Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Doxorubicin
Drug ID BADD_D00723
Description Doxorubicin is a cytotoxic anthracycline antibiotic isolated from cultures of Streptomyces peucetius var. caesius. Doxorubicin binds to nucleic acids, presumably by specific intercalation of the planar anthracycline nucleus with the DNA double helix.
Indications and Usage Doxorubicin is used to produce regression in disseminated neoplastic conditions like acute lymphoblastic leukemia, acute myeloblastic leukemia, Wilms’ tumor, neuroblastoma, soft tissue and bone sarcomas, breast carcinoma, ovarian carcinoma, transitional cell bladder carcinoma, thyroid carcinoma, gastric carcinoma, Hodgkin’s disease, malignant lymphoma and bronchogenic carcinoma in which the small cell histologic type is the most responsive compared to other cell types. Doxorubicin is also indicated for use as a component of adjuvant therapy in women with evidence of axillary lymph node involvement following resection of primary breast cancer.
Marketing Status Prescription; Discontinued
ATC Code L01DB01
DrugBank ID DB00997
KEGG ID D03899
MeSH ID D004317
PubChem ID 31703
TTD Drug ID D07VLY
NDC Product Code 72027-002; 12543-3209; 70121-1218
Synonyms Doxorubicin | Farmiblastina | Ribodoxo | Rubex | Adriamycin | Adriblastin | Adriblastine | Adriblastina | Adriablastine | Adriablastin | Adrimedac | DOXO-cell | DOXO cell | Urokit Doxo-cell | Urokit Doxo cell | Doxolem | Doxorubicin Hexal | Doxorubicin Hydrochloride | Hydrochloride, Doxorubicin | Doxorubicin NC | Doxorubicina Ferrer Farm | Doxorubicina Funk | Doxorubicina Tedec | Doxorubicine Baxter | Doxotec | Myocet | Onkodox
Chemical Information
Molecular Formula C27H29NO11
CAS Registry Number 23214-92-8
SMILES CC1C(C(CC(O1)OC2CC(CC3=C2C(=C4C(=C3O)C(=O)C5=C(C4=O)C(=CC=C5)OC)O)(C(=O)CO)O)N)O
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
CardiotoxicityCreatine kinase B-typeP07335Not Available26036690
CardiotoxicityTroponin I, fast skeletal muscleP48788Not Available11535996; 11109196; 10076722
Cell deathCaspase-3P42574T57943Not Available
Cytogenetic investigationsDNA topoisomerase 1P11387T098261997159; 1649059; 1333822; 1540962; 1596908; 1330289; 8382551; 2168279; 2168281; 1319346; 11062742; 1374671; 1646393; 7882360; 1322239; 7688316; 1659821; 8383887; 8144400; 1698546
Electrolyte imbalanceOsteocalcinP02818Not Available8400511; 1392187; 6853131; 820624; 1169899; 231063; 6691353; 2995735
Electrolyte imbalanceParathyroid hormone/parathyroid hormone-related peptide receptorQ03431T677108400511; 1392187; 6853131; 820624; 1169899; 231063; 6691353; 2995735
Myocardial disordersCaspase-3P70677Not Available25657296
Renal tubular disorderBeta-hexosaminidase subunit alphaP06865Not Available1658168; 1940584; 1436313; 7977444; 2848972; 3123518; 2831737; 6434591; 2843051; 2118039; 2460571; 1960147; 16171782; 1324141; 8160791; 8070692; 2601299; 2176953; 10416216; 2156648
Renal tubular disorderLysozyme CP61626T105861658168; 1940584; 1436313; 7977444; 2848972; 3123518; 2831737; 6434591; 2843051; 2118039; 2460571; 1960147; 16171782; 1324141; 8160791; 8070692; 2601299; 2176953; 10416216; 2156648
Skin toxicityPeroxiredoxin-5, mitochondrialP30044T7700911154863; 9726807; 12566827; 11594740; 11330521; 14535831; 12718433; 12751907; 9726810; 11529555
Skin toxicityGlutathione peroxidase 3P23764Not Available11154863
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Abdominal discomfort07.01.06.001--Not Available
Abdominal distension07.01.04.0010.002931%
Abdominal pain07.01.05.0020.013853%
Abdominal pain lower07.01.05.010--Not Available
Abdominal pain upper07.01.05.003--
Abnormal dreams19.02.03.001; 17.15.02.001--Not Available
Abscess11.01.08.001--Not Available
Acute hepatic failure09.01.03.0010.000139%Not Available
Acute leukaemia01.10.02.001; 16.01.02.001--Not Available
Acute lymphocytic leukaemia16.01.01.001; 01.10.01.0010.000278%Not Available
Acute myeloid leukaemia16.01.05.001; 01.10.05.0010.001251%Not Available
Acute myocardial infarction24.04.04.001; 02.02.02.001--Not Available
Acute pulmonary oedema22.01.03.005; 02.05.02.0040.000533%Not Available
Acute respiratory distress syndrome22.01.03.0010.000278%
Acute respiratory failure14.01.04.004; 22.02.06.0010.000417%Not Available
Ageusia17.02.07.001; 07.14.03.003--Not Available
Agitation17.02.05.012; 19.06.02.001--
Agranulocytosis01.02.03.0010.001066%Not Available
Alanine aminotransferase increased13.03.01.0030.002131%
Albuminuria20.02.01.001--Not Available
Alopecia23.02.02.0010.015452%
Altered state of consciousness19.07.01.003; 17.02.04.001--Not Available
Alveolitis allergic22.01.01.002; 10.01.03.0080.000533%Not Available
Amblyopia06.02.01.001--Not Available
Amenorrhoea21.01.02.001; 05.05.01.0020.001598%
Anaemia01.03.02.0010.019714%
Anal fissure07.03.01.0020.000799%
Anaphylactic reaction24.06.03.006; 10.01.07.001--
Anaphylactic shock24.06.02.004; 10.01.07.0020.001865%Not Available
Anaphylactoid reaction24.06.03.007; 10.01.07.0030.000799%Not Available
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