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)
Acute kidney injury20.01.03.016--
Traumatic lung injury22.01.02.013; 12.01.03.0030.000139%Not Available
Upper-airway cough syndrome22.02.05.030--
Posterior reversible encephalopathy syndrome17.13.02.0070.001332%
Functional gastrointestinal disorder07.11.01.016--Not Available
Drug-induced liver injury12.03.01.044; 09.01.07.023--Not Available
Ophthalmic herpes simplex11.05.02.017; 06.04.05.019--Not Available
Candida infection11.03.03.021--
Aspergillus infection11.03.01.004--Not Available
Peripheral venous disease24.04.02.022--Not Available
Complication associated with device08.07.01.011--Not Available
Multiple organ dysfunction syndrome08.01.03.0570.000834%
Anal incontinence17.05.01.021; 07.01.06.0290.000533%
Abscess oral07.05.07.007; 11.01.04.0070.000533%Not Available
B-cell small lymphocytic lymphoma16.28.06.001; 01.15.06.0010.000139%Not Available
Bone cancer16.29.02.002; 15.09.03.0120.000533%Not Available
Dengue fever23.09.03.011; 11.05.23.0010.000533%Not Available
Full blood count abnormal13.01.07.0030.000533%Not Available
Full blood count decreased13.01.07.0040.001865%Not Available
Metastases to bone16.22.02.005; 15.09.03.0060.000533%Not Available
Spinal column stenosis17.10.01.011; 15.10.04.0030.000533%Not Available
Starvation14.03.02.0250.000139%Not Available
Microsporidia infection11.06.03.0020.000139%Not Available
General physical condition abnormal13.15.01.0400.000533%Not Available
Light chain analysis increased13.06.05.0120.001332%Not Available
Diffuse alveolar damage22.01.01.0190.000139%Not Available
Quality of life decreased13.18.01.0130.000533%Not Available
Acute lung injury22.01.03.0100.000278%Not Available
Spinal pain15.02.01.008; 17.10.01.020; 08.01.08.0300.000208%Not Available
Plasma cell myeloma recurrent01.14.02.006; 16.23.02.0060.002085%Not Available
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