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)
Urticaria23.04.02.001; 10.01.06.0010.000852%
Vomiting07.01.07.0030.000639%
White blood cell count increased13.01.06.0130.000213%Not Available
Peripheral swelling08.01.03.053; 02.05.04.0150.000083%Not Available
Contusion23.03.11.002; 24.07.06.001; 15.03.01.008; 12.01.06.0010.000213%
Deep vein thrombosis24.01.02.0030.000213%Not Available
Wound haemorrhage12.01.08.017; 24.07.01.029--Not Available
Haemorrhagic anaemia24.07.01.038; 01.03.02.013--Not Available
Lymphatic disorder01.09.01.003--Not Available
Pruritus generalised23.03.12.0030.000532%Not Available
Transaminases increased13.03.01.015--Not Available
Angiopathy24.03.02.007--Not Available
Blood alkaline phosphatase increased13.04.02.004--
Infestation23.09.05.001; 11.09.01.001--Not Available
Inflammation08.01.05.0070.000213%Not Available
Malnutrition14.03.02.004--Not Available
Mediastinal disorder22.09.03.001--Not Available
Blood disorder01.05.01.004--Not Available
Hepatobiliary disease09.01.08.003--Not Available
Vulvovaginal mycotic infection21.14.02.004; 11.03.05.004--Not Available
Spontaneous haematoma24.07.01.054; 01.01.03.006--Not Available
Candida infection11.03.03.021--
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