Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Ofatumumab
Drug ID BADD_D01596
Description Ofatumumab is a novel anti-CD20 monoclonal antibody that targets B-cells. It is an IgG1κ human monoclonal antibody produced from a recombinant murine cell line (NS0) via transgenic mouse and hybridoma technology.[L12612] Ofatumumab works by recognizing antigens that are expressed on the tumour cells in certain cancers; however, the antigen is not tumour-specific and can also be found in normal B-cells.[A6921] Ofatumumab was first approved by the FDA in 2009.[L12771] It is used in the treatment of recurrent, progressive, or recurrent chronic lymphocytic leukemia (CLL) or CLL in treatment-naive patients in whom fludarabine-based therapy is considered inappropriate. Ofatumumab is used as monotherapy or in combination with other medications, depending on the patient profile and previous treatment history.[L12612] Although it has a similar molecular mechanism of action as [rituximab], another CD-20 monoclonal antibody used in the treatment of rheumatoid arthritis and B-cell non-Hodgkin's lymphoma, ofatumumab has a higher affinity towards CD20.[A6921] Ofatumumab is available for intravenous administration and is marketed as Arzerra. In Phase III clinical trials consisting of subjects with relapsing forms of multiple sclerosis (RMS), subcutaneous administration of ofatumumab reduced the number of relapses and delayed disease progression. In February 2020, FDA and EMA approved Supplemental Biologics License Application (sBLA) and Marketing Authorization Application (MAA), respectively, for ofatumumab for the treatment of RMS in adults.[L12753] The FDA subsequently approved ofatumumab for the treatment of RMS on August 20, 2020.[L15581] The potential therapeutic use of ofatumumab in various lymphomas and rheumatoid arthritis has also been investigated.[A193053]
Indications and Usage Ofatumumab is indicated, in combination with [chlorambucil], for the treatment of previously untreated patients with chronic lymphocytic leukemia (CLL) for whom fludarabine-based therapy is considered inappropriate.[L12612] In patients with recurrent or progressive CLL, ofatumumab is indicated for extended treatment of patients who are in complete or partial response after at least two lines of therapy for recurrent or progressive CLL.[L12612] Ofatumumab is indicated for the treatment of patients with CLL refractory to [fludarabine] and [alemtuzumab].[L12612] Ofatumumab is also indicated for the treatment of adult patients with relapsing forms of multiple sclerosis, including active secondary progressive disease, clinically isolated syndrome, and relapsing-remitting disease.[L15581]
Marketing Status approved
ATC Code L01FA02; L04AA52
DrugBank ID DB06650
KEGG ID D09314
MeSH ID C527517
PubChem ID Not Available
TTD Drug ID D0Y8ZN
NDC Product Code 0078-0690; 67643-0016; 0078-1007; 0078-0669
UNII M95KG522R0
Synonyms ofatumumab | kesimpta | HUMAX-CD20 2F2 | HUMAX-CD20-2F2 | HUMAX-CD20, 2F2 | GSKI841157 | GSK-1841157 | arzerra
Chemical Information
Molecular Formula Not Available
CAS Registry Number 679818-59-8
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)
Abdominal pain upper07.01.05.003--
Agranulocytosis01.02.03.001--Not Available
Anaemia01.03.02.001--
Anaphylactic shock10.01.07.002; 24.06.02.004--Not Available
Anaphylactoid reaction24.06.03.007; 10.01.07.003--Not Available
Aplasia08.03.04.003; 03.02.01.002--Not Available
Arthralgia15.01.02.001--
Asthenia08.01.01.001--Not Available
Back pain15.03.04.005--
Bacteraemia11.01.11.001--
Body temperature increased13.15.01.001--Not Available
Bronchitis22.07.01.001; 11.01.09.001--
Bronchospasm22.03.01.004; 10.01.03.012--
Cardiac arrest02.03.04.001--
Chest discomfort22.12.02.002; 08.01.08.019; 02.02.02.009--Not Available
Chest pain22.12.02.003; 08.01.08.002; 02.02.02.011--Not Available
Chills15.05.03.016; 08.01.09.001--
Coagulopathy01.01.02.001--Not Available
Cough22.02.03.001--
Death08.04.01.001--
Dermatitis23.03.04.002--Not Available
Diarrhoea07.02.01.001--
Dyspnoea22.02.01.004; 02.11.05.003--
Erythema multiforme23.03.01.003; 10.01.03.015--
Fatigue08.01.01.002--
Febrile neutropenia08.05.02.004; 01.02.03.002--
Flushing23.06.05.003; 08.01.03.025; 24.03.01.002--
Fungal infection11.03.05.001--Not Available
Gastrointestinal disorder07.11.01.001--Not Available
Genital herpes21.10.03.008; 11.05.02.012--Not Available
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