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)
Angiopathy24.03.02.007--Not Available
Metastases to central nervous system17.02.10.013; 16.22.02.0040.001535%Not Available
Drug resistance08.06.01.0050.000384%Not Available
Hepatic enzyme increased13.03.01.0190.002942%Not Available
Hot flush24.03.01.005; 21.02.02.001; 08.01.03.0270.003677%
Breast disorder21.05.04.004--Not Available
Connective tissue disorder15.06.01.006--Not Available
Embolism24.01.01.0090.001151%
Hormone level abnormal13.10.10.0010.001471%Not Available
Infestation23.09.05.001; 11.09.01.001--Not Available
Inflammation08.01.05.0070.002206%Not Available
Malnutrition14.03.02.004--Not Available
Mental disorder19.07.01.0020.002206%Not Available
Neoplasm progression16.16.02.0050.001151%Not Available
Spinal disorder15.02.04.0230.001471%Not Available
Decreased appetite14.03.01.005; 08.01.09.028--
Disease progression08.01.03.0380.008442%
Drug intolerance08.06.01.013--Not Available
Hepatobiliary disease09.01.08.003--Not Available
Metastasis16.22.01.0010.002111%Not Available
Renal impairment20.01.03.0100.005884%Not Available
Anaphylactoid shock24.06.02.005; 10.01.07.0040.001471%Not Available
Osteonecrosis of jaw24.04.05.005; 15.02.04.0100.015445%
Vulvovaginal mycotic infection21.14.02.004; 11.03.05.004--Not Available
Bone marrow failure01.03.03.0050.001471%
Oropharyngeal discomfort22.02.05.027; 07.05.05.0080.002206%Not Available
Oropharyngeal pain07.05.05.004; 22.02.05.022--
Acute kidney injury20.01.03.016--
Upper-airway cough syndrome22.02.05.0300.002942%
Drug reaction with eosinophilia and systemic symptoms10.01.01.021; 23.03.05.005--Not Available
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