Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Glucarpidase
Drug ID BADD_D01028
Description Glucarpidase is the recombinant form of the Pseudomonas sp. (strain RS-16) enzyme carboxypeptidase G2 that is produced in Escherichia coli. In patients, glucarpidase inactivates methotrexate, and other antifolates, by hydrolyzing glutamate on the carboxyl terminal of these compounds. Therefore since methotrexate is eliminated enzymatically and not by the kidneys, glucarpidase is indicated in patients on methotrexate treatment who have kidney dysfunction, and are experiencing an abnormally high plasma concentration of methotrexate (>1 micromole per liter). Glucarpidase is marketed under the brand name Voraxaze®.
Indications and Usage Used in patients on methotrexate treatment who have kidney dysfunction, and are experiencing an abnormally high plasma concentration of methotrexate (> 1 micromole per liter).
Marketing Status approved; investigational
ATC Code V03AF09
DrugBank ID DB08898
KEGG ID D10260
MeSH ID C000629556
PubChem ID 21195079
TTD Drug ID D0P4PZ
NDC Product Code 50633-210; 76356-101
UNII 2GFP9BJD79
Synonyms glucarpidase | Voraxaze
Chemical Information
Molecular Formula Zn4+8
CAS Registry Number 9074-87-7
SMILES [Zn+2].[Zn+2].[Zn+2].[Zn+2]
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)
Diarrhoea07.02.01.001--
Flushing08.01.03.025; 23.06.05.003; 24.03.01.002--
Headache17.14.01.001--
Hypersensitivity10.01.03.003--
Hypertension24.08.02.001--
Hypotension24.06.03.002--
Nausea07.01.07.001--
Paraesthesia17.02.06.005; 23.03.03.094--
Rash23.03.13.001---
Throat tightness19.01.02.005; 22.12.03.031---
Tremor17.01.06.002--
Vision blurred06.02.06.007; 17.17.01.010--
Vomiting07.01.07.003--
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