Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Ramucirumab
Drug ID BADD_D01911
Description Ramucirumab is a human monoclonal antibody (IgG1) against vascular endothelial growth factor receptor 2 (VEGFR2), a type II trans-membrane tyrosine kinase receptor expressed on endothelial cells. By binding to VEGFR2, ramucirumab prevents binding of its ligands (VEGF-A, VEGF-C, and VEGF-D), thereby preventing VEGF-stimulated receptor phosphorylation and downstream ligand-induced proliferation, permeability, and migration of human endothelial cells. VEGFR stimulation also mediates downstream signalling required for angiogenesis and is postulated to be heavily involved in cancer progression, making it a highly likely drug target. In contrast to other agents directed against VEGFR-2, ramucirumab binds a specific epitope on the extracellular domain of VEGFR-2, thereby blocking all VEGF ligands from binding to it. Ramucirumab is indicated for us in advanced gastric or gastro-esophageal junction adenocarcinoma as a single agent or in combination with paclitaxel after prior fluoropyrimidine- or platinum-containing chemotherapy.
Indications and Usage For use in advanced gastric or gastro-esophageal junction adenocarcinoma as a single agent or in combination with paclitaxel after prior fluoropyrimidine- or platinum-containing chemotherapy.
Marketing Status Prescription
ATC Code L01FG02
DrugBank ID DB05578
KEGG ID D09371
MeSH ID C543333
PubChem ID Not Available
TTD Drug ID D09HVD
NDC Product Code 63419-0535; 0002-7669; 73424-0329; 0002-2129; 0002-7678; 0002-2477
Synonyms ramucirumab | LY3009806 | Cyramza | IMC 1121B | IMC1121B | IMC-1121B | 1121B
Chemical Information
Molecular Formula Not Available
CAS Registry Number 947687-13-0
SMILES Not Available
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)
Anaemia01.03.02.001--
Asthenia08.01.01.001--Not Available
Blood thyroid stimulating hormone increased13.10.03.006--
Colony stimulating factor therapy25.01.06.001--Not Available
Death08.04.01.001--
Diarrhoea07.02.01.001--
Epistaxis22.04.03.001; 24.07.01.005--
Fatigue08.01.01.002--
Febrile neutropenia08.05.02.004; 01.02.03.002--
Gastrointestinal haemorrhage24.07.02.009; 07.12.02.001--Not Available
Gastrointestinal perforation07.04.04.001--Not Available
Headache17.14.01.001--
Hepatic cirrhosis09.01.04.001--Not Available
Hypertension24.08.02.001--
Hypoalbuminaemia14.10.01.002; 09.01.02.003--
Hyponatraemia14.05.04.002--
Impaired healing08.03.02.001--Not Available
Intestinal obstruction07.13.01.002--Not Available
Lacrimation increased06.08.02.004--
Mucosal inflammation08.01.06.002--Not Available
Nephrotic syndrome20.05.01.002--
Neutropenia01.02.03.004--Not Available
Oedema peripheral14.05.06.011; 08.01.07.007; 02.05.04.007--
Packed red blood cell transfusion25.06.01.002--Not Available
Palmar-plantar erythrodysaesthesia syndrome23.07.04.001; 17.02.07.009--
Pneumonia11.01.09.003; 22.07.01.003--Not Available
Proteinuria20.02.01.011--
Pulmonary haemorrhage24.07.01.016; 22.02.04.003--
Rash23.03.13.001--Not Available
Sepsis11.01.11.003--
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