Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Daclizumab
Drug ID BADD_D00570
Description Humanized IgG1 Mab that binds to the human interleukin-2 receptor (anti-Tac or anti-CD25). Daclizumab is a composite of human (90%) and murine (10%) antibody sequences. The human sequences were derived from the constant domains of human IgG1 and the variable framework regions of the Eu myeloma antibody. The murine sequences were derived from the complementarity-determining regions of a murine anti-Tac antibody. On 22 April 2008, Roche Registration Limited chose to voluntarily withdraw the marketing authorization for their product Zenapax (daclizumab), as indicated for the prophylaxis of acute organ rejection in de novo allogeneic renal transplantation and used concomitantly with an immunosuppressive regimen like cyclosporine and corticosteroids in patients who are not hight immunized, for commercial reasons and confirmed that this decision was not related to any safety concerns associated with the use of Zenapax (daclizumab) [L1744]. Regardless of the withdrawal of Zenapax, Biogen and Abbvie's Zinbryta (daclizumab), as indicated for the treatment of adult patients with relapsing forms of multiple sclerosis, was approved for use by the FDA in 2016 [L1746]. Despite being approved for use, Zinbryta (daclizumab)'s complex pre-existing safety profile consisting of its restricted availability through a Risk Evaluation and Mitigation Strategy program [L1738] and its black box warning for possible hepatic injury, autoimmune hepatitis, and other immune mediated disorders [L1738] meant its therapeutic usage, adverse effects, and prescribing information was subject to continuous monitoring and updating. Although Zinbryta (daclizumab) was available for patients as needed until 30 April 2018, Biogen and Abbvie announced a voluntary withdrawal of their product Zinbryta (daclizumab) from the global market on 2 March 2018 [L1738]. This withdrawal was concurrent to the European Medicines Agency announcement of a recall owing to 12 worldwide reports of serious inflammatory brain disorders associated with the use of Zinbryta (daclizumab) [L1738].
Indications and Usage Zenapax is a humanized monoclonal antibody used for prevention of renal transplant rejection
Marketing Status investigational; withdrawn
ATC Code L04AC01
DrugBank ID DB00111
KEGG ID D03639
MeSH ID D000077561
PubChem ID Not Available
TTD Drug ID D0P1BZ
NDC Product Code Not Available
UNII CUJ2MVI71Y
Synonyms Daclizumab | Dacliximab | Zinbryta | Zenapax | Ro 24-7375 | Ro 24 7375 | Ro 247375 | Ro-24-7375
Chemical Information
Molecular Formula Not Available
CAS Registry Number 152923-56-3
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)
Acne23.02.01.001--Not Available
Alanine aminotransferase increased13.03.04.005--
Anaemia01.03.02.001--
Aspartate aminotransferase increased13.03.04.011--
Breast cancer21.05.01.003; 16.10.01.001--Not Available
Bronchitis22.07.01.001; 11.01.09.001--
Colitis07.08.01.001--
Completed suicide19.12.01.001; 08.04.01.010--Not Available
Depression19.15.01.001--
Dermatitis23.03.04.002--Not Available
Diarrhoea07.02.01.001--
Dry skin23.03.03.001--
Eczema23.03.04.006--
Erythema23.03.06.001--Not Available
Folliculitis23.11.04.003; 11.02.01.053--
Hypersensitivity10.01.03.003--
Infection11.01.08.002--Not Available
Influenza22.07.02.001; 11.05.03.001--Not Available
Laryngitis22.07.03.001; 11.01.13.001--
Liver function test abnormal13.03.04.030--Not Available
Lymphadenopathy01.09.01.002--Not Available
Lymphocyte count decreased13.01.06.006--
Nasopharyngitis22.07.03.002; 11.01.13.002--Not Available
Pharyngitis22.07.03.004; 11.01.13.003; 07.05.07.004--
Pneumonia22.07.01.003; 11.01.09.003--Not Available
Pruritus23.03.12.001--
Psoriasis10.02.01.036; 23.03.14.002--Not Available
Pyrexia08.05.02.003--
Rash23.03.13.001--Not Available
Rhinitis22.07.03.006; 11.01.13.004--
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