Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Trimetrexate glucuronate
Drug ID BADD_D02293
Description A nonclassical folic acid inhibitor through its inhibition of the enzyme dihydrofolate reductase. It is being tested for efficacy as an antineoplastic agent and as an antiparasitic agent against pneumocystis pneumonia in AIDS patients. Myelosuppression is its dose-limiting toxic effect.
Indications and Usage For use, with concurrent leucovorin administration (leucovorin protection), as an alternative therapy for the treatment of moderate-to-severe Pneumocystis carinii pneumonia (PCP) in immunocompromised patients, including patients with the acquired immunodeficiency syndrome (AIDS). Also used to treat several types of cancer including colon cancer.
Marketing Status Discontinued
ATC Code P01AX07
DrugBank ID DB01157
KEGG ID D06239
MeSH ID C056321
PubChem ID 54949
TTD Drug ID Not Available
NDC Product Code Not Available
Synonyms trimetrexate glucuronate | trimetrexate glucuronic acid combination | NSC 352122 | NSC-352122 | NeuTrexin
Chemical Information
Molecular Formula C25H33N5O10
CAS Registry Number 82952-64-5
SMILES CC1=C(C=CC2=C1C(=NC(=N2)N)N)CNC3=CC(=C(C(=C3)OC)OC)OC.C(=O)C(C(C(C(C(=O)O)O)O)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)
Alanine aminotransferase increased13.03.01.003--
Anaemia01.03.02.001--
Aspartate aminotransferase increased13.03.01.006--
Asthenia08.01.01.001--Not Available
Blood bilirubin increased13.03.01.008--
Blood creatinine increased13.13.01.004--
Body temperature increased13.15.01.001--Not Available
Confusional state19.13.01.001; 17.02.03.005--
Dermatitis23.03.04.002--Not Available
Electrolyte imbalance14.05.01.002--Not Available
Fatigue08.01.01.002--
Feeling abnormal08.01.09.014--Not Available
Haemoglobin13.01.05.018--Not Available
Hepatotoxicity12.03.01.008; 09.01.07.009--Not Available
Hypocalcaemia14.04.01.004--
Hyponatraemia14.05.04.002--
Nausea07.01.07.001--
Neurotoxicity17.02.10.002; 12.03.01.011--Not Available
Neutropenia01.02.03.004--Not Available
Neutrophil count13.01.06.046--Not Available
Platelet count13.01.04.011--Not Available
Pruritus23.03.12.001--
Pyrexia08.05.02.003--
Rash23.03.13.001--Not Available
Seizure17.12.03.001--
Thrombocytopenia01.08.01.002--Not Available
Vomiting07.01.07.003--
Blood alkaline phosphatase increased13.04.02.004--
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