Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Afatinib
Drug ID BADD_D00047
Description Afatinib is a 4-anilinoquinazoline tyrosine kinase inhibitor in the form of a dimaleate salt available as Boehringer Ingelheim's brand name Gilotrif [FDA Label]. For oral use, afatinib tablets are a first-line (initial) treatment for patients with metastatic non-small cell lung cancer (NSCLC) with common epidermal growth factor receptor (EGFR) mutations as detected by an FDA-approved test [L2939]. Gilotrif (afatinib) is the first FDA-approved oncology product from Boehringer Ingelheim [L2939].
Indications and Usage Afatinib is a kinase inhibitor indicated as monotherapy [L2937] for the first-line [FDA Label] treatment of (a) Epidermal Growth Factor Receptor (EGFR) TKI (tyrosine kinase inhibitor)-naive adult patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) whose tumours have non-resistant EGFR mutations as detected by an FDA-approved test [FDA Label], and (b) adult patients with locally advanced or metastatic NSCLC of squamous histology progressing on or after platinum-based chemotherapy [FDA Label, L2937]. Recently, as of January 2018, the US FDA approved a supplemental New Drug Application for Boehringer Ingelheim's Gilotrif (afatinib) for the first line treatment of patients with metastatic non-small cell lung cancer (NSCLC) whose tumors have non-resistant epidermal growth factor receptor (EGFR) mutations as detected by an FDA-approved test [L2939]. The new label includes data on three additional EGFR mutations: L861Q, G719X and S768I [L2939].
Marketing Status approved
ATC Code L01EB03
DrugBank ID DB08916
KEGG ID D09724
MeSH ID D000077716
PubChem ID 10184653
TTD Drug ID D05UFG
NDC Product Code 0597-0137; 0597-0138; 0597-0141
UNII 41UD74L59M
Synonyms Afatinib | (2E)-N-(4-(3-Chloro-4-fluoroanilino)-7-(((3S)-oxolan-3-yl)oxy)quinoxazolin-6-yl)-4-(dimethylamino)but-2-enamide | BIBW-2992-MA2 | BIBW 2992 MA2 | BIBW-2992MA2 | BIBW 2992MA2 | BIBW2992 MA2 | Afatinib Maleate | BIBW 2992 | BIBW2992 | BIBW-2992 | Gilotrif | Afatinib Dimaleate
Chemical Information
Molecular Formula C24H25ClFN5O3
CAS Registry Number 850140-72-6
SMILES CN(C)CC=CC(=O)NC1=C(C=C2C(=C1)C(=NC=N2)NC3=CC(=C(C=C3)F)Cl)OC4CCOC4
Chemical Structure
ADRs Induced by Drug
*The priority for ADR severity classification is based on FAERS assessment, followed by the most severe level in CTCAE rating. If neither is available, it will be displayed as 'Not available'.
**The 'Not Available' level is hidden by default and can be restored by clicking on the legend twice.
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Malnutrition14.03.02.0040.000168%-
Mediastinal disorder22.09.03.001---
Mental disorder19.07.01.002---
Metastatic neoplasm16.16.01.0070.000168%-
Mucosal erosion08.01.06.009---
Nail bed infection11.01.12.019; 23.11.04.004---
Nail infection11.01.12.008; 23.11.04.005--
Neoplasm progression16.16.02.0050.001455%-
Decreased appetite08.01.09.028; 14.03.01.0050.008786%
Corneal disorder06.08.01.0040.000246%-
Adverse drug reaction08.06.01.009---
Bone lesion15.02.04.0160.000112%-
Disease progression08.01.03.0380.005910%
Drug intolerance08.06.01.013---
Neoplasm recurrence16.16.02.0040.000112%-
Non-small cell lung cancer16.19.01.001; 22.08.01.0020.001735%-
Pulmonary toxicity12.03.01.013; 22.01.02.0070.000112%-
Hepatic lesion09.01.08.0050.000336%-
Hepatobiliary disease09.01.08.003---
Lung neoplasm16.19.04.001; 22.08.01.0060.000168%-
Metastasis16.22.01.0010.000672%-
Renal impairment20.01.03.010---
Unevaluable event08.01.03.0510.001075%-
Cystitis noninfective20.03.02.001--
Hypophagia07.01.06.010; 14.03.01.006; 19.09.01.0040.000470%-
Oral mucosa erosion07.05.06.009---
Malignant transformation16.16.01.0130.000224%-
Ulcerative keratitis06.04.02.004; 10.02.01.0210.000112%
Treatment failure08.06.01.0170.000672%-
Organising pneumonia22.01.02.0080.000112%-
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ADReCS-Target
Drug Name ADR Term Target
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