Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Sunitinib malate
Drug ID BADD_D02101
Description Sunitinib is a small-molecule multi-targeted receptor tyrosine kinase (RTK) inhibitor. On January 26, 2006, the agent was formally approved by the US FDA for the indications of treating renal cell carcinoma (RCC) and imatinib-resistant gastrointestinal stromal tumor (GIST). For these purposes, sunitinib is generally available as an orally administered formulation. Sunitinib inhibits cellular signaling by targeting multiple RTKs. These include all platelet-derived growth factor receptors (PDGF-R) and vascular endothelial growth factor receptors (VEGF-R). Sunitinib also inhibits KIT (CD117), the RTK that drives the majority of GISTs. In addition, sunitinib inhibits other RTKs including RET, CSF-1R, and flt3.
Indications and Usage For the treatment of advanced renal cell carcinoma as well as the treatment of gastrointestinal stromal tumor after disease progression on or intolerance to imatinib mesylate.
Marketing Status Prescription
ATC Code L01EX01
DrugBank ID DB01268
KEGG ID D06402
MeSH ID D000077210
PubChem ID 6456015
TTD Drug ID D0R0MW
NDC Product Code 0093-8224; 0093-8199; 16714-679; 63539-019; 16714-677; 16436-0091; 0069-0550; 54893-0081; 63539-017; 16714-678; 0378-6679; 0093-8229; 63304-094; 53183-4012; 76302-007; 68724-1234; 0069-0830; 0378-6678; 63304-092; 0069-0770; 63304-091; 68554-0078; 0069-0980; 0378-6681; 0378-6680; 63304-093; 16714-676; 0093-8231; 53296-0091
Synonyms Sunitinib | 5-(5-Fluoro-2-oxo-1,2-dihydroindolylidenemethyl)-2,4-dimethyl-1H-pyrrole-3-carboxylic acid (2-diethylaminoethyl)amide | Sunitinib Malate | Sutent | SU 11248 | SU011248 | SU 011248 | SU-011248 | SU11248 | SU-11248
Chemical Information
Molecular Formula C26H33FN4O7
CAS Registry Number 341031-54-7
SMILES CCN(CC)CCNC(=O)C1=C(NC(=C1C)C=C2C3=C(C=CC(=C3)F)NC2=O)C.C(C(C(=O)O)O)C(=O)O
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
DiarrhoeaBroad substrate specificity ATP-binding cassette transporter ABCG2Q9UNQ0T56556Not Available
HypertensionBroad substrate specificity ATP-binding cassette transporter ABCG2Q9UNQ0T56556Not Available
Palmar-plantar erythrodysaesthesia syndromeBroad substrate specificity ATP-binding cassette transporter ABCG2Q9UNQ0T56556Not Available
VomitingBroad substrate specificity ATP-binding cassette transporter ABCG2Q9UNQ0T56556Not Available
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Lymphocyte count13.01.06.037--Not Available
Lymphocyte count decreased13.01.06.006--
Myopathy15.05.05.001--Not Available
Nasopharyngitis11.01.13.002; 22.07.03.002--Not Available
Nausea07.01.07.001--
Necrotising fasciitis15.03.03.004; 11.01.17.002--Not Available
Nephrotic syndrome20.05.01.002--
Neutrophil count decreased13.01.06.010--
Oedema peripheral08.01.07.007; 02.05.04.007; 14.05.06.011--
Oral pain07.05.03.002--
Pain in extremity15.03.04.010--
Palmar-plantar erythrodysaesthesia syndrome17.02.07.009; 23.07.04.001--
Platelet count decreased13.01.04.001--
Platelet disorder01.08.03.001--Not Available
Proteinuria20.02.01.011--
Pruritus23.03.12.001--
Pulmonary embolism22.06.02.001; 24.01.06.001--Not Available
Pulmonary haemorrhage24.07.01.016; 22.02.04.003--
Pyoderma gangrenosum23.07.03.001; 16.32.03.005; 10.04.02.009--Not Available
Pyrexia08.05.02.003--
Rash23.03.13.001--Not Available
Renal failure20.01.03.005--Not Available
Rhabdomyolysis15.05.05.002--
Skin discolouration23.03.03.005--Not Available
Stomatitis07.05.06.005--
Thrombocytopenia01.08.01.002--Not Available
Thrombotic microangiopathy24.01.01.013; 20.01.07.004; 01.01.02.006--Not Available
Transient ischaemic attack24.04.06.005; 17.08.04.001--
Upper respiratory tract infection22.07.03.011; 11.01.13.009--
Venous thrombosis24.01.01.008--Not Available
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