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 toxicityGlutathione peroxidase 3P23764Not Available11154863
Skin toxicityPeroxiredoxin-5, mitochondrialP30044T7700911154863; 9726807; 12566827; 11594740; 11330521; 14535831; 12718433; 12751907; 9726810; 11529555
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Facial paralysis17.04.03.0080.000533%Not Available
Failure to thrive19.07.05.001; 18.04.01.003; 14.03.02.0080.000139%Not Available
Fatigue08.01.01.0020.022911%
Febrile neutropenia08.05.02.004; 01.02.03.0020.023178%
Feeling abnormal08.01.09.014--Not Available
Feeling hot08.01.09.0090.000799%Not Available
Flank pain15.03.04.003; 08.01.08.007; 20.02.03.0060.000799%
Flatulence07.01.04.002--
Fluid retention20.01.02.003; 14.05.06.002--Not Available
Flushing24.03.01.002; 23.06.05.003; 08.01.03.0250.003730%
Folliculitis23.09.04.007; 11.01.12.0180.001066%
Fungal infection11.03.05.001--Not Available
Fungal skin infection23.09.02.001; 11.03.05.002--Not Available
Furuncle23.09.01.004; 11.02.05.008--Not Available
Gait disturbance17.02.05.016; 08.01.02.002--
Gamma-glutamyltransferase increased13.03.01.0110.001332%
Gastric ulcer07.04.03.0020.001066%
Gastritis07.08.02.0010.001598%
Gastritis erosive07.04.03.0030.000533%Not Available
Gastrooesophageal reflux disease07.02.02.003--
Gastrointestinal disorder07.11.01.001--Not Available
Gastrointestinal haemorrhage24.07.02.009; 07.12.02.001--Not Available
Gastrointestinal pain07.01.05.005--
Generalised oedema14.05.06.007; 08.01.07.0040.000533%
Gingival bleeding07.09.07.001; 24.07.02.0100.000533%Not Available
Gingivitis11.01.04.013; 07.09.03.003--
Glossitis07.14.01.001--Not Available
Glycosuria20.02.01.005--
Granulocytopenia01.02.03.0030.000533%Not Available
Haematemesis07.12.02.002; 24.07.02.0110.001066%Not Available
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