · calibrated p 0.076 | 0.6 EB05 0.6 · IC025 -0.8 PRR-only: not supported by EBGM or IC | Reporting / coding artifact | age-adj. PRR 0.5 · serious PRR 0.6 | 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.
- Fractional exhaled nitric oxide increased — n=119, PRR 291.4
- Intercepted product administration error — n=2,520, PRR 62.9
- Drug dose omission by device — n=24,638, PRR 61.6
- Type iia hyperlipidaemia — n=69, PRR 56.7
- Lack of administration site rotation — n=52, PRR 27.3
- Occupational exposure to product — n=956, PRR 22.4
- Lack of injection site rotation — n=194, PRR 16.4
- Vascular stent stenosis — n=44, PRR 15.3 (also seen in trial arm)
- Application site mass — n=27, PRR 13.9
- Obstructive sleep apnoea syndrome — n=129, PRR 13.2 (also seen in trial arm)
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 Evolocumab?
In FDA FAERS, the most frequently co-reported reaction terms for Evolocumab are drug dose omission by device, injection site pain, back pain, myalgia, injection site bruising, arthralgia. 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 Evolocumab have an FDA boxed warning?
No. The FDA label retrieved for Evolocumab has no boxed warning; see the label's Warnings and Precautions for the recognised risks.
Do FAERS signals prove that Evolocumab 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 cd61e902-166d-4aa6-9f3c-a18c1008d07e, effective 20260819; matched on
openfda.generic_name.exact:"EVOLOCUMAB" 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, 1,176 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
EVOLOCUMAB, 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.