Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Siponimod
Drug ID BADD_D02511
Description Siponimod, also known as _Mayzent_, by Novartis, is a new drug formulated for the management of Multiple Sclerosis (MS). It was approved by the FDA on March 26, 2019 [L5792] and by Health Canada on February 20, 2020.[L12171] This drug is considered a _sphingosine-1-phosphate (S1P) receptor modulator_ and is thought to play a role in suppressing the central nervous system inflammation that is associated with MS [FDA label]. Multiple Sclerosis (MS) is an autoimmune disease of the central nervous system that is chronic and inflammatory, disrupting communication between the brain and other parts of the body. Most patients diagnosed with this illness experience their initial disease symptoms between the age of 20 to 40, often the most productive years of life. Symptoms may include but are not limited to fatigue, gait changes, bowel or bladder dysfunction, abnormal muscle twitching, vision disturbance, and depressing or mood swings.[L5801] MS is one of the most common causes of neurological disability in young adults and is found to occur more frequently in women than in men.[A176474,L5792]
Indications and Usage This drug is indicated for the treatment of relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease in adults [FDA label].
Marketing Status approved; investigational
ATC Code L04AA42
DrugBank ID DB12371
KEGG ID D11460
MeSH ID C578989
PubChem ID 44599207
TTD Drug ID D07FKQ
NDC Product Code 0078-0986; 0078-0979; 0078-1014
UNII RR6P8L282I
Synonyms siponimod | 1-(4-(1-((E)-4-cyclohexyl-3-trifluoromethylbenzyloxyimino)-ethyl)-2-ethylbenzyl)-azetidine-3-carboxylic acid | Mayzent | BAF312 | BAF-312
Chemical Information
Molecular Formula C29H35F3N2O3
CAS Registry Number 1230487-00-9
SMILES CCC1=C(C=CC(=C1)C(=NOCC2=CC(=C(C=C2)C3CCCCC3)C(F)(F)F)C)CN4CC(C4)C(=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)
Hypokinesia17.01.02.0090.000772%Not Available
Hypotension24.06.03.002--
Immune system disorder10.02.01.0010.000651%Not Available
Impaired healing08.03.02.0010.001061%Not Available
Incoherent19.10.03.006; 17.02.08.0020.000723%Not Available
Increased appetite14.03.01.003; 08.01.09.0270.000530%Not Available
Influenza like illness08.01.03.0100.001640%
Insomnia19.02.01.002; 17.15.03.002--
Joint stiffness15.01.02.003--Not Available
Joint swelling15.01.02.0040.004991%Not Available
Lethargy19.04.04.004; 17.02.04.003; 08.01.01.008--
Leukopenia01.02.02.0010.003255%Not Available
Liver disorder09.01.08.0010.001013%Not Available
Loss of consciousness17.02.04.004--Not Available
Lymphoedema24.09.01.001; 01.09.01.0060.000241%
Lymphopenia01.02.02.0020.011670%Not Available
Macular oedema06.04.06.0050.001326%Not Available
Malaise08.01.01.0030.011839%
Malignant melanoma23.08.01.001; 16.03.01.0010.000241%Not Available
Melanocytic naevus23.10.01.007; 16.26.01.0070.000651%Not Available
Memory impairment19.20.01.003; 17.03.02.0030.006293%
Menstrual disorder21.01.01.0040.000530%Not Available
Micturition urgency20.02.02.0060.000241%
Migraine24.03.05.003; 17.14.02.0010.003520%Not Available
Movement disorder17.01.02.0100.002122%Not Available
Multiple sclerosis17.16.01.001; 10.04.10.0080.007764%Not Available
Muscle spasms15.05.03.004--
Muscle spasticity17.05.03.007; 15.05.04.0110.001784%
Muscle twitching15.05.03.0050.000820%Not Available
Muscular weakness15.05.06.001; 17.05.03.0050.006606%
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