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Drug · FAERS side-effect profile with label screen

Secukinumab side effects: what 160,389 FDA adverse event reports show

Secukinumab · Cosentyx · 1,247 reaction terms · 864,657 drug–reaction co-reports · data 2026-09-14
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Drug class

Interleukin-17A Antagonist

FDA label (Established Pharmacologic Class)

Brand names

Cosentyx

openFDA label

Who reports

160,389 reports · 40% serious · 8,611 with death outcome · 62% female

openFDA FAERS counts, all years, deduplication not applied

Used for

COSENTYX is a human interleukin-17A antagonist indicated for the treatment of: moderate to severe plaque psoriasis (PsO) in adults and pediatric patients 6 years and older who are candidates for systemic therapy or phototherapy. ( 1.1 ) active psoriatic arthritis (PsA) in adults and pediatric patients 2 years of age and older.

FDA label, Indications and Usage

What it is

Secukinumab, a recombinant human monoclonal IgG1/κ antibody, is an interleukin-17A antagonist. It is expressed in a recombinant Chinese Hamster Ovary (CHO) cell line. Secukinumab has a molecular mass of approximately 151 kDa; both heavy chains of secukinumab contain oligosaccharide chains.

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

Likely indication confounding 5Lab value / disease marker 8Not in label — unassessed 27
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). 1,207 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
Rebound psoriasis389260.7
219.2–309.9ROR 261.3 · calibrated p 5e-11 ✓
86.2 EB05 79.2 · IC025 +6.1
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=116 · 82% consumernot reported in cached trials
Hepatic enzyme91247.8
174.3–352.4ROR 248.0 · calibrated p 2e-10 ✓
83.6 EB05 70.2 · IC025 +5.5
3/3 methods agree
Not in label — unassessedserious n=91 · ♀ 100% (drug 62%) · 100% clinicianNCT02409667: 3/1,647 (0.2%) on Secukinumab (serious AE)
C-reactive protein582237.2
206.8–272.1ROR 238.1 · calibrated p 1e-10 ✓
83.6 EB05 78.0 · IC025 +6.2
3/3 methods agree
Lab value / disease markerserious n=582 · ♀ 100% (drug 62%) · 100% cliniciannot reported in cached trials
Grip strength147229.4
175.1–300.6ROR 229.7 · calibrated p 2e-10 ✓
81.9 EB05 71.4 · IC025 +5.7
3/3 methods agree
Not in label — unassessedserious n=145 · ♀ 100% (drug 62%) · 100% cliniciannot reported in cached trials
Facet joint syndrome1,958217.2
202.0–233.5ROR 219.8 · calibrated p 2e-10 ✓
81.1 EB05 78.1 · IC025 +6.2
3/3 methods agree
Not in label — unassessedserious n=1,957 · ♀ 100% (drug 62%) · 95% cliniciannot reported in cached trials
Deep vein thrombosis postoperative1,207211.9
193.3–232.3ROR 213.5 · calibrated p 2e-10 ✓
80.3 EB05 76.6 · IC025 +6.2
3/3 methods agree
Not in label — unassessedserious n=1,207 · ♀ 100% (drug 62%) · 95% cliniciannot reported in cached trials
Lupus vulgaris726207.0
184.0–232.8ROR 207.9 · calibrated p 3e-10 ✓
79.5 EB05 74.8 · IC025 +6.1
3/3 methods agree
Not in label — unassessedserious n=726 · ♀ 100% (drug 62%) · 96% cliniciannot reported in cached trials
Rheumatic fever2,562187.4
176.4–199.1ROR 190.4 · calibrated p 6e-10 ✓
76.6 EB05 74.1 · IC025 +6.2
3/3 methods agree
Not in label — unassessedserious n=2,562 · ♀ 100% (drug 62%) · 95% cliniciannot reported in cached trials
Swollen joint count increased1,749168.3
156.8–180.7ROR 170.2 · calibrated p 2e-9 ✓
73.2 EB05 70.4 · IC025 +6.1
3/3 methods agree
Lab value / disease markerserious n=1,748 · ♀ 100% (drug 62%) · 95% cliniciannot reported in cached trials
Anti-cyclic citrullinated peptide antibody365158.9
136.3–185.3ROR 159.3 · calibrated p 3e-9 ✓
71.2 EB05 65.3 · IC025 +5.9
3/3 methods agree
Lab value / disease markerserious n=365 · ♀ 100% (drug 62%) · 100% cliniciannot reported in cached trials
Swollen joint count132152.2
118.3–195.9ROR 152.3 · calibrated p 7e-9 ✓
69.4 EB05 60.0 · IC025 +5.5
3/3 methods agree
Not in label — unassessedserious n=132 · ♀ 100% (drug 62%) · 100% cliniciannot reported in cached trials
Hypocholesterolaemia154131.4
104.9–164.5ROR 131.5 · calibrated p 2e-8 ✓
64.8 EB05 56.7 · IC025 +5.5
3/3 methods agree
Not in label — unassessedserious n=154 · ♀ 100% (drug 62%) · 100% cliniciannot reported in cached trials
Adjustment disorder with depressed mood943115.3
105.6–125.9ROR 116.0 · calibrated p 4e-8 ✓
61.1 EB05 57.9 · IC025 +5.8
3/3 methods agree
Not in label — unassessedserious n=943 · ♀ 100% (drug 62%) · 96% cliniciannot reported in cached trials
Dislocation of vertebra1,022111.4
102.5–121.1ROR 112.1 · calibrated p 5e-8 ✓
60.0 EB05 56.9 · IC025 +5.8
3/3 methods agree
Not in label — unassessedserious n=1,022 · ♀ 100% (drug 62%) · 95% cliniciannot reported in cached trials
Subcutaneous drug absorption impaired244106.2
89.6–125.9ROR 106.4 · calibrated p 9e-8 ✓
58.2 EB05 52.4 · IC025 +5.5
3/3 methods agree
Not in label — unassessedserious n=243 · ♀ 100% (drug 62%) · 100% cliniciannot reported in cached trials
X-ray abnormal782102.1
93.0–112.2ROR 102.6 · calibrated p 1e-7 ✓
57.2 EB05 53.9 · IC025 +5.7
3/3 methods agree
Lab value / disease markerserious n=782 · ♀ 100% (drug 62%) · 96% cliniciannot reported in cached trials
Red blood cell sedimentation rate11793.0
73.3–118.0ROR 93.1 · calibrated p 3e-7 ✓
53.8 EB05 46.1 · IC025 +5.2
3/3 methods agree
Lab value / disease markerserious n=117 · ♀ 100% (drug 62%) · 100% cliniciannot reported in cached trials
Duodenal ulcer perforation3,02491.7
87.5–96.0ROR 93.4 · calibrated p 2e-7 ✓
53.8 EB05 52.2 · IC025 +5.7
3/3 methods agree
Not in label — unassessedserious PRR 77.2 · ♀ 100% (drug 62%) · 95% cliniciannot reported in cached trials
Anti-cyclic citrullinated peptide antibody positive2,90190.3
86.1–94.6ROR 91.9 · calibrated p 2e-7 ✓
53.3 EB05 51.7 · IC025 +5.7
3/3 methods agree
Lab value / disease markerserious PRR 76.8 · ♀ 99% (drug 62%) · 95% cliniciannot reported in cached trials
Retinitis67588.8
80.5–97.9ROR 89.2 · calibrated p 3e-7 ✓
52.8 EB05 49.5 · IC025 +5.5
3/3 methods agree
Not in label — unassessedserious n=675 · ♀ 100% (drug 62%) · 96% cliniciannot reported in cached trials
Peripheral venous disease1,57785.3
80.1–90.9ROR 86.2 · calibrated p 3e-7 ✓
51.6 EB05 49.5 · IC025 +5.6
3/3 methods agree
Not in label — unassessedserious n=1,575 · ♀ 100% (drug 62%) · 94% cliniciannot reported in cached trials
Rheumatoid factor positive2,23282.5
78.2–87.0ROR 83.6 · calibrated p 4e-7 ✓
50.5 EB05 48.8 · IC025 +5.6
3/3 methods agree
Lab value / disease markerserious n=2,231 · ♀ 100% (drug 62%) · 96% cliniciannot reported in cached trials
Neurologic neglect syndrome19368.6
57.6–81.7ROR 68.7 · calibrated p 2e-6 ✓
44.8 EB05 39.8 · IC025 +5.1
3/3 methods agree
Not in label — unassessedserious n=193 · ♀ 100% (drug 62%) · 100% cliniciannot reported in cached trials
C-reactive protein abnormal2,05861.7
58.6–65.1ROR 62.5 · calibrated p 3e-6 ✓
42.0 EB05 40.5 · IC025 +5.3
3/3 methods agree
Lab value / disease markerserious n=2,048 · ♀ 96% (drug 62%) · 92% cliniciannot reported in cached trials
Pemphigus3,84658.4
56.3–60.7ROR 59.8 · calibrated p 4e-6 ✓
40.4 EB05 39.4 · IC025 +5.3
3/3 methods agree
Not in label — unassessedserious PRR 58.2 · ♀ 100% (drug 62%) · 95% cliniciannot reported in cached trials
Seronegative arthritis34658.1
51.2–66.0ROR 58.2 · calibrated p 5e-6 ✓
40.2 EB05 36.8 · IC025 +5.1
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=345 · ♀ 88% (drug 62%)not reported in cached trials
Helicobacter infection3,04855.6
53.3–58.0ROR 56.7 · calibrated p 6e-6 ✓
39.1 EB05 37.9 · IC025 +5.2
3/3 methods agree
Not in label — unassessedserious PRR 59.2 · ♀ 99% (drug 62%) · 94% cliniciannot reported in cached trials
Dactylitis28854.1
47.2–62.1ROR 54.2 · calibrated p 9e-6 ✓
38.2 EB05 34.7 · IC025 +5.0
3/3 methods agree
Not in label — unassessedserious n=256not reported in cached trials
Folliculitis3,01753.8
51.6–56.1ROR 54.8 · calibrated p 8e-6 ✓
38.2 EB05 37.0 · IC025 +5.2
3/3 methods agree
Not in label — unassessedserious PRR 63.4 · ♀ 98% (drug 62%) · 95% clinicianNCT02409667: 31/1,647 (1.9%) on Secukinumab
Muscle injury2,38453.4
50.9–56.0ROR 54.2 · calibrated p 8e-6 ✓
37.9 EB05 36.7 · IC025 +5.2
3/3 methods agree
Not in label — unassessedserious PRR 58.8 · ♀ 99% (drug 62%) · 95% cliniciannot reported in cached trials
Nail psoriasis17953.2
44.7–63.3ROR 53.2 · calibrated p 1e-5 ✓
37.7 EB05 33.3 · IC025 +4.9
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=90not reported in cached trials
Enthesopathy45152.2
46.8–58.2ROR 52.3 · calibrated p 1e-5 ✓
37.3 EB05 34.5 · IC025 +5.0
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=406not reported in cached trials
Hand deformity3,62850.0
48.1–52.0ROR 51.1 · calibrated p 1e-5 ✓
36.2 EB05 35.3 · IC025 +5.1
3/3 methods agree
Not in label — unassessedserious PRR 56.2 · ♀ 98% (drug 62%) · 94% cliniciannot reported in cached trials
Macule74748.0
44.1–52.2ROR 48.2 · calibrated p 2e-5 ✓
35.2 EB05 33.1 · IC025 +5.0
3/3 methods agree
Not in label — unassessedserious n=225not reported in cached trials
Psoriatic arthropathy10,20844.3
43.4–45.3ROR 47.3 · calibrated p 2e-5 ✓
33.2 EB05 32.6 · IC025 +5.0
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious PRR 59.0not reported in cached trials
Skin plaque2,09843.2
41.1–45.3ROR 43.7 · calibrated p 3e-5 ✓
32.5 EB05 31.4 · IC025 +4.9
3/3 methods agree
Not in label — unassessedserious n=830not reported in cached trials
Breast cancer stage iii1,50339.7
37.5–42.0ROR 40.0 · calibrated p 5e-5 ✓
30.5 EB05 29.2 · IC025 +4.8
3/3 methods agree
Not in label — unassessedserious n=1,503 · ♀ 100% (drug 62%) · 94% cliniciannot reported in cached trials
Synovitis4,13438.7
37.4–40.0ROR 39.7 · calibrated p 5e-5 ✓
29.9 EB05 29.2 · IC025 +4.8
3/3 methods agree
Not in label — unassessedserious PRR 44.9 · ♀ 94% (drug 62%) · 92% cliniciannot reported in cached trials
Bone erosion80638.3
35.4–41.5ROR 38.5 · calibrated p 7e-5 ✓
29.7 EB05 28.0 · IC025 +4.8
3/3 methods agree
Not in label — unassessedserious n=801 · ♀ 94% (drug 62%) · 92% cliniciannot reported in cached trials
Lip dry2,02638.0
36.2–40.0ROR 38.5 · calibrated p 7e-5 ✓
29.5 EB05 28.5 · IC025 +4.8
3/3 methods agree
Not in label — unassessedserious n=1,998 · ♀ 100% (drug 62%) · 94% cliniciannot 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.

ConceptReportsPRR 95% CIReading
Liver injury6,5212.92.8–2.9signal
Tendon disorder7192.52.3–2.7signal
Interstitial lung disease1,6462.32.2–2.4signal
Serious infection12,4782.12.1–2.2signal
Opportunistic infection2,0031.91.9–2.0raised
Hyperglycaemia / diabetes4,6651.81.7–1.8raised
Depression3,2591.51.5–1.6raised
Fall / fracture2,9681.01.0–1.1no difference
Pancreatitis5380.90.8–0.9lower than other drugs
Malignancy2,2160.80.7–0.8lower than other drugs
Stroke1,2440.70.6–0.7lower than other drugs
Anaphylaxis / angioedema6240.60.6–0.7lower than other drugs
Myocardial infarction9050.60.5–0.6lower than other drugs
Gi bleeding7530.50.5–0.6lower than other drugs
Rhabdomyolysis / myopathy3210.50.5–0.6lower than other drugs
Venous thromboembolism7590.50.4–0.5lower than other drugs

Trial evidence (ClinicalTrials.gov)

✓ Trial adverse-event data found on ClinicalTrials.gov

Largest completed trials with posted results that list Secukinumab 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 (2 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
Drug ineffective (drug did not work)29,1872.9
2.9–3.0ROR 3.4 · calibrated p 0.517
2.9 EB05 2.9 · IC025 +1.5
3/3 methods agree
Reporting / coding artifactage-adj. PRR 3.1 · serious PRR 4.8not reported in cached trials
Psoriasis22,82627.5
27.1–27.9ROR 31.9 · calibrated p 2e-4 ✓
22.8 EB05 22.6 · IC025 +4.5
3/3 methods agree
Likely indication confounding
term in indications
age-adj. PRR 23.4 · serious PRR 33.7NCT02409667: 3/114 (2.6%) on Secukinumab
Pain16,6283.6
3.6–3.7ROR 3.9 · calibrated p 0.396
3.5 EB05 3.5 · IC025 +1.8
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 4.2 · serious PRR 5.2NCT02409667: 1/644 (0.2%) on Secukinumab (serious AE)
Arthralgia (joint pain)14,9114.8
4.8–4.9ROR 5.2 · calibrated p 0.210
4.7 EB05 4.6 · IC025 +2.2
3/3 methods agree
Not in label — unassessedage-adj. PRR 5.2 · serious PRR 7.8NCT02409667: 50/1,647 (3.0%) on Secukinumab
Fatigue (tiredness)10,5901.8
1.8–1.8ROR 1.8 · calibrated p 0.859
1.8 EB05 1.8 · IC025 +0.8Not in label — unassessedage-adj. PRR 2.4 · serious PRR 3.7NCT02409667: 41/1,647 (2.5%) on Secukinumab
Psoriatic arthropathy10,20844.3
43.4–45.3ROR 47.3 · calibrated p 2e-5 ✓
33.2 EB05 32.6 · IC025 +5.0
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious PRR 59.0not reported in cached trials
Malaise (feeling unwell)9,4662.9
2.8–2.9ROR 3.0 · calibrated p 0.635
2.8 EB05 2.8 · IC025 +1.5
3/3 methods agree
Not in label — unassessedage-adj. PRR 3.9 · serious PRR 4.8not reported in cached trials
Pruritus (itching)9,4433.3
3.3–3.4ROR 3.5 · calibrated p 0.492
3.3 EB05 3.2 · IC025 +1.7
3/3 methods agree
Not in label — unassessedage-adj. PRR 3.6 · serious PRR 6.0NCT02409667: 5/1,647 (0.3%) on Secukinumab
Rash9,1222.8
2.7–2.8ROR 2.9 · calibrated p 0.661
2.7 EB05 2.7 · IC025 +1.4
3/3 methods agree
Not in label — unassessedage-adj. PRR 3.4 · serious PRR 5.3not reported in cached trials
Condition aggravated8,5273.8
3.7–3.9ROR 3.9 · calibrated p 0.392
3.7 EB05 3.6 · IC025 +1.8
3/3 methods agree
Reporting / coding artifactage-adj. PRR 3.6 · serious PRR 4.5not reported in cached trials
Diarrhoea (diarrhea)8,0071.6
1.6–1.7ROR 1.7 · calibrated p 0.750
1.6 EB05 1.6 · IC025 +0.7Labeled adverse reaction
exact term
age-adj. PRR 2.3 · serious PRR 2.9NCT02409667: 74/1,647 (4.5%) on Secukinumab
Nasopharyngitis (common cold)7,8185.7
5.6–5.9ROR 6.0 · calibrated p 0.151
5.5 EB05 5.4 · IC025 +2.4
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 7.2 · serious PRR 11.2NCT02409667: 6/1,647 (0.4%) on Secukinumab
Pain in extremity7,3133.3
3.2–3.4ROR 3.4 · calibrated p 0.508
3.2 EB05 3.2 · IC025 +1.7
3/3 methods agree
Not in label — unassessedage-adj. PRR 4.0 · serious PRR 5.9not reported in cached trials
Headache7,2641.5
1.5–1.6ROR 1.5 · calibrated p 0.672
1.5 EB05 1.5 · IC025 +0.6Labeled adverse reaction
exact term
age-adj. PRR 2.0 · serious PRR 3.4NCT02409667: 1/1,647 (0.1%) on Secukinumab (serious AE)
Off label use (used outside approved label)6,7871.0
1.0–1.0ROR 1.0 · calibrated p 0.322
1.0 EB05 1.0 · IC025 -0.0
PRR-only: not supported by EBGM or IC
Reporting / coding artifactage-adj. PRR 1.7 · serious PRR 2.4not 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 Secukinumab?

In FDA FAERS, the most frequently co-reported reaction terms for Secukinumab are psoriasis, pain, arthralgia, fatigue, psoriatic arthropathy, malaise. 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 Secukinumab have an FDA boxed warning?

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

Do FAERS signals prove that Secukinumab 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.