Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Dalbavancin
Drug ID BADD_D00572
Description Dalbavancin is a second-generation lipoglycopeptide antibiotic that was designed to improve on the natural glycopeptides currently available, such as vancomycin and teicoplanin [A4072, A4073]. Modifications from these older glycoprotein classes facilitated a similar mechanism of action for dalbavancin but with increased activity and once-weekly dosing [FDA Label, F2356, A4072, A4073]. Its use is indicated for the treatment of acute bacterial skin and skin structure infections (ABSSSI) caused by the following gram-positive microorganisms: Staphylococcus aureus (including methicillin-susceptible and methicillin-resistant strains), S. pyogenes, S. agalactiae, S. dysgalactiae, the S. anginosus group (including S. anginosus, S. intermedius, and S. constellatus), and Enterococcus faecalis (vancomycin susceptible strains) [FDA Label, F2356]. Dalbavancin acts by interfering with bacterial cell wall synthesis by binding to the D-alanyl-D-alanine terminus of nascent cell wall peptidoglycan and preventing cross-linking [FDA Label, F2356, A4072, A4073].
Indications and Usage Dalbavancin is indicated for the treatment of acute bacterial skin and skin structure infections (ABSSSI) caused by the following gram-positive microorganisms: Staphylococcus aureus (including methicillin-susceptible and methicillin-resistant strains), S. pyogenes, S. agalactiae, and S. anginosus group (including S. anginosus, S. intermedius, and S. constellatus). It is administered as a 30 minute IV infusion in a two-dose regimen of 1000 mg followed by 500 mg one week later.
Marketing Status Prescription
ATC Code J01XA04
DrugBank ID DB06219
KEGG ID D03640
MeSH ID C469289
PubChem ID 16134627
TTD Drug ID D07QAR
NDC Product Code 57970-100; 82297-102
Synonyms dalbavancin | Zeven | BI-397 | BI397 | BI 397 | MDL 64,397 | MDL-64397 | Dalvance | A-A-1 antibiotic | Xydalba | VER-001 | VER001
Chemical Information
Molecular Formula C88H100Cl2N10O28
CAS Registry Number 171500-79-1
SMILES CC(C)CCCCCCCCC(=O)NC1C(C(C(OC1OC2=C3C=C4C=C2OC5=C(C=C(C=C5)C(C6C(=O)NC(C7=C(C(=C C(=C7)O)OC8C(C(C(C(O8)CO)O)O)O)C9=C(C=CC(=C9)C(C(=O)N6)NC(=O)C4NC(=O)C1C2=C(C(=C C(=C2)OC2=C(C=CC(=C2)C(C(=O)NC(CC2=CC=C(O3)C=C2)C(=O)N1)NC)O)O)Cl)O)C(=O)NCCCN(C )C)O)Cl)C(=O)O)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)
Abdominal pain07.01.05.002--
Anaemia01.03.02.001--
Anaphylactic reaction24.06.03.006; 10.01.07.0010.000319%
Anaphylactic shock24.06.02.004; 10.01.07.002--Not Available
Anaphylactoid reaction24.06.03.007; 10.01.07.003--Not Available
Arthralgia15.01.02.0010.000319%
Back pain15.03.04.0050.001065%
Bronchospasm22.03.01.004; 10.01.03.012--
Chest discomfort22.02.08.001; 08.01.08.019; 02.02.02.0090.000532%Not Available
Chest pain22.02.08.003; 08.01.08.002; 02.02.02.0110.000426%Not Available
Chills15.05.03.016; 08.01.09.0010.000532%
Clostridium difficile colitis07.19.01.004; 11.02.02.004--Not Available
Dermatitis23.03.04.002--Not Available
Diarrhoea07.02.01.001--
Dizziness24.06.02.007; 17.02.05.003; 02.01.02.004--
Drug hypersensitivity10.01.01.0010.000319%Not Available
Dyspnoea22.02.01.004; 02.01.03.0020.000958%
Eosinophilia01.02.04.001--
Erythema23.03.06.0010.000639%Not Available
Extravasation08.01.03.0080.000213%Not Available
Eye swelling06.08.03.0030.000213%Not Available
Flank pain08.01.08.007; 20.02.03.006; 15.03.04.0030.000213%
Flushing08.01.03.025; 24.03.01.002; 23.06.05.0030.000213%
Gait disturbance17.02.05.016; 08.01.02.0020.000213%
Gastrointestinal disorder07.11.01.001--Not Available
Gastrointestinal haemorrhage24.07.02.009; 07.12.02.001--Not Available
Gastrointestinal pain07.01.05.005--
Haematochezia24.07.02.012; 07.12.02.003--Not Available
Headache17.14.01.001--
Hepatitis viral11.05.04.011; 09.01.09.007--
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