OBJECTIVE: To provide reference for safe use of sunitinib in clinic. METHODS: Using “sunitinib”“ADR” as retrieval words, retrieved from PubMed, VIP, CNKI and Wanfang database during Jan. 2006-Mar. 2017, case reports and case series reports about sunitinib-induced ADR were collected and screened. In retrospective study, general information of patients, disease information, involved organs or systems, clinical manifestations, ADR association evaluation and outcomes were analyzed statistically. RESULTS: A total of 57 literatures were included, involving 66 cases, among which there were 15 new ADR. There were 34 male (51.52%) and 32 female (48.48%), with ratio of 1.06 ∶ 1. Average age of patients was(63.4±10.5) years old. Sunitinib was mainly used for suprarenal epithelioma, accounting for 65.15%; followed by gastrointestinal stromal tumors, accounting for 21.21%. The incidence of ADR was the highest during 8-14 d (27.27%) and 22-28 d (22.73%) of medication. Organs/systems involved in ADR mostly were endocrine system (accounting for 25.76%). Main clinical manifestation was hypothyroidism, followed by diseases of skin and subcutaneous tissue (21.21%), diseases of the blood lymphatic system (16.67%) which mainly manifested as hand foot syndrome and thrombocytopenia (mainly being 4 degree bone marrow suppression). There were 9 cases of definite causal relationship and 57 cases of probable causal relationship. Fourteen cases of sunitinib-induced ADR were recovered after drug withdrawal (21.21%); 27 cases were recovered after drug withdrawal and drug therapy (40.91%); 17 cases had sequel after surgery, prolonging disease course and therapy (25.76%); there were 8 death cases (12.12%). CONCLUSIONS: Sunitinib-induced ADR involve various organs/systems, and there are fatal cases. In the process of clinical medication, we should strengthen the observation and monitoring, timely ADR disposal to guarantee the safety of patients.