Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Mitomycin
Drug ID BADD_D01478
Description Mitomycin is an antineoplastic antibiotic first isolated by Japanese microbiologists in the 1950s from cultures of _Streptomyces caespitosus_.[L12867,A193419] It is an alkylating agent that inhibits DNA synthesis (and, at higher concentrations, RNA and protein synthesis) by cross-linking the complementary strands of the DNA double helix.[A193419] Few other antibiotics have been discovered that work via this alkylating mechanism, making mitomycin relatively unique in the space of microbiota-derived therapies.[A193419] Mitomycin's cross-linking activity has resulted in its approval for the treatment of a variety of cancers - the most recent of which is an April 2020 approval for its use in low-grade Upper Tract Urothelial Cancer (LG-UTUC)[L12867] - as well as adjunctly to _ab externo_ glaucoma surgeries.
Indications and Usage For treatment of malignant neoplasm of lip, oral cavity, pharynx, digestive organs, peritoneum, female breast, and urinary bladder. Also used as an adjunct to ab externo glaucoma surgery.
Marketing Status Prescription; Discontinued
ATC Code L01DC03
DrugBank ID DB00305
KEGG ID D00208
MeSH ID D016685
PubChem ID 5746
TTD Drug ID D0Y0GH
NDC Product Code 0143-9279; 68254-0016; 51552-1509; 72819-152; 58623-0045; 16729-246; 38779-0553; 16729-108; 71052-644; 16729-116; 53183-7010; 16729-247; 68083-483; 68001-391; 67457-519; 73212-036; 49771-002; 62158-0005; 68001-389; 67457-520; 67457-996; 69448-002; 0143-9280; 16729-115; 69448-001; 16729-248; 68001-390; 67457-997; 67457-518; 51927-3642; 65050-0058; 67457-995; 69448-003; 72493-103; 68083-484
Synonyms Mitomycin | Mitomycin C | Mitomycin-C | Mitocin-C | Mitocin C | MitocinC | NSC-26980 | NSC 26980 | NSC26980 | Ametycine | Mutamycin
Chemical Information
Molecular Formula C15H18N4O5
CAS Registry Number 50-07-7
SMILES CC1=C(C(=O)C2=C(C1=O)N3CC4C(C3(C2COC(=O)N)OC)N4)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)
Scrotal ulcer23.07.03.007; 21.12.02.0070.001066%Not Available
Sepsis11.01.11.0030.000486%
Shock24.06.02.002--Not Available
Skin discolouration23.03.03.0050.000533%Not Available
Skin disorder23.03.03.007--Not Available
Skin exfoliation23.03.07.003--Not Available
Somnolence17.02.04.006; 19.02.05.003--
Stomatitis07.05.06.005--
Superinfection11.01.08.0090.000799%Not Available
Swelling08.01.03.0150.000533%Not Available
Syncope24.06.02.012; 17.02.04.008; 02.01.02.0080.000533%
Thrombocytopenia01.08.01.0020.002131%Not Available
Thrombophlebitis24.01.02.001--Not Available
Thrombotic microangiopathy20.01.07.004; 01.01.02.006; 24.01.01.0130.000533%Not Available
Ulcer08.03.06.0010.000533%Not Available
Ureteric obstruction20.06.01.0050.000799%Not Available
Urinary tract infection11.01.14.004; 20.08.02.0010.000799%
Uveitis10.02.01.023; 06.04.03.0030.001332%
Vision blurred17.17.01.010; 06.02.06.007--
Visual acuity reduced17.17.01.011; 06.02.03.0010.004795%
Visual field defect17.17.01.001; 06.02.07.0030.000533%Not Available
Vitreous haemorrhage06.10.03.001; 24.07.05.0050.000533%
Vomiting07.01.07.0030.002664%
White blood cell count decreased13.01.06.0120.000533%
Cardiotoxicity12.03.01.007; 02.01.01.002--Not Available
Injection site cellulitis12.07.03.037; 11.02.01.012; 08.02.03.037; 23.09.01.009--Not Available
Bladder necrosis24.04.09.006; 20.03.01.0170.000799%Not Available
Bone marrow toxicity12.03.01.006; 01.03.03.004--Not Available
Scleral thinning06.09.06.0040.004795%Not Available
Neurological examination abnormal13.15.01.009--Not Available
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