Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Topotecan
Drug ID BADD_D02248
Description An antineoplastic agent used to treat ovarian cancer. It works by inhibiting DNA topoisomerases, type I.
Indications and Usage For the treatment of advanced ovarian cancer in patients with disease that has recurred or progressed following therapy with platinum-based regimens. Also used as a second-line therapy for treatment-sensitive small cell lung cancer, as well as in combination with cisplatin for the treatment of stage IV-B, recurrent, or persistent cervical cancer not amenable to curative treatment with surgery and/or radiation therapy.
Marketing Status approved; investigational
ATC Code L01CE01
DrugBank ID DB01030
KEGG ID D08618
MeSH ID D019772
PubChem ID 60700
TTD Drug ID D02PMO
NDC Product Code 16729-243; 0409-0302; 0703-4714; 0078-0672; 0078-0673
UNII 7M7YKX2N15
Synonyms Topotecan | 9-Dimethylaminomethyl-10-hydroxycamptothecin | 9 Dimethylaminomethyl 10 hydroxycamptothecin | Topotecan Hydrochloride | Hydrochloride, Topotecan | Nogitecan Hydrochloride | Hydrochloride, Nogitecan | Topotecan Monohydrochloride, (S)-Isomer | SK&F-104864-A | SK&F 104864 A | SK&F104864A | SKF-104864-A | SKF 104864 A | SKF104864A | Hycamtin | NSC-609699 | NSC 609699 | NSC609699 | Hycamtamine
Chemical Information
Molecular Formula C23H23N3O5
CAS Registry Number 123948-87-8
SMILES CCC1(C2=C(COC1=O)C(=O)N3CC4=CC5=C(C=CC(=C5CN(C)C)O)N=C4C3=C2)O
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)
Abdominal distension07.01.04.0010.000358%
Abdominal pain07.01.05.0020.000492%
Abdominal pain upper07.01.05.0030.000358%
Acute febrile neutrophilic dermatosis01.02.01.006; 23.03.03.0330.000112%-
Agranulocytosis01.02.03.0010.000168%-
Alopecia23.02.02.0010.000627%
Anaemia01.03.02.0010.003335%
Anaphylactoid reaction10.01.07.003; 24.06.03.007---
Angioedema10.01.05.009; 22.04.02.008; 23.04.01.001---
Asthenia08.01.01.001---
Blister12.01.06.002; 23.03.01.0010.000168%-
Cachexia08.01.01.009; 14.03.02.001; 16.32.03.011---
Cardiovascular disorder02.11.01.010; 24.03.02.009---
Condition aggravated08.01.03.0040.000392%-
Confusional state17.02.03.005; 19.13.01.0010.000358%
Conjunctival haemorrhage06.07.01.001; 24.07.05.0010.000112%-
Conjunctival oedema06.04.01.0010.000112%-
Constipation07.02.02.0010.000336%
Death08.04.01.0010.003526%
Dermatitis23.03.04.002---
Diarrhoea07.02.01.0010.001533%
Dizziness02.11.04.006; 17.02.05.003; 24.06.02.0070.000929%
Dyspnoea02.11.05.003; 22.02.01.004--
Eating disorder14.03.01.008; 19.09.01.0080.000246%-
Extravasation08.01.03.008---
Eyelid oedema06.04.04.004; 10.01.05.001; 23.04.01.0030.000168%-
Fatigue08.01.01.0020.003156%
Febrile neutropenia01.02.03.002; 08.05.02.0040.001276%
Gastrointestinal perforation07.04.04.0010.000112%-
Hepatic failure09.01.03.0020.000112%
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ADReCS-Target
Drug Name ADR Term Target
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