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Risankizumab-Rzaa side effects: what 81,276 FDA adverse event reports show

Risankizumab-Rzaa · Skyrizi · 1,215 reaction terms · 193,700 drug–reaction co-reports · data 2026-09-14
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Drug class

Interleukin-23 Antagonist

FDA label (Established Pharmacologic Class) · compare the class

Brand names

Skyrizi

openFDA label

Who reports

81,276 reports · 66% serious · 2,905 with death outcome · 57% female

openFDA FAERS counts, all years, deduplication not applied

Used for

SKYRIZI is an interleukin-23 antagonist indicated for the treatment of: moderate-to-severe plaque psoriasis in adults and pediatric patients 6 years of age and older who are candidates for systemic therapy or phototherapy. ( 1.1 ) active psoriatic arthritis in adults and pediatric patients 6 years of age and older. ( 1.2 ) moderately to severely active Crohn's disease in adults.

FDA label, Indications and Usage

What it is

Risankizumab-rzaa, an interleukin-23 (IL-23) antagonist, is a humanized immunoglobulin G1 (IgG1) monoclonal antibody. Risankizumab-rzaa is produced by recombinant DNA technology in Chinese hamster ovary cells and has an approximate molecular weight of 149 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 (related wording) 1Likely indication confounding 2Reporting / coding artifact 8Lab value / disease marker 1Not in label — unassessed 28
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). 1,175 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
Stoma creation18094.3
79.5–111.9ROR 94.5 · calibrated p 2e-7 ✓
68.5 EB05 60.5 · IC025 +5.6
3/3 methods agree
vs other Interleukin-23 Antagonists: only this drug
Not in label — unassessedserious n=179 · 90% consumerno trial arm names this drug
Ostomy bag placement11088.8
71.5–110.4ROR 88.9 · calibrated p 4e-7 ✓
65.3 EB05 55.7 · IC025 +5.4
3/3 methods agree
vs other Interleukin-23 Antagonists: only this drug
Not in label — unassessedserious n=110 · 95% consumerno trial arm names this drug
Stoma closure5051.1
37.7–69.3ROR 51.2 · calibrated p 2e-5 ✓
42.1 EB05 33.2 · IC025 +4.4
3/3 methods agree
vs other Interleukin-23 Antagonists: only this drug
Not in label — unassessedserious n=50 · 100% consumerno trial arm names this drug
Gastrointestinal scarring11148.4
39.5–59.2ROR 48.4 · calibrated p 2e-5 ✓
40.5 EB05 34.6 · IC025 +4.8
3/3 methods agree
vs other Interleukin-23 Antagonists: only this drug
Not in label — unassessedserious n=108 · 95% consumerno trial arm names this drug
Ileocaecal resection5045.6
33.7–61.6ROR 45.6 · calibrated p 4e-5 ✓
38.3 EB05 30.2 · IC025 +4.3
3/3 methods agree
vs other Interleukin-23 Antagonists: only this drug
Not in label — unassessedserious n=50no trial arm names this drug
Sleeve gastrectomy3342.5
29.4–61.4ROR 42.5 · calibrated p 6e-5 ✓
35.8 EB05 26.7 · IC025 +4.0
3/3 methods agree
vs other Interleukin-23 Antagonists: only this drug
Not in label — unassessedserious n=33 · 100% consumerno trial arm names this drug
Ileostomy closure4439.8
29.0–54.7ROR 39.9 · calibrated p 8e-5 ✓
34.1 EB05 26.5 · IC025 +4.1
3/3 methods agree
vs other Interleukin-23 Antagonists: only this drug
Not in label — unassessedserious n=44 · 100% consumerno trial arm names this drug
Intestinal anastomosis7836.5
28.8–46.3ROR 36.5 · calibrated p 1e-4 ✓
31.8 EB05 26.3 · IC025 +4.4
3/3 methods agree
vs other Interleukin-23 Antagonists: only this drug
Not in label — unassessedserious n=78 · 74% consumerno trial arm names this drug
Small intestinal resection13333.5
28.0–40.1ROR 33.5 · calibrated p 2e-4 ✓
29.6 EB05 25.6 · IC025 +4.5
3/3 methods agree
vs other Interleukin-23 Antagonists: only this drug
Not in label — unassessedserious n=133 · 84% consumerno trial arm names this drug
Incision site discharge2528.9
19.1–43.8ROR 29.0 · calibrated p 5e-4 ✓
25.6 EB05 18.2 · IC025 +3.5
3/3 methods agree
vs other Interleukin-23 Antagonists: only this drug
Not in label — unassessedserious n=24 · 100% consumerno trial arm names this drug
Skin operation3128.6
19.7–41.4ROR 28.6 · calibrated p 5e-4 ✓
25.4 EB05 18.8 · IC025 +3.6
3/3 methods agree
vs other Interleukin-23 Antagonists: only this drug
Reporting / coding artifactserious n=29 · 100% consumerno trial arm names this drug
Ileostomy25228.5
25.0–32.5ROR 28.6 · calibrated p 4e-4 ✓
25.7 EB05 23.1 · IC025 +4.4
3/3 methods agree
vs other Interleukin-23 Antagonists: PRR 1,971.9 (878.0–4,428.6)
Not in label — unassessedserious n=252 · 86% consumerno trial arm names this drug
Precancerous condition6427.9
21.5–36.1ROR 27.9 · calibrated p 5e-4 ✓
25.1 EB05 20.3 · IC025 +4.0
3/3 methods agree
vs other Interleukin-23 Antagonists: only this drug
Not in label — unassessedserious n=62 · 100% consumerno trial arm names this drug
Proctectomy2627.8
18.6–41.7ROR 27.8 · calibrated p 6e-4 ✓
24.8 EB05 17.7 · IC025 +3.5
3/3 methods agree
vs other Interleukin-23 Antagonists: only this drug
Not in label — unassessedserious n=26 · 77% consumerno trial arm names this drug
Nail psoriasis6027.7
21.2–36.1ROR 27.7 · calibrated p 5e-4 ✓
24.9 EB05 20.0 · IC025 +4.0
3/3 methods agree
vs other Interleukin-23 Antagonists: PRR 234.8 (126.4–436.0)
Likely indication confounding
shares a disease stem with the indications wording
serious n=28 · 100% consumerno trial arm names this drug
Medical device implantation14627.4
23.1–32.5ROR 27.4 · calibrated p 5e-4 ✓
24.7 EB05 21.6 · IC025 +4.2
3/3 methods agree
vs other Interleukin-23 Antagonists: only this drug
Not in label — unassessedserious n=146 · 100% consumerno trial arm names this drug
Intestinal operation14626.7
22.5–31.6ROR 26.7 · calibrated p 5e-4 ✓
24.2 EB05 21.0 · IC025 +4.2
3/3 methods agree
vs other Interleukin-23 Antagonists: only this drug
Reporting / coding artifactserious n=146 · 92% consumerno trial arm names this drug
Intestinal resection46324.4
22.2–26.8ROR 24.5 · calibrated p 8e-4 ✓
22.3 EB05 20.7 · IC025 +4.3
3/3 methods agree
vs other Interleukin-23 Antagonists: only this drug
Not in label — unassessedserious n=463 · 94% consumerno trial arm names this drug
Ileectomy2823.2
15.8–34.2ROR 23.2 · calibrated p 0.001 ✓
21.1 EB05 15.2 · IC025 +3.3
3/3 methods agree
vs other Interleukin-23 Antagonists: only this drug
Not in label — unassessedserious n=28 · 100% consumerno trial arm names this drug
Abdominoplasty2723.1
15.6–34.3ROR 23.1 · calibrated p 0.001 ✓
21.0 EB05 15.1 · IC025 +3.3
3/3 methods agree
vs other Interleukin-23 Antagonists: only this drug
Not in label — unassessedserious n=27 · ♀ 100% (drug 57%) · 100% consumerno trial arm names this drug
Faecal calprotectin abnormal3322.7
15.9–32.4ROR 22.7 · calibrated p 0.002 ✓
20.7 EB05 15.4 · IC025 +3.4
3/3 methods agree
vs other Interleukin-23 Antagonists: only this drug
Not in label — unassessedserious n=27no trial arm names this drug
Medical procedure12922.0
18.4–26.3ROR 22.0 · calibrated p 0.001 ✓
20.3 EB05 17.5 · IC025 +3.9
3/3 methods agree
vs other Interleukin-23 Antagonists: only this drug
Reporting / coding artifactserious n=129 · 95% consumerno trial arm names this drug
Tenoplasty2621.5
14.4–32.0ROR 21.5 · calibrated p 0.002 ✓
19.6 EB05 14.0 · IC025 +3.2
3/3 methods agree
vs other Interleukin-23 Antagonists: only this drug
Not in label — unassessedserious n=25 · 100% consumerno trial arm names this drug
Colon operation9121.4
17.3–26.5ROR 21.4 · calibrated p 0.002 ✓
19.7 EB05 16.5 · IC025 +3.8
3/3 methods agree
vs other Interleukin-23 Antagonists: only this drug
Reporting / coding artifactserious n=88 · 91% consumerno trial arm names this drug
Incision site impaired healing2720.4
13.8–30.2ROR 20.4 · calibrated p 0.003 ✓
18.7 EB05 13.4 · IC025 +3.2
3/3 methods agree
vs other Interleukin-23 Antagonists: only this drug
Not in label — unassessedserious n=27 · 100% consumerno trial arm names this drug
Abdominal operation8518.3
14.7–22.9ROR 18.4 · calibrated p 0.003 ✓
17.1 EB05 14.2 · IC025 +3.6
3/3 methods agree
vs other Interleukin-23 Antagonists: only this drug
Reporting / coding artifactserious n=84 · 92% consumerno trial arm names this drug
Obstruction26318.1
16.0–20.5ROR 18.2 · calibrated p 0.003 ✓
16.9 EB05 15.3 · IC025 +3.8
3/3 methods agree
vs other Interleukin-23 Antagonists: only this drug
Not in label — unassessedserious n=263 · 88% consumerno trial arm names this drug
Gastrointestinal stoma output increased3017.8
12.3–25.8ROR 17.8 · calibrated p 0.004 ✓
16.5 EB05 11.9 · IC025 +3.1
3/3 methods agree
vs other Interleukin-23 Antagonists: only this drug
Lab value / disease markerserious n=30 · 100% consumerno trial arm names this drug
Shoulder operation27217.7
15.7–20.1ROR 17.8 · calibrated p 0.003 ✓
16.6 EB05 15.0 · IC025 +3.8
3/3 methods agree
vs other Interleukin-23 Antagonists: PRR 1,064.2 (597.4–1,895.7)
Reporting / coding artifactserious n=266 · 96% consumerno trial arm names this drug
Metabolic surgery7117.4
13.7–22.2ROR 17.5 · calibrated p 0.004 ✓
16.3 EB05 13.3 · IC025 +3.5
3/3 methods agree
vs other Interleukin-23 Antagonists: only this drug
Not in label — unassessedserious n=70 · 100% consumerno trial arm names this drug
Gastric operation5817.3
13.3–22.6ROR 17.4 · calibrated p 0.004 ✓
16.2 EB05 12.9 · IC025 +3.4
3/3 methods agree
vs other Interleukin-23 Antagonists: only this drug
Reporting / coding artifactserious n=58 · 100% consumerno trial arm names this drug
Colectomy34616.9
15.2–18.9ROR 17.0 · calibrated p 0.004 ✓
15.9 EB05 14.5 · IC025 +3.8
3/3 methods agree
vs other Interleukin-23 Antagonists: PRR 2,707.5 (1,208.7–6,065.0)
Not in label — unassessedserious n=344 · 94% consumerno trial arm names this drug
Knee operation58616.5
15.2–17.9ROR 16.6 · calibrated p 0.005 ✓
15.6 EB05 14.5 · IC025 +3.8
3/3 methods agree
vs other Interleukin-23 Antagonists: PRR 1,310.1 (848.6–2,022.6)
Reporting / coding artifactserious PRR 15.0 · 97% consumerno trial arm names this drug
Psoriasis7,86716.5
16.1–16.8ROR 18.1 · calibrated p 0.003 ✓
15.5 EB05 15.2 · IC025 +3.9
3/3 methods agree
vs other Interleukin-23 Antagonists: PRR 165.0 (159.1–171.0)
Likely indication confounding
term in indications; also in warnings
serious PRR 16.2 · 92% consumerno trial arm names this drug
Stenosis11116.4
13.5–19.8ROR 16.4 · calibrated p 0.005 ✓
15.4 EB05 13.1 · IC025 +3.5
3/3 methods agree
vs other Interleukin-23 Antagonists: only this drug
Not in label — unassessedserious n=109 · 74% consumerno trial arm names this drug
Small intestinal stenosis6316.2
12.5–20.9ROR 16.2 · calibrated p 0.006 ✓
15.2 EB05 12.2 · IC025 +3.4
3/3 methods agree
vs other Interleukin-23 Antagonists: only this drug
Not in label — unassessedserious n=63no trial arm names this drug
Fungal foot infection2516.0
10.7–24.0ROR 16.0 · calibrated p 0.007 ✓
14.7 EB05 10.2 · IC025 +2.9
3/3 methods agree
vs other Interleukin-23 Antagonists: only this drug
Not in label — unassessed100% consumerno trial arm names this drug
Precancerous skin lesion8615.9
12.8–19.8ROR 15.9 · calibrated p 0.006 ✓
15.0 EB05 12.5 · IC025 +3.4
3/3 methods agree
vs other Interleukin-23 Antagonists: only this drug
Not in label — unassessedserious n=81 · 100% consumerno trial arm names this drug
Gastrointestinal stenosis2615.7
10.6–23.3ROR 15.7 · calibrated p 0.008 ✓
14.5 EB05 10.1 · IC025 +2.9
3/3 methods agree
vs other Interleukin-23 Antagonists: only this drug
Not in label — unassessedserious n=26 · 100% consumerno trial arm names this drug

Trial evidence (ClinicalTrials.gov)

No completed trial with posted adverse-event results was found on ClinicalTrials.gov for Risankizumab-Rzaa (searched RISANKIZUMAB-RZAA).

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
Psoriasis7,86716.5
16.1–16.8ROR 18.1 · calibrated p 0.003 ✓
15.5 EB05 15.2 · IC025 +3.9
3/3 methods agree
vs other Interleukin-23 Antagonists: PRR 165.0 (159.1–171.0)
Likely indication confounding
term in indications; also in warnings
serious PRR 16.2 · 92% consumerno trial arm names this drug
Drug ineffective (drug did not work)3,5900.7
0.7–0.7ROR 0.7 · calibrated p 0.125
0.7 EB05 0.7 · IC025 -0.6
PRR-only: not supported by EBGM or IC
vs other Interleukin-23 Antagonists: PRR 68.5 (65.7–71.4)
Reporting / coding artifactserious PRR 0.8 · 80% consumerno trial arm names this drug
Pain3,2251.4
1.3–1.4ROR 1.4 · calibrated p 0.554
1.4 EB05 1.3 · IC025 +0.4
vs other Interleukin-23 Antagonists: PRR 226.7 (209.7–245.0)
Labeled adverse reaction
exact term
serious PRR 1.2 · 93% consumerno trial arm names this drug
Fatigue (tiredness)3,0931.0
1.0–1.1ROR 1.0 · calibrated p 0.325
1.0 EB05 1.0 · IC025 -0.0
PRR-only: not supported by EBGM or IC
vs other Interleukin-23 Antagonists: PRR 300.0 (273.9–328.6)
Labeled adverse reaction
exact term
serious PRR 0.9 · 92% consumerno trial arm names this drug
Arthralgia (joint pain)3,0891.9
1.9–2.0ROR 2.0 · calibrated p 0.926
1.9 EB05 1.9 · IC025 +0.9
vs other Interleukin-23 Antagonists: PRR 151.7 (142.0–162.1)
Labeled adverse reaction
exact term
serious PRR 1.9 · 88% consumerno trial arm names this drug
Pruritus (itching)2,6981.8
1.8–1.9ROR 1.9 · calibrated p 0.875
1.8 EB05 1.8 · IC025 +0.8
vs other Interleukin-23 Antagonists: PRR 184.9 (171.0–200.0)
Labeled adverse reaction
exact term
serious PRR 1.4 · 90% consumerno trial arm names this drug
Device issue2,3757.2
6.9–7.5ROR 7.4 · calibrated p 0.085
7.0 EB05 6.8 · IC025 +2.7
3/3 methods agree
vs other Interleukin-23 Antagonists: PRR 56.3 (53.5–59.3)
Reporting / coding artifactserious PRR 8.8 · 97% consumerno trial arm names this drug
Covid-192,2623.3
3.2–3.5ROR 3.4 · calibrated p 0.511
3.3 EB05 3.2 · IC025 +1.7
3/3 methods agree
vs other Interleukin-23 Antagonists: PRR 190.3 (174.4–207.8)
Labeled adverse reaction
exact term
serious PRR 2.6 · 86% consumerno trial arm names this drug
Surgery2,22310.3
9.8–10.7ROR 10.5 · calibrated p 0.027 ✓
9.9 EB05 9.5 · IC025 +3.2
3/3 methods agree
vs other Interleukin-23 Antagonists: PRR 729.9 (618.0–862.0)
Reporting / coding artifactserious PRR 9.8 · 93% consumerno trial arm names this drug
Death2,2040.7
0.6–0.7ROR 0.6 · calibrated p 0.106
0.7 EB05 0.6 · IC025 -0.7
PRR-only: not supported by EBGM or IC
vs other Interleukin-23 Antagonists: PRR 344.9 (306.9–387.7)
Outcome field, not a reactionserious PRR 0.6 · 71% consumerno trial arm names this drug
Fall2,1651.7
1.6–1.8ROR 1.7 · calibrated p 0.771
1.7 EB05 1.6 · IC025 +0.7
vs other Interleukin-23 Antagonists: PRR 710.8 (601.8–839.6)
Not in label — unassessedserious PRR 1.7 · 93% consumerno trial arm names this drug
Diarrhoea (diarrhea)2,0090.8
0.8–0.8ROR 0.8 · calibrated p 0.184
0.8 EB05 0.8 · IC025 -0.4
PRR-only: not supported by EBGM or IC
vs other Interleukin-23 Antagonists: PRR 178.3 (162.8–195.3)
Not in label — unassessedserious PRR 0.9 · 87% consumerno trial arm names this drug
Headache1,8960.8
0.7–0.8ROR 0.8 · calibrated p 0.170
0.8 EB05 0.8 · IC025 -0.4
PRR-only: not supported by EBGM or IC
vs other Interleukin-23 Antagonists: PRR 142.4 (130.8–155.1)
Labeled adverse reaction
exact term
serious PRR 0.6 · 86% consumerno trial arm names this drug
Rash1,5040.9
0.9–0.9ROR 0.9 · calibrated p 0.239
0.9 EB05 0.9 · IC025 -0.2
PRR-only: not supported by EBGM or IC
vs other Interleukin-23 Antagonists: PRR 110.9 (101.5–121.0)
Labeled adverse reaction
exact term
serious PRR 0.8 · 80% consumerno trial arm names this drug
Nausea1,4620.5
0.5–0.5ROR 0.5 · calibrated p 0.039 ✓
0.5 EB05 0.5 · IC025 -1.2
PRR-only: not supported by EBGM or IC
vs other Interleukin-23 Antagonists: PRR 188.6 (168.8–210.7)
Not in label — unassessedserious PRR 0.5 · 85% consumerno trial arm names this drug

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 Risankizumab-Rzaa?

In FDA FAERS, the most frequently co-reported reaction terms for Risankizumab-Rzaa are psoriasis, pain, fatigue, arthralgia, pruritus, covid-19. 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 Risankizumab-Rzaa have an FDA boxed warning?

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

Do FAERS signals prove that Risankizumab-Rzaa 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.