Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Tepotinib
Drug ID BADD_D02599
Description Tepotinib is a MET tyrosine kinase inhibitor intended to treat a variety of MET-overexpressing solid tumors.[A228058] It was originally developed in partnership between EMD Serono and the University of Texas M.D. Anderson Cancer Center in 2009 and has since been investigated in the treatment of neuroblastoma,[A228053] gastric cancers,[A228033] non-small cell lung cancer, and hepatocellular carcinoma.[A228058] MET is a desirable target in the treatment of certain solid tumors as it appears to play a critical role, both directly and indirectly, in the growth and proliferation of tumors in which it is overexpressed and/or mutated. Tepotinib was first approved in Japan in March 2020 for the treatment of non-small cell lung cancers (NSCLC) with _MET_ alterations, and was subsequently granted accelerated approval by the US FDA in February 2021, under the brand name Tepmetko, for the treatment of adult patients with metastatic NSCLC and _MET_ exon 14 skipping alterations.[L31443,L31473] It is the first oral MET-targeted tyrosine kinase inhibitor to allow for once-daily dosing,[L31473] an advantage that may aid in easing the pill burden often associated with chemotherapeutic regimens.
Indications and Usage Tepotinib is indicated for the treatment of adult patients with metastatic non-small cell lung cancer (NSCLC) who have mesenchymal-epithelial transition (_MET_) exon 14 skipping alterations.[L31443]
Marketing Status approved; investigational
ATC Code L01EX21
DrugBank ID DB15133
KEGG ID D11717
MeSH ID C000707607
PubChem ID 25171648
TTD Drug ID D0R8QG
NDC Product Code Not Available
UNII 1IJV77EI07
Synonyms tepotinib | 3-(1-(3-(5-((1-Methyl-4-piperidinyl)methoxy)-2-pyrimidinyl)benzyl)-6-oxo-1,6-dihydro-3-pyridazinyl)benzonitrile | benzonitrile, 3-(1,6-dihydro-1-((3-(5-((1-methyl-4-piperidinyl)methoxy)-2-pyrimidinyl)phenyl)methyl)-6-oxo-3-pyridazinyl)- | tepmetko
Chemical Information
Molecular Formula C29H28N6O2
CAS Registry Number 1100598-32-0
SMILES CN1CCC(CC1)COC2=CN=C(N=C2)C3=CC=CC(=C3)CN4C(=O)C=CC(=N4)C5=CC=CC(=C5)C#N
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)
Death08.04.01.0010.000728%
Fluid retention14.05.06.002; 20.01.02.0030.000246%-
Interstitial lung disease10.02.01.033; 22.01.02.0030.000168%-
Lung disorder22.02.07.0010.000112%-
Oedema08.01.07.006; 14.05.06.0100.000582%-
Oedema peripheral02.05.04.007; 08.01.07.007; 14.05.06.0110.001265%
Pleural effusion22.05.02.0020.000112%
Pneumonitis22.01.01.0060.000246%
Rash23.03.13.0010.000112%-
General physical health deterioration08.01.03.0180.000168%-
Decreased appetite08.01.09.028; 14.03.01.0050.000358%
Disease progression08.01.03.0380.000224%
Pulmonary toxicity12.03.01.013; 22.01.02.0070.000246%-
Renal impairment20.01.03.0100.001030%-
Acute kidney injury20.01.03.0160.000168%
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