Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Trimetrexate
Drug ID BADD_D02292
Description A nonclassical folic acid inhibitor through its inhibition of the enzyme dihydrofolate reductase. It is being tested for efficacy as an antineoplastic agent and as an antiparasitic agent against pneumocystis pneumonia in AIDS patients. Myelosuppression is its dose-limiting toxic effect.
Indications and Usage For use, with concurrent leucovorin administration (leucovorin protection), as an alternative therapy for the treatment of moderate-to-severe Pneumocystis carinii pneumonia (PCP) in immunocompromised patients, including patients with the acquired immunodeficiency syndrome (AIDS). Also used to treat several types of cancer including colon cancer.
Marketing Status approved; investigational
ATC Code P01AX07
DrugBank ID DB01157
KEGG ID D06238
MeSH ID D016597
PubChem ID 5583
TTD Drug ID D0Y7TS
NDC Product Code Not Available
UNII UPN4ITI8T4
Synonyms Trimetrexate | JB-11 | JB 11 | JB11 | Trimetrexate Monohydrate, Monoacetate | Monohydrate, Monoacetate Trimetrexate | NSC-328564 | NSC 328564 | NSC328564 | Trimetrexate Hydrate | Hydrate, Trimetrexate | CI-898 | CI 898 | CI898 | NSC-249008 | NSC 249008 | NSC249008
Chemical Information
Molecular Formula C19H23N5O3
CAS Registry Number 52128-35-5
SMILES CC1=C(C=CC2=C1C(=NC(=N2)N)N)CNC3=CC(=C(C(=C3)OC)OC)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)
Alanine aminotransferase increased13.03.04.005--
Anaemia01.03.02.001--
Aspartate aminotransferase increased13.03.04.011--
Asthenia08.01.01.001---
Blood bilirubin increased13.03.04.018--
Blood creatinine increased13.13.01.004--
Body temperature increased13.15.01.001---
Confusional state17.02.03.005; 19.13.01.001--
Dermatitis23.03.04.002---
Electrolyte imbalance14.05.01.002---
Fatigue08.01.01.002--
Feeling abnormal08.01.09.014---
Hepatotoxicity09.01.07.009; 12.03.01.008---
Hypocalcaemia14.04.01.004--
Hyponatraemia14.05.04.002--
Nausea07.01.07.001--
Neutropenia01.02.03.004---
Pruritus23.03.12.001--
Rash23.03.13.001---
Thrombocytopenia01.08.01.002---
Vomiting07.01.07.003--
Blood alkaline phosphatase increased13.04.02.004--
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