Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Everolimus
Drug ID BADD_D00858
Description Everolimus is a derivative of Rapamycin (sirolimus), and works similarly to Rapamycin as an mTOR (mammalian target of rapamycin) inhibitor. It is currently used as an immunosuppressant to prevent rejection of organ transplants. In a similar fashion to other mTOR inhibitors Everolimus' effect is solely on the mTORC1 protein and not on the mTORC2 protein.
Indications and Usage Everolimus is indicated for the treatment of postmenopausal women with advanced hormone receptor-positive, HER2-negative breast cancer (advanced HR+ BC) in combination with exemestane, after failure of treatment with letrozole or anastrozole. Indicated for the treatment of adult patients with progressive neuroendocrine tumors of pancreatic origin (PNET) with unresectable, locally advanced or metastatic disease. Indicated for the treatment of adult patients with advanced renal cell carcinoma (RCC) after failure of treatment with sunitinib or sorafenib. Indicated for the treatment of adult patients with renal angiomyolipoma and tuberous sclerosis complex (TSC), not requiring immediate surgery. Indicated in pediatric and adult patients with tuberous sclerosis complex (TSC) for the treatment of subependymal giant cell astrocytoma (SEGA) that requires therapeutic intervention but cannot be curatively resected.
Marketing Status approved
ATC Code L01EG02; L04AA18
DrugBank ID DB01590
KEGG ID D02714
MeSH ID D000068338
PubChem ID 6442177
TTD Drug ID D0K3QS
NDC Product Code 52076-6247; 62227-019; 68254-6234; 71052-559; 49884-283; 0054-0480; 0078-0566; 0078-0620; 0078-0627; 0378-3096; 0378-3097; 67877-721; 0054-0472; 70377-012; 65129-1324; 71796-012; 0078-0422; 0093-7767; 0093-7768; 49884-119; 51991-821; 63850-0062; 63850-0064; 70377-010; 70377-011; 63850-0059; 67877-718; 0054-0470; 17404-1027; 65727-064; 0078-0567; 51991-824; 63850-0058; 0378-0007; 0378-3098; 0054-0497; 65727-063; 0078-0594; 0078-0628; 49884-158; 0378-0005; 0378-3099; 67877-720; 0054-0471; 52076-6253; 62227-013; 70225-1103; 0078-0415; 0078-0417; 0078-0626; 0054-0482; 52076-6234; 63850-0063; 67877-719; 63850-0061; 0054-0481; 0054-0604; 49884-160; 51991-822; 63850-0060; 0378-0006; 70377-013; 65727-046; 0078-0414; 0093-7766; 49884-125; 49884-127; 49884-128; 49884-159; 51991-823
UNII 9HW64Q8G6G
Synonyms Everolimus | SDZ RAD | RAD, SDZ | SDZ-RAD | 40-O-(2-hydroxyethyl)-rapamycin | RAD 001 | 001, RAD | RAD001 | Certican | Afinitor
Chemical Information
Molecular Formula C53H83NO14
CAS Registry Number 159351-69-6
SMILES CC1CCC2CC(C(=CC=CC=CC(CC(C(=O)C(C(C(=CC(C(=O)CC(OC(=O)C3CCCCN3C(=O)C(=O)C1(O2)O) C(C)CC4CCC(C(C4)OC)OCCO)C)C)O)OC)C)C)C)OC
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)
Metastases to meninges16.22.02.003; 17.02.10.0120.000229%-
Neuroendocrine tumour05.08.01.013; 16.24.01.0090.002905%-
Palatal disorder07.05.01.0190.000336%-
Small intestinal haemorrhage07.12.03.002; 24.07.02.0190.000229%
Lymphangiosis carcinomatosa01.09.01.027; 16.22.02.009; 24.09.02.0070.000535%-
Small intestine carcinoma07.21.01.016; 16.13.13.0020.000153%-
Breast cancer metastatic16.10.01.008; 21.05.01.0160.002553%-
Hepatic mass09.01.08.0150.000459%-
Biliary dilatation09.02.03.0040.000153%-
Cell death08.03.03.003; 14.11.02.0050.000229%-
Gastric varices haemorrhage07.12.01.005; 09.01.06.014; 24.07.02.0440.000153%-
Hypertensive emergency24.08.01.0040.000229%-
Communication disorder19.19.01.0080.000153%-
Gastric mucosal lesion07.11.03.0070.000153%-
Peritoneal disorder07.07.01.0100.000153%-
Tricuspid valve disease02.07.05.0040.000153%
Angiodysplasia24.03.03.0170.000153%-
Foaming at mouth07.05.05.019; 08.01.03.070; 17.02.05.0560.000596%-
Nail bed inflammation23.02.05.0230.000153%-
Rectal fissure07.03.01.0070.000153%
Pelvic fluid collection07.07.01.009; 21.07.04.0110.000153%-
Astrocytoma, low grade16.09.04.001; 17.18.04.0010.000459%-
Cerebral calcification17.11.01.0120.000489%-
Apparent death08.01.03.0620.000229%-
Pancreatic neuroendocrine tumour05.08.01.014; 07.21.09.009; 16.24.02.0050.002064%-
Skin plaque23.03.03.0440.000382%-
Oncologic complication16.32.03.0250.000917%-
Pancreatic neuroendocrine tumour metastatic05.08.01.015; 07.21.09.010; 16.24.02.0060.000306%-
Acute lung injury22.01.03.0100.000306%-
Metastases to pelvis16.22.02.021; 21.07.04.0080.000382%-
The 30th Page    First    Pre   30 31 32    Next   Last    Total 32 Pages
ADReCS-Target
Drug Name ADR Term Target
Tip:  Drug Name  ADR Term  Protein  Variation  Gene