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)
Mental status changes19.07.01.001--Not Available
Hypoacusis04.02.01.006--
Contusion15.03.01.008; 12.01.06.001; 24.07.06.001; 23.03.11.002--
Musculoskeletal chest pain22.09.01.001; 15.03.04.012--
Staphylococcal bacteraemia11.02.05.001--Not Available
Systemic inflammatory response syndrome24.06.03.008; 08.01.05.005; 10.02.01.008--Not Available
Generalised erythema23.03.06.008--Not Available
Lymphatic disorder01.09.01.003--Not Available
Musculoskeletal discomfort15.03.04.001--Not Available
Escherichia bacteraemia11.02.10.001--Not Available
Transaminases increased13.03.01.0150.000533%Not Available
Haemorrhage24.07.01.002--Not Available
Staphylococcal sepsis11.02.05.003--Not Available
Staphylococcal infection11.02.05.002--Not Available
Clostridium colitis11.02.02.005; 07.19.01.011--Not Available
Fungal sepsis11.03.05.015--Not Available
Venous occlusion24.04.02.009--Not Available
Angiopathy24.03.02.007--Not Available
Skin toxicity23.03.03.032; 12.03.01.0200.001066%Not Available
Hot flush24.03.01.005; 21.02.02.001; 08.01.03.0270.000533%
Bacterial infection11.02.01.0050.000799%Not Available
Cardiac disorder02.01.01.003--Not Available
Connective tissue disorder15.06.01.006--Not Available
Infestation23.09.05.001; 11.09.01.001--Not Available
Malnutrition14.03.02.004--Not Available
Mediastinal disorder22.09.03.001--Not Available
Mental disorder19.07.01.002--Not Available
Pneumonia fungal22.07.08.002; 11.03.05.008--Not Available
Decreased appetite14.03.01.005; 08.01.09.028--
Inner ear disorder04.04.02.002--Not Available
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