The Food and Drug Administration (FDA) uses the Active Risk Identification and Analysis (ARIA) System to monitor the safety of medications. During the drug approval process, potential safety concerns are sometimes found that require further study after FDA approval. Before requiring the drug's manufacturer to conduct a post-approval safety study, FDA must determine whether it is feasible to answer the safety question in ARIA. FDA describes the reasons why a safety concern could or could not be evaluated in ARIA in the documents linked below.
ARIA Safety Concerns
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| Drug/Population | Health Outcome(s) | Approval Date |
|---|---|---|
| Myqorzo (aficamten) | adverse pregnancy and fetal outcomes |
12/19/2025 |
| Nuzolvence (zoliflodacin) | adverse pregnancy and fetal outcomes |
12/15/2025 |
| Rhapsido (remibrutinib) | adverse pregnancy and fetal outcomes |
09/30/2025 |
| Wayrilz (rilzabrutinib) | adverse pregnancy and fetal outcomes |
08/29/2025 |
| Romvimza (vimseltinib) | serious hepatotoxicity |
02/14/2025 |
| Symbravo (meloxicam and rizatriptan) | adverse pregnancy and fetal outcomes |
01/30/2025 |
| Crenessity (crinecerfont) | adverse pregnancy and fetal outcomes |
12/13/2024 |
| Cobenfy (xanomeline tartrate and trospium chloride) | adverse pregnancy and fetal outcomes |
09/26/2024 |
| Ebglyss (lebrikizumab) | adverse pregnancy and fetal outcomes |
09/13/2024 |
| Ocrevus Zunovo (ocrelizumab and hyaluronidase-ocsq) | malignancy , injection-related reactions |
09/13/2024 |
| Livdelzi (seladelpar) | adverse pregnancy and fetal outcomes |
08/14/2024 |
| Yorvipath (palopegteriparatide) | adverse pregnancy and fetal outcomes |
08/09/2024 |
| Lymphir (denileukin diftitox-cxdl) | visual impairment |
08/07/2024 |
| Kisunla (donanemab-azbt) | amyloid related imaging abnormality-edema (ARIA-E) , amyloid related imaging abnormality-hemosiderin deposition (ARIA-H) , intracerebral hemorrhage (ICH) |
07/02/2024 |
| Piasky (crovalimab-akkz) | adverse pregnancy and fetal outcomes , serious infections , hypersensitivity reactions , injection site related reactions , infusion related reactions |
06/20/2024 |
| Iqirvo (elafibranor) | adverse pregnancy and fetal outcomes |
06/10/2024 |
| Imaavy (nipocalimab-aahu) | adverse pregnancy and fetal outcomes |
04/29/2024 |
| Lumisight (pegulicianine) | anaphylaxis |
04/17/2024 |
| Voydeya (danicopan) | encapsulated bacterial infections , serious liver injury |
03/30/2024 |
| Winrevair (sotatercept) | adverse pregnancy and fetal outcomes |
03/26/2024 |
| Blujepa (gepotidacin) | small for gestational age |
03/25/2024 |
| Vafseo (vadadustat) | adverse pregnancy and fetal outcomes , heart failure , malignancy , serious gastrointestinal bleeding , venous thromboembolism |
03/24/2024 |
| Duvyzat (givinostat) | thrombocytopenia , serious bleeding event |
03/21/2024 |
| Tryvio (aprocitentan) | adverse pregnancy and fetal outcomes |
03/19/2024 |
| Rezdiffra (resmetirom) | adverse pregnancy and fetal outcomes |
03/14/2024 |
| Wainua (eplontersen) | adverse pregnancy and fetal outcomes |
12/22/2023 |
| Zepbound (tirzepatide) | adverse pregnancy and fetal outcomes , medullary thyroid carcinoma |
11/03/2023 |
| Voquezna (vonoprozan) | adverse pregnancy and fetal outcomes |
11/01/2023 |
| Omvoh (mirikizumab-mrkz) | drug induced liver injury , adverse pregnancy and fetal outcomes |
10/26/2023 |
| Bimzelx (bimekizumab-bkzx) | serious infections , tuberculosis (TB) , opportunistic infections , malignancy , hepatitis B reactivation , adverse pregnancy and fetal outcomes , hypersensitivity reactions , inflammatory bowel disease (IBD) , drug induced liver injury , major adverse cardiovascular events , hematologic adverse reactions |
10/17/2023 |
| Zilbrysq (zilucoplan) | adverse pregnancy and fetal outcomes |
10/17/2023 |
| Velsipity (etrasimod) | adverse pregnancy and fetal outcomes |
10/12/2023 |
| Exxua (gepirone hydrochloride) | adverse pregnancy and fetal outcomes |
09/22/2023 |
| Sohonos (palovarotene) | adverse pregnancy and fetal outcomes , fractures , growth effects , flare ups |
08/16/2023 |
| Vanflyta (quizartinib) | ventricular arrhythmia |
07/24/2023 |
| Leqembi (lecanemab-irmb) | intracerebral hemorrhage (ICH) , amyloid related imaging abnormality-edema (ARIA-E) , amyloid related imaging abnormality-hemosiderin deposition (ARIA-H) |
07/06/2023 |
| Rystiggo (rozanolixizumab-noli) | adverse pregnancy and fetal outcomes |
06/26/2023 |
| Litfulo (ritlecitinib) | adverse pregnancy and fetal outcomes |
06/23/2023 |
| Vyvgart Hytrulo (efgartigimod alfa and hyaluronidase-qvfc) | adverse pregnancy and fetal outcomes |
06/20/2023 |
| Xacduro (sulbactam/durlobactam) | hypersensitivity reactions |
05/23/2023 |
| Elfabrio (pegunigalsidase alfa) | adverse pregnancy and fetal outcomes |
05/09/2023 |
| Zavzpret (zavegepant) | adverse pregnancy and fetal outcomes |
03/09/2023 |
| Skyclarys (omaveloxolone) | adverse pregnancy and fetal outcomes |
02/28/2023 |
| Filspari (sparsentan) | drug induced liver injury |
02/17/2023 |
| Jesduvroq (daprodustat) | malignancy , gastrointestinal (GI) bleed , heart failure , major adverse cardiovascular events , venous thromboembolism (VTE) , adverse pregnancy and fetal outcomes , retinopathy proliferative , drug induced liver injury |
02/01/2023 |
| Briumvi (ublituximab) | adverse pregnancy and fetal outcomes |
12/28/2022 |
| Fabhalta (iptacopan) | encapsulated bacterial infections |
12/05/2022 |
| Tzield (teplizumab-mzwv) | cytokine release syndrome , lymphoproliferative disorder , malignancy , serious infection , hypersensitivity reactions , adverse pregnancy and fetal outcomes |
11/22/2022 |
| Sezaby (phenobarbital sodium) | neurodevelopmental delays |
11/17/2022 |
| Sotyktu (deucravacitinib) | adverse pregnancy and fetal outcomes |
09/09/2022 |
| Xenpozyme (olipudase alfa-rpcp) | hypersensitivity reactions , infusion related reactions , laboratory abnormalities |
08/31/2022 |
| Amvuttra (vutrisiran) | adverse pregnancy and fetal outcomes |
06/13/2022 |
| Mounjaro (tirzepatide) | medullary thyroid carcinoma |
05/13/2022 |
| Voquezna Dual Pak (vonoprazan/amoxicillin) | adverse pregnancy and fetal outcomes |
05/03/2022 |
| Voquezna Triple Pak (vonoprazan/amoxicillin/clarithromycin) | adverse pregnancy and fetal outcomes |
05/03/2022 |
| Camzyos (mavacamten) | adverse pregnancy and fetal outcomes |
04/28/2022 |
| Enjaymo (sutimlimab-jome) | serious infection , autoimmune disease |
02/04/2022 |
| Cibinqo (abrocitinib) | adverse pregnancy and fetal outcomes , malignancy , thrombosis , major adverse cardiovascular events |
01/14/2022 |
| Rinvoq (upadacitinib) | major adverse cardiovascular events , malignancy , adverse pregnancy and fetal outcomes , thrombosis |
01/14/2022 |
| Quviviq (daridorexant) | adverse pregnancy and fetal outcomes |
01/07/2022 |
| Adbry (tralokinumab) | adverse pregnancy and fetal outcomes |
12/27/2021 |
| Leqvio (inclisiran) | adverse pregnancy and fetal outcomes |
12/22/2021 |
| Apretude (cabotegravir) | hiv seroconversion , insti resistance |
12/20/2021 |
| Vyvgart (efgartigimod alfa-fcab) | adverse pregnancy and fetal outcomes |
12/17/2021 |
| Zimhi (naloxone) | needlestick injury |
10/15/2021 |
| Qulipta (atogepant) | adverse pregnancy and fetal outcomes |
09/28/2021 |
| Opzelura (ruxolitinib) | adverse pregnancy and fetal outcomes |
09/21/2021 |
| Saphnelo (anifrolumab-fnia) | adverse pregnancy and fetal outcomes |
07/30/2021 |
| Bylvay (odevixibat) | adverse maternal and neonatal outcomes |
07/20/2021 |
| Pradaxa (dabigatran etexilate) | major bleeding , thrombotic stroke |
06/21/2021 |
| Nexviazyme (avalglucosidase alfa) | adverse pregnancy and fetal outcomes |
06/06/2021 |
| Wegovy (semaglutide) | medullary thyroid cancer , adverse pregnancy and infant outcomes |
06/04/2021 |
| Brexafemme (ibrexafungerp) | adverse pregnancy and neonatal outcomes |
06/01/2021 |
| Myfembree (relugolix, estradiol, and norethindrone acetate) | adverse pregnancy and neonatal outcomes , alopecia |
05/26/2021 |
| Empaveli (pegcetacoplan) | encapsulated bacterial infections , autoimmune disease |
05/14/2021 |
| Nextstellis (drospirenone and estetrol) | venous thromboembolism (VTE) , arterial thromboembolism (ATE) |
04/15/2021 |
| Ponvory (ponesimod) | adverse pregnancy and fetal outcomes |
03/18/2021 |
| Verquvo (vericiguat) | adverse pregnancy and fetal outcomes |
01/19/2021 |
| Enspryng (satralizumab) | adverse pregnancy and fetal outcomes |
08/14/2020 |
| Lampit (nifurtimox) | adverse pregnancy and fetal outcomes |
08/06/2020 |
| Dojolvi (triheptanoin) | adverse pregnancy and fetal outcomes |
06/30/2020 |
| Fintepla (fenfluramine) | adverse pregnancy and fetal outcomes , valvular heart disease , pulmonary arterial hypertension |
06/25/2020 |
| Gimoti (metoclopramide nasal spray) | adverse central nervous system reactions , tardive dyskinesia |
06/19/2020 |
| Uplizna (inebilizumab-cdon) | adverse pregnancy and fetal outcomes |
06/12/2020 |
| Uplizna (inebilizumab-cdon) | adverse pregnancy and fetal outcomes |
06/12/2020 |
| Bafiertam (monomethyl fumarate) | adverse pregnancy and fetal outcomes |
04/28/2020 |
| Zeposia (ozanimod) | adverse pregnancy and fetal outcomes |
03/20/2020 |
| Nexletol (bempedoic acid) | adverse pregnancy and fetal outcomes |
03/01/2020 |
| Nurtec (rimegepant) | adverse pregnancy and fetal outcomes |
02/27/2020 |
| Nexlizet (bempedoic acid and ezetimibe) | adverse pregnancy and fetal outcomes |
02/26/2020 |
| Vyepti (eptinezumab) | adverse pregnancy and fetal outcomes |
02/21/2020 |
| Twirla (levonorgestrel and ethinyl estradiol) | venous thromboembolism (VTE) , arterial thromboembolism (ATE) |
02/14/2020 |
| Ubrelvy (ubrogepant) | adverse pregnancy and fetal outcomes |
12/23/2019 |
| Dayvigo (lemborexant) | adverse pregnancy and fetal outcomes |
12/20/2019 |
| Xcopri (cenobamate tablets) | adverse pregnancy and fetal outcomes |
11/21/2019 |
| Stelara (ustekinumab) | serious infection (ulcerative colitis) , malignancy (ulcerative colitis) |
10/18/2019 |
| Reyvow (lasmiditan) | adverse pregnancy and fetal outcomes |
10/11/2019 |
| Scenesse (afamelanotide) | skin cancer |
10/08/2019 |
| Scenesse (afamelanotide) | implant site reactions |
10/08/2019 |
| Invokana (canagliflozin) | renal cell carcinoma |
10/29/2018 |
| Arakoda (tafenoquine) | hematologic adverse reactions , neurological events , psychiatric events |
08/08/2018 |
| Arakoda (tafenoquine) | psychiatric events |
08/08/2018 |
| Epidiolex (cannabidiol) | adverse pregnancy and fetal outcomes |
07/27/2018 |
| Omegaven (fish oil triglycerides) | neurodevelopmental delays , pericardial effusions , pleural effusion , serious bleeding event |
07/27/2018 |
| Ablysinol (dehydrated alcohol) | heart failure , ventricular arrhythmia , atrioventricular block , septal myectomy , death |
06/21/2018 |
| Palynziq (pegvaliase) | adverse pregnancy and fetal outcomes , immune mediated adverse reactions |
05/24/2018 |
| Aimovig (erenumab) | adverse pregnancy and fetal outcomes |
05/17/2018 |
| Jynarque (tolvaptan) | drug induced liver injury |
04/23/2018 |
| Ilumya (tildrakizumab) | malignancy , adverse pregnancy and fetal outcomes , lymphoma |
03/20/2018 |
| Sinuva (mometasone furoate) | glaucoma , cataracts , nasal septal perforation |
12/08/2017 |
| Ozempic (semaglutide) | medullary thyroid cancer |
12/05/2017 |
| Mepsevii (vestronidase alfa) | anaphylaxis |
11/15/2017 |
| Tremfya (guselkumab) | adverse pregnancy and fetal outcomes , malignancy , lymphoma |
07/13/2017 |
| Tymlos (abaloparatide) | osteosarcoma |
04/28/2017 |
| Brineura (cerliponase alfa) | serious cardiovascular adverse events , device related complications , hypersensitivity reactions |
04/27/2017 |
| Ocrevus (ocrelizumab) | adverse pregnancy and fetal outcomes , malignancy |
03/28/2017 |
| Siliq (brodalumab) | malignancy , adverse pregnancy and fetal outcomes , outpatient neutropenia , opportunistic infections , fatal major adverse cardiac events , suicidal ideation and behavior , hospitalized neutropenia , myocardial infarction and stroke , serious infection |
02/15/2017 |
| Parsabiv (etelcalcetide) | gastrointestinal bleeding |
02/07/2017 |
| Adlyxin (lixisenatide) | anaphylaxis |
07/26/2016 |
| Relistor (methylnaltrexone) | major adverse cardiac events |
07/19/2016 |
| Probuphine (buprenorphine) | implant insertion removal complications |
05/26/2016 |
| Kesimpta (ofatumumab) | adverse pregnancy and fetal outcomes |
10/26/2009 |