Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Alpelisib
Drug ID BADD_D02500
Description Alpelisib is a phosphatidylinositol 3-kinase (PI3K) inhibitor with potent antitumor activity. It works by selectively inhibiting class I PI3K p110α [A179203], which is the catalytic subunit of PI3K, a lipid kinase that plays a role in various biological processes, including proliferation, survival, differentiation, and metabolism. Alpelisib was designed to target this enzyme that appears to be mutated at a rate of nearly 30% in human cancers, leading to hyperactivation.[A179209] There are several isoform-specific PI3K inhibitors that are under clinical development or currently approved, such as [idelalisib] used for chronic lymphocytic leukemia (CLL).[A179209] Approved by the FDA in May 2019, alpelisib is the first approved PI3K inhibitor indicated for the treatment of hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative, PIK3CA-mutated, advanced or metastatic breast cancer in combination with [fulvestrant] for postmenopausal women and male patients. To initiate alpelisib therapy, it is required that the presence of a PIK3CA mutation in the tissue and/or liquid biopsy sample collection should be confirmed via FDA-approved diagnostic tests. Alpelisib is marketed under the trade name Piqray and is available as oral tablets. Studies evaluating the therapeutic effectiveness of alpelisib in other cancers, such as ovarian cancer [A179200] and colorectal cancer [A179203], are under ongoing investigations. Alpelisib was granted FDA approval on 24 May 2019.[L6652]
Indications and Usage Not Available
Marketing Status Not Available
ATC Code L01EM03
DrugBank ID DB12015
KEGG ID D11011
MeSH ID C585539
PubChem ID 56649450
TTD Drug ID D0W7HE
NDC Product Code 0078-0701; 0078-0715; 0078-0708; 0078-1021; 0078-1035; 0078-1028
Synonyms Alpelisib | BYL719 | Piqray | NVP-BYL719
Chemical Information
Molecular Formula C19H22F3N5O2S
CAS Registry Number 1217486-61-7
SMILES CC1=C(SC(=N1)NC(=O)N2CCCC2C(=O)N)C3=CC(=NC=C3)C(C)(C)C(F)(F)F
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)
Abdominal distension07.01.04.0010.000533%
Abdominal pain07.01.05.002--
Alopecia23.02.02.001--
Anaemia01.03.02.001--
Anaphylactic reaction24.06.03.006; 10.01.07.0010.001332%
Arthralgia15.01.02.001--
Asthenia08.01.01.001--Not Available
Blister23.03.01.001; 12.01.06.0020.000533%Not Available
Blood bilirubin increased13.03.01.0080.000533%
Blood creatinine increased13.13.01.0040.003197%
Blood glucose abnormal13.02.02.0080.000533%Not Available
Blood glucose increased13.02.02.0020.009324%Not Available
Body temperature increased13.15.01.0010.000533%Not Available
Cellulitis23.09.01.001; 11.02.01.0010.000533%Not Available
Chills15.05.03.016; 08.01.09.0010.001066%
Colitis07.08.01.0010.001066%
Confusional state17.02.03.005; 19.13.01.001--
Constipation07.02.02.001--
Cough22.02.03.001--
Death08.04.01.001--
Dehydration14.05.05.0010.002398%
Diabetes mellitus14.06.01.001; 05.06.01.0010.001332%Not Available
Diabetic ketoacidosis14.07.03.001; 05.07.03.0010.003463%Not Available
Diarrhoea07.02.01.0010.013054%
Dizziness24.06.02.007; 17.02.05.003; 02.01.02.004--
Dry mouth07.06.01.0020.001332%
Dysgeusia17.02.07.003; 07.14.03.0010.001066%
Dysphagia07.01.06.0030.001865%
Dyspnoea22.02.01.004; 02.01.03.002--
Erythema23.03.06.0010.001066%Not Available
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