Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Mitomycin
Drug ID BADD_D01478
Description Mitomycin is an antineoplastic antibiotic first isolated by Japanese microbiologists in the 1950s from cultures of _Streptomyces caespitosus_.[L12867,A193419] It is an alkylating agent that inhibits DNA synthesis (and, at higher concentrations, RNA and protein synthesis) by cross-linking the complementary strands of the DNA double helix.[A193419] Few other antibiotics have been discovered that work via this alkylating mechanism, making mitomycin relatively unique in the space of microbiota-derived therapies.[A193419] Mitomycin's cross-linking activity has resulted in its approval for the treatment of a variety of cancers - the most recent of which is an April 2020 approval for its use in low-grade Upper Tract Urothelial Cancer (LG-UTUC)[L12867] - as well as adjunctly to _ab externo_ glaucoma surgeries.
Indications and Usage For treatment of malignant neoplasm of lip, oral cavity, pharynx, digestive organs, peritoneum, female breast, and urinary bladder. Also used as an adjunct to ab externo glaucoma surgery. Mitomycin is also indicated as a pyelocalyceal solution for the treatment of adults with low-grade upper tract urothelial cancer (LG-UTUC).[L12867]
Marketing Status approved
ATC Code L01DC03
DrugBank ID DB00305
KEGG ID D00208
MeSH ID D016685
PubChem ID 5746
TTD Drug ID D0Y0GH
NDC Product Code 72819-154; 65050-0058; 0143-9135; 68001-390; 68083-483; 69448-003; 68254-0016; 25021-252; 69448-001; 25021-250; 25021-251; 65219-564; 68083-502; 71288-138; 72493-103; 71288-137; 73212-036; 0143-9136; 0143-9279; 69448-002; 72819-153; 58623-0045; 62158-0005; 68083-484; 72819-152; 0143-9280; 49771-002; 65219-568; 68001-389; 38779-0553; 51927-0286; 71052-644; 71288-139; 53183-7010; 16729-115; 16729-116; 68001-391; 51552-1509; 65219-566; 16729-108
UNII 50SG953SK6
Synonyms Mitomycin | Mitomycin C | Mitomycin-C | Mitocin-C | Mitocin C | MitocinC | NSC-26980 | NSC 26980 | NSC26980 | Ametycine | Mutamycin
Chemical Information
Molecular Formula C15H18N4O5
CAS Registry Number 50-07-7
SMILES CC1=C(C(=O)C2=C(C1=O)N3CC4C(C3(C2COC(=O)N)OC)N4)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)
Abdominal pain07.01.05.0020.000414%
Acute respiratory distress syndrome24.03.02.034; 10.02.01.067; 22.01.03.001--
Acute respiratory failure22.02.06.001; 14.01.04.0040.000168%Not Available
Alopecia23.02.02.0010.000112%
Anaemia01.03.02.0010.000280%
Angioedema22.04.02.008; 23.04.01.001; 10.01.05.0090.000224%Not Available
Aspiration22.02.07.007--
Asthenia08.01.01.001--Not Available
Bladder cancer16.08.01.001; 20.03.04.0010.000168%Not Available
Bladder fibrosis20.03.01.003--Not Available
Blood creatinine increased13.13.01.004--
Body temperature increased13.15.01.001--Not Available
Burning sensation17.02.06.001; 08.01.09.029--Not Available
Cardiac failure02.05.01.0010.000224%
Cardiac failure congestive02.05.01.002--Not Available
Cataract06.06.01.0010.000112%
Cellulitis23.11.02.004; 11.02.01.001--Not Available
Choroidal detachment12.01.04.006; 06.09.01.0030.000168%Not Available
Chronic myeloid leukaemia16.01.07.001; 01.10.07.0010.000112%Not Available
Colitis07.08.01.0010.000112%
Confusional state19.13.01.001; 17.02.03.005--
Corneal deposits06.06.03.0020.000112%Not Available
Corneal oedema06.04.02.0010.000224%Not Available
Cough22.02.03.001--
Death08.04.01.001--
Dermatitis23.03.04.0020.000336%Not Available
Diabetes mellitus05.06.01.001; 14.06.01.0010.000112%Not Available
Diarrhoea07.02.01.001--
Discomfort08.01.08.003--Not Available
Dizziness02.11.04.006; 24.06.02.007; 17.02.05.003--
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ADReCS-Target
Drug Name ADR Term Target
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