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Drug · FAERS side-effect profile with label screen

Ofatumumab side effects: what 33,036 FDA adverse event reports show

Ofatumumab · Kesimpta · 1,068 reaction terms · 122,554 drug–reaction co-reports · data 2026-09-14
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Drug class

CD20-directed Cytolytic Antibody

FDA label (Established Pharmacologic Class) · compare the class

Brand names

Kesimpta

openFDA label

Who reports

33,036 reports · 44% serious · 762 with death outcome · 74% female

openFDA FAERS counts, all years, deduplication not applied

Used for

KESIMPTA is indicated for the treatment of relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults. KESIMPTA is a CD20-directed cytolytic anti.

FDA label, Indications and Usage

What it is

Ofatumumab is a recombinant human monoclonal immunoglobulin G1 (IgG1) antibody that binds to human CD20 expressed on B-cells. Ofatumumab is produced in a murine NS0 cell line and consists of two IgG1 heavy chains and two kappa light chains with a molecular weight of approximately 146 kDa.

FDA label, Description section

Boxed warning

None in the current label

How to read this page. FAERS is a spontaneous-reporting system: counts are not incidence rates and a signal is not proof of causation. Each reaction below is run through an automated screen — is the term in the FDA label (known), in the indications (the disease being treated), an administrative/coding term, or none of these (unlabeled)? That screen is mechanical text matching, not a causality assessment. The 30 hand-written Bradford Hill assessments are on the causality assessment page. Not medical advice.

Causality screen of the 40 strongest signals

Labeled adverse reaction 3Labeled (related wording) 1Likely indication confounding 7Reporting / coding artifact 4Lab value / disease marker 8Not in label — unassessed 17
What the badges mean

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). 1,028 further terms are in the interactive explorer. Reaction links open the term's cross-drug page.

Show:
ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Multiple sclerosis pseudo relapse68164.8
126.2–215.3ROR 165.2 · calibrated p 4e-9 ✓
126.1 EB05 102.9 · IC025 +5.7
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 70.8 (51.4–97.5)
Likely indication confounding
shares a disease stem with the indications wording
serious n=67 · 81% consumernot reported in cached trials
Autologous haematopoietic stem cell transplant14119.9
67.7–212.4ROR 120.0 · calibrated p 2e-7 ✓
88.9 EB05 56.3 · IC025 +3.6
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: only this drug
Not in label — unassessedserious n=14not reported in cached trials
Cd19 lymphocytes decreased20115.8
71.9–186.6ROR 115.9 · calibrated p 2e-7 ✓
89.7 EB05 61.3 · IC025 +4.1
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 27.5 (16.6–45.5)
Lab value / disease markerserious n=14not reported in cached trials
Expanded disability status scale1094.7
48.7–184.2ROR 94.8 · calibrated p 2e-6 ✓
71.6 EB05 41.6 · IC025 +3.0
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: only this drug
Not in label — unassessed–not reported in cached trials
Neuropathic muscular atrophy1288.3
48.2–161.6ROR 88.3 · calibrated p 2e-6 ✓
69.3 EB05 42.2 · IC025 +3.3
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: only this drug
Not in label — unassessedserious n=12not reported in cached trials
Expanded disability status scale score increased11262.7
51.6–76.1ROR 62.9 · calibrated p 4e-6 ✓
56.6 EB05 48.3 · IC025 +5.2
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 102.8 (78.2–135.1)
Lab value / disease markerserious n=112not reported in cached trials
Relapsing multiple sclerosis2454.0
35.6–81.9ROR 54.0 · calibrated p 2e-5 ✓
48.0 EB05 33.9 · IC025 +4.0
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 18.0 (11.6–27.9)
Likely indication confounding
term in indications
serious n=24 · 75% consumernot reported in cached trials
Blood immunoglobulin m decreased7450.8
40.1–64.4ROR 50.9 · calibrated p 2e-5 ✓
46.5 EB05 38.3 · IC025 +4.8
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 17.8 (13.9–22.9)
Labeled adverse reaction
exact term
serious n=33NCT02792231: 30/481 (6.2%) on Ofatumumab
Band sensation9148.6
39.3–60.2ROR 48.8 · calibrated p 2e-5 ✓
44.8 EB05 37.6 · IC025 +4.8
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 121.4 (88.3–166.9)
Not in label — unassessedserious n=53 · 96% consumernot reported in cached trials
B-lymphocyte count decreased9548.1
39.1–59.2ROR 48.2 · calibrated p 2e-5 ✓
44.4 EB05 37.4 · IC025 +4.8
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 9.0 (7.3–11.1)
Lab value / disease markerserious n=53not reported in cached trials
Injection related reaction10242.9
35.1–52.4ROR 43.1 · calibrated p 4e-5 ✓
40.0 EB05 33.9 · IC025 +4.7
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: only this drug
Not in label — unassessedserious n=44NCT02792231: 119/481 (24.7%) on Ofatumumab
Hemihypoaesthesia1938.2
24.0–60.7ROR 38.2 · calibrated p 2e-4 ✓
34.9 EB05 23.6 · IC025 +3.5
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: only this drug
Not in label — unassessedserious n=19not reported in cached trials
Relapsing-remitting multiple sclerosis4938.2
28.6–50.9ROR 38.2 · calibrated p 9e-5 ✓
35.6 EB05 28.0 · IC025 +4.3
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 58.9 (41.0–84.7)
Likely indication confounding
term in indications
serious n=49not reported in cached trials
Jc polyomavirus test positive4826.9
20.2–36.0ROR 27.0 · calibrated p 6e-4 ✓
25.6 EB05 20.1 · IC025 +3.9
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 7.4 (5.5–10.0)
Lab value / disease markerserious n=28not reported in cached trials
Aspergillus infection26126.6
23.5–30.1ROR 26.8 · calibrated p 5e-4 ✓
25.5 EB05 23.0 · IC025 +4.4
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 20.7 (18.2–23.6)
Not in label — unassessedserious n=261not reported in cached trials
B-cell aplasia1025.9
13.8–48.8ROR 26.0 · calibrated p 0.002 ✓
23.7 EB05 13.4 · IC025 +2.5
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: only this drug
Not in label — unassessedserious n=10not reported in cached trials
Blood immunoglobulin g decreased9425.4
20.7–31.3ROR 25.5 · calibrated p 7e-4 ✓
24.4 EB05 20.5 · IC025 +4.1
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 13.5 (10.9–16.8)
Lab value / disease markerserious n=53NCT02792231: 30/481 (6.2%) on Ofatumumab
Blood immunoglobulin a decreased2525.3
17.0–37.7ROR 25.3 · calibrated p 1e-3 ✓
24.0 EB05 17.0 · IC025 +3.4
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 11.7 (7.7–17.8)
Lab value / disease markerserious n=16NCT02792231: 30/481 (6.2%) on Ofatumumab
Product temperature excursion issue17924.8
21.4–28.8ROR 25.0 · calibrated p 7e-4 ✓
23.9 EB05 21.1 · IC025 +4.2
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 363.8 (260.3–508.4)
Reporting / coding artifactserious n=40 · 81% consumernot reported in cached trials
Influenza like illness (flu-like illness)2,90023.1
22.3–23.9ROR 25.2 · calibrated p 6e-4 ✓
22.3 EB05 21.6 · IC025 +4.4
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 168.4 (159.3–177.9)
Not in label — unassessedserious PRR 20.7 · 89% consumernot reported in cached trials
Immunoglobulins decreased4421.1
15.6–28.5ROR 21.1 · calibrated p 0.002 ✓
20.3 EB05 15.7 · IC025 +3.6
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 11.9 (8.7–16.3)
Lab value / disease markerserious n=25not reported in cached trials
Multiple sclerosis1,47420.1
19.1–21.1ROR 20.9 · calibrated p 0.002 ✓
19.5 EB05 18.6 · IC025 +4.2
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 35.3 (33.4–37.2)
Likely indication confounding
term in indications
serious PRR 37.3 · 82% consumerNCT02792231: 1/474 (0.2%) on Ofatumumab (serious AE)
Electric shock sensation8219.9
16.0–24.8ROR 20.0 · calibrated p 0.002 ✓
19.3 EB05 16.0 · IC025 +3.8
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 107.7 (77.9–148.9)
Not in label — unassessedserious n=53 · 91% consumernot reported in cached trials
Chills3,48319.4
18.8–20.0ROR 21.5 · calibrated p 0.001 ✓
18.8 EB05 18.3 · IC025 +4.2
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 89.6 (86.4–93.0)
Labeled adverse reaction
exact term
serious PRR 10.5 · 92% consumernot reported in cached trials
Magnetic resonance imaging abnormal3418.8
13.4–26.5ROR 18.9 · calibrated p 0.003 ✓
18.1 EB05 13.5 · IC025 +3.3
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 12.6 (8.8–18.1)
Reporting / coding artifactserious n=26 · 74% consumernot reported in cached trials
Temperature intolerance27717.7
15.7–19.9ROR 17.8 · calibrated p 0.003 ✓
17.2 EB05 15.6 · IC025 +3.9
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 67.7 (58.0–79.1)
Not in label — unassessedserious n=149 · 93% consumernot reported in cached trials
Multiple sclerosis relapse1,70516.0
15.3–16.8ROR 16.8 · calibrated p 0.004 ✓
15.7 EB05 15.0 · IC025 +3.9
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 45.7 (43.4–48.0)
Likely indication confounding
shares a disease stem with the indications wording
serious PRR 27.9 · 79% consumerNCT02792231: 1/474 (0.2%) on Ofatumumab (serious AE)
Progressive multiple sclerosis2815.5
10.7–22.6ROR 15.5 · calibrated p 0.008 ✓
14.8 EB05 10.5 · IC025 +3.0
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 33.2 (21.5–51.3)
Likely indication confounding
term in indications
serious n=28 · 100% consumernot reported in cached trials
Heat exhaustion1815.2
9.5–24.2ROR 15.2 · calibrated p 0.010 ✓
14.2 EB05 9.0 · IC025 +2.6
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: only this drug
Not in label — unassessedserious n=9not reported in cached trials
Drug effect less than expected32114.8
13.2–16.5ROR 14.9 · calibrated p 0.007 ✓
14.4 EB05 13.1 · IC025 +3.6
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 285.4 (227.7–357.8)
Reporting / coding artifactserious n=86 · 98% consumernot reported in cached trials
Optic neuritis20714.7
12.8–16.9ROR 14.8 · calibrated p 0.008 ✓
14.4 EB05 12.8 · IC025 +3.6
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 39.3 (33.5–46.3)
Not in label — unassessedserious PRR 21.6 · 75% consumernot reported in cached trials
Product supply issue15914.6
12.5–17.1ROR 14.7 · calibrated p 0.008 ✓
14.3 EB05 12.5 · IC025 +3.5
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: only this drug
Reporting / coding artifactserious n=69 · 92% consumernot reported in cached trials
Secondary progressive multiple sclerosis4214.4
10.6–19.5ROR 14.4 · calibrated p 0.010 ✓
13.8 EB05 10.5 · IC025 +3.1
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 43.2 (29.8–62.5)
Likely indication confounding
term in indications
serious n=42 · 71% consumernot reported in cached trials
Cytopenia26414.3
12.7–16.2ROR 14.4 · calibrated p 0.008 ✓
14.0 EB05 12.6 · IC025 +3.6
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 15.3 (13.4–17.3)
Labeled adverse reaction
exact term
serious PRR 18.9not reported in cached trials
Campylobacter infection1814.0
8.8–22.3ROR 14.0 · calibrated p 0.013 ✓
12.9 EB05 8.1 · IC025 +2.6
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: only this drug
Not in label — unassessedserious n=17NCT02792218: 1/462 (0.2%) on Ofatumumab (serious AE)
Delivery1413.7
8.1–23.2ROR 13.7 · calibrated p 0.016 ✓
12.2 EB05 7.0 · IC025 +2.3
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: only this drug
Not in label — unassessedserious n=9not reported in cached trials
T-lymphocyte count decreased1312.3
7.1–21.3ROR 12.3 · calibrated p 0.024 ✓
10.6 EB05 5.9 · IC025 +2.2
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 20.5 (11.2–37.6)
Lab value / disease markerserious n=9not reported in cached trials
Feeling of body temperature change10711.8
9.7–14.2ROR 11.8 · calibrated p 0.019 ✓
11.4 EB05 9.7 · IC025 +3.1
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 338.2 (222.0–515.3)
Not in label — unassessedserious n=56 · 94% consumernot reported in cached trials
Ophthalmic migraine1211.6
6.5–20.5ROR 11.6 · calibrated p 0.030 ✓
9.7 EB05 5.3 · IC025 +2.0
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: only this drug
Not in label — unassessed–not reported in cached trials

Trial evidence (ClinicalTrials.gov)

✓ Trial adverse-event data found on ClinicalTrials.gov

Largest completed trials with posted results that list Ofatumumab 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).

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.

ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Fatigue (tiredness)5,5344.5
4.4–4.7ROR 5.3 · calibrated p 0.208
4.5 EB05 4.4 · IC025 +2.1
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 19.8 (19.8–19.8)
Labeled adverse reaction
exact term
serious PRR 4.3 · 91% consumerNCT02792231: 25/481 (5.2%) on Ofatumumab
Headache4,6334.7
4.6–4.9ROR 5.3 · calibrated p 0.201
4.7 EB05 4.6 · IC025 +2.2
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 29.2 (28.8–29.7)
Labeled adverse reaction
exact term
serious PRR 4.4 · 91% consumerNCT02792231: 1/481 (0.2%) on Ofatumumab (serious AE)
Pain3,5643.7
3.6–3.8ROR 4.0 · calibrated p 0.374
3.7 EB05 3.6 · IC025 +1.8
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 14.8 (14.5–15.1)
Labeled adverse reaction
exact term
serious PRR 2.7 · 92% consumerNCT02792231: 1/481 (0.2%) on Ofatumumab (serious AE)
Chills3,48319.4
18.8–20.0ROR 21.5 · calibrated p 0.001 ✓
18.8 EB05 18.3 · IC025 +4.2
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 89.6 (86.4–93.0)
Labeled adverse reaction
exact term
serious PRR 10.5 · 92% consumernot reported in cached trials
Influenza like illness (flu-like illness)2,90023.1
22.3–23.9ROR 25.2 · calibrated p 6e-4 ✓
22.3 EB05 21.6 · IC025 +4.4
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 168.4 (159.3–177.9)
Not in label — unassessedserious PRR 20.7 · 89% consumernot reported in cached trials
Nausea1,8151.5
1.4–1.5ROR 1.5 · calibrated p 0.634
1.5 EB05 1.4 · IC025 +0.5
vs other CD20-directed Cytolytic Antibodys: PRR 11.5 (11.1–12.0)
Labeled adverse reaction
exact term
serious PRR 1.5 · 85% consumerNCT02792231: 30/481 (6.2%) on Ofatumumab
Multiple sclerosis relapse1,70516.0
15.3–16.8ROR 16.8 · calibrated p 0.004 ✓
15.7 EB05 15.0 · IC025 +3.9
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 45.7 (43.4–48.0)
Likely indication confounding
shares a disease stem with the indications wording
serious PRR 27.9 · 79% consumerNCT02792231: 1/474 (0.2%) on Ofatumumab (serious AE)
Covid-191,5195.5
5.2–5.8ROR 5.7 · calibrated p 0.171
5.4 EB05 5.2 · IC025 +2.4
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 6.8 (6.5–7.1)
Not in label — unassessedserious PRR 5.5 · 83% consumernot reported in cached trials
Asthenia (weakness)1,5062.5
2.4–2.7ROR 2.6 · calibrated p 0.763
2.5 EB05 2.4 · IC025 +1.3
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 13.7 (13.1–14.4)
Not in label — unassessedserious PRR 2.3 · 87% consumernot reported in cached trials
Multiple sclerosis1,47420.1
19.1–21.1ROR 20.9 · calibrated p 0.002 ✓
19.5 EB05 18.6 · IC025 +4.2
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 35.3 (33.4–37.2)
Likely indication confounding
term in indications
serious PRR 37.3 · 82% consumerNCT02792231: 1/474 (0.2%) on Ofatumumab (serious AE)
Gait disturbance1,4284.8
4.5–5.0ROR 4.9 · calibrated p 0.243
4.7 EB05 4.5 · IC025 +2.2
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 19.8 (18.8–20.8)
Not in label — unassessedserious PRR 5.3 · 88% consumernot reported in cached trials
Hypoaesthesia (numbness)1,4016.0
5.7–6.3ROR 6.2 · calibrated p 0.138
5.9 EB05 5.7 · IC025 +2.5
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 19.3 (18.4–20.3)
Not in label — unassessedserious PRR 6.7 · 88% consumerNCT02792218: 1/462 (0.2%) on Ofatumumab (serious AE)
Malaise (feeling unwell)1,3682.0
1.9–2.1ROR 2.0 · calibrated p 0.955
2.0 EB05 1.9 · IC025 +0.9
vs other CD20-directed Cytolytic Antibodys: PRR 12.1 (11.5–12.7)
Not in label — unassessedserious PRR 2.3 · 85% consumernot reported in cached trials
Feeling abnormal1,3573.6
3.4–3.8ROR 3.7 · calibrated p 0.437
3.6 EB05 3.4 · IC025 +1.7
3/3 methods agree
vs other CD20-directed Cytolytic Antibodys: PRR 55.4 (52.1–58.9)
Not in label — unassessedserious PRR 4.6 · 93% consumernot 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.

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 Ofatumumab?

In FDA FAERS, the most frequently co-reported reaction terms for Ofatumumab are fatigue, headache, pyrexia, pain, chills, influenza like illness. 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 Ofatumumab have an FDA boxed warning?

No. The FDA label retrieved for Ofatumumab has no boxed warning; see the label's Warnings and Precautions for the recognised risks.

Do FAERS signals prove that Ofatumumab 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

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.