Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Carfilzomib
Drug ID BADD_D00367
Description Carfilzomib is an injectable antineoplastic agent (IV only). Chemically, it is a modified tetrapeptidyl epoxide and an analog of epoxomicin. It is also a selective proteasome inhibitor. FDA approved carfilzomib in July 2012 for the treatment of adults with relapsed or refractory multiple myeloma as monotherapy or combination therapy.[L39392]
Indications and Usage Carfilzomib is indicated for the treatment of adult patients with relapsed or refractory multiple myeloma who have received one to three lines of therapy in combination with lenalidomide and dexamethasone; or dexamethasone; or daratumumab and dexamethasone; or daratumumab and hyaluronidase-fihj and dexamethasone. It is also indicated as a single agent for the treatment of patients with relapsed or refractory multiple myeloma who have received one or more lines of therapy.[L39392]
Marketing Status approved; investigational
ATC Code L01XG02
DrugBank ID DB08889
KEGG ID D08880
MeSH ID C524865
PubChem ID 11556711
TTD Drug ID D00UVA
NDC Product Code 76055-0035; 76075-103; 76075-101; 63552-009; 67262-0010; 42385-731; 76075-102; 63552-035; 54893-0037; 52076-6251; 55111-985; 11722-059
UNII 72X6E3J5AR
Synonyms carfilzomib | PR-171 | PR171 | Kyprolis
Chemical Information
Molecular Formula C40H57N5O7
CAS Registry Number 868540-17-4
SMILES CC(C)CC(C(=O)C1(CO1)C)NC(=O)C(CC2=CC=CC=C2)NC(=O)C(CC(C)C)NC(=O)C(CCC3=CC=CC=C3) NC(=O)CN4CCOCC4
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)
Left atrial dilatation02.04.02.0250.000168%-
Systolic dysfunction02.04.02.0350.000302%-
Spinal pain08.01.08.030; 15.02.01.008; 17.10.01.0200.000168%-
Plasma cell myeloma recurrent01.14.02.006; 16.23.02.0060.001175%-
Myeloma cast nephropathy16.32.03.024; 20.05.03.0180.000224%-
Graft versus host disease in gastrointestinal tract07.11.01.027; 10.02.01.059; 12.02.09.0280.000112%-
Administration site pain08.02.04.029; 12.07.04.0290.000246%-
Application site extravasation08.02.01.049; 12.07.01.0490.000381%-
Atypical haemolytic uraemic syndrome01.06.02.003; 07.11.01.032; 17.02.10.027; 20.01.03.0270.000336%-
Cardiac dysfunction02.11.01.0040.000951%-
Dilated cardiomyopathy02.04.01.0170.000168%-
Disease complication08.01.03.0870.000806%-
Drug effective for unapproved indication08.06.01.037; 12.09.02.0010.000381%-
Gait inability08.01.02.011; 17.02.05.0690.000448%-
Illness08.01.03.091---
Infusion site bruising08.02.05.022; 12.07.05.022; 23.03.11.034; 24.07.06.0300.000381%-
Infusion site coldness08.02.05.023; 12.07.05.0230.000302%-
Infusion site discomfort08.02.05.027; 12.07.05.0270.000246%-
Plasma cell myeloma refractory01.14.02.008; 16.23.02.0080.000112%-
Schistocytosis01.07.02.0160.000168%-
Superficial vein thrombosis24.01.02.0160.000381%-
Therapeutic product effect decreased08.06.01.0500.002317%-
Therapeutic product effect incomplete08.06.01.0520.002843%-
Therapy non-responder08.06.01.0630.004444%-
Therapy partial responder08.06.01.0640.001668%-
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