Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Ado-trastuzumab emtansine
Drug ID BADD_D00046
Description Trastuzumab emtansine, formerly called Trastuzumab-DM1 (T-DM1) is a first-in-class HER2 antibody drug conjugate (ADC) comprised of Genentech's trastuzumab antibody linked to ImmunoGen's cell-killing agent, DM1. T-DM1 combines two strategies-- anti-HER2 activity and targeted intracellular delivery of the potent anti-microtubule agent, DM1 (a maytansine derivative)--to produce cell cycle arrest and apoptosis. Trastuzumab emtansine is marketed under the brand name Kadcyla and is indicated for use in HER2-positive, metastatic breast cancer patients who have already used taxane and/or trastuzumab for metastatic disease or had their cancer recur within 6 months of adjuvant treatment. The FDA label has two precautions. First that trastuzumab emtansine and trastuzumab cannot be interchanged. Second that there is a black box warning of serious side effects such as hepatotoxicity, embryo-fetal toxicity, and cardiac toxicity.
Indications and Usage Used in HER2-positive, metastatic breast cancer patients who have already used taxane and/or trastuzumab for metastatic disease or had their cancer recur within 6 months of adjuvant treatment.
Marketing Status approved; investigational
ATC Code L01FD03
DrugBank ID DB05773
KEGG ID D09980
MeSH ID D000080044
PubChem ID Not Available
TTD Drug ID Not Available
NDC Product Code 50242-088; 50242-089; 50242-087
UNII Not Available
Synonyms Ado-Trastuzumab Emtansine | Ado Trastuzumab Emtansine | Trastuzumab Emtansine | Kadcyla | huN901-DM1 | huN901 DM1 | huN901DM1 | Trastuzumab-DM1 Conjugate | Trastuzumab DM1 Conjugate | Trastuzumab-DM1 | Trastuzumab DM1
Chemical Information
Molecular Formula Not Available
CAS Registry Number 1018448-65-1
SMILES Not Available
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)
Nausea07.01.07.001--
Neuropathy peripheral17.09.03.003--Not Available
Neutropenia01.02.03.004--Not Available
Neutrophil count decreased13.01.06.010--
Oedema peripheral08.01.07.007; 02.05.04.007; 14.05.06.011--
Platelet count decreased13.01.04.001--
Pneumonitis22.01.01.006--
Portal hypertension24.08.06.001; 09.01.06.006--
Pruritus23.03.12.001--
Pyrexia08.05.02.003--
Rash23.03.13.001--Not Available
Stomatitis07.05.06.005--
Thrombocytopenia01.08.01.002--Not Available
Urinary tract infection20.08.02.001; 11.01.14.004--
Vision blurred17.17.01.010; 06.02.06.007--
Vomiting07.01.07.003--
Left ventricular dysfunction02.04.02.011--
Nodular regenerative hyperplasia09.01.04.004--Not Available
Infusion related reaction12.02.05.009; 10.01.01.017; 08.01.03.002--
Transaminases increased13.03.04.036--Not Available
Haemorrhage24.07.01.002--Not Available
Blood alkaline phosphatase increased13.04.02.004--
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