Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Omacetaxine mepesuccinate
Drug ID BADD_D01609
Description Omacetaxine mepesuccinate (formerly known as HHT or Homoharringtonine), is a cephalotaxine ester and protein synthesis inhibitor with established clinical activity as a single agent in hematological malignancies. Omacetaxine mepesuccinate is synthesized from cephalotaxine, which is an extract from the leaves of the plant, Cephalotaxus species. In October 2005, omacetaxine mepesuccinate received Orphan Drug designation from the EMEA for the treatment of chronic myeloid leukemia (CML). Then in March 2006, it received Orphan Drug status from the FDA for the treatment of CML. In November 2006, omacetaxine mepesuccinate, for the treatment of CML, was granted Fast Track designation by the FDA. Most recently, in October 2012, omacetaxine mepesuccinate was marketed under the brand name Synribo and FDA approved for patients who are intolerant and/or resistant to two or more tyrosine kinase inhibitors used to treat accelerated or chronic phase CML.
Indications and Usage Not Available
Marketing Status Prescription
ATC Code L01XX40
DrugBank ID DB04865
KEGG ID D08956
MeSH ID D000077863
PubChem ID 285033
TTD Drug ID D0M4XY
NDC Product Code 63459-177; 69605-732; 62422-0003
Synonyms Homoharringtonine | Omacetaxine Mepesuccinate | Cephalotaxine | Omacetaxine | Homoharringtonine (3(R))-isomer | Ceflatonin | Synribo
Chemical Information
Molecular Formula C29H39NO9
CAS Registry Number 26833-87-4
SMILES CC(C)(CCCC(CC(=O)OC)(C(=O)OC1C2C3=CC4=C(C=C3CCN5C2(CCC5)C=C1OC)OCO4)O)O
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)
Purpura23.06.01.004; 01.01.04.003; 24.07.06.005--
Pyrexia08.05.02.0030.002931%
Rales22.02.04.004--Not Available
Rash23.03.13.001--Not Available
Rash erythematous23.03.06.0030.000533%Not Available
Rash generalised23.03.13.0020.000533%Not Available
Rash papular23.03.13.0170.000533%Not Available
Rash pruritic23.03.12.0020.000533%Not Available
Renal disorder20.01.02.0020.000533%Not Available
Renal failure20.01.03.0050.000139%Not Available
Rhinorrhoea22.02.05.010--
Sciatica15.10.01.001; 17.10.03.001--Not Available
Seizure17.12.03.001--
Sepsis11.01.11.0030.000347%
Sinus congestion22.04.06.001--Not Available
Skin exfoliation23.03.07.003--Not Available
Skin hyperpigmentation23.05.01.003--
Skin lesion23.03.03.010--Not Available
Skin ulcer24.04.03.007; 23.07.03.003--
Stomatitis07.05.06.005--
Tachycardia02.03.02.007--Not Available
Thrombocytopenia01.08.01.0020.000799%Not Available
Tinnitus17.04.07.004; 04.04.01.002--
Transfusion reaction12.02.08.001; 10.02.04.001; 01.05.01.005--Not Available
Tremor17.01.06.002--
Tumour lysis syndrome16.32.03.002; 14.05.01.0040.000533%
Upper respiratory tract infection22.07.03.011; 11.01.13.0090.000533%
Urticaria23.04.02.001; 10.01.06.0010.000799%
Ventricular extrasystoles02.03.04.007--Not Available
Vision blurred17.17.01.010; 06.02.06.007--
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