Ustekinumab side effects: what 101,629 FDA adverse event reports show
Drug class
Interleukin-12 Antagonist, Interleukin-23 Antagonist
Who reports
101,629 reports · 59% serious · 5,950 with death outcome · 60% female
Used for
Ustekinumab is a human interleukin-12 and -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 phototherapy or systemic therapy. ( 1.1 ) Active psoriatic arthritis in adults and pediatric patients 6 years of age and older.
What it is
Ustekinumab, a human IgG1κ monoclonal antibody, is a human interleukin-12 and -23 antagonist. Using DNA recombinant technology, ustekinumab is produced in a murine cell line (Sp2/0). The manufacturing process contains steps for the clearance of viruses.
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.
- 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). 1,225 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 |
|---|---|---|---|---|---|---|
| Anti-cyclic citrullinated peptide antibody | 408 | 328.9 281.1–384.9ROR 330.3 · calibrated p 5e-12 ✓ | 125.2 EB05 115.3 · IC025 +6.6 3/3 methods agree | Lab value / disease marker | serious n=408 · ♀ 100% (drug 60%) · 95% clinician | not reported in cached trials |
| Swollen joint count increased | 1,892 | 322.6 300.1–346.8ROR 328.7 · calibrated p 4e-12 ✓ | 124.8 EB05 120.2 · IC025 +6.8 3/3 methods agree | Lab value / disease marker | serious n=1,891 · ♀ 100% (drug 60%) · 96% clinician | not reported in cached trials |
| Rheumatic fever | 2,495 | 277.9 261.7–295.1ROR 284.8 · calibrated p 2e-11 ✓ | 117.6 EB05 113.7 · IC025 +6.8 3/3 methods agree | Not in label — unassessed | serious n=2,494 · ♀ 100% (drug 60%) · 94% clinician | not reported in cached trials |
| Lupus vulgaris | 661 | 260.2 231.9–292.0ROR 261.9 · calibrated p 4e-11 ✓ | 114.0 EB05 106.9 · IC025 +6.6 3/3 methods agree | Not in label — unassessed | serious n=661 · ♀ 100% (drug 60%) · 96% clinician | not reported in cached trials |
| C-reactive protein | 487 | 241.0 211.3–274.8ROR 242.1 · calibrated p 8e-11 ✓ | 110.1 EB05 102.1 · IC025 +6.5 3/3 methods agree | Lab value / disease marker | serious n=487 · ♀ 100% (drug 60%) · 95% clinician | not reported in cached trials |
| Deep vein thrombosis postoperative | 1,039 | 234.4 214.4–256.3ROR 236.8 · calibrated p 9e-11 ✓ | 108.9 EB05 103.5 · IC025 +6.6 3/3 methods agree | Not in label — unassessed | serious n=1,039 · ♀ 100% (drug 60%) · 94% clinician | not reported in cached trials |
| Rheumatoid factor positive | 2,939 | 215.8 205.0–227.2ROR 222.2 · calibrated p 2e-10 ✓ | 104.9 EB05 101.7 · IC025 +6.6 3/3 methods agree | Lab value / disease marker | serious n=2,936 · ♀ 100% (drug 60%) · 94% clinician | not reported in cached trials |
| Swollen joint count | 125 | 214.4 166.7–275.7ROR 214.6 · calibrated p 4e-10 ✓ | 103.0 EB05 88.7 · IC025 +5.9 3/3 methods agree | Not in label — unassessed | serious n=125 · ♀ 100% (drug 60%) · 100% clinician | not reported in cached trials |
| Anti-cyclic citrullinated peptide antibody positive | 3,572 | 210.0 200.4–219.9ROR 217.6 · calibrated p 2e-10 ✓ | 103.5 EB05 100.7 · IC025 +6.6 3/3 methods agree | Lab value / disease marker | serious PRR 100.7 · ♀ 99% (drug 60%) · 93% clinician | not reported in cached trials |
| Grip strength | 114 | 200.6 154.8–259.9ROR 200.8 · calibrated p 7e-10 ✓ | 99.6 EB05 85.2 · IC025 +5.8 3/3 methods agree | Not in label — unassessed | serious n=114 · ♀ 100% (drug 60%) · 100% clinician | not reported in cached trials |
| Red blood cell sedimentation rate | 127 | 170.2 134.4–215.5ROR 170.4 · calibrated p 3e-9 ✓ | 91.7 EB05 79.0 · IC025 +5.8 3/3 methods agree | Lab value / disease marker | serious n=127 · 92% clinician | not reported in cached trials |
| Facet joint syndrome | 1,380 | 161.2 150.3–173.0ROR 163.4 · calibrated p 2e-9 ✓ | 90.1 EB05 86.2 · IC025 +6.4 3/3 methods agree | Not in label — unassessed | serious n=1,380 · ♀ 100% (drug 60%) · 95% clinician | not reported in cached trials |
| Duodenal ulcer perforation | 3,088 | 150.3 143.5–157.4ROR 155.0 · calibrated p 3e-9 ✓ | 86.6 EB05 84.1 · IC025 +6.4 3/3 methods agree | Not in label — unassessed | serious PRR 84.0 · ♀ 100% (drug 60%) · 93% clinician | not reported in cached trials |
| Adjustment disorder with depressed mood | 846 | 149.7 137.0–163.5ROR 150.9 · calibrated p 5e-9 ✓ | 86.3 EB05 81.5 · IC025 +6.2 3/3 methods agree | Not in label — unassessed | serious n=845 · ♀ 100% (drug 60%) · 96% clinician | not reported in cached trials |
| X-ray abnormal | 725 | 141.5 128.7–155.5ROR 142.5 · calibrated p 7e-9 ✓ | 83.5 EB05 78.5 · IC025 +6.2 3/3 methods agree | Lab value / disease marker | serious n=725 · ♀ 100% (drug 60%) · 97% clinician | not reported in cached trials |
| Subcutaneous drug absorption impaired | 215 | 134.7 113.4–160.0ROR 135.0 · calibrated p 1e-8 ✓ | 80.7 EB05 72.1 · IC025 +5.9 3/3 methods agree | Not in label — unassessed | serious n=215 · ♀ 100% (drug 60%) · 100% clinician | not reported in cached trials |
| Retinitis | 637 | 127.5 115.5–140.8ROR 128.3 · calibrated p 2e-8 ✓ | 78.4 EB05 73.4 · IC025 +6.1 3/3 methods agree | Not in label — unassessed | serious n=637 · ♀ 100% (drug 60%) · 93% clinician | not reported in cached trials |
| Ileocaecal resection | 121 | 118.3 94.5–148.0ROR 118.4 · calibrated p 4e-8 ✓ | 74.2 EB05 63.7 · IC025 +5.5 3/3 methods agree | Not in label — unassessed | serious n=121 · 100% clinician | not reported in cached trials |
| Dislocation of vertebra | 798 | 115.5 105.9–126.0ROR 116.4 · calibrated p 4e-8 ✓ | 73.8 EB05 69.6 · IC025 +6.0 3/3 methods agree | Not in label — unassessed | serious n=798 · ♀ 100% (drug 60%) · 95% clinician | not reported in cached trials |
| Sleep disorder due to general medical condition, hypersomnia type | 32 | 96.7 63.4–147.3ROR 96.7 · calibrated p 5e-7 ✓ | 63.4 EB05 47.0 · IC025 +4.5 3/3 methods agree | Not in label — unassessed | serious n=32 · ♀ 100% (drug 60%) · 100% clinician | not reported in cached trials |
| Neurologic neglect syndrome | 175 | 93.7 78.3–112.1ROR 93.8 · calibrated p 2e-7 ✓ | 63.9 EB05 56.4 · IC025 +5.5 3/3 methods agree | Not in label — unassessed | serious n=175 · ♀ 100% (drug 60%) · 93% clinician | not reported in cached trials |
| Helicobacter infection | 3,183 | 93.6 89.8–97.6ROR 96.6 · calibrated p 1e-7 ✓ | 64.3 EB05 62.5 · IC025 +5.9 3/3 methods agree | Not in label — unassessed | serious PRR 65.9 · ♀ 99% (drug 60%) · 93% clinician | not reported in cached trials |
| Pemphigus | 3,867 | 93.1 89.7–96.7ROR 96.8 · calibrated p 1e-7 ✓ | 64.1 EB05 62.4 · IC025 +5.9 3/3 methods agree | Not in label — unassessed | serious PRR 62.3 · ♀ 100% (drug 60%) · 92% clinician | not reported in cached trials |
| Hand deformity | 3,970 | 89.8 86.6–93.2ROR 93.4 · calibrated p 2e-7 ✓ | 62.5 EB05 60.9 · IC025 +5.9 3/3 methods agree | Not in label — unassessed | serious PRR 65.9 · ♀ 99% (drug 60%) · 93% clinician | not reported in cached trials |
| C-reactive protein abnormal | 1,765 | 78.3 74.2–82.7ROR 79.7 · calibrated p 6e-7 ✓ | 56.7 EB05 54.5 · IC025 +5.7 3/3 methods agree | Lab value / disease marker | serious n=1,765 · ♀ 91% (drug 60%) · 94% clinician | not reported in cached trials |
| Peripheral venous disease | 1,058 | 74.2 69.2–79.6ROR 75.0 · calibrated p 9e-7 ✓ | 54.5 EB05 51.8 · IC025 +5.6 3/3 methods agree | Labeled (related wording) related wording | serious n=1,057 · ♀ 100% (drug 60%) · 95% clinician | not reported in cached trials |
| Muscle injury | 2,157 | 73.4 69.9–77.1ROR 75.0 · calibrated p 9e-7 ✓ | 54.1 EB05 52.2 · IC025 +5.7 3/3 methods agree | Not in label — unassessed | serious PRR 56.8 · ♀ 99% (drug 60%) · 94% clinician | not reported in cached trials |
| Sleep disorder due to general medical condition, insomnia type | 1,632 | 69.9 66.1–74.0ROR 71.1 · calibrated p 1e-6 ✓ | 52.2 EB05 50.1 · IC025 +5.6 3/3 methods agree | Not in label — unassessed | serious n=1,632 · ♀ 100% (drug 60%) · 95% clinician | not reported in cached trials |
| Synovitis | 4,564 | 69.7 67.4–72.1ROR 72.9 · calibrated p 1e-6 ✓ | 52.1 EB05 50.8 · IC025 +5.6 3/3 methods agree | Not in label — unassessed | serious PRR 52.9 · ♀ 94% (drug 60%) · 92% clinician | not reported in cached trials |
| Seronegative arthritis | 279 | 68.1 59.5–78.0ROR 68.3 · calibrated p 2e-6 ✓ | 51.0 EB05 46.2 · IC025 +5.4 3/3 methods agree | Likely indication confounding shares a disease stem with the indications wording | serious n=279 · ♀ 100% (drug 60%) · 95% clinician | not reported in cached trials |
| Folliculitis | 2,544 | 67.3 64.4–70.3ROR 69.0 · calibrated p 2e-6 ✓ | 50.7 EB05 49.1 · IC025 +5.6 3/3 methods agree | Not in label — unassessed | serious PRR 57.4 · ♀ 99% (drug 60%) · 94% clinician | NCT01708603: 1/300 (0.3%) on Ustekinumab |
| Pericarditis | 3,805 | 60.9 58.8–63.1ROR 63.2 · calibrated p 3e-6 ✓ | 47.0 EB05 45.8 · IC025 +5.5 3/3 methods agree | Not in label — unassessed | serious PRR 46.0 · ♀ 99% (drug 60%) · 93% clinician | not reported in cached trials |
| Contraindication to vaccination | 42 | 57.8 41.0–81.5ROR 57.8 · calibrated p 9e-6 ✓ | 44.3 EB05 34.2 · IC025 +4.4 3/3 methods agree | Labeled (related wording) related wording | 100% consumer | not reported in cached trials |
| Bone erosion | 767 | 56.9 52.5–61.6ROR 57.3 · calibrated p 6e-6 ✓ | 44.6 EB05 42.0 · IC025 +5.3 3/3 methods agree | Not in label — unassessed | serious n=767 · ♀ 96% (drug 60%) · 93% clinician | not reported in cached trials |
| Ileectomy | 72 | 55.6 42.8–72.2ROR 55.7 · calibrated p 1e-5 ✓ | 43.4 EB05 35.6 · IC025 +4.7 3/3 methods agree | Not in label — unassessed | serious n=72 | not reported in cached trials |
| Carotid artery thrombosis | 177 | 53.8 45.6–63.5ROR 53.9 · calibrated p 1e-5 ✓ | 42.5 EB05 37.5 · IC025 +5.0 3/3 methods agree | Not in label — unassessed | serious n=177 · ♀ 100% (drug 60%) · 93% clinician | not reported in cached trials |
| Hypocholesterolaemia | 57 | 46.7 35.0–62.3ROR 46.7 · calibrated p 3e-5 ✓ | 37.7 EB05 30.2 · IC025 +4.4 3/3 methods agree | Not in label — unassessed | serious n=57 · ♀ 100% (drug 60%) · 100% clinician | not reported in cached trials |
| Proctocolectomy | 54 | 44.6 33.2–59.9ROR 44.6 · calibrated p 4e-5 ✓ | 36.3 EB05 28.9 · IC025 +4.3 3/3 methods agree | Not in label — unassessed | serious n=54 | not reported in cached trials |
| Glossodynia (burning tongue/mouth pain) | 3,974 | 44.5 43.0–46.0ROR 46.2 · calibrated p 2e-5 ✓ | 36.6 EB05 35.7 · IC025 +5.1 3/3 methods agree | Not in label — unassessed | serious PRR 51.4 · ♀ 100% (drug 60%) · 93% clinician | not reported in cached trials |
| Granuloma skin | 143 | 42.9 35.8–51.3ROR 42.9 · calibrated p 4e-5 ✓ | 35.4 EB05 30.8 · IC025 +4.7 3/3 methods agree | Not in label — unassessed | serious n=143 · 91% clinician | 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 |
|---|---|---|---|
| Liver injury | 6,083 | 4.24.1–4.3 | signal |
| Interstitial lung disease | 1,410 | 3.12.9–3.2 | signal |
| Serious infection | 9,360 | 2.52.5–2.6 | signal |
| Tendon disorder | 388 | 2.11.9–2.3 | raised |
| Hyperglycaemia / diabetes | 3,351 | 2.01.9–2.1 | raised |
| Opportunistic infection | 1,062 | 1.61.5–1.7 | raised |
| Pancreatitis | 593 | 1.51.4–1.6 | raised |
| Malignancy | 2,584 | 1.41.4–1.5 | raised |
| Depression | 1,852 | 1.41.3–1.4 | raised |
| Stroke | 1,054 | 0.90.8–0.9 | lower than other drugs |
| Anaphylaxis / angioedema | 517 | 0.80.8–0.9 | lower than other drugs |
| Rhabdomyolysis / myopathy | 320 | 0.80.7–0.9 | lower than other drugs |
| Gi bleeding | 719 | 0.80.8–0.9 | lower than other drugs |
| Fall / fracture | 1,392 | 0.80.7–0.8 | lower than other drugs |
| Myocardial infarction | 651 | 0.70.6–0.7 | lower than other drugs |
| Venous thromboembolism | 603 | 0.60.5–0.6 | lower than other drugs |
Trial evidence (ClinicalTrials.gov)
✓ Trial adverse-event data found on ClinicalTrials.gov
Largest completed trials with posted results that list Ustekinumab 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 (1 of 40 signal terms matched).
- NCT01708629 — Efficacy and Safety of Brodalumab Compared With Placebo and Ustekinumab in Moderate to Severe Plaque Psoriasis (N=1881, PHASE3; 58 AE terms posted; arms: 210 mg Brodalumab; 140 mg Brodalumab; Placebo; Ustekinumab)
- NCT01708603 — P3 Study Brodalumab in Treatment of Moderate to Severe Plaque Psoriasis (N=1831, PHASE3; 97 AE terms posted; arms: 210 mg Brodalumab; 140 mg Brodalumab; Ustekinumab; Placebo)
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 |
|---|---|---|---|---|---|---|
| Drug ineffective (drug did not work) | 14,782 | 2.3 2.3–2.4ROR 2.6 · calibrated p 0.790 | 2.3 EB05 2.3 · IC025 +1.2 3/3 methods agree | Reporting / coding artifact | age-adj. PRR 2.4 · serious PRR 4.1 | not reported in cached trials |
| Off label use (used outside approved label) | 12,685 | 3.0 3.0–3.1ROR 3.3 · calibrated p 0.527 | 3.0 EB05 3.0 · IC025 +1.6 3/3 methods agree | Reporting / coding artifact | age-adj. PRR 3.4 · serious PRR 3.7 | not reported in cached trials |
| Product dose omission issue | 10,083 | 7.5 7.4–7.7ROR 8.3 · calibrated p 0.060 | 7.3 EB05 7.2 · IC025 +2.8 3/3 methods agree | Reporting / coding artifact | age-adj. PRR 7.9 · serious PRR 2.6 | not reported in cached trials |
| Fatigue (tiredness) | 6,838 | 1.8 1.8–1.9ROR 1.9 · calibrated p 0.877 | 1.8 EB05 1.8 · IC025 +0.8 | Labeled adverse reaction exact term | age-adj. PRR 1.8 · serious PRR 2.9 · ♀ 87% (drug 60%) | NCT01708629: 4/313 (1.3%) on Ustekinumab; 6/315 (1.9%) control |
| Psoriasis | 6,573 | 10.9 10.6–11.1ROR 11.5 · calibrated p 0.019 ✓ | 10.4 EB05 10.1 · IC025 +3.3 3/3 methods agree | Likely indication confounding term in indications; also in warnings | age-adj. PRR 10.2 · serious PRR 16.9 | NCT01708629: 1/315 (0.3%) control (serious AE) |
| Pain | 6,223 | 2.1 2.0–2.1ROR 2.2 · calibrated p 0.968 | 2.1 EB05 2.0 · IC025 +1.0 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 2.1 · serious PRR 2.8 · ♀ 87% (drug 60%) | NCT01708629: 6/313 (1.9%) on Ustekinumab; 3/315 (1.0%) control |
| Arthralgia (joint pain) | 5,825 | 2.9 2.9–3.0ROR 3.0 · calibrated p 0.613 | 2.9 EB05 2.8 · IC025 +1.5 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 2.7 · serious PRR 4.3 · ♀ 82% (drug 60%) | NCT01708629: 10/313 (3.2%) on Ustekinumab; 6/315 (1.9%) control |
| Rash | 5,627 | 2.7 2.6–2.8ROR 2.8 · calibrated p 0.696 | 2.7 EB05 2.6 · IC025 +1.4 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 2.6 · serious PRR 5.1 · ♀ 90% (drug 60%) | NCT01708629: 1/629 (0.2%) on Ustekinumab (serious AE) |
| Product use issue | 5,422 | 6.1 6.0–6.3ROR 6.4 · calibrated p 0.126 | 6.0 EB05 5.8 · IC025 +2.5 3/3 methods agree | Reporting / coding artifact | age-adj. PRR 7.4 · serious PRR 11.1 | not reported in cached trials |
| Headache | 5,281 | 1.7 1.7–1.8ROR 1.8 · calibrated p 0.821 | 1.7 EB05 1.7 · IC025 +0.8 | Labeled adverse reaction exact term | age-adj. PRR 1.6 · serious PRR 2.9 · ♀ 82% (drug 60%) | NCT01708629: 11/313 (3.5%) on Ustekinumab; 14/315 (4.4%) control |
| Condition aggravated | 5,223 | 3.6 3.5–3.7ROR 3.8 · calibrated p 0.427 | 3.6 EB05 3.5 · IC025 +1.8 3/3 methods agree | Reporting / coding artifact | age-adj. PRR 2.8 · serious PRR 4.2 · ♀ 84% (drug 60%) | not reported in cached trials |
| Infusion related reaction (reaction during infusion) | 5,145 | 17.3 16.9–17.8ROR 18.2 · calibrated p 0.003 ✓ | 16.1 EB05 15.7 · IC025 +4.0 3/3 methods agree | Not in label — unassessed | age-adj. PRR 14.3 · serious PRR 18.6 · ♀ 93% (drug 60%) | not reported in cached trials |
| Rheumatoid arthritis | 4,834 | 9.2 8.9–9.4ROR 9.6 · calibrated p 0.037 ✓ | 8.8 EB05 8.6 · IC025 +3.1 3/3 methods agree | Likely indication confounding shares a disease stem with the indications wording | age-adj. PRR 8.8 · serious PRR 10.4 · ♀ 97% (drug 60%) | not reported in cached trials |
| Joint swelling | 4,725 | 8.4 8.1–8.6ROR 8.7 · calibrated p 0.050 | 8.1 EB05 7.9 · IC025 +3.0 3/3 methods agree | Not in label — unassessed | age-adj. PRR 7.5 · serious PRR 13.3 · ♀ 94% (drug 60%) | NCT01708603: 1/612 (0.2%) on Ustekinumab; 1/309 (0.3%) control |
| Diarrhoea (diarrhea) | 4,675 | 1.5 1.5–1.5ROR 1.5 · calibrated p 0.658 | 1.5 EB05 1.5 · IC025 +0.5 | Labeled adverse reaction exact term | age-adj. PRR 1.7 · serious PRR 2.2 | NCT01708629: 3/313 (1.0%) on Ustekinumab; 4/315 (1.3%) control |
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.
- Rheumatic fever — n=2,495, PRR 277.9
- Lupus vulgaris — n=661, PRR 260.2
- Deep vein thrombosis postoperative — n=1,039, PRR 234.4
- Swollen joint count — n=125, PRR 214.4
- Grip strength — n=114, PRR 200.6
- Facet joint syndrome — n=1,380, PRR 161.2
- Duodenal ulcer perforation — n=3,088, PRR 150.3
- Adjustment disorder with depressed mood — n=846, PRR 149.7
- Subcutaneous drug absorption impaired — n=215, PRR 134.7
- Retinitis — n=637, PRR 127.5
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 Ustekinumab?
In FDA FAERS, the most frequently co-reported reaction terms for Ustekinumab are fatigue, psoriasis, pain, arthralgia, rash, headache. 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 Ustekinumab have an FDA boxed warning?
No. The FDA label retrieved for Ustekinumab has no boxed warning; see the label's Warnings and Precautions for the recognised risks.
Do FAERS signals prove that Ustekinumab 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 23b486eb-f48d-47d4-815e-1313d4ebfbfa, effective 20260831; matched on
openfda.generic_name.exact:"USTEKINUMAB" 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, 1,265 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
USTEKINUMAB, 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.