Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Lenalidomide
Drug ID BADD_D01253
Description Lenalidomide (previously referred to as CC-5013) is an immunomodulatory drug with potent antineoplastic, anti-angiogenic, and anti-inflammatory properties.[A228553] It is a 4-amino-glutamyl analogue of [thalidomide] [A228543] and like thalidomide, lenalidomide exists as a racemic mixture of the active S(-) and R(+) forms.[A228708] However, lenalidomide is much safer and potent than thalidomide, with fewer adverse effects and toxicities.[A714, A228543] Thalidomide and its analogues, including lenalidomide, are referred to as immunomodulatory imide drugs (also known as cereblon modulators), which are a class of immunomodulatory drugs that contain an imide group. Lenalidomide works through various mechanisms of actions that promote malignant cell death and enhance host immunity.[A228708] Available as oral capsules, lenalidomide is approved by the FDA and EU for the treatment of multiple myeloma, myelodysplastic syndromes, mantle cell lymphoma, follicular lymphoma, and marginal zone lymphoma in selected patients.[L16028] Lenalidomide is available only under a special restricted distribution program.[A228708]
Indications and Usage Lenalidomide is indicated for the treatment of multiple myeloma in combination with dexamethasone. It is also indicated for the treatment of patients with transfusion-dependent anemia due to low- or intermediate- risk myelodysplastic syndromes (MDS) associated with a deletion 5q cytogenetic abnormality with or without additional cytogenetic abnormalities.
Marketing Status Prescription
ATC Code L04AX04
DrugBank ID DB00480
KEGG ID D04687
MeSH ID D000077269
PubChem ID 216326
TTD Drug ID D0Q5NX
NDC Product Code 59572-415; 59572-402; 55488-0700; 0480-1242; 0480-1244; 14096-131; 65727-084; 0480-1246; 59572-420; 59116-4710; 59572-425; 53104-7720; 59572-410; 55111-911; 68554-0090; 71796-026; 0480-1243; 46708-927; 59572-405; 53104-7726; 54893-0061; 82245-0101; 65015-772
Synonyms Lenalidomide | 3-(4-Amino-1-oxoisoindolin-2-yl)piperidine-2,6-dione | 2,6-Piperidinedione, 3-(4-amino-1,3-dihydro-1-oxo-2H- isoindol-2-yl)- | IMiD3 Cpd | CC 5013 | CC5013 | CC-5013 | Revlimid | Revimid
Chemical Information
Molecular Formula C13H13N3O3
CAS Registry Number 191732-72-6
SMILES C1CC(=O)NC(=O)C1N2CC3=C(C2=O)C=CC=C3N
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)
Electrocardiogram QT prolonged13.14.05.004--
Electrolyte depletion14.05.01.0010.001737%Not Available
Electrolyte imbalance14.05.01.0020.022002%Not Available
Embolic stroke24.01.04.010; 17.08.01.032--Not Available
Embolism arterial24.01.01.014--
Embolism venous24.01.01.003--Not Available
Emotional disorder19.04.02.005--Not Available
Emphysema22.01.02.002--Not Available
Encephalitis17.06.05.001; 11.01.03.008--
Encephalopathy17.13.02.001--
Endocarditis02.09.01.001; 11.01.16.001--
Endocrine disorder05.09.01.001--Not Available
Endometrial adenocarcinoma16.12.02.003; 21.07.02.0110.002316%Not Available
Endometrial cancer21.07.02.002; 16.12.02.001--Not Available
Endophthalmitis11.01.06.003; 06.04.05.009--
Enteritis07.08.03.002--
Enterococcal bacteraemia11.02.08.0010.001737%Not Available
Enterocolitis07.08.03.003--
Enterocolitis haemorrhagic07.08.01.007; 24.07.02.006--Not Available
Enuresis20.02.02.003; 19.07.04.001--Not Available
Enzyme abnormality14.11.01.0150.001158%Not Available
Eosinophil count decreased13.01.06.003--Not Available
Eosinophil count increased13.01.06.004--Not Available
Eosinophilia01.02.04.001--
Eosinophilic pneumonia22.01.01.004; 01.02.04.003--Not Available
Ephelides23.05.01.0050.001737%Not Available
Epiglottitis11.01.13.015; 22.07.03.0170.001158%Not Available
Epilepsy17.12.03.002--Not Available
Epistaxis24.07.01.005; 22.04.03.001--
Epstein-Barr virus infection11.05.10.004--
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