Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Nintedanib
Drug ID BADD_D02470
Description Nintedanib is a small molecule kinase inhibitor used in the treatment of pulmonary fibrosis, systemic sclerosis-associated interstitial lung disease, and non-small cell lung cancer (NSCLC).[L8453,L8459] It was first approved for use in the United States in 2014.[L8453] Within the spectrum of idiopathic pulmonary fibrosis treatment options, nintedanib is currently one of only two disease-modifying therapies available and indicated for the condition (the other being [Pirfenidone]) and as such is used as a first-line treatment following diagnosis to slow down the progressive loss of lung function.[A185237] As a chemotherapeutic agent for NSCLC, nintedanib, in combination with [Docetaxel], is reserved for patients who have tried and failed first-line chemotherapeutic options.[L8459]
Indications and Usage In the US, nintedanib is indicated for the treatment of idiopathic pulmonary fibrosis (IPF)[L8453] and to slow declining pulmonary function in patients with systemic sclerosis-associated interstitial lung disease.[L8462] In the EU, nintedanib is indicated in combination with docetaxel for the treatment of adult patients with metastatic, locally advanced, or locally recurrent non-small cell lung cancer of adenocarcinoma histology who have already tried first-line therapy.[L8459]
Marketing Status approved
ATC Code L01EX09
DrugBank ID DB09079
KEGG ID D10481
MeSH ID C530716
PubChem ID 135423438
TTD Drug ID D09HNV
NDC Product Code 55361-0020; 66499-0061; 0597-0143; 0597-0145; 51869-0040; 55361-0021
UNII G6HRD2P839
Synonyms nintedanib | Nintedanib esylate | Ofev | Vargatef | BIBF 1120 | BIBF1120 | BIBF-1120
Chemical Information
Molecular Formula C31H33N5O4
CAS Registry Number 656247-17-5
SMILES CN1CCN(CC1)CC(=O)N(C)C2=CC=C(C=C2)N=C(C3=CC=CC=C3)C4=C(NC5=C4C=CC(=C5)C(=O)OC)O
Chemical Structure
ADRs Induced by Drug
*The priority for ADR severity classification is based on FAERS assessment, followed by the most severe level in CTCAE rating. If neither is available, it will be displayed as 'Not available'.
**The 'Not Available' level is hidden by default and can be restored by clicking on the legend twice..
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Hypopnoea22.02.01.0210.000112%Not Available
Hypotension24.06.03.002--
Hypoxia22.02.02.0030.002485%
Idiopathic pulmonary fibrosis22.01.02.014; 10.02.01.0340.027602%Not Available
Ileus07.13.01.0010.000168%
Impaired healing08.03.02.0010.000940%Not Available
Increased appetite14.03.01.003; 08.01.09.0270.000246%Not Available
Increased tendency to bruise24.07.06.012; 23.06.01.009; 01.01.03.005--Not Available
Inflammatory bowel disease07.08.01.016--Not Available
Influenza like illness08.01.03.010--
Inguinal hernia07.16.02.0010.000168%Not Available
Insomnia19.02.01.002; 17.15.03.002--
Interstitial lung disease22.01.02.003; 10.02.01.0330.003973%Not Available
Intestinal ischaemia07.15.02.001; 24.04.08.0010.000224%Not Available
Intestinal obstruction07.13.01.0020.000560%Not Available
Intestinal perforation07.04.06.0020.000672%Not Available
Intracranial aneurysm24.02.04.001; 17.08.06.0010.000112%Not Available
Irritable bowel syndrome19.24.01.003; 07.02.04.003--Not Available
Jaundice23.03.03.030; 01.06.04.004; 09.01.01.0040.000660%Not Available
Jaundice cholestatic09.01.01.0050.000168%Not Available
Joint swelling15.01.02.004--Not Available
Large intestine perforation12.02.03.005; 07.04.06.0050.000168%
Left ventricular failure02.05.02.0010.000168%Not Available
Lethargy08.01.01.008; 19.04.04.004; 17.02.04.003--
Leukaemia16.01.03.001; 01.10.03.0010.000112%
Listless19.04.04.003; 08.01.01.0120.000448%Not Available
Liver disorder09.01.08.0010.002440%Not Available
Loss of consciousness17.02.04.004--Not Available
Lung consolidation22.01.02.0100.000112%Not Available
Lung disorder22.02.07.0010.000895%Not Available
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