Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Bortezomib
Drug ID BADD_D00284
Description Bortezomib is a dipeptide boronic acid derivative and proteasome inhibitor used to treat multiple myeloma and mantle cell lymphoma.[A204083] The 26S proteasome is a protein complex that degrades ubiquitinated proteins in the ubiquitin-proteasome pathway: reversible inhibition of the 26S proteasome, leading to cell cycle arrest and apoptosis of cancer cells, is thought to be the main mechanism of action of bortezomib.[L14180] However, multiple mechanisms may be involved in the anticancer activity of bortezomib.[A204083] Bortezomib was first synthesized in 1995.[A204083] In May 2003, bortezomib became the first anticancer proteasome inhibitor that was approved by the FDA under the trade name VELCADE.[A204146] Phase I, II, III, and IV clinical trials are undergoing to investigate the therapeutic efficacy of bortezomib in leukemia, myasthenia gravis, systemic lupus erythematosus, rheumatoid arthritis, and solid tumours.[A214307]
Indications and Usage Bortezomib is indicated for the treatment of adult patients with multiple myeloma or mantle cell lymphoma.[L14177]
Marketing Status approved; investigational
ATC Code L01XG01
DrugBank ID DB00188
KEGG ID D03150
MeSH ID D000069286
PubChem ID 387447
TTD Drug ID D0SH3I
NDC Product Code 62158-0011; 65129-1264; 0409-1703; 70710-1411; 51817-586; 68001-541; 14096-140; 0143-9098; 67184-0530; 71288-118; 72205-183; 63323-821; 12502-5268; 42385-716; 55111-922; 63323-721; 68001-534; 48957-0018; 10019-991; 70225-1102; 50742-484; 70511-161; 47848-031; 54893-0011; 66529-0006; 76055-0027; 82920-006; 0409-1704; 70771-1708; 72266-243; 72266-244; 54245-7004; 62207-972; 67184-0026; 60505-6050; 70511-162; 25021-244; 68001-540; 42973-140; 55150-337; 63020-049; 0409-1700; 70860-225; 62756-982; 68554-0051; 78848-009
UNII 69G8BD63PP
Synonyms Bortezomib | LDP-341 | LDP 341 | LDP341 | PS 341 | 341, PS | PS-341 | PS341 | Velcade
Chemical Information
Molecular Formula C19H25BN4O4
CAS Registry Number 179324-69-7
SMILES B(C(CC(C)C)NC(=O)C(CC1=CC=CC=C1)NC(=O)C2=NC=CN=C2)(O)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)
Renal cell carcinoma20.01.04.003; 16.08.02.002--Not Available
Oropharyngeal blistering07.05.05.006; 22.12.03.014--Not Available
Oropharyngeal pain22.12.03.016; 07.05.05.004--
Injection site exfoliation23.03.07.008; 12.07.03.030; 08.02.03.0300.000492%Not Available
Acute kidney injury20.01.03.016--
Upper-airway cough syndrome22.12.03.036--
Posterior reversible encephalopathy syndrome17.13.02.0070.000560%
Functional gastrointestinal disorder07.11.01.016--Not Available
Ophthalmic herpes simplex11.05.02.017; 06.04.05.019--Not Available
Candida infection11.03.03.021--
Aspergillus infection11.03.01.004--Not Available
Peripheral venous disease24.04.02.022--Not Available
Complication associated with device08.07.01.011--Not Available
Multiple organ dysfunction syndrome08.01.03.0570.000783%
Anal incontinence17.05.01.021; 07.01.06.0290.000302%
B-cell small lymphocytic lymphoma16.28.06.001; 01.15.06.0010.000112%Not Available
Bone cancer16.29.02.002; 15.09.03.0120.000224%Not Available
Concomitant disease aggravated08.01.03.0630.000224%Not Available
Metastases to bone16.22.02.005; 15.09.03.0060.000168%Not Available
Starvation14.03.02.0250.000246%Not Available
Terminal state08.01.03.079--Not Available
Diffuse alveolar damage22.01.01.0190.000112%Not Available
Plasmablastic lymphoma16.35.01.004; 01.17.01.0040.000112%Not Available
Cardiorenal syndrome20.01.03.018; 02.05.01.0120.000112%Not Available
Acute lung injury22.01.03.0100.000224%Not Available
Spinal pain17.10.01.020; 15.02.01.008; 08.01.08.0300.000280%Not Available
Plasma cell myeloma recurrent16.23.02.006; 01.14.02.0060.003794%Not Available
End stage renal disease20.01.03.0190.000168%Not Available
Axonal and demyelinating polyneuropathy17.09.03.025; 11.07.01.019; 10.04.10.0190.000112%Not Available
Cardiac dysfunction02.11.01.0040.000224%Not Available
The 25th Page    First    Pre   25 26    Next   Last    Total 26 Pages
ADReCS-Target
Drug Name ADR Term Target
Tip:  Drug Name  ADR Term  Protein  Variation  Gene