Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Topotecan
Drug ID BADD_D02248
Description An antineoplastic agent used to treat ovarian cancer. It works by inhibiting DNA topoisomerases, type I.
Indications and Usage For the treatment of advanced ovarian cancer in patients with disease that has recurred or progressed following therapy with platinum-based regimens. Also used as a second-line therapy for treatment-sensitive small cell lung cancer, as well as in combination with cisplatin for the treatment of stage IV-B, recurrent, or persistent cervical cancer not amenable to curative treatment with surgery and/or radiation therapy.
Marketing Status Prescription; Discontinued
ATC Code L01CE01
DrugBank ID DB01030
KEGG ID D08618
MeSH ID D019772
PubChem ID 60700
TTD Drug ID D02PMO
NDC Product Code 12064-023; 0703-4714; 0078-0672; 0078-0673; 0409-0302; 12064-024; 16729-243
Synonyms Topotecan | 9-Dimethylaminomethyl-10-hydroxycamptothecin | 9 Dimethylaminomethyl 10 hydroxycamptothecin | Topotecan Hydrochloride | Hydrochloride, Topotecan | Nogitecan Hydrochloride | Hydrochloride, Nogitecan | Topotecan Monohydrochloride, (S)-Isomer | SK&F-104864-A | SK&F 104864 A | SK&F104864A | SKF-104864-A | SKF 104864 A | SKF104864A | Hycamtin | NSC-609699 | NSC 609699 | NSC609699 | Hycamtamine
Chemical Information
Molecular Formula C23H23N3O5
CAS Registry Number 123948-87-8
SMILES CCC1(C2=C(COC1=O)C(=O)N3CC4=CC5=C(C=CC(=C5CN(C)C)O)N=C4C3=C2)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)
Abdominal distension07.01.04.0010.000799%
Abdominal pain07.01.05.0020.001066%
Abdominal pain upper07.01.05.0030.001066%
Acute febrile neutrophilic dermatosis23.03.03.033; 01.02.01.0060.000533%Not Available
Agranulocytosis01.02.03.0010.000533%Not Available
Alanine aminotransferase increased13.03.01.0030.001332%
Alopecia23.02.02.0010.000533%
Anaemia01.03.02.0010.009857%
Anaphylactoid reaction24.06.03.007; 10.01.07.003--Not Available
Angioedema10.01.05.009; 23.04.01.001--Not Available
Aspartate aminotransferase increased13.03.01.0060.001066%
Asthenia08.01.01.0010.001066%Not Available
Blister23.03.01.001; 12.01.06.0020.000799%Not Available
Blood urea increased13.13.01.0060.000533%Not Available
Cachexia16.32.03.011; 14.03.02.001; 08.01.01.009--Not Available
Cardiovascular disorder24.03.02.009; 02.01.01.001--Not Available
Confusional state19.13.01.001; 17.02.03.0050.001066%
Conjunctival haemorrhage24.07.05.001; 06.07.01.0010.000533%Not Available
Conjunctival oedema06.04.01.0010.000533%Not Available
Constipation07.02.02.0010.001066%
Cough22.02.03.001--
Death08.04.01.0010.003405%
Dermatitis23.03.04.002--Not Available
Diarrhoea07.02.01.0010.002664%
Dizziness24.06.02.007; 17.02.05.003; 02.01.02.004--
Dyspnoea22.02.01.004; 02.01.03.002--
Eating disorder19.09.01.008; 14.03.01.0080.000533%Not Available
Extravasation08.01.03.008--Not Available
Eyelid oedema06.04.04.004; 23.04.01.003; 10.01.05.0010.001066%Not Available
Fatigue08.01.01.0020.005062%
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