Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Bortezomib
Drug ID BADD_D00284
Description Bortezomib is a dipeptide boronic acid derivative and proteasome inhibitor used to treat multiple myeloma and mantle cell lymphoma.[A204083] The 26S proteasome is a protein complex that degrades ubiquitinated proteins in the ubiquitin-proteasome pathway: reversible inhibition of the 26S proteasome, leading to cell cycle arrest and apoptosis of cancer cells, is thought to be the main mechanism of action of bortezomib.[L14180] However, multiple mechanisms may be involved in the anticancer activity of bortezomib.[A204083] Bortezomib was first synthesized in 1995.[A204083] In May 2003, bortezomib became the first anticancer proteasome inhibitor that was approved by the FDA under the trade name VELCADE.[A204146] Phase I, II, III, and IV clinical trials are undergoing to investigate the therapeutic efficacy of bortezomib in leukemia, myasthenia gravis, systemic lupus erythematosus, rheumatoid arthritis, and solid tumours.[A214307]
Indications and Usage For treatment of multiple myeloma in patients who have not been successfully treated with at least two previous therapies.
Marketing Status Prescription
ATC Code L01XG01
DrugBank ID DB00188
KEGG ID D03150
MeSH ID D000069286
PubChem ID 387447
TTD Drug ID D0SH3I
NDC Product Code 67184-0026; 62207-972; 54893-0011; 65129-1264; 63759-0006; 63020-049; 70225-1102; 42973-140; 78848-009; 68554-0051; 54245-7004; 14096-140; 27629-267; 12502-5268; 48957-0018; 55111-922; 62756-982; 63323-721; 62158-0011; 76055-0027; 47848-031; 66529-0006
Synonyms Bortezomib | LDP-341 | LDP 341 | LDP341 | PS 341 | 341, PS | PS-341 | PS341 | Velcade
Chemical Information
Molecular Formula C19H25BN4O4
CAS Registry Number 179324-69-7
SMILES B(C(CC(C)C)NC(=O)C(CC1=CC=CC=C1)NC(=O)C2=NC=CN=C2)(O)O
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
Not AvailableNot AvailableNot AvailableNot AvailableNot Available
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Interstitial lung disease22.01.02.003; 10.02.01.0330.002931%Not Available
Intestinal obstruction07.13.01.0020.002398%Not Available
Irritability19.04.02.013; 08.01.03.011--
Irritable bowel syndrome07.02.04.003; 19.24.01.003--Not Available
Joint effusion15.01.02.005--
Joint stiffness15.01.02.003--Not Available
Joint swelling15.01.02.004--Not Available
Laboratory test abnormal13.18.01.0010.003996%Not Available
Laceration23.03.11.004; 12.01.06.006--Not Available
Lacrimation increased06.08.02.004--
Large intestine perforation07.04.06.005; 12.02.03.005--
Laryngeal oedema23.04.01.005; 22.04.02.001; 10.01.05.003--
Lethargy19.04.04.004; 17.02.04.003; 08.01.01.008--
Leukaemia01.10.03.001; 16.01.03.001--
Leukocytosis01.02.01.002--
Leukoencephalopathy17.13.02.0030.001066%
Leukopenia01.02.02.0010.003463%Not Available
Libido decreased21.03.02.005; 19.08.03.001--
Lip pain07.05.03.007--
Lip swelling10.01.05.005; 07.05.04.005; 23.04.01.007--Not Available
Listeriosis11.02.11.001--Not Available
Livedo reticularis24.03.04.003; 23.06.05.001--Not Available
Liver disorder09.01.08.001--Not Available
Liver function test abnormal13.03.01.0130.001865%Not Available
Local reaction08.01.03.012--Not Available
Local swelling08.01.03.0130.000799%Not Available
Loss of consciousness17.02.04.004--Not Available
Lower respiratory tract infection22.07.01.002; 11.01.09.0020.000347%Not Available
Lung consolidation22.01.02.0100.000533%Not Available
Lung disorder22.02.07.0010.004263%Not Available
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