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)
Pruritus23.03.12.001--
Pulmonary embolism24.01.06.001; 22.06.02.0010.000533%Not Available
Pyrexia08.05.02.0030.002664%
Rash23.03.13.001--Not Available
Red blood cell count decreased13.01.05.0070.006927%Not Available
Renal failure20.01.03.0050.000139%Not Available
Respiratory failure14.01.04.003; 22.02.06.0020.000139%
Sepsis11.01.11.0030.000347%
Skin disorder23.03.03.0070.000533%Not Available
Stomatitis07.05.06.0050.000533%
Thrombocytopenia01.08.01.0020.003463%Not Available
Urinary retention20.02.02.0110.000533%
Urticaria23.04.02.001; 10.01.06.0010.000533%
Vomiting07.01.07.0030.002664%
Weight decreased13.15.01.0050.000799%
White blood cell count decreased13.01.06.0120.009591%
Malignant neoplasm progression16.16.01.0050.000556%Not Available
Acute coronary syndrome24.04.04.011; 02.02.02.0150.000533%Not Available
Febrile bone marrow aplasia08.05.02.005; 01.03.03.0070.000533%Not Available
Haemorrhage24.07.01.002--Not Available
Cancer pain16.32.03.0040.000139%Not Available
Lung neoplasm malignant22.08.01.001; 16.19.02.0010.000208%Not Available
Haematotoxicity12.03.01.025; 01.05.01.0070.000533%Not Available
Neoplasm progression16.16.02.0050.000208%Not Available
Decreased appetite14.03.01.005; 08.01.09.0280.006927%
Disease progression08.01.03.0380.000417%
Pulmonary toxicity22.01.02.007; 12.03.01.0130.000533%Not Available
Neutropenic colitis07.08.01.014; 01.02.03.010--Not Available
Blood count abnormal13.01.07.0010.000799%Not Available
Bone marrow failure01.03.03.0050.001598%
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