Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Fulvestrant
Drug ID BADD_D00978
Description Fulvestrant is a drug treatment of hormone receptor (HR)-positive metastatic breast cancer in post-menopausal women with disease progression following anti-estrogen therapy. It is an estrogen receptor antagonist with no agonist effects, which works both by down-regulating and by degrading the estrogen receptor. While it is used as monotherapy for the treatment of breast cancers, it is also used in combination with [alpelisib] for the treatment of HR-positive, human epidermal growth factor receptor 2 (HER2)-negative, PIK3CA-mutated, advanced or metastatic breast cancer
Indications and Usage For the treatment of hormone receptor positive metastatic breast cancer in postmenopausal women with disease progression following anti-estrogen therapy.
Marketing Status Prescription
ATC Code L02BA03
DrugBank ID DB00947
KEGG ID D01161
MeSH ID D000077267
PubChem ID 104741
TTD Drug ID D0JO7Y
NDC Product Code 64918-1402; 16714-118; 68001-522; 16729-436; 16714-070; 68001-484; 0310-7720; 70860-211; 71731-6121; 70121-1463; 43598-262; 70710-1688; 66529-0014; 68462-317; 70771-1626; 0591-5019; 72603-105; 50923-0416; 0143-9022; 70534-002; 0781-3492; 67457-311; 63323-715; 25021-462; 53183-9305; 68001-424; 65129-2149; 46439-8769; 59057-003; 61662-0011; 0781-3079; 0310-0720; 71288-555; 69910-0001; 68001-510; 70700-284; 58175-0600
Synonyms Fulvestrant | 7-(9-(4,4,5,5,5-pentafluoropentylsulfinyl)nonyl)estra-1,3,5(10)-triene-3,17-diol | Faslodex | ICI 182780 | ICI 182,780 | ICI-182780 | ICI182780 | ZM 182780 | ZM-182780 | ZM182780
Chemical Information
Molecular Formula C32H47F5O3S
CAS Registry Number 129453-61-8
SMILES CC12CCC3C(C1CCC2O)C(CC4=C3C=CC(=C4)O)CCCCCCCCCS(=O)CCCC(C(F)(F)F)(F)F
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)
Lacrimation increased06.08.02.0040.001471%
Laryngospasm22.04.02.0020.003677%
Lethargy17.02.04.003; 08.01.01.008; 19.04.04.004--
Leukopenia01.02.02.001--Not Available
Liver disorder09.01.08.0010.001471%Not Available
Liver function test abnormal13.03.01.0130.002206%Not Available
Local swelling08.01.03.0130.001471%Not Available
Loss of consciousness17.02.04.0040.005148%Not Available
Lung disorder22.02.07.0010.002206%Not Available
Lymphoedema24.09.01.001; 01.09.01.0060.001471%
Malaise08.01.01.003--
Mass08.03.05.0030.001471%Not Available
Mean cell volume increased13.01.05.0220.004413%Not Available
Menopausal symptoms21.02.02.002--Not Available
Metastases to liver09.04.02.004; 16.22.02.0010.004797%Not Available
Metastases to lung22.08.01.005; 16.22.02.0020.001343%Not Available
Metastases to spine15.09.03.007; 16.22.02.0070.002206%Not Available
Mucosal inflammation08.01.06.0020.001471%Not Available
Muscular weakness17.05.03.005; 15.05.06.0010.008090%
Musculoskeletal pain15.03.04.0070.002206%
Myalgia15.05.02.001--
Nasopharyngitis22.07.03.002; 11.01.13.002--Not Available
Nausea07.01.07.001--
Neck pain15.03.04.0090.002206%
Neoplasm malignant16.16.01.0010.000767%Not Available
Nerve compression17.09.02.002; 12.01.12.0010.001471%Not Available
Nervous system disorder17.02.10.0010.001471%Not Available
Neuralgia17.02.07.0050.002942%
Neuropathy peripheral17.09.03.0030.007355%Not Available
Neutropenia01.02.03.0040.006619%Not Available
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