Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Etravirine
Drug ID BADD_D00857
Description Etravirine is an antiretroviral agent more specifically classified as a Non-Nucleoside Reverse Transcriptase Inhibitor(NNRTI). Etraverine is used clinically for the treatment of human immunodeficiency virus type 1 (HIV-1) infection. On January 18, 2007, the FDA granted accelerated approved for the use of etravirine 100mg tablets in the treatment of adult HIV-1 infection documented to be resistant to therapy with other NNRTIs and antiretroviral agents. On March 26, 2012, approval was extended for use in treatment-experienced pediatric patients 6 to 18 years of age, weighing at least 16 kg. Etravarine must always be used in combination with other antiretroviral drugs. Etravirine exerts its effects via direct inhibition of the reverse transcriptase enzyme of human immunodeficiency virus type 1 (HIV-1), and consequently blocks DNA-dependent and RNA-dependent polymerase activity. Etravirine does not inhibit human DNA polymerase alpha, beta or gamma. Common side effects of use include mild to moderate rash within the first 6 weeks of therapy, nausea, diarrhea and peripheral neuropathy. Patients are advised to immediately contact their healthcare provider if a rash develops. In 2009, postmarketing case reports of Stevens-Johnson Syndrome, toxic epidermal necrolysis, erythema multiforme, and other hypersensitivity reactions lead to a revision of etravirine's "Warnings and Precautions," as well as notification of health care providers. In 2013, reports of Autoimmune disorders (such as Graves’ disease, polymyositis, and Guillain-Barré syndrome) in the setting of immune reconstitution, as well as more in depth information about the development of rashes in patients taking etravirine, lead to a modification of etravirine's monograph.
Indications and Usage Indicated as an adjunct therapy in the treatment of adult HIV-1 infections resistant to therapy with other NNRTIs and antiretroviral agents.
Marketing Status Prescription
ATC Code J05AG04
DrugBank ID DB06414
KEGG ID D04112
MeSH ID C451734
PubChem ID 193962
TTD Drug ID D0BP9C
NDC Product Code 69766-001; 52493-200; 65015-856; 60219-1720; 60219-1722; 69238-1720; 60219-1721; 68554-0056; 59676-572; 59676-570; 69238-1722; 69238-1721; 59676-571
Synonyms etravirine | benzonitrile, 4-((6-amino-5-bromo-2-((4-cyanophenyl)amino)-4-pyrimidinyl)oxy)-3,5-dimethyl- | 4-((6-amino-5-bromo-2-((4-cyanophenyl)amino)-4-pyrimidinyl)oxy)-3,5-dimethyl-benzonitrile | Intelence | R165335 | TMC 125 | TMC125 cpd | TMC-125
Chemical Information
Molecular Formula C20H15BrN6O
CAS Registry Number 269055-15-4
SMILES CC1=CC(=CC(=C1OC2=NC(=NC(=C2Br)N)NC3=CC=C(C=C3)C#N)C)C#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)
Autoimmune disorder10.04.04.003--
Hepatobiliary disease09.01.08.003--Not Available
Hyperlipidaemia14.08.03.001--
Lipohypertrophy23.07.01.005; 14.08.04.009--
Immune reconstitution inflammatory syndrome10.02.01.043; 08.06.02.014--Not Available
Treatment failure08.06.01.0170.058767%Not Available
Oral disorder07.05.01.005--Not Available
Oropharyngeal pain22.02.05.022; 07.05.05.0040.090110%
Acute kidney injury20.01.03.016--
Pneumocystis jirovecii pneumonia22.07.08.009; 11.03.07.0050.023507%Not Available
Maternal drugs affecting foetus18.03.03.009; 12.03.03.0060.135164%Not Available
Brain malformation17.19.01.008; 03.10.02.0080.135164%Not Available
Viral load increased13.08.03.0350.090110%Not Available
Virologic failure11.01.08.062; 08.06.01.0340.270329%Not Available
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