Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Carfilzomib
Drug ID BADD_D00367
Description Carfilzomib is an injectable antineoplastic agent (IV only). Chemically, it is a modified tetrapeptidyl epoxide and an analog of epoxomicin. It is also a selective proteasome inhibitor. FDA approved carfilzomib in July 2012 for the treatment of adults with relapsed or refractory multiple myeloma as monotherapy or combination therapy.[L39392]
Indications and Usage Carfilzomib is indicated for the treatment of adult patients with relapsed or refractory multiple myeloma who have received one to three lines of therapy in combination with lenalidomide and dexamethasone; or dexamethasone; or daratumumab and dexamethasone; or daratumumab and hyaluronidase-fihj and dexamethasone. It is also indicated as a single agent for the treatment of patients with relapsed or refractory multiple myeloma who have received one or more lines of therapy.[L39392]
Marketing Status approved; investigational
ATC Code L01XG02
DrugBank ID DB08889
KEGG ID D08880
MeSH ID C524865
PubChem ID 11556711
TTD Drug ID D00UVA
NDC Product Code 76055-0035; 76075-103; 76075-101; 63552-009; 67262-0010; 42385-731; 76075-102; 63552-035; 54893-0037; 52076-6251; 55111-985; 11722-059
UNII 72X6E3J5AR
Synonyms carfilzomib | PR-171 | PR171 | Kyprolis
Chemical Information
Molecular Formula C40H57N5O7
CAS Registry Number 868540-17-4
SMILES CC(C)CC(C(=O)C1(CO1)C)NC(=O)C(CC2=CC=CC=C2)NC(=O)C(CC(C)C)NC(=O)C(CCC3=CC=CC=C3) NC(=O)CN4CCOCC4
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)
Disease recurrence08.01.03.0500.001310%Not Available
Drug intolerance08.06.01.0130.004119%Not Available
Pulmonary toxicity22.01.02.007; 12.03.01.0130.000224%Not Available
Metastasis16.22.01.0010.000112%Not Available
Microangiopathy24.03.02.0210.000336%Not Available
Renal impairment20.01.03.0100.001836%Not Available
Sinus disorder22.04.06.0020.000683%
Unevaluable event08.01.03.0510.022520%Not Available
Arterial occlusive disease24.04.02.0210.000112%Not Available
Haemorrhagic diathesis24.07.01.020; 01.01.03.0030.000112%Not Available
Hypophagia07.01.06.010; 19.09.01.004; 14.03.01.0060.000392%Not Available
Infusion site extravasation12.07.05.008; 08.02.05.0070.004958%
Chronic kidney disease20.01.03.0170.000448%
Pulmonary arterial hypertension24.08.03.003; 22.06.01.0020.000224%Not Available
Infusion site irritation08.02.05.010; 12.07.05.0110.000381%Not Available
Bone marrow failure01.03.03.0050.000448%
Cardiovascular insufficiency02.11.01.011; 24.06.03.0050.000112%Not Available
Cytopenia01.03.03.0120.000783%Not Available
Adverse reaction08.06.01.0180.000414%Not Available
Acute kidney injury20.01.03.0160.003850%
Posterior reversible encephalopathy syndrome17.13.02.0070.000616%
Multiple organ dysfunction syndrome08.01.03.0570.000504%
Cardiac failure chronic02.05.01.0090.000224%Not Available
Sleep disorder due to general medical condition, insomnia type19.02.04.0040.000246%Not Available
Metastases to meninges17.02.10.012; 16.22.02.0030.000112%Not Available
Hypertensive emergency24.08.01.0040.000168%Not Available
Bone marrow necrosis24.04.09.002; 01.05.01.0120.000112%Not Available
Foot deformity15.10.03.0050.000112%Not Available
Multimorbidity08.01.03.0750.000246%Not Available
Graft versus host disease in skin23.07.04.025; 12.02.09.031; 10.02.01.0620.000112%Not Available
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