hydroxycarbamide ๐Ÿถ Veterinary Use | Indications/Contra | FAERs-F | FAERs-M | Orange Bk | BioActivity |

Stem definitionDrug idCAS RN
1399 127-07-1

Description:

MoleculeDescription

Molfile Inchi Smiles

Synonyms:

  • xromi
  • siklos
  • hydroxyurea
  • biosupressin
  • carbamohydroxamic acid
  • carbamohydroximic acid
  • carbamoyl oxime
  • oxyrea
  • oxyurea
  • hydroxycarbamide
An antineoplastic agent that inhibits DNA synthesis through the inhibition of ribonucleoside diphosphate reductase.
  • Molecular weight: 76.06
  • Formula: CH4N2O2
  • CLOGP: -1.80
  • LIPINSKI: 0
  • HAC: 4
  • HDO: 3
  • TPSA: 75.35
  • ALOGS: 0.55
  • ROTB: 0

Drug dosage:

None

ADMET properties:

PropertyValueReference
BDDCS (Biopharmaceutical Drug Disposition Classification System) 3 Benet LZ, Broccatelli F, Oprea TI
S (Water solubility) 50 mg/mL Benet LZ, Broccatelli F, Oprea TI
EoM (Fraction excreted unchanged in urine) 80 % Benet LZ, Broccatelli F, Oprea TI
MRTD (Maximum Recommended Therapeutic Daily Dose) 1502.57 ยตM/kg/day Contrera JF, Matthews EJ, Kruhlak NL, Benz RD
BA (Bioavailability) 79 % Kim MT, Sedykh A, Chakravarti SK, Saiakhov RD, Zhu H
Vd (Volume of distribution) 0.52 L/kg Lombardo F, Berellini G, Obach RS
CL (Clearance) 1.50 mL/min/kg Lombardo F, Berellini G, Obach RS
fu (Fraction unbound in plasma) 1 % Lombardo F, Berellini G, Obach RS
t_half (Half-life) 3.40 hours Lombardo F, Berellini G, Obach RS

Approvals:

DateAgencyCompanyOrphan
July 1, 2019 EMA NOVA LABORATORIES IRELAND LIMITED
Dec. 7, 1967 FDA BRISTOL MYERS SQUIBB

FDA Adverse Event Reporting System (Female)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Sickle cell anaemia with crisis 710.26 14.09 187 16348 5816 63466671
Platelet count increased 276.06 14.09 120 16415 17591 63454896
Acute myeloid leukaemia 176.02 14.09 87 16448 17060 63455427
Acute chest syndrome 164.30 14.09 39 16496 782 63471705
Splenomegaly 155.77 14.09 70 16465 11087 63461400
Myelofibrosis 125.72 14.09 35 16500 1342 63471145
White blood cell count increased 117.58 14.09 99 16436 48462 63424025
Thrombocytopenia 105.58 14.09 161 16374 150996 63321491
Haemoglobin decreased 104.51 14.09 157 16378 145328 63327159
Blast crisis in myelogenous leukaemia 98.77 14.09 24 16511 533 63471954
Pancytopenia 97.31 14.09 123 16412 96810 63375677
Thrombocytosis 95.78 14.09 41 16494 5777 63466710
Anaemia 93.97 14.09 224 16311 293206 63179281
Chronic myeloid leukaemia 87.81 14.09 30 16505 2288 63470199
Serum ferritin increased 86.96 14.09 39 16496 6143 63466344
Leukocytosis 86.77 14.09 64 16471 25871 63446616
Differentiation syndrome 78.11 14.09 23 16512 1080 63471407
Blood lactate dehydrogenase increased 74.99 14.09 56 16479 23060 63449427
Platelet count decreased 74.50 14.09 119 16416 116003 63356484
Tumour lysis syndrome 62.04 14.09 35 16500 8955 63463532
Philadelphia chromosome positive 54.51 14.09 14 16521 392 63472095
Drug resistance 51.90 14.09 45 16490 22888 63449599
Erythromelalgia 51.16 14.09 11 16524 138 63472349
Haemoglobin increased 48.11 14.09 22 16513 3624 63468863
Febrile neutropenia 46.26 14.09 98 16437 118351 63354136
Angiokeratoma 45.49 14.09 10 16525 140 63472347
Haematocrit increased 43.66 14.09 18 16517 2308 63470179
Blood iron increased 43.37 14.09 16 16519 1526 63470961
Sinusitis 41.78 14.09 5 16530 226648 63245839
Myeloproliferative neoplasm 41.48 14.09 12 16523 529 63471958
Arthropathy 41.31 14.09 6 16529 234786 63237701
Skin ulcer 40.60 14.09 53 16482 42992 63429495
Intentional product use issue 40.12 14.09 97 16438 127795 63344692
Joint swelling 39.46 14.09 18 16517 327648 63144839
Nail pigmentation 37.79 14.09 9 16526 183 63472304
Drug hypersensitivity 37.52 14.09 17 16518 310670 63161817
Glossodynia 35.42 14.09 3 16532 178873 63293614
Cytogenetic analysis abnormal 35.21 14.09 12 16523 908 63471579
Contraindicated product administered 35.12 14.09 7 16528 217641 63254846
Transformation to acute myeloid leukaemia 34.98 14.09 9 16526 254 63472233
Platelet count abnormal 34.30 14.09 17 16518 3347 63469140
Essential thrombocythaemia 33.76 14.09 8 16527 159 63472328
Primary myelofibrosis 33.66 14.09 7 16528 74 63472413
Blood bilirubin increased 32.36 14.09 44 16491 37096 63435391
Aquagenic pruritus 32.30 14.09 6 16529 33 63472454
Leukaemia 30.71 14.09 17 16518 4191 63468296
Leukostasis syndrome 30.58 14.09 6 16529 46 63472441
Chronic myeloid leukaemia transformation 30.46 14.09 7 16528 121 63472366
Squamous cell carcinoma 30.44 14.09 22 16513 8610 63463877
Laryngitis 30.00 14.09 29 16506 16938 63455549
Toxicity to various agents 29.11 14.09 14 16521 247236 63225251
Polycythaemia vera 28.09 14.09 7 16528 173 63472314
Discomfort 27.81 14.09 5 16530 167369 63305118
Malignant neoplasm progression 27.59 14.09 64 16471 82057 63390430
Red blood cell count decreased 26.50 14.09 42 16493 40603 63431884
Pleural effusion 26.38 14.09 68 16467 93142 63379345
Bone marrow failure 25.97 14.09 35 16500 29255 63443232
Infusion related reaction 25.85 14.09 16 16519 245505 63226982
Hypersensitivity 25.75 14.09 23 16512 292662 63179825
Immunodeficiency 25.72 14.09 29 16506 20225 63452262
Neoplasm malignant 25.45 14.09 35 16500 29826 63442661
Wound 24.81 14.09 6 16529 163257 63309230
Myelodysplastic syndrome 24.78 14.09 26 16509 16728 63455759
Gene mutation identification test positive 24.57 14.09 6 16529 136 63472351
Laryngeal inflammation 24.53 14.09 6 16529 137 63472350
Therapeutic product effect decreased 24.21 14.09 10 16525 193177 63279310
Lower respiratory tract infection 24.16 14.09 3 16532 132304 63340183
Haematocrit decreased 23.40 14.09 39 16496 39301 63433186
Blood disorder 23.29 14.09 17 16518 6754 63465733
Cytopenia 22.75 14.09 21 16514 11580 63460907
Haemorrhagic thyroid cyst 22.58 14.09 4 16531 16 63472471
Transient acantholytic dermatosis 22.55 14.09 5 16530 73 63472414
Decreased appetite 22.15 14.09 126 16409 250926 63221561
Tyrosine kinase mutation 21.69 14.09 4 16531 21 63472466
Hepatic enzyme increased 21.55 14.09 13 16522 202315 63270172
Blast cells present 21.30 14.09 7 16528 473 63472014
Injection site pain 21.30 14.09 4 16531 129796 63342691
Post cardiac arrest syndrome 21.24 14.09 4 16531 24 63472463
Adenocarcinoma metastatic 20.93 14.09 5 16530 103 63472384
Splenic rupture 20.61 14.09 9 16526 1329 63471158
Sickle cell anaemia 20.33 14.09 7 16528 546 63471941
Nasopharyngitis 20.04 14.09 22 16513 254235 63218252
Tonsillitis bacterial 19.86 14.09 5 16530 129 63472358
Serum ferritin decreased 19.75 14.09 10 16525 2060 63470427
Viral infection 19.43 14.09 34 16501 35629 63436858
Drug ineffective 19.26 14.09 177 16358 1044588 62427899
Anxiety 19.24 14.09 17 16518 217524 63254963
Ventricular hypokinesia 19.09 14.09 13 16522 4631 63467856
Posterior reversible encephalopathy syndrome 18.96 14.09 23 16512 17322 63455165
Red blood cell count increased 18.50 14.09 11 16524 3101 63469386
Left ventricular dysfunction 18.44 14.09 19 16516 11969 63460518
Extramedullary haemopoiesis 18.33 14.09 4 16531 54 63472433
Palmar erythema 18.22 14.09 9 16526 1758 63470729
Pharyngeal haematoma 17.88 14.09 4 16531 61 63472426
Blast cell count increased 17.79 14.09 6 16529 440 63472047
Uterine atony 17.78 14.09 5 16530 199 63472288
Anaemia macrocytic 17.44 14.09 11 16524 3443 63469044
Leukaemia recurrent 17.42 14.09 8 16527 1330 63471157
Retinopathy sickle cell 17.42 14.09 4 16531 69 63472418
Bone marrow reticulin fibrosis 17.38 14.09 5 16530 216 63472271
Subdural haematoma 17.32 14.09 20 16515 14308 63458179
Thyroid haemorrhage 16.90 14.09 4 16531 79 63472408
Cytogenetic abnormality 16.89 14.09 6 16529 513 63471974
Rheumatoid arthritis 16.85 14.09 25 16510 253794 63218693
Paraesthesia 16.83 14.09 10 16525 156956 63315531
Monocyte percentage decreased 16.79 14.09 5 16530 244 63472243
Hypoperfusion 16.72 14.09 8 16527 1459 63471028
Basophil count increased 16.60 14.09 7 16528 950 63471537
Alopecia 16.48 14.09 40 16495 337496 63134991
Acute febrile neutrophilic dermatosis 16.36 14.09 10 16525 2964 63469523
Transfusion 16.35 14.09 20 16515 15197 63457290
Normal newborn 16.16 14.09 15 16520 8326 63464161
Hypersplenism 16.14 14.09 5 16530 279 63472208
Neutropenic colitis 15.99 14.09 10 16525 3085 63469402
Dermatitis bullous 15.91 14.09 15 16520 8493 63463994
Blister 15.81 14.09 7 16528 129807 63342680
Gene mutation 15.76 14.09 8 16527 1657 63470830
Basophil percentage increased 15.71 14.09 4 16531 108 63472379
Musculoskeletal stiffness 15.64 14.09 15 16520 184603 63287884
Mobility decreased 15.62 14.09 6 16529 121153 63351334
Blood cholesterol increased 15.21 14.09 3 16532 94029 63378458
Abortion spontaneous 15.00 14.09 36 16499 47159 63425328
Actinic keratosis 14.95 14.09 9 16526 2595 63469892
Graft versus host disease 14.75 14.09 13 16522 6750 63465737
Pericarditis 14.65 14.09 8 16527 131571 63340916
Nail discolouration 14.50 14.09 9 16526 2741 63469746
Hepatic vein thrombosis 14.48 14.09 4 16531 149 63472338
Tracheal deviation 14.25 14.09 4 16531 158 63472329

FDA Adverse Event Reporting System (Male)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Sickle cell anaemia with crisis 635.07 14.25 178 16015 3875 34936863
Acute myeloid leukaemia 158.15 14.25 101 16092 18169 34922569
Myelofibrosis 148.53 14.25 47 16146 1564 34939174
Differentiation syndrome 145.31 14.25 45 16148 1393 34939345
Acute chest syndrome 137.12 14.25 38 16155 789 34939949
Splenomegaly 126.93 14.25 82 16111 15035 34925703
Blast crisis in myelogenous leukaemia 124.73 14.25 33 16160 571 34940167
Chronic myeloid leukaemia 114.81 14.25 42 16151 2182 34938556
White blood cell count increased 112.84 14.25 116 16077 41035 34899703
Tumour lysis syndrome 104.08 14.25 76 16117 16983 34923755
Platelet count increased 90.78 14.25 56 16137 9470 34931268
Leukocytosis 85.03 14.25 78 16115 23987 34916751
Cytogenetic analysis abnormal 82.63 14.25 25 16168 714 34940024
Philadelphia chromosome positive 70.34 14.25 19 16174 357 34940381
Anaemia 70.05 14.25 252 15941 233083 34707655
Thrombocytopenia 69.12 14.25 193 16000 156054 34784684
Haemoglobin decreased 67.61 14.25 163 16030 120609 34820129
Serum ferritin increased 65.96 14.25 39 16154 6107 34934631
Blast cell count increased 65.60 14.25 23 16170 1055 34939683
Hyperleukocytosis 61.62 14.25 26 16167 1976 34938762
Antineutrophil cytoplasmic antibody positive 56.56 14.25 19 16174 765 34939973
Endocarditis noninfective 55.98 14.25 13 16180 127 34940611
Myeloproliferative neoplasm 53.84 14.25 17 16176 561 34940177
Skin ulcer 52.65 14.25 58 16135 22158 34918580
Granulomatous rosacea 49.43 14.25 12 16181 144 34940594
Splenic infarction 47.85 14.25 22 16171 2053 34938685
Blood lactate dehydrogenase increased 46.01 14.25 55 16138 22935 34917803
Drug resistance 45.41 14.25 58 16135 25869 34914869
Actinic keratosis 43.89 14.25 27 16166 4540 34936198
Idiopathic intracranial hypertension 42.82 14.25 15 16178 686 34940052
Full blood count abnormal 41.26 14.25 47 16146 18621 34922117
Marrow hyperplasia 38.80 14.25 16 16177 1147 34939591
Chronic myelomonocytic leukaemia 36.18 14.25 13 16180 641 34940097
Toxic epidermal necrolysis 35.68 14.25 47 16146 21599 34919139
Toxicity to various agents 33.87 14.25 26 16167 200336 34740402
Extremity necrosis 33.62 14.25 17 16176 1955 34938783
Nasal polyps 32.53 14.25 18 16175 2485 34938253
Graft versus host disease in skin 32.21 14.25 21 16172 3904 34936834
Platelet count decreased 32.20 14.25 125 16068 119592 34821146
Differential white blood cell count abnormal 32.18 14.25 15 16178 1444 34939294
Posterior reversible encephalopathy syndrome 30.81 14.25 30 16163 9924 34930814
Loss of therapeutic response 29.50 14.25 11 16182 603 34940135
Pleural effusion 28.66 14.25 93 16100 81453 34859285
Intentional product use issue 28.46 14.25 76 16117 59740 34880998
Essential thrombocythaemia 27.74 14.25 6 16187 41 34940697
Second primary malignancy 26.75 14.25 25 16168 7861 34932877
Pyrexia 26.74 14.25 253 15940 332760 34607978
Spermatogenesis abnormal 26.08 14.25 6 16187 56 34940682
Parainfluenzae virus infection 25.35 14.25 16 16177 2814 34937924
Azoospermia 25.28 14.25 9 16184 432 34940306
Subacute combined cord degeneration 25.27 14.25 7 16186 145 34940593
Febrile neutropenia 24.76 14.25 127 16066 136722 34804016
Thrombocytosis 24.34 14.25 18 16175 4094 34936644
Transformation to acute myeloid leukaemia 23.64 14.25 10 16183 764 34939974
Completed suicide 23.62 14.25 8 16185 98160 34842578
Chronic myeloid leukaemia recurrent 23.23 14.25 7 16186 197 34940541
Leukostasis syndrome 22.89 14.25 5 16188 36 34940702
Pancytopenia 22.89 14.25 96 16097 95061 34845677
Erythropoiesis abnormal 22.71 14.25 7 16186 213 34940525
Haematocrit decreased 21.88 14.25 47 16146 32169 34908569
Night sweats 21.66 14.25 33 16160 17319 34923419
Capillary fragility 21.61 14.25 5 16188 48 34940690
Red blood cell count decreased 21.57 14.25 44 16149 29046 34911692
Acinetobacter sepsis 21.52 14.25 5 16188 49 34940689
Hypersplenism 21.43 14.25 8 16185 440 34940298
Mucosal inflammation 21.41 14.25 52 16141 38570 34902168
Sickle cell disease 21.19 14.25 6 16187 135 34940603
Blood uric acid increased 20.87 14.25 24 16169 9600 34931138
Gene mutation 20.73 14.25 11 16182 1397 34939341
Squamous cell carcinoma 20.60 14.25 26 16167 11449 34929289
Sleep disorder due to a general medical condition 20.56 14.25 18 16175 5203 34935535
Gangrene 20.49 14.25 17 16176 4569 34936169
Chronic myeloid leukaemia transformation 20.37 14.25 6 16187 156 34940582
Erdheim-Chester disease 20.03 14.25 3 16190 0 34940738
Stenotrophomonas infection 19.07 14.25 12 16181 2098 34938640
Anaemia vitamin B12 deficiency 18.63 14.25 7 16186 392 34940346
Drug hypersensitivity 18.62 14.25 7 16186 80522 34860216
Sickle cell anaemia 18.42 14.25 6 16187 219 34940519
Ureterolithiasis 18.42 14.25 12 16181 2227 34938511
Hip deformity 17.98 14.25 5 16188 105 34940633
Malignant neoplasm progression 17.53 14.25 84 16109 87962 34852776
Anaemia macrocytic 17.36 14.25 13 16180 3013 34937725
Embolism venous 17.27 14.25 10 16183 1506 34939232
Drug interaction 17.09 14.25 51 16142 225895 34714843
Squamous cell carcinoma of skin 16.97 14.25 23 16170 10858 34929880
Pneumatosis 16.91 14.25 7 16186 507 34940231
Myelodysplastic syndrome 16.61 14.25 31 16162 19177 34921561
Myocardial infarction 16.57 14.25 19 16174 121066 34819672
Leukoerythroblastosis 16.55 14.25 4 16189 47 34940691
Spermatozoa morphology abnormal 16.43 14.25 3 16190 7 34940731
Bone marrow disorder 16.02 14.25 10 16183 1725 34939013
Leukaemic infiltration pulmonary 14.84 14.25 3 16190 14 34940724
Myelodysplastic syndrome transformation 14.71 14.25 6 16187 418 34940320
Penile erosion 14.50 14.25 3 16190 16 34940722
Cerebral haemorrhage 14.26 14.25 42 16151 34895 34905843

FDA Adverse Event Reporting System (Geriatric)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Sickle cell anaemia with crisis 1051.58 13.18 286 26907 7636 79709559
Acute myeloid leukaemia 280.83 13.18 158 27035 30727 79686468
Acute chest syndrome 272.15 13.18 70 27123 1491 79715704
Platelet count increased 223.89 13.18 122 27071 22284 79694911
Differentiation syndrome 217.02 13.18 65 27128 2459 79714736
Splenomegaly 207.35 13.18 113 27080 20641 79696554
Myelofibrosis 204.70 13.18 62 27131 2438 79714757
Blast crisis in myelogenous leukaemia 176.15 13.18 44 27149 829 79716366
Thrombocytopenia 155.80 13.18 304 26889 264955 79452240
White blood cell count increased 148.99 13.18 154 27039 74479 79642716
Chronic myeloid leukaemia 146.92 13.18 53 27140 3611 79713584
Tumour lysis syndrome 141.56 13.18 93 27100 23846 79693349
Leukocytosis 135.65 13.18 115 27078 43340 79673855
Anaemia 129.98 13.18 389 26804 444626 79272569
Haemoglobin decreased 128.45 13.18 253 26940 221866 79495329
Philadelphia chromosome positive 106.07 13.18 28 27165 662 79716533
Pancytopenia 97.21 13.18 190 27003 165555 79551640
Thrombocytosis 92.35 13.18 49 27144 8477 79708718
Serum ferritin increased 88.43 13.18 50 27143 9797 79707398
Platelet count decreased 88.40 13.18 201 26992 194463 79522732
Blood lactate dehydrogenase increased 83.91 13.18 84 27109 39086 79678109
Febrile neutropenia 83.04 13.18 218 26975 230781 79486414
Myeloproliferative neoplasm 82.99 13.18 25 27168 964 79716231
Skin ulcer 80.83 13.18 96 27097 54054 79663141
Hyperleukocytosis 79.97 13.18 31 27162 2579 79714616
Toxicity to various agents 66.98 13.18 30 27163 421510 79295685
Cytogenetic analysis abnormal 66.26 13.18 22 27171 1168 79716027
Actinic keratosis 66.22 13.18 35 27158 6007 79711188
Intentional product use issue 64.56 13.18 153 27040 151959 79565236
Squamous cell carcinoma 60.69 13.18 47 27146 15575 79701620
Drug resistance 58.36 13.18 72 27121 42141 79675054
Transformation to acute myeloid leukaemia 57.79 13.18 19 27174 978 79716217
Endocarditis noninfective 53.46 13.18 13 27180 218 79716977
Drug hypersensitivity 52.85 13.18 18 27175 298898 79418297
Completed suicide 52.65 13.18 10 27183 245757 79471438
Blast cell count increased 51.35 13.18 19 27174 1391 79715804
Splenic infarction 51.16 13.18 25 27168 3639 79713556
Erythromelalgia 49.53 13.18 12 27181 198 79716997
Granulomatous rosacea 49.20 13.18 12 27181 204 79716991
Antineutrophil cytoplasmic antibody positive 49.04 13.18 18 27175 1288 79715907
Pleural effusion 49.02 13.18 134 27059 145128 79572067
Posterior reversible encephalopathy syndrome 48.43 13.18 52 27141 26229 79690966
Essential thrombocythaemia 46.89 13.18 11 27182 157 79717038
Joint swelling 45.10 13.18 21 27172 288625 79428570
Idiopathic intracranial hypertension 45.04 13.18 22 27171 3200 79713995
Drug abuse 43.78 13.18 3 27190 162688 79554507
Leukostasis syndrome 41.68 13.18 9 27184 86 79717109
Marrow hyperplasia 41.53 13.18 17 27176 1631 79715564
Hypersplenism 41.44 13.18 13 27180 575 79716620
Arthropathy 40.60 13.18 6 27187 177105 79540090
Malignant neoplasm progression 39.62 13.18 119 27074 135871 79581324
Contraindicated product administered 39.38 13.18 4 27189 157534 79559661
Graft versus host disease in skin 39.35 13.18 25 27168 6048 79711147
Angiokeratoma 38.26 13.18 10 27183 227 79716968
Chronic myeloid leukaemia transformation 37.23 13.18 10 27183 253 79716942
Azoospermia 36.73 13.18 9 27184 156 79717039
Pyrexia 36.35 13.18 372 26821 678337 79038858
Red blood cell count decreased 34.97 13.18 67 27126 57446 79659749
Nail pigmentation 34.93 13.18 10 27183 322 79716873
Myelodysplastic syndrome 34.56 13.18 47 27146 30254 79686941
Mucosal inflammation 34.20 13.18 78 27115 75502 79641693
Squamous cell carcinoma of skin 33.61 13.18 32 27161 14001 79703194
Gene mutation 33.58 13.18 17 27176 2669 79714526
Injection site pain 33.23 13.18 3 27190 129835 79587360
Chronic myelomonocytic leukaemia 32.75 13.18 12 27181 854 79716341
Therapeutic product effect decreased 32.37 13.18 8 27185 163855 79553340
Haematocrit increased 32.27 13.18 19 27174 4015 79713180
Sickle cell anaemia 31.94 13.18 11 27182 653 79716542
Differential white blood cell count abnormal 31.51 13.18 15 27178 2062 79715133
Anaemia macrocytic 31.28 13.18 21 27172 5576 79711619
Bone marrow failure 30.41 13.18 59 27134 51048 79666147
Tongue neoplasm malignant stage unspecified 30.13 13.18 12 27181 1072 79716123
Infusion related reaction 29.88 13.18 21 27172 230216 79486979
Blood bilirubin increased 29.57 13.18 68 27125 66164 79651031
Polycythaemia vera 29.44 13.18 9 27184 365 79716830
Sinusitis 29.34 13.18 15 27178 195486 79521709
Neutropenic colitis 28.55 13.18 20 27173 5687 79711508
Cytopenia 28.54 13.18 35 27158 20348 79696847
Acute myeloid leukaemia recurrent 27.23 13.18 16 27177 3367 79713828
Electrocardiogram QT prolonged 27.17 13.18 80 27113 90306 79626889
Neoplasm malignant 27.09 13.18 43 27150 31767 79685428
Leukaemia 25.61 13.18 19 27174 5906 79711289
Blood iron increased 25.43 13.18 12 27181 1618 79715577
Haematocrit decreased 25.25 13.18 61 27132 61251 79655944
Acute febrile neutrophilic dermatosis 25.24 13.18 16 27177 3856 79713339
Cytomegalovirus infection reactivation 25.02 13.18 22 27171 8694 79708501
Glossodynia 24.87 13.18 3 27190 103334 79613861
Laryngitis 24.86 13.18 29 27164 16010 79701185
Rhabdomyolysis 24.80 13.18 3 27190 103128 79614067
Leukaemia recurrent 24.67 13.18 14 27179 2760 79714435
Blood uric acid increased 23.85 13.18 26 27167 13334 79703861
Hypersensitivity 23.59 13.18 33 27160 262206 79454989
Haemoglobin increased 22.85 13.18 18 27175 6114 79711081
Death 22.84 13.18 294 26899 566220 79150975
Musculoskeletal stiffness 22.65 13.18 16 27177 174992 79542203
Therapy non-responder 22.51 13.18 76 27117 92229 79624966
Second primary malignancy 22.33 13.18 26 27167 14324 79702871
Primary myelofibrosis 22.26 13.18 6 27187 154 79717041
Acute respiratory failure 22.17 13.18 57 27136 59484 79657711
Platelet count abnormal 21.93 13.18 16 27177 4846 79712349
Acinetobacter sepsis 21.89 13.18 5 27188 63 79717132
Swelling 21.85 13.18 25 27168 216686 79500509
Subacute combined cord degeneration 21.80 13.18 7 27186 334 79716861
Nasopharyngitis 21.80 13.18 33 27160 253848 79463347
Interstitial lung disease 21.79 13.18 86 27107 112514 79604681
Haemorrhagic thyroid cyst 21.50 13.18 4 27189 16 79717179
Blast cells present 21.36 13.18 9 27184 928 79716267
Graft versus host disease 21.36 13.18 26 27167 15000 79702195
White blood cell count decreased 21.23 13.18 123 27070 188165 79529030
Retinopathy sickle cell 21.21 13.18 5 27188 73 79717122
Rheumatoid arthritis 21.07 13.18 24 27169 208446 79508749
Full blood count abnormal 20.83 13.18 44 27149 40430 79676765
Leukaemic infiltration pulmonary 20.78 13.18 4 27189 20 79717175
Laryngeal inflammation 20.61 13.18 6 27187 205 79716990
Extremity necrosis 20.45 13.18 13 27180 3148 79714047
Post cardiac arrest syndrome 20.16 13.18 4 27189 24 79717171
Discomfort 19.82 13.18 9 27184 125608 79591587
Parainfluenzae virus infection 19.72 13.18 16 27177 5666 79711529
Disseminated intravascular coagulation 19.66 13.18 40 27153 35802 79681393
Tyrosine kinase mutation 19.63 13.18 4 27189 28 79717167
Peripheral swelling 19.55 13.18 39 27154 269578 79447617
Erythropoiesis abnormal 19.54 13.18 7 27186 467 79716728
Pericardial effusion 19.04 13.18 46 27147 46191 79671004
Jaundice 18.76 13.18 50 27143 53299 79663896
Blood pressure increased 18.60 13.18 27 27166 211333 79505862
Skin mass 18.58 13.18 18 27175 8045 79709150
Graft versus host disease in gastrointestinal tract 18.16 13.18 16 27177 6340 79710855
Nasal polyps 18.10 13.18 17 27176 7310 79709885
Sickle cell disease 18.06 13.18 5 27188 142 79717053
Haemorrhage 17.95 13.18 70 27123 91048 79626147
Immunodeficiency 17.95 13.18 29 27164 21739 79695456
Lower respiratory tract infection 17.82 13.18 11 27182 129209 79587986
Erdheim-Chester disease 17.66 13.18 3 27190 6 79717189
Transient acantholytic dermatosis 17.58 13.18 5 27188 157 79717038
Mobility decreased 17.41 13.18 10 27183 122165 79595030
Insomnia 17.31 13.18 36 27157 245134 79472061
Sleep disorder 17.27 13.18 4 27189 85673 79631522
Tonsillitis bacterial 17.23 13.18 5 27188 169 79717026
Alopecia 17.17 13.18 33 27160 231322 79485873
Gangrene 16.98 13.18 18 27175 8946 79708249
Toxic epidermal necrolysis 16.93 13.18 43 27150 44538 79672657
Adenocarcinoma metastatic 16.77 13.18 5 27188 186 79717009
Basophil percentage increased 16.67 13.18 5 27188 190 79717005
Central nervous system leukaemia 16.47 13.18 6 27187 420 79716775
Cerebral haemorrhage 16.34 13.18 50 27143 57623 79659572
Hip deformity 16.33 13.18 5 27188 204 79716991
Capillary fragility 16.28 13.18 5 27188 206 79716989
Anaemia vitamin B12 deficiency 16.09 13.18 7 27186 781 79716414
Stenotrophomonas infection 16.08 13.18 12 27181 3761 79713434
Ureterolithiasis 15.87 13.18 12 27181 3836 79713359
Wound 15.87 13.18 10 27183 116169 79601026
Splenic rupture 15.74 13.18 10 27183 2419 79714776
Penile erosion 15.42 13.18 3 27190 16 79717179
Chromosome analysis abnormal 15.39 13.18 5 27188 248 79716947
Pneumatosis 15.28 13.18 7 27186 882 79716313
Myeloblast count increased 15.12 13.18 3 27190 18 79717177
Reticulocyte count increased 15.11 13.18 8 27185 1378 79715817
Subdural haemorrhage 15.08 13.18 14 27179 5934 79711261
Vasculitis 14.95 13.18 29 27164 25073 79692122
Acute erythroid leukaemia 14.87 13.18 5 27188 276 79716919
Budd-Chiari syndrome 14.86 13.18 4 27189 102 79717093
Anaphylactic reaction 14.86 13.18 5 27188 83738 79633457
Bronchopulmonary aspergillosis 14.83 13.18 27 27166 22267 79694928
Thyroid haemorrhage 14.79 13.18 4 27189 104 79717091
Intentional overdose 14.64 13.18 9 27184 105951 79611244
Sleep disorder due to a general medical condition 14.57 13.18 21 27172 14256 79702939
Enterococcal infection 14.49 13.18 22 27171 15638 79701557
Monocyte percentage decreased 14.44 13.18 5 27188 302 79716893
Gastroenteritis staphylococcal 14.42 13.18 5 27188 303 79716892
Adenovirus infection 14.32 13.18 16 27177 8431 79708764
Amyotrophy 14.29 13.18 6 27187 614 79716581
Hypercreatininaemia 14.15 13.18 7 27186 1046 79716149
B-cell small lymphocytic lymphoma 14.12 13.18 4 27189 124 79717071
Anxiety 14.01 13.18 41 27152 248471 79468724
Transplant failure 13.90 13.18 12 27181 4629 79712566
Venous pressure increased 13.86 13.18 3 27190 29 79717166
Extramedullary haemopoiesis 13.82 13.18 4 27189 134 79717061
Bone marrow reticulin fibrosis 13.80 13.18 5 27188 345 79716850
Ovarian failure 13.79 13.18 6 27187 670 79716525
Periarticular disorder 13.68 13.18 3 27190 31 79717164
Cholestasis 13.68 13.18 44 27149 52065 79665130
Pharyngeal haematoma 13.60 13.18 4 27189 142 79717053
Acute leukaemia 13.47 13.18 8 27185 1718 79715477
Paraesthesia 13.21 13.18 25 27168 176298 79540897
Blood cholesterol increased 13.20 13.18 6 27187 83714 79633481

FDA Adverse Event Reporting System (Pediatric)

None

Pharmacologic Action:

SourceCodeDescription
ATC L01XX05 ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS
ANTINEOPLASTIC AGENTS
OTHER ANTINEOPLASTIC AGENTS
Other antineoplastic agents
FDA CS M0022315 Urea
MeSH PA D000970 Antineoplastic Agents
MeSH PA D000986 Antisickling Agents
MeSH PA D004791 Enzyme Inhibitors
MeSH PA D006401 Hematologic Agents
MeSH PA D019384 Nucleic Acid Synthesis Inhibitors
FDA EPC N0000180853 Antimetabolite
CHEBI has role CHEBI:35221 antimetabolite
CHEBI has role CHEBI:35610 antineoplastic agents
CHEBI has role CHEBI:48578 free radical scavengers
CHEBI has role CHEBI:50846 Immunologic factor
CHEBI has role CHEBI:50902 genotoxic agent
CHEBI has role CHEBI:50905 teratogeno
CHEBI has role CHEBI:59517 DNA synthesis inhibitors
CHEBI has role CHEBI:64911 mitotic inhibitor
CHEBI has role CHEBI:74213 EC 1.17.4.1 inhibitor

Drug Use | Suggest Off label Use Form| |View source of the data|

DiseaseRelationSNOMED_IDDOID
Chronic myeloid leukemia indication 92818009 DOID:8552
Hb SS disease indication 127040003 DOID:10923
Malignant tumor of head and/or neck indication 255056009
Malignant tumor of ovary indication 363443007 DOID:2394
Malignant melanoma indication 372244006
Sickling disorder due to hemoglobin S indication 417357006
Hemoglobin SS disease with crisis indication 417425009
Polycythemia vera off-label use 109992005
Essential thrombocythemia off-label use 109994006 DOID:2224
Vasculitis of the skin contraindication 53312001
Leukopenia contraindication 84828003 DOID:615
Kidney disease contraindication 90708001 DOID:557
Anemia contraindication 271737000 DOID:2355
Pregnancy, function contraindication 289908002
Thrombocytopenic disorder contraindication 302215000 DOID:1588
Breastfeeding (mother) contraindication 413712001
Severe Bone Marrow Depression contraindication
Postirradiation Erythema contraindication




๐Ÿถ Veterinary Drug Use

None

๐Ÿถ Veterinary products

None

Acid dissociation constants calculated using MoKa v3.0.0

Dissociation levelDissociation constantType (acidic/basic)
pKa1 10.38 acidic
pKa2 12.5 acidic

Orange Book patent data (new drug applications)

None

Orange Book exclusivity data (new drug applications)

Formulation strengthTrade nameApplicantApplication numberApproval dateTypeDose formRouteExclusivity dateDescription
100MG SIKLOS ADDMEDICA SAS N208843 Dec. 21, 2017 RX TABLET ORAL Dec. 21, 2024 TO REDUCE THE FREQUENCY OF PAINFUL CRISES AND TO REDUCE THE NEED FOR BLOOD TRANSFUSIONS IN PEDIATRIC PATIENTS, 2 YEARS OF AGE AND OLDER, WITH SICKLE CELL ANEMIA WITH RECURRENT MODERATE TO SEVERE PAINFUL CRISIS
1GM SIKLOS ADDMEDICA SAS N208843 Dec. 21, 2017 RX TABLET ORAL Dec. 21, 2024 TO REDUCE THE FREQUENCY OF PAINFUL CRISES AND TO REDUCE THE NEED FOR BLOOD TRANSFUSIONS IN PEDIATRIC PATIENTS, 2 YEARS OF AGE AND OLDER, WITH SICKLE CELL ANEMIA WITH RECURRENT MODERATE TO SEVERE PAINFUL CRISIS

Bioactivity Summary:

TargetClassPharosUniProtActionTypeActivity value
(-log[M])
Mechanism
action
Bioact sourceMoA source
Ribonucleoside-diphosphate reductase large subunit Enzyme INHIBITOR WOMBAT-PK CHEMBL
Ribonucleoside-diphosphate reductase subunit M2 Enzyme INHIBITOR WOMBAT-PK CHEMBL
Carbonic anhydrase 2 Enzyme Ki 4.55 CHEMBL
Carbonic anhydrase 9 Enzyme Ki 4.64 CHEMBL
Carbonic anhydrase 5A, mitochondrial Enzyme Ki 4.51 CHEMBL

External reference:

IDSource
4017733 VUID
N0000146101 NUI
D00341 KEGG_DRUG
4017733 VANDF
CHEBI:44423 CHEBI
CHEMBL467 ChEMBL_ID
6822 IUPHAR_LIGAND_ID
DB01005 DRUGBANK_ID
1999309 RXNORM
148307 MMSL
1763 MMSL
4856 MMSL
d01373 MMSL
002635 NDDF
387314007 SNOMEDCT_US
56602009 SNOMEDCT_US
C0020402 UMLSCUI
D006918 MESH_DESCRIPTOR_UI
NHY PDB_CHEM_ID
1991 INN_ID
3657 PUBCHEM_CID
X6Q56QN5QC UNII

Pharmaceutical products:

ProductCategoryIngredientsNDCFormQuantityRouteMarketingLabel
HYDREA HUMAN PRESCRIPTION DRUG LABEL 1 0003-0830 CAPSULE 500 mg ORAL NDA 27 sections
HYDREA HUMAN PRESCRIPTION DRUG LABEL 1 0003-0830 CAPSULE 500 mg ORAL NDA 27 sections
DROXIA HUMAN PRESCRIPTION DRUG LABEL 1 0003-6335 CAPSULE 200 mg ORAL NDA 29 sections
DROXIA HUMAN PRESCRIPTION DRUG LABEL 1 0003-6335 CAPSULE 200 mg ORAL NDA 29 sections
DROXIA HUMAN PRESCRIPTION DRUG LABEL 1 0003-6336 CAPSULE 300 mg ORAL NDA 29 sections
DROXIA HUMAN PRESCRIPTION DRUG LABEL 1 0003-6336 CAPSULE 300 mg ORAL NDA 29 sections
DROXIA HUMAN PRESCRIPTION DRUG LABEL 1 0003-6337 CAPSULE 400 mg ORAL NDA 29 sections
DROXIA HUMAN PRESCRIPTION DRUG LABEL 1 0003-6337 CAPSULE 400 mg ORAL NDA 29 sections
HYDROXYUREA HUMAN PRESCRIPTION DRUG LABEL 1 0555-0882 CAPSULE 500 mg ORAL ANDA 23 sections
HYDROXYUREA HUMAN PRESCRIPTION DRUG LABEL 1 0555-0882 CAPSULE 500 mg ORAL ANDA 23 sections
Hydroxyurea HUMAN PRESCRIPTION DRUG LABEL 1 0904-6939 CAPSULE 500 mg ORAL ANDA 24 sections
Hydroxyurea HUMAN PRESCRIPTION DRUG LABEL 1 10135-702 CAPSULE 500 mg ORAL ANDA 30 sections
HYDROXYUREA HUMAN PRESCRIPTION DRUG LABEL 1 42291-321 CAPSULE 500 mg ORAL ANDA 22 sections
Hydroxyurea HUMAN PRESCRIPTION DRUG LABEL 1 49884-724 CAPSULE 500 mg ORAL ANDA 23 sections
HYDROXYUREA HUMAN PRESCRIPTION DRUG LABEL 1 54868-4773 CAPSULE 500 mg ORAL ANDA 19 sections
Hydroxyurea HUMAN PRESCRIPTION DRUG LABEL 1 55154-3554 CAPSULE 500 mg ORAL ANDA 24 sections
Hydroxyurea HUMAN PRESCRIPTION DRUG LABEL 1 55154-7143 CAPSULE 500 mg ORAL ANDA 26 sections
Hydroxyurea HUMAN PRESCRIPTION DRUG LABEL 1 55154-7143 CAPSULE 500 mg ORAL ANDA 26 sections
Hydroxyurea HUMAN PRESCRIPTION DRUG LABEL 1 60429-265 CAPSULE 500 mg ORAL ANDA 23 sections
Hydroxyurea HUMAN PRESCRIPTION DRUG LABEL 1 60429-265 CAPSULE 500 mg ORAL ANDA 23 sections
DROXIA HUMAN PRESCRIPTION DRUG LABEL 1 61269-402 CAPSULE 200 mg ORAL NDA 29 sections
DROXIA HUMAN PRESCRIPTION DRUG LABEL 1 61269-402 CAPSULE 200 mg ORAL NDA 29 sections
DROXIA HUMAN PRESCRIPTION DRUG LABEL 1 61269-403 CAPSULE 300 mg ORAL NDA 29 sections
DROXIA HUMAN PRESCRIPTION DRUG LABEL 1 61269-403 CAPSULE 300 mg ORAL NDA 29 sections
DROXIA HUMAN PRESCRIPTION DRUG LABEL 1 61269-404 CAPSULE 400 mg ORAL NDA 29 sections
DROXIA HUMAN PRESCRIPTION DRUG LABEL 1 61269-404 CAPSULE 400 mg ORAL NDA 29 sections
HYDREA HUMAN PRESCRIPTION DRUG LABEL 1 61269-835 CAPSULE 500 mg ORAL NDA 27 sections
Hydroxyurea HUMAN PRESCRIPTION DRUG LABEL 1 68084-284 CAPSULE 500 mg ORAL ANDA 26 sections
Hydroxyurea HUMAN PRESCRIPTION DRUG LABEL 1 68084-284 CAPSULE 500 mg ORAL ANDA 26 sections
HYDROXYUREA HUMAN PRESCRIPTION DRUG LABEL 1 69315-164 CAPSULE 500 mg ORAL ANDA 17 sections