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)
Myelodysplastic syndrome01.10.04.001; 16.01.04.0010.000392%
Myocardial infarction02.02.02.007; 24.04.04.0090.001959%
Myocardial ischaemia02.02.02.008; 24.04.04.0100.000672%-
Myocarditis02.04.03.0010.000168%
Myopathy15.05.05.0010.000112%-
Nail discolouration23.02.05.0010.000246%
Nasal congestion22.04.04.0010.000739%
Nausea07.01.07.001--
Neoplasm16.16.02.0010.000358%-
Nephropathy20.05.03.0010.000224%-
Nephropathy toxic12.03.01.010; 20.05.03.0020.000504%-
Nephrotic syndrome20.05.01.0020.000224%
Nervous system disorder17.02.10.0010.000414%-
Neuritis17.09.03.001---
Neuropathy peripheral17.09.03.0030.006861%-
Neutropenia01.02.03.004---
Night sweats08.01.03.031; 23.02.03.006---
Oedema08.01.07.006; 14.05.06.0100.000940%-
Oedema peripheral02.05.04.007; 08.01.07.007; 14.05.06.0110.002787%
Oesophagitis07.08.05.0010.000112%
Orthopnoea02.11.05.010; 22.02.01.0200.000112%-
Pain08.01.08.004--
Pain in extremity15.03.04.0100.006537%
Pain in jaw15.02.01.0030.000302%-
Pallor08.01.03.032; 23.03.03.031; 24.03.04.001---
Pancytopenia01.03.03.0030.001007%-
Pathological fracture12.04.02.006; 15.08.02.008; 16.32.03.0070.000280%-
Pericardial effusion02.06.01.0020.000392%
Pericarditis02.06.02.0010.000112%
Peripheral motor neuropathy17.09.03.004--
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