Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Tenofovir alafenamide
Drug ID BADD_D02477
Description Tenofovir alafenamide is a novel [tenofovir] prodrug developed in order to improve renal safety when compared to the counterpart [tenofovir disoproxil].[A178060] Both of these prodrugs were first created to cover the polar phosphonic acid group on tenofovir by using a novel oxycarbonyloxymethyl linkers to improve the oral bioavailability and intestinal diffusion.[T239] Tenofovir alafenamide is an alanine ester form characterized for presenting low systemic levels but high intracellular concentration.[A178219] It has been reported to produce a large antiviral efficacy at doses ten times lower than tenofovir disoproxil.[A178327] Tenofovir alafenamide is indicated to treat chronic hepatitis B,[L6241] treat HIV-1,[L4388,L6277,L6280,L6283] and prevent HIV-1 infections.[L4388,L9010] Tenofovir alafenamide was developed by Gilead Sciences Inc and granted FDA approval on 5 November 2015.[L6271]
Indications and Usage For use in the treatment of HIV infection and chronic hepatitis B.
Marketing Status Not Available
ATC Code J05AF13
DrugBank ID DB09299
KEGG ID D10428
MeSH ID C442442
PubChem ID 461543
TTD Drug ID D0D1BR
NDC Product Code 61958-2301
Synonyms tenofovir alafenamide | L-alanine, N-((S)-(((1R)-2-(6-amino-9H-purin-9-yl)-1-methylethoxy)methyl)phenoxyphosphinyl)-, 1-methylethyl ester | Vemlidy | GS-7340 | GS-734003
Chemical Information
Molecular Formula C21H29N6O5P
CAS Registry Number 379270-37-8
SMILES CC(C)OC(=O)C(C)NP(=O)(COC(C)CN1C=NC2=C(N=CN=C21)N)OC3=CC=CC=C3
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)
Dysgeusia17.02.07.003; 07.14.03.0010.002170%
Dysphagia07.01.06.0030.007233%
Dyspnoea02.01.03.002; 22.02.01.004--
Dysuria20.02.02.0020.001447%
Fatigue08.01.01.0020.016636%
Flushing23.06.05.003; 24.03.01.002; 08.01.03.0250.002170%
Gastrooesophageal reflux disease07.02.02.0030.001447%
Glycosylated haemoglobin increased13.02.02.0050.001447%Not Available
Headache17.14.01.0010.014466%
Hepatic cirrhosis09.01.04.0010.000377%Not Available
Hepatic failure09.01.03.0020.000377%
Hepatic steatosis09.01.07.003; 14.08.04.0050.001447%Not Available
Hepatitis C11.05.06.004; 09.01.09.0050.001447%Not Available
Hepatitis fulminant11.07.01.003; 09.01.07.0070.000377%Not Available
Herpes zoster23.09.03.002; 11.05.02.0030.001447%
Hyperglycaemia14.06.02.002; 05.06.02.0020.001447%
Hypersensitivity10.01.03.0030.002893%
Hypertension24.08.02.0010.003617%
Hypoaesthesia17.02.06.0230.002170%Not Available
Infection11.01.08.0020.000377%Not Available
Insomnia19.02.01.002; 17.15.03.0020.007957%
Jaundice23.03.03.030; 09.01.01.004; 01.06.04.0040.002170%Not Available
Liver disorder09.01.08.0010.003617%Not Available
Lymphoma16.20.01.001; 01.12.01.0010.000377%Not Available
Malaise08.01.01.003--
Memory impairment19.20.01.003; 17.03.02.0030.003617%
Muscle spasms15.05.03.0040.002893%
Muscular weakness17.05.03.005; 15.05.06.0010.001447%
Musculoskeletal pain15.03.04.0070.001447%
Myalgia15.05.02.0010.003617%
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