Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Cangrelor
Drug ID BADD_D00348
Description Cangrelor is an intravenous, direct-acting, reversible P2Y12 inhibitor for patients undergoing percutaneous coronary intervention (PCI) who have not been yet treated by oral P2Y12 inhibitors. An advantage Cangrelor provides over oral P2Y12 inhibitors (such as prasugrel, ticagrelor, and clopidogrel) is that it is an active drug not requiring metabolic conversion therefore providing a rapid onset and offset of action. Cangrelor was approved by the FDA in June 2015 for intravenous application.
Indications and Usage For use as an adjunct to percutaneous coronary intervention (PCI) for reducing the risk of periprocedural myocardial infarction (MI), repeat coronary revascularization, and stent thrombosis (ST) in patients in who have not been treated with a P2Y12 platelet inhibitor and are not being given a glycoprotein IIb/IIIa inhibitor.
Marketing Status approved
ATC Code B01AC25
DrugBank ID DB06441
KEGG ID D03359
MeSH ID C117446
PubChem ID 9854012
TTD Drug ID D09QBG
NDC Product Code 73301-003; 68225-062; 50137-3312; 10122-620
UNII 6AQ1Y404U7
Synonyms cangrelor | N(6)-(2-methylthioethyl)-2-(3,3,3-trifluoropropylthio)-5'-adenylic acid monoanhydride with dichloromethylenebis(phosphonic acid) | cangrelor tetrasodium | AR C69931MX | AR-C69931MX | Kengreal
Chemical Information
Molecular Formula C17H25Cl2F3N5O12P3S2
CAS Registry Number 163706-06-7
SMILES CSCCNC1=C2C(=NC(=N1)SCCC(F)(F)F)N(C=N2)C3C(C(C(O3)COP(=O)(O)OP(=O)(C(P(=O)(O)O)( Cl)Cl)O)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)
Anaphylactic reaction24.06.03.006; 10.01.07.001--
Anaphylactic shock24.06.02.004; 10.01.07.002--Not Available
Angioedema22.04.02.008; 23.04.01.001; 10.01.05.009--Not Available
Bradycardia02.03.02.0020.000123%Not Available
Bronchospasm22.03.01.004; 10.01.03.012--
Cardiac arrest02.03.04.0010.000164%
Cardio-respiratory arrest22.02.06.007; 02.03.04.0020.000082%Not Available
Cardiogenic shock24.06.02.006; 02.05.01.0030.000123%Not Available
Cerebral haemorrhage24.07.04.001; 17.08.01.0030.000123%Not Available
Chest pain02.02.02.011; 22.12.02.003; 08.01.08.0020.000181%Not Available
Death08.04.01.0010.000370%
Dyspnoea02.11.05.003; 22.02.01.0040.000164%
Gastric haemorrhage24.07.02.007; 07.12.01.0010.000082%
Gastrointestinal haemorrhage07.12.02.001; 24.07.02.0090.000082%Not Available
Haematoma24.07.01.0010.000222%
Haemorrhage intracranial24.07.04.003; 17.08.01.0080.000123%
Hypersensitivity10.01.03.003--
Hypotension24.06.03.0020.000247%
Mouth haemorrhage24.07.02.014; 07.05.02.0010.000082%
Myocardial infarction24.04.04.009; 02.02.02.0070.000082%
Pulmonary haemorrhage22.12.01.009; 24.07.01.0160.000082%
Pulmonary oedema02.05.02.003; 22.01.03.0030.000082%
Renal failure20.01.03.0050.000082%Not Available
Shock24.06.02.0020.000082%Not Available
Stridor22.04.02.003--
Ventricular fibrillation02.03.04.0080.000123%
Ventricular tachycardia02.03.04.0100.000082%
Catheter site haemorrhage24.07.01.003; 12.07.02.002; 08.02.02.0020.000082%Not Available
Haemorrhage24.07.01.0020.000329%Not Available
Renal impairment20.01.03.010--Not Available
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