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 Nintedanib is indicated for the treatment of idiopathic pulmonary fibrosis (IPF).
Marketing Status Not Available
ATC Code L01EX09
DrugBank ID DB09079
KEGG ID D10481
MeSH ID C530716
PubChem ID 135423438
TTD Drug ID D09HNV
NDC Product Code 55361-0021; 0597-0145; 66499-0061; 55361-0020; 0597-0143
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
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)
Intestinal ischaemia24.04.08.001; 07.15.02.0010.000139%Not Available
Intestinal obstruction07.13.01.0020.002398%Not Available
Intestinal perforation07.04.06.0020.000695%Not Available
Jaundice09.01.01.004; 01.06.04.004; 23.03.03.0300.001332%Not Available
Large intestinal ulcer07.04.06.0040.000533%
Large intestine perforation12.02.03.005; 07.04.06.0050.000139%
Left ventricular failure02.05.02.0010.000799%Not Available
Lethargy08.01.01.008; 19.04.04.004; 17.02.04.0030.002131%
Leukopenia01.02.02.001--Not Available
Liver disorder09.01.08.0010.005062%Not Available
Liver function test abnormal13.03.01.0130.003197%Not Available
Loss of consciousness17.02.04.004--Not Available
Lower respiratory tract infection22.07.01.002; 11.01.09.0020.001066%Not Available
Lung disorder22.02.07.0010.002931%Not Available
Lung infiltration22.01.02.0040.000533%Not Available
Macular degeneration06.09.03.0010.000533%Not Available
Malaise08.01.01.003--
Mastication disorder17.05.03.006; 15.03.01.009; 07.01.06.0160.000533%Not Available
Melaena24.07.02.013; 07.12.02.0040.001865%Not Available
Memory impairment19.20.01.003; 17.03.02.003--
Movement disorder17.01.02.010--Not Available
Muscle spasms15.05.03.004--
Muscular weakness17.05.03.005; 15.05.06.001--
Musculoskeletal pain15.03.04.007--
Myalgia15.05.02.001--
Myelodysplastic syndrome01.10.04.001; 16.01.04.001--
Myocardial infarction02.02.02.007; 24.04.04.0090.002571%
Myocardial ischaemia24.04.04.010; 02.02.02.0080.000208%Not Available
Myositis15.05.01.0010.000533%
Nasal congestion22.04.04.0010.001066%
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