Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Clofarabine
Drug ID BADD_D00495
Description Clofarabine is a purine nucleoside antimetabolite that is being studied in the treatment of cancer. It is marketed as Clolar in the U.S. and Canada, or Evoltra in Europe, Australia, and New Zealand. Clofarabine is used in paediatrics to treat a type of leukaemia called relapsed or refractory acute lymphoblastic leukaemia (ALL), only after at least two other types of treatment have failed. It is not known if the drug extends life expectancy. Its potential use in acute myeloid leukaemia (AML) and juvenile myelomonocytic leukaemia (JMML) has been investigated.
Indications and Usage For the treatment of pediatric patients 1 to 21 years old with relapsed or refractory acute lymphocytic (lymphoblastic) leukemia after at least two prior regimens. It is designated as an orphan drug by the FDA for this use.
Marketing Status Prescription
ATC Code L01BB06
DrugBank ID DB00631
KEGG ID D03546
MeSH ID D000077866
PubChem ID 119182
TTD Drug ID D0R5RR
NDC Product Code 62756-030; 72266-108; 67457-546; 42973-173; 46708-933; 76055-0016; 63323-572; 17337-0310; 0024-5860; 49315-003; 68083-386; 70121-1236; 0955-1746; 63759-0024; 60505-6166; 43598-309; 65129-1278; 54893-0028; 71288-128
Synonyms Clofarabine | 2-Chloro-9-(2-deoxy-2-fluoroarabinofuranosyl)adenine | Cl-F-ara-A | 2-Chloro-9-(2-deoxy-2-fluoro-beta-D-arbinofuranosyl)adenine | 2-Chloro-2'-arabino-fluoro-2'-deoxyadenosine | 2 Chloro 2' arabino fluoro 2' deoxyadenosine | 2-Chloro-2'-fluoroarabino-2'-deoxyadenosine | 2 Chloro 2' fluoroarabino 2' deoxyadenosine | 9H-Purin-6-amine, 2-chloro-9-(2-deoxy-2-fluoro-beta-D-arabinofuranosyl)- | Clolar | Evoltra | Clofarex
Chemical Information
Molecular Formula C10H11ClFN5O3
CAS Registry Number 123318-82-1
SMILES C1=NC2=C(N=C(N=C2N1C3C(C(C(O3)CO)O)F)Cl)N
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)
Myalgia15.05.02.001--
Nausea07.01.07.001--
Necrosis08.03.03.001; 24.04.02.006--Not Available
Neoplasm16.16.02.001--Not Available
Nephropathy toxic20.05.03.002; 12.03.01.010--Not Available
Nervous system disorder17.02.10.001--Not Available
Neuropathy peripheral17.09.03.003--Not Available
Neutropenia01.02.03.0040.001332%Not Available
Oedema14.05.06.010; 08.01.07.006--Not Available
Oedema peripheral14.05.06.011; 08.01.07.007; 02.05.04.007--
Oral candidiasis07.05.07.001; 11.03.03.004--Not Available
Pain08.01.08.004--
Pain in extremity15.03.04.010--
Palmar-plantar erythrodysaesthesia syndrome23.07.04.001; 17.02.07.0090.001332%
Pancreatitis07.18.01.001--
Pancytopenia01.03.03.0030.000799%Not Available
Paraesthesia17.02.06.0050.000533%
Pericardial effusion02.06.01.002--
Pericarditis02.06.02.001--
Petechiae24.07.06.004; 23.06.01.003; 01.01.03.002--Not Available
Platelet count decreased13.01.04.0010.001332%
Pleural effusion22.05.02.0020.000533%
Pneumonia22.07.01.003; 11.01.09.0030.000533%Not Available
Pneumonia mycoplasmal22.07.01.009; 11.10.01.003--Not Available
Proctalgia07.03.02.001--
Prurigo23.03.04.017--Not Available
Pruritus23.03.12.001--
Pulmonary oedema22.01.03.003; 02.05.02.003--
Pyrexia08.05.02.0030.001332%
Rash23.03.13.0010.000533%Not Available
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