Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Relugolix
Drug ID BADD_D02587
Description Relugolix is a gonadotropin-releasing hormone (GnRH) receptor antagonist used in the treatment of several hormone-responsive conditions. It was first approved in Japan in 2019, under the brand name Relumina, for the symptomatic treatment of uterine fibroids,[A225816] and more recently by the United States' FDA in 2020, under the brand name Orgovyx, for the treatment of advanced prostate cancer.[L27991,L27996] Relugolix has also been studied in the symptomatic treatment of endometriosis.[A225761] Relugolix is the first (and currently only) orally-administered GnRH receptor antagonist approved for the treatment of prostate cancer - similar therapies such as [degarelix] require subcutaneous administration - and therefore provides a less burdensome therapeutic option for patients who might otherwise require clinic visits for administration by healthcare professionals.[L27996] In addition to its relative ease-of-use, relugolix was shown to be superior in the depression of testosterone levels when compared to [leuprolide], another androgen deprivation therapy used in the treatment of prostate cancer.[A225926] In May 2021, the FDA approved the combination product made up of relugolix, [estradiol], and [norethindrone] under the market name Myfembree for the first once-daily treatment for the management of heavy menstrual bleeding associated with uterine fibroids in premenopausal women.[L34289]
Indications and Usage Relugolix is indicated for the treatment of adult patients with advanced prostate cancer.[L27991] In a combination product with [estradiol] and [norethindrone], relugolix is indicated for the once-daily treatment for the management of heavy menstrual bleeding associated with uterine fibroids in premenopausal women.[L34289]
Marketing Status approved; investigational
ATC Code L02BX04
DrugBank ID DB11853
KEGG ID D10888
MeSH ID C561634
PubChem ID 10348973
TTD Drug ID D0F2WP
NDC Product Code 46014-1130; 72974-120; 83137-0009; 51148-013
UNII P76B05O5V6
Synonyms relugolix | orgovyx | TAK 385 | TAK385 | TAK-385 | 1-(4-(1-(2,6-difluorobenzyl)-5-((dimethylamino)methyl)-3-(6-methoxypyridazin-3-yl)-2,4-dioxo-1,2,3,4-tetrahydrothieno(2,3-d)pyrimidin-6-yl)phenyl)-3-methoxyurea
Chemical Information
Molecular Formula C29H27F2N7O5S
CAS Registry Number 737789-87-6
SMILES CN(C)CC1=C(SC2=C1C(=O)N(C(=O)N2CC3=C(C=CC=C3F)F)C4=NN=C(C=C4)OC)C5=CC=C(C=C5)NC( =O)NOC
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 discomfort07.01.06.0010.001135%Not Available
Abdominal pain07.01.05.0020.001468%
Anaemia01.03.02.0010.000901%
Arthralgia15.01.02.0010.003904%
Atrial fibrillation02.03.03.0020.000667%
Bone pain15.02.01.0010.000734%
Chest pain08.01.08.002; 02.02.02.011; 22.12.02.0030.001135%Not Available
Colitis07.08.01.0010.000734%
Constipation07.02.02.0010.001869%
Death08.04.01.0010.007341%
Depression19.15.01.0010.001702%
Dizziness02.11.04.006; 24.06.02.007; 17.02.05.0030.004705%
Drug interaction08.06.03.0010.001301%Not Available
Dysgeusia17.02.07.003; 07.14.03.0010.001702%
Fatigue08.01.01.0020.009076%
Feeling abnormal08.01.09.0140.000734%Not Available
Gynaecomastia21.05.04.003; 05.05.02.0030.002269%
Hyperglycaemia14.06.02.002; 05.06.02.0020.000734%
Hypertension24.08.02.0010.004138%
Insomnia19.02.01.002; 17.15.03.0020.002269%
Muscle spasms15.05.03.0040.001135%
Muscular weakness17.05.03.005; 15.05.06.0010.001702%
Myalgia15.05.02.0010.000734%
Nausea07.01.07.0010.006807%
Pain in extremity15.03.04.0100.003170%
Palpitations02.11.04.0120.001301%
Pulmonary embolism22.06.02.001; 24.01.06.0010.000334%Not Available
Rash23.03.13.0010.004304%Not Available
Urinary retention20.02.02.0110.000334%
Urticaria23.04.02.001; 10.01.06.0010.002269%
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