Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Isavuconazonium
Drug ID BADD_D02455
Description Isavuconazonium is a second-generation triazole antifungal approved on March 6, 2015 by the FDA for the treatment of invasive aspergillosis and invasive mucormycosis, marketed by Astellas under the brand Cresemba. It is the prodrug form of isavuconazole, the active moiety, and it is available in oral and parenteral formulations. Due to low solubility in water of isavuconazole on its own, the isovuconazonium formulation is favorable as it has high solubility in water and allows for intravenous administration. This formulation also avoids the use of a cyclodextrin vehicle for solubilization required for intravenous administration of other antifungals such as voriconazole and posaconazole, eliminating concerns of nephrotoxicity associated with cyclodextrin. Isovuconazonium has excellent oral bioavailability, predictable pharmacokinetics, and a good safety profile, making it a reasonable alternative to its few other competitors on the market.
Indications and Usage Indicated in the treatment of invasive aspergillosis and invasive mucormycosis.
Marketing Status Not Available
ATC Code Not Available
DrugBank ID DB06636
KEGG ID D10644
MeSH ID Not Available
PubChem ID 6918606
TTD Drug ID Not Available
NDC Product Code Not Available
Synonyms Not Available
Chemical Information
Molecular Formula C35H35F2N8O5S+
CAS Registry Number 742049-41-8
SMILES CC(C1=NC(=CS1)C2=CC=C(C=C2)C#N)C(CN3C=[N+](C=N3)C(C)OC(=O)N(C)C4=C(C=CC=N4)COC(= O)CNC)(C5=C(C=CC(=C5)F)F)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)
Aspiration22.02.07.007-
Blood creatinine increased13.13.01.004-
Death08.04.01.001-
Diarrhoea07.02.01.001--
Dysphagia07.01.06.003-
Dyspnoea22.02.01.004; 02.01.03.002-
Headache17.14.01.001--
Hepatocellular injury09.01.07.008-Not Available
Infection11.01.08.002-Not Available
Malaise08.01.01.003-
Muscle spasms15.05.03.004-
Myalgia15.05.02.001-
Nausea07.01.07.001-
Pyrexia08.05.02.003-
Rash23.03.13.001-Not Available
Sepsis11.01.11.003-
Somnolence17.02.04.006; 19.02.05.003-
Vomiting07.01.07.003-
Transaminases increased13.03.01.015-Not Available
Pneumonia fungal22.07.08.002; 11.03.05.008-Not Available
Disease progression08.01.03.038-
Drug intolerance08.06.01.013-Not Available
Aspergillus infection11.03.01.004-Not Available
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