Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Elagolix
Drug ID BADD_D02496
Description Elagolix has been used in trials studying the basic science and treatment of Endometriosis, Folliculogenesis, Uterine Fibroids, Heavy Uterine Bleeding, and Heavy Menstrual Bleeding. As of 24 July 2018, however, the U.S. Food and Drug Administration (FDA) approved AbbVie's elagolix under the brand name Orilissa as the first and only oral gonadotropin-releasing hormone (GnRH) antagonist specifically developed for women with moderate to severe endometriosis pain [F815]. It has been determined that endometriosis is one of the most common gynecologic disorders in the United States [A35868, A35869, F801]. In particular, estimates suggest that one in ten women of reproductive age is affected by endometriosis and experience debilitating pain symptoms [A35868, A35869, F801]. Moreover, women who are affected by this condition can suffer for up to six to ten years and visit multiple physicians before receiving a proper diagnosis [A35868, A35869, F801]. Subsequently, as Orilissa (elagolix) was approved by the FDA under priority review [F815], this expedited new approval gives healthcare professionals another valuable option for treating the potentially unmet needs of women who are affected by endometriosis, depending on their specific type and severity of endometriosis pain.
Indications and Usage Elagolix is a gonadotropin-releasing hormone (GnRH) receptor antagonist indicated for the management of moderate to severe pain associated with endometriosis [FDA Label].
Marketing Status approved; investigational
ATC Code H01CC03
DrugBank ID DB11979
KEGG ID D09335
MeSH ID C539351
PubChem ID 11250647
TTD Drug ID D0UI3T
NDC Product Code 68513-0039; 0074-0038; 0074-0039; 68513-0038
UNII 5B2546MB5Z
Synonyms elagolix | R-(+)-4-(2-(5-(2-fluoro-3-methoxyphenyl)-3-(2-fluoro-6-(trifluoromethyl)benzyl)-4-methyl-2,6-dioxo-3,6-dihydro-2H-pyrimidin-1-yl)-1-phenylethylamino)butyrate | elagolix sodium | Orilissa
Chemical Information
Molecular Formula C32H30F5N3O5
CAS Registry Number 834153-87-6
SMILES CC1=C(C(=O)N(C(=O)N1CC2=C(C=CC=C2F)C(F)(F)F)CC(C3=CC=CC=C3)NCCCC(=O)O)C4=C(C(=CC =C4)OC)F
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)
Hypoaesthesia17.02.06.023; 23.03.03.0810.002310%-
Increased tendency to bruise01.01.03.005; 23.06.01.009; 24.07.06.0120.000633%-
Insomnia17.15.03.002; 19.02.01.0020.003260%
Intentional self-injury12.01.08.036; 19.12.01.0020.000186%-
Irritability08.01.03.011; 19.04.02.0130.000950%
Lip swelling07.05.04.005; 10.01.05.005; 23.04.01.0070.000950%-
Menstrual disorder21.01.01.0040.001267%-
Menstruation irregular05.05.01.008; 21.01.01.0050.000633%
Migraine17.14.02.001; 24.03.05.0030.005980%-
Mood altered19.04.02.0070.003577%-
Mood swings19.04.03.0010.004396%-
Muscle spasms15.05.03.0040.003260%
Musculoskeletal pain15.03.04.0070.000950%
Nausea07.01.07.0010.019337%
Night sweats08.01.03.031; 23.02.03.0060.002850%-
Oligomenorrhoea05.05.01.011; 21.01.02.0040.000727%-
Pain08.01.08.0040.008849%
Pain in extremity15.03.04.0100.002180%
Palpitations02.11.04.0120.000913%
Panic attack19.06.04.0010.001583%-
Pelvic pain07.01.06.012; 20.02.03.007; 21.10.01.0010.002720%
Polymenorrhoea21.01.03.0030.000950%-
Premenstrual syndrome17.14.01.019; 19.04.02.009; 21.01.01.0070.000410%-
Rash23.03.13.0010.010134%-
Sleep disorder19.02.04.0010.000820%-
Stress19.06.02.0040.000186%-
Suicidal ideation19.12.01.0030.005067%
Suicide attempt19.12.01.0040.000466%
Throat irritation07.05.05.037; 22.12.03.0290.000633%-
Throat tightness19.01.02.005; 22.12.03.0310.000186%-
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