evolocumab 🐶 Veterinary Use | Indications/Contra | FAERs-F | FAERs-M | Orange Bk | BioActivity |

Stem definitionDrug idCAS RN
human origin 5000 1256937-27-5

Description:

MoleculeDescription

Synonyms:

  • evolocumab
  • repatha
  • AMG-145
  • AMG 145
Evolocumab is a human monoclonal IgG2 directed against human proprotein convertase subtilisin kexin 9 (PCSK9). Evolocumab binds to PCSK9 and inhibits circulating PCSK9 from binding to the low density lipoprotein (LDL) receptor (LDLR), preventing PCSK9-mediated LDLR degradation and permitting LDLR to recycle back to the liver cell surface. By inhibiting the binding of PCSK9 to LDLR, evolocumab increases the number of LDLRs available to clear LDL from the blood, thereby lowering LDL-C levels.
  • Molecular weight:
  • Formula:
  • CLOGP:
  • LIPINSKI: None
  • HAC: None
  • HDO: None
  • TPSA:
  • ALOGS:
  • ROTB: None

Drug dosage:

DoseUnitRoute
10 mg P

ADMET properties:

None

Approvals:

DateAgencyCompanyOrphan
May 21, 2015 EMA
Aug. 28, 2015 FDA REPATHA
Jan. 22, 2016 PMDA Astellas Pharma

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
Wrong technique in product usage process 14548.49 26.92 4692 78107 57648 63348575
Accidental exposure to product 10527.33 26.92 3033 79766 24372 63381851
Device difficult to use 9197.25 26.92 2324 80475 10472 63395751
Injection site pain 7311.12 26.92 3491 79308 126309 63279914
Injection site bruising 4104.23 26.92 1668 81131 40242 63365981
Product dose omission issue 2958.44 26.92 2438 80361 231875 63174348
Injection site haemorrhage 2599.88 26.92 1032 81767 23282 63382941
Drug dose omission by device 2474.46 26.92 671 82128 4130 63402093
Rhinorrhoea 2220.71 26.92 1259 81540 64318 63341905
Myalgia 2018.17 26.92 1607 81192 144922 63261301
Device issue 1737.53 26.92 770 82029 23011 63383212
Device use error 1713.67 26.92 525 82274 5236 63400987
Incorrect dose administered by device 1688.68 26.92 487 82312 3861 63402362
Influenza like illness 1549.53 26.92 1007 81792 65817 63340406
Back pain 1455.78 26.92 1753 81046 262392 63143831
Underdose 1208.78 26.92 628 82171 26828 63379395
Injury associated with device 1205.60 26.92 361 82438 3305 63402918
Product storage error 1043.12 26.92 469 82330 14487 63391736
Muscle spasms 974.10 26.92 1106 81693 155044 63251179
Injection site swelling 915.28 26.92 639 82160 46933 63359290
Low density lipoprotein increased 839.66 26.92 315 82484 6042 63400181
Occupational exposure to product 732.70 26.92 216 82583 1862 63404361
Injection site mass 719.95 26.92 391 82408 18265 63387958
Incorrect disposal of product 682.93 26.92 162 82637 517 63405706
Injection site erythema 676.82 26.92 679 82120 82495 63323728
Drug ineffective 620.03 26.92 297 82502 1044468 62361755
Wrong technique in device usage process 536.69 26.92 195 82604 3403 63402820
Pain in extremity 496.54 26.92 1234 81565 330252 63075971
Device defective 487.91 26.92 156 82643 1806 63404417
Low density lipoprotein decreased 401.52 26.92 87 82712 157 63406066
Oropharyngeal pain 373.30 26.92 534 82265 93953 63312270
Blood glucose increased 363.13 26.92 495 82304 83261 63322962
Condition aggravated 358.39 26.92 50 82749 402167 63004056
Device malfunction 341.09 26.92 239 82560 17618 63388605
Injection site discomfort 328.43 26.92 147 82652 4483 63401740
Injection site discolouration 309.68 26.92 167 82632 7681 63398542
Infusion related reaction 290.93 26.92 6 82793 245515 63160708
Acute kidney injury 288.63 26.92 13 82786 263402 63142821
Fear of injection 273.09 26.92 149 82650 7015 63399208
Injection site pruritus 272.74 26.92 315 82484 44801 63361422
Blood cholesterol decreased 272.00 26.92 84 82715 860 63405363
Contraindicated product administered 263.27 26.92 4 82795 217644 63188579
Intercepted product administration error 260.55 26.92 67 82732 323 63405900
Feeling abnormal 259.93 26.92 588 82211 147804 63258419
Drug interaction 245.56 26.92 13 82786 229118 63177105
Blood triglycerides increased 245.16 26.92 170 82629 12318 63393905
Anaemia 242.04 26.92 45 82754 293385 63112838
Product use issue 241.15 26.92 11 82788 220509 63185714
Treatment failure 231.37 26.92 6 82793 199037 63207186
Maternal exposure during pregnancy 231.16 26.92 14 82785 220048 63186175
Pyrexia 227.86 26.92 169 82630 470309 62935914
Rheumatoid arthritis 213.46 26.92 37 82762 253782 63152441
Neutropenia 212.54 26.92 3 82796 175002 63231221
Systemic lupus erythematosus 211.50 26.92 16 82783 208902 63197321
Injection site urticaria 204.93 26.92 160 82639 13913 63392310
Vomiting 203.85 26.92 259 82540 559358 62846865
Nasopharyngitis 203.07 26.92 760 82039 253497 63152726
Injection site rash 201.44 26.92 179 82620 18630 63387593
Drug intolerance 197.17 26.92 78 82721 308583 63097640
Product use in unapproved indication 192.34 26.92 10 82789 179070 63227153
General physical health deterioration 188.96 26.92 21 82778 201381 63204842
Circumstance or information capable of leading to medication error 183.08 26.92 93 82706 3777 63402446
Infection 180.86 26.92 39 82760 229134 63177089
Therapeutic response unexpected 180.28 26.92 168 82631 18591 63387632
Inappropriate schedule of product administration 177.51 26.92 408 82391 103557 63302666
Thrombocytopenia 166.98 26.92 7 82792 151150 63255073
Wound 163.81 26.92 13 82786 163250 63242973
Glossodynia 152.71 26.92 25 82774 178851 63227372
Pericarditis 149.09 26.92 5 82794 131574 63274649
Hypotension 147.90 26.92 86 82713 272518 63133705
Influenza 141.72 26.92 385 82414 108337 63297886
White blood cell count decreased 137.00 26.92 12 82787 139092 63267131
Haemoglobin decreased 136.86 26.92 15 82784 145470 63260753
Joint swelling 136.13 26.92 136 82663 327530 63078693
Intentional product use issue 134.64 26.92 8 82791 127884 63278339
Injection site vesicles 133.47 26.92 69 82730 2908 63403315
Oedema peripheral 132.75 26.92 41 82758 189470 63216753
Pneumonia 129.35 26.92 250 82549 456517 62949706
Product communication issue 128.75 26.92 44 82755 635 63405588
Injection site induration 128.10 26.92 102 82697 9124 63397099
Arthropathy 124.62 26.92 76 82723 234716 63171507
Glycosylated haemoglobin increased 122.93 26.92 113 82686 12285 63393938
Memory impairment 122.92 26.92 356 82443 103902 63302321
Cough 119.89 26.92 721 82078 292022 63114201
Overdose 118.75 26.92 8 82791 115070 63291153
Hyponatraemia 117.79 26.92 7 82792 111893 63294330
Injection site extravasation 114.82 26.92 94 82705 8747 63397476
Hypokalaemia 113.99 26.92 5 82794 103799 63302424
Product administered at inappropriate site 113.15 26.92 63 82736 3086 63403137
Sepsis 113.00 26.92 30 82769 153093 63253130
Seizure 109.97 26.92 20 82779 132614 63273609
Drug hypersensitivity 108.53 26.92 148 82651 310539 63095684
Pulmonary embolism 107.31 26.92 13 82786 116671 63289552
Platelet count decreased 106.64 26.92 13 82786 116109 63290114
Stomatitis 106.59 26.92 25 82774 138700 63267523
Swelling 104.68 26.92 123 82676 275255 63130968
Lower respiratory tract infection 103.33 26.92 23 82776 132284 63273939
Device failure 97.75 26.92 73 82726 5938 63400285
Respiratory failure 97.06 26.92 10 82789 101848 63304375
Incorrect dose administered 96.45 26.92 230 82569 59738 63346485
Low density lipoprotein abnormal 94.12 26.92 27 82772 209 63406014
Injection site indentation 93.41 26.92 26 82773 178 63406045
Intentional product misuse 93.01 26.92 229 82570 60688 63345535
Arthralgia 91.99 26.92 1140 81659 568570 62837653
Sneezing 91.74 26.92 116 82683 18102 63388121
Device dispensing error 90.46 26.92 23 82776 105 63406118
Dysphonia 90.35 26.92 195 82604 47419 63358804
Death 90.14 26.92 224 82575 374157 63032066
Sinus disorder 89.90 26.92 134 82665 24419 63381804
Tachycardia 89.38 26.92 22 82777 118134 63288089
Sleep disorder due to a general medical condition 89.00 26.92 94 82705 12094 63394129
Muscle disorder 86.79 26.92 63 82736 4906 63401317
Oxygen saturation decreased 86.24 26.92 8 82791 88577 63317646
C-reactive protein increased 85.99 26.92 11 82788 94696 63311527
Hepatic enzyme increased 85.07 26.92 83 82716 202245 63203978
Pleural effusion 84.21 26.92 11 82788 93199 63313024
Discomfort 80.95 26.92 60 82739 167314 63238909
Psoriatic arthropathy 79.86 26.92 12 82787 91508 63314715
Impaired healing 79.71 26.92 18 82781 102524 63303699
Stent placement 78.14 26.92 53 82746 3702 63402521
Paranasal sinus hypersecretion 75.27 26.92 52 82747 3743 63402480
Cardiac operation 74.53 26.92 49 82750 3249 63402974
Fall 74.01 26.92 263 82536 392071 63014152
Septic shock 73.84 26.92 3 82796 66626 63339597
Musculoskeletal pain 73.59 26.92 276 82523 92001 63314222
Confusional state 73.39 26.92 122 82677 236258 63169965
Injection site reaction 71.02 26.92 202 82597 58322 63347901
Cardiac arrest 70.44 26.92 17 82782 92528 63313695
Osteoarthritis 67.86 26.92 20 82779 95323 63310900
Dehydration 67.36 26.92 76 82723 173278 63232945
Depressed level of consciousness 64.96 26.92 4 82795 62074 63344149
Interstitial lung disease 64.75 26.92 4 82795 61904 63344319
Deep vein thrombosis 64.55 26.92 15 82784 83785 63322438
Injection site injury 63.25 26.92 26 82773 640 63405583
Therapeutic product effect decreased 62.50 26.92 97 82702 193090 63213133
Incorrect dose administered by product 62.19 26.92 19 82780 187 63406036
Adverse reaction 61.21 26.92 71 82728 10132 63396091
Neutrophil count decreased 60.99 26.92 3 82796 56403 63349820
Nasal congestion 58.80 26.92 204 82595 65456 63340767
Injury 58.67 26.92 12 82787 73235 63332988
Blister 58.40 26.92 50 82749 129764 63276459
Muscle injury 58.33 26.92 8 82791 65337 63340886
Lack of injection site rotation 58.03 26.92 22 82777 434 63405789
Muscular weakness 57.59 26.92 313 82486 122040 63284183
Decreased appetite 57.44 26.92 154 82645 250898 63155325
Suicidal ideation 57.27 26.92 7 82792 62414 63343809
Injection site warmth 57.16 26.92 84 82715 15111 63391112
Renal failure 57.10 26.92 42 82757 117610 63288613
Oedema 56.97 26.92 28 82771 97594 63308629
Hypoacusis 56.62 26.92 108 82691 24043 63382180
Somnolence 56.59 26.92 91 82708 178594 63227629
Blood cholesterol abnormal 56.30 26.92 38 82761 2633 63403590
Medication error 55.84 26.92 3 82796 52281 63353942
Alanine aminotransferase increased 55.82 26.92 33 82766 103737 63302486
Abdominal pain 55.10 26.92 197 82602 293259 63112964
Respiratory tract congestion 55.08 26.92 90 82709 17742 63388481
Bradycardia 54.66 26.92 14 82785 73213 63333010
Rash pruritic 54.60 26.92 187 82612 59612 63346611
Gastrointestinal haemorrhage 54.27 26.92 19 82780 81157 63325066
Application site swelling 52.98 26.92 22 82777 556 63405667
Constipation 52.96 26.92 136 82663 224807 63181416
Hyperkalaemia 52.47 26.92 5 82794 54198 63352025
Cardiac failure 51.36 26.92 26 82773 89116 63317107
Multiple sclerosis relapse 51.10 26.92 3 82796 48475 63357748
Aspartate aminotransferase increased 51.02 26.92 27 82772 90250 63315973
Unevaluable event 50.74 26.92 165 82634 51221 63355002
Pulmonary oedema 50.72 26.92 6 82793 54867 63351356
Loss of consciousness 50.14 26.92 48 82751 118073 63288150
Syncope 49.48 26.92 48 82751 117337 63288886
Injection site irritation 48.63 26.92 45 82754 4933 63401290
Type 2 diabetes mellitus 48.07 26.92 12 82787 63856 63342367
Needle issue 45.92 26.92 62 82737 10314 63395909
Throat irritation 44.75 26.92 129 82670 37518 63368705
Upper-airway cough syndrome 44.23 26.92 64 82735 11354 63394869
Device delivery system issue 43.88 26.92 21 82778 748 63405475
Depression 43.82 26.92 122 82677 196370 63209853
Bone pain 42.35 26.92 162 82637 54479 63351744
Dizziness 41.88 26.92 790 82009 429135 62977088
Blood creatinine increased 41.79 26.92 32 82767 87812 63318411
Abortion spontaneous 41.60 26.92 6 82793 47189 63359034
Cellulitis 41.42 26.92 28 82771 81930 63324293
Liver function test abnormal 40.49 26.92 7 82792 48174 63358049
Gastrointestinal disorder 40.45 26.92 68 82731 131171 63275052
Red blood cell sedimentation rate increased 40.18 26.92 5 82794 43977 63362246
Mental status changes 40.12 26.92 3 82796 39596 63366627
Neck pain 40.11 26.92 188 82611 69130 63337093
Mobility decreased 40.03 26.92 283 82516 120876 63285347
No adverse event 39.60 26.92 4 82795 41401 63364822
Encephalopathy 38.92 26.92 3 82796 38617 63367606
Red blood cell count decreased 38.69 26.92 4 82795 40641 63365582
Nervousness 38.62 26.92 108 82691 30871 63375352
Renal impairment 38.56 26.92 35 82764 88320 63317903
International normalised ratio increased 38.46 26.92 7 82792 46418 63359805
Drug-induced liver injury 38.18 26.92 4 82795 40218 63366005
Hepatitis 37.65 26.92 4 82795 39784 63366439
Pruritus 37.55 26.92 671 82128 360782 63045441
Dyspnoea 37.51 26.92 622 82177 660691 62745532
Hepatotoxicity 36.98 26.92 3 82796 37038 63369185
Limb discomfort 36.46 26.92 103 82696 29613 63376610
Application site haemorrhage 36.37 26.92 21 82778 1103 63405120
Loss of personal independence in daily activities 36.32 26.92 44 82755 97246 63308977
Musculoskeletal disorder 36.27 26.92 82 82717 20562 63385661
Product dispensing error 35.95 26.92 55 82744 10250 63395973
Orthostatic hypotension 35.91 26.92 3 82796 36157 63370066
Application site pain 35.53 26.92 35 82764 4147 63402076
Aphonia 35.52 26.92 54 82745 10009 63396214
Muscle tightness 35.32 26.92 59 82740 11841 63394382
White blood cell count increased 34.89 26.92 10 82789 48551 63357672
Coronary artery bypass 34.62 26.92 27 82772 2342 63403881
Inflammation 34.26 26.92 34 82765 82239 63323984
Therapy non-responder 34.24 26.92 192 82607 75709 63330514
Pneumonia aspiration 33.93 26.92 3 82796 34537 63371686
Psoriasis 33.89 26.92 38 82761 86919 63319304
Hypoglycaemia 33.89 26.92 18 82781 60047 63346176
Injection site paraesthesia 33.85 26.92 16 82783 554 63405669
Agitation 33.58 26.92 18 82781 59739 63346484
Abdominal discomfort 33.47 26.92 263 82536 320622 63085601
Drug ineffective for unapproved indication 33.35 26.92 3 82796 34060 63372163
Injection site hypersensitivity 33.06 26.92 25 82774 2072 63404151
Pulmonary fibrosis 32.98 26.92 6 82793 39803 63366420
Hepatic failure 32.70 26.92 4 82795 35652 63370571
Staphylococcal infection 32.54 26.92 7 82792 41249 63364974
Blood alkaline phosphatase increased 32.48 26.92 8 82791 42959 63363264
Increased tendency to bruise 32.24 26.92 53 82746 10499 63395724
Pneumonitis 32.18 26.92 4 82795 35218 63371005
Hepatic function abnormal 32.10 26.92 5 82794 37137 63369086
Pulmonary hypertension 32.07 26.92 5 82794 37118 63369105
Wheezing 31.86 26.92 47 82752 95548 63310675
Asthma 31.66 26.92 75 82724 127486 63278737
Emotional distress 31.51 26.92 3 82796 32546 63373677
Chronic kidney disease 31.44 26.92 10 82789 45388 63360835
Osteoporosis 31.16 26.92 18 82781 57320 63348903
Device leakage 30.79 26.92 42 82757 7054 63399169
Gamma-glutamyltransferase increased 30.77 26.92 4 82795 34027 63372196
Rash maculo-papular 30.72 26.92 3 82796 31893 63374330
Plasma cell myeloma 30.65 26.92 5 82794 35900 63370323
Back disorder 30.56 26.92 53 82746 10964 63395259
Rectal haemorrhage 30.25 26.92 13 82786 49017 63357206
High density lipoprotein decreased 30.14 26.92 24 82775 2146 63404077
Irritable bowel syndrome 30.00 26.92 38 82761 82374 63323849
Body temperature increased 29.98 26.92 6 82793 37186 63369037
Femur fracture 29.27 26.92 9 82790 41747 63364476
Laboratory test abnormal 28.93 26.92 89 82710 26823 63379400
Haematemesis 28.93 26.92 3 82796 30409 63375814
Melaena 28.87 26.92 3 82796 30362 63375861
Blood pressure systolic increased 28.56 26.92 13 82786 47384 63358839
Dysarthria 28.54 26.92 10 82789 42701 63363522
Hypertension 28.16 26.92 231 82568 279072 63127151
Treatment noncompliance 28.11 26.92 7 82792 37318 63368905
Atrial fibrillation 27.82 26.92 70 82729 116566 63289657
Lipids increased 27.57 26.92 18 82781 1179 63405044
Jaundice 27.53 26.92 3 82796 29248 63376975
Haematochezia 27.44 26.92 18 82781 53526 63352697
Neuropathy peripheral 27.28 26.92 68 82731 113599 63292624

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
Wrong technique in product usage process 10953.20 27.91 3484 52793 32502 34868152
Accidental exposure to product 7049.64 27.91 1966 54311 10836 34889818
Device difficult to use 6243.08 27.91 1336 54941 1561 34899093
Injection site pain 3411.92 27.91 1522 54755 37483 34863171
Product dose omission issue 2483.08 27.91 1820 54457 117891 34782763
Injection site bruising 2325.58 27.91 767 55510 7896 34892758
Myalgia 2060.27 27.91 1417 54860 82693 34817961
Injection site haemorrhage 1957.94 27.91 695 55582 9073 34891581
Drug dose omission by device 1942.39 27.91 494 55783 1745 34898909
Rhinorrhoea 1874.48 27.91 885 55392 24783 34875871
Incorrect dose administered by device 1666.22 27.91 421 55856 1437 34899217
Influenza like illness 1607.71 27.91 816 55461 26818 34873836
Back pain 1494.01 27.91 1366 54911 120423 34780231
Device issue 1302.76 27.91 516 55761 9261 34891393
Device use error 1186.18 27.91 339 55938 2036 34898618
Low density lipoprotein decreased 950.87 27.91 244 56033 899 34899755
Injection site swelling 938.37 27.91 429 55848 11098 34889556
Product storage error 924.80 27.91 383 55894 7739 34892915
Underdose 745.68 27.91 388 55889 13392 34887262
Muscle spasms 675.25 27.91 712 55565 74289 34826365
Injection site mass 656.08 27.91 283 55994 6343 34894311
Injury associated with device 586.34 27.91 166 56111 957 34899697
Nasopharyngitis 564.40 27.91 627 55650 69341 34831313
Arthralgia 516.18 27.91 955 55322 169086 34731568
Low density lipoprotein increased 494.06 27.91 206 56071 4230 34896424
Blood cholesterol decreased 460.80 27.91 136 56141 928 34899726
Injection site discomfort 409.31 27.91 137 56140 1473 34899181
Acute kidney injury 408.97 27.91 20 56257 304968 34595686
Device defective 407.91 27.91 115 56162 651 34900003
Injection site erythema 373.48 27.91 262 56015 15637 34885017
Incorrect disposal of product 371.56 27.91 91 56186 262 34900392
Wrong technique in device usage process 350.30 27.91 120 56157 1392 34899262
Pain in extremity 341.86 27.91 677 55600 125836 34774818
Drug interaction 286.79 27.91 20 56257 225926 34674728
Device malfunction 285.75 27.91 189 56088 10232 34890422
Drug ineffective 273.58 27.91 203 56074 456548 34444106
Anaemia 265.89 27.91 32 56245 233303 34667351
Oropharyngeal pain 263.56 27.91 305 55972 35180 34865474
Pneumonia 227.57 27.91 153 56124 362474 34538180
Condition aggravated 214.85 27.91 28 56249 192168 34708486
Hypotension 211.39 27.91 49 56228 221600 34679054
Thrombocytopenia 206.63 27.91 11 56266 156236 34744418
Injection site discolouration 206.38 27.91 81 56196 1412 34899242
Blood glucose increased 194.42 27.91 369 55908 66349 34834305
Injection site urticaria 193.62 27.91 85 56192 1987 34898667
Injection site pruritus 187.44 27.91 125 56152 6858 34893796
Feeling abnormal 187.05 27.91 352 55925 62883 34837771
Pyrexia 186.36 27.91 158 56119 332855 34567799
Sepsis 182.00 27.91 26 56251 166535 34734119
Musculoskeletal pain 175.21 27.91 236 56041 31727 34868927
Circumstance or information capable of leading to medication error 172.81 27.91 75 56202 1704 34898950
Therapeutic response unexpected 166.94 27.91 133 56144 9624 34891030
Respiratory failure 155.94 27.91 4 56273 108568 34792086
Intercepted product administration error 155.80 27.91 43 56234 222 34900432
General physical health deterioration 152.49 27.91 15 56262 128254 34772400
Product use in unapproved indication 150.05 27.91 10 56267 117489 34783165
Occupational exposure to product 149.63 27.91 45 56232 330 34900324
Platelet count decreased 147.71 27.91 12 56265 119705 34780949
Nasal congestion 146.26 27.91 183 56094 22874 34877780
Adverse event 143.01 27.91 164 56113 18713 34881941
Injection site vesicles 141.74 27.91 51 56226 690 34899964
Completed suicide 139.55 27.91 4 56273 98164 34802490
Vomiting 138.92 27.91 117 56160 247504 34653150
Haemoglobin decreased 136.28 27.91 17 56260 120755 34779899
Blood triglycerides increased 133.41 27.91 138 56139 14021 34886633
Device failure 131.56 27.91 68 56209 2308 34898346
Inappropriate schedule of product administration 124.99 27.91 296 55981 62000 34838654
Renal failure 124.04 27.91 29 56248 130528 34770126
Disease progression 122.45 27.91 15 56262 108062 34792592
White blood cell count decreased 122.20 27.91 8 56269 95437 34805217
Sinus disorder 122.11 27.91 97 56180 6988 34893666
Pancytopenia 118.87 27.91 9 56268 95148 34805506
Product administered at inappropriate site 118.10 27.91 62 56215 2174 34898480
Injection site rash 117.90 27.91 77 56200 4076 34896578
Overdose 112.65 27.91 9 56268 91050 34809604
Hyponatraemia 111.86 27.91 5 56272 82686 34817968
Injection site reaction 110.33 27.91 120 56157 12913 34887741
Oedema peripheral 109.18 27.91 29 56248 119783 34780871
Fear of injection 108.37 27.91 52 56225 1500 34899154
Influenza 106.19 27.91 242 56035 49424 34851230
Low density lipoprotein abnormal 105.69 27.91 34 56243 319 34900335
Dehydration 103.31 27.91 40 56237 129929 34770725
Seizure 102.17 27.91 22 56255 104835 34795819
Decreased appetite 100.31 27.91 73 56204 166319 34734335
Fractional exhaled nitric oxide increased 99.84 27.91 44 56233 1038 34899616
Application site mass 96.57 27.91 19 56258 8 34900646
Gastrointestinal haemorrhage 96.11 27.91 14 56263 88463 34812191
Incorrect dose administered by product 93.40 27.91 20 56257 23 34900631
Hyperkalaemia 91.28 27.91 5 56272 69384 34831270
Product communication issue 88.71 27.91 31 56246 383 34900271
Multiple organ dysfunction syndrome 88.26 27.91 10 56267 76556 34824098
Adverse reaction 88.01 27.91 57 56220 2974 34897680
Fall 87.86 27.91 119 56158 202766 34697888
Intentional product misuse 87.44 27.91 213 56064 45398 34855256
Septic shock 86.38 27.91 8 56269 71826 34828828
Death 84.87 27.91 342 55935 397707 34502947
Paranasal sinus hypersecretion 84.01 27.91 38 56239 955 34899699
Secretion discharge 83.32 27.91 72 56205 5833 34894821
Dysphonia 81.62 27.91 140 56137 23243 34877411
Leukopenia 81.24 27.91 5 56272 62851 34837803
Pulmonary embolism 81.21 27.91 22 56255 89724 34810930
Injection site induration 81.12 27.91 53 56224 2807 34897847
Blood creatinine increased 80.98 27.91 26 56251 94950 34805704
Hypokalaemia 80.47 27.91 3 56274 58211 34842443
Plantar fasciitis 79.77 27.91 47 56230 2069 34898585
Pleural effusion 79.65 27.91 17 56260 81529 34819125
Cardiac failure 79.55 27.91 24 56253 91224 34809430
Respiratory tract congestion 78.92 27.91 71 56206 6068 34894586
Memory impairment 77.46 27.91 197 56080 43121 34857533
Mobility decreased 77.20 27.91 158 56119 29970 34870684
Interstitial lung disease 76.58 27.91 8 56269 65274 34835380
Deep vein thrombosis 76.53 27.91 8 56269 65240 34835414
Device dispensing error 75.32 27.91 18 56259 45 34900609
Pain 75.19 27.91 575 55702 204100 34696554
Glycosylated haemoglobin increased 74.97 27.91 92 56185 11268 34889386
Blood cholesterol increased 74.35 27.91 125 56152 20418 34880236
Intentional product use issue 73.72 27.91 6 56271 59810 34840844
Hypoxia 72.37 27.91 4 56273 55091 34845563
Cardiac arrest 70.93 27.91 33 56244 96126 34804528
Confusional state 70.34 27.91 77 56200 144083 34756571
Tachycardia 67.47 27.91 26 56251 84746 34815908
Bradycardia 67.27 27.91 19 56258 75399 34825255
Sensation of foreign body 65.63 27.91 46 56231 2737 34897917
Muscular weakness 65.16 27.91 261 56016 72636 34828018
Agitation 64.90 27.91 8 56269 57391 34843263
Syncope 62.06 27.91 35 56242 91416 34809238
Sneezing 60.34 27.91 57 56220 5185 34895469
Hypoacusis 60.07 27.91 100 56177 16201 34884453
Myoglobin blood increased 59.97 27.91 45 56232 2978 34897676
Oxygen saturation decreased 59.64 27.91 8 56269 53810 34846844
Treatment failure 59.49 27.91 4 56273 46693 34853961
Cough 59.15 27.91 429 55848 149711 34750943
Incorrect dose administered 59.14 27.91 171 56106 40344 34860310
Cardiac operation 58.87 27.91 45 56232 3062 34897592
Upper-airway cough syndrome 57.67 27.91 47 56230 3511 34897143
Constipation 57.58 27.91 82 56195 136900 34763754
Ascites 56.48 27.91 5 56272 46566 34854088
Rash pruritic 56.14 27.91 130 56147 26811 34873843
Needle issue 56.11 27.91 59 56218 6106 34894548
Pneumonia aspiration 55.16 27.91 3 56274 41900 34858754
International normalised ratio increased 54.99 27.91 6 56271 47321 34853333
Infection 54.58 27.91 40 56237 90875 34809779
Hallucination 53.97 27.91 9 56268 51489 34849165
C-reactive protein increased 53.38 27.91 11 56266 54087 34846567
Injection site hypoaesthesia 53.18 27.91 15 56262 85 34900569
Product use issue 52.65 27.91 18 56259 63198 34837456
Fatigue 52.41 27.91 862 55415 369791 34530863
Stent placement 52.40 27.91 52 56225 5026 34895628
Muscle tightness 52.23 27.91 51 56226 4833 34895821
Hypoglycaemia 52.11 27.91 12 56265 54628 34846026
Muscle disorder 51.96 27.91 39 56238 2582 34898072
Rhabdomyolysis 50.86 27.91 23 56254 68140 34832514
Abdominal pain 50.84 27.91 118 56159 163500 34737154
Musculoskeletal disorder 50.55 27.91 56 56221 6148 34894506
Injection site extravasation 50.09 27.91 40 56237 2902 34897752
Injection site irritation 49.69 27.91 29 56248 1254 34899400
Headache 49.53 27.91 517 55760 200118 34700536
Cardio-respiratory arrest 49.14 27.91 14 56263 55259 34845395
Renal impairment 48.88 27.91 48 56229 94465 34806189
Cardiac failure congestive 48.23 27.91 38 56239 83232 34817422
Haematuria 47.74 27.91 11 56266 50055 34850599
Sleep disorder due to a general medical condition 47.58 27.91 50 56227 5171 34895483
Plasma cell myeloma 47.17 27.91 6 56271 42031 34858623
Somnolence 46.20 27.91 67 56210 111049 34789605
Device physical property issue 43.30 27.91 23 56254 826 34899828
Hypersensitivity 41.93 27.91 202 56075 60833 34839821
High density lipoprotein decreased 41.50 27.91 38 56239 3322 34897332
Lactic acidosis 41.45 27.91 4 56273 34768 34865886
Mental status changes 41.39 27.91 6 56271 38077 34862577
Unevaluable event 41.39 27.91 131 56146 32459 34868195
Aggression 40.41 27.91 7 56270 38957 34861697
Rectal haemorrhage 40.09 27.91 8 56269 40241 34860413
Melaena 39.82 27.91 5 56272 35375 34865279
Blood bilirubin increased 39.45 27.91 7 56270 38289 34862365
Haematochezia 39.18 27.91 13 56264 46521 34854133
Pulmonary oedema 38.77 27.91 14 56263 47515 34853139
Product dispensing error 38.50 27.91 49 56228 6225 34894429
Oedema 38.13 27.91 13 56264 45728 34854926
Application site swelling 38.03 27.91 15 56262 265 34900389
Brain natriuretic peptide increased 37.61 27.91 46 56231 5613 34895041
White blood cell count increased 37.37 27.91 10 56267 41141 34859513
Stomatitis 37.36 27.91 11 56266 42503 34858151
Colitis 36.58 27.91 8 56269 37742 34862912
Lack of injection site rotation 36.37 27.91 14 56263 231 34900423
Injection site injury 35.35 27.91 14 56263 250 34900404
Injection site paraesthesia 35.27 27.91 12 56265 136 34900518
Throat irritation 35.13 27.91 62 56215 10523 34890131
Cellulitis 34.86 27.91 21 56256 52930 34847724
Jaundice 34.70 27.91 5 56272 31877 34868777
Haemorrhage 34.35 27.91 20 56257 51350 34849304
Blood alkaline phosphatase increased 33.68 27.91 5 56272 31170 34869484
Respiratory distress 33.67 27.91 8 56269 35657 34864997
High density lipoprotein increased 33.64 27.91 15 56262 364 34900290
Thrombosis 33.23 27.91 20 56257 50438 34850216
Neck pain 33.20 27.91 103 56174 25246 34875408
Musculoskeletal discomfort 33.14 27.91 52 56225 8016 34892638
Haemoptysis 32.76 27.91 8 56269 34998 34865656
Device delivery system issue 32.61 27.91 16 56261 485 34900169
Alanine aminotransferase increased 32.35 27.91 50 56227 80765 34819889
Transaminases increased 32.20 27.91 3 56274 26820 34873834
Spinal operation 31.97 27.91 31 56246 2913 34897741
Chest discomfort 31.53 27.91 172 56105 54358 34846296
Injection site laceration 31.48 27.91 8 56269 28 34900626
Gamma-glutamyltransferase increased 30.87 27.91 5 56272 29226 34871428
Drug resistance 30.86 27.91 3 56274 25924 34874730
Cerebral haemorrhage 30.77 27.91 9 56268 34928 34865726
Unresponsive to stimuli 30.77 27.91 4 56273 27565 34873089
Sluggishness 30.64 27.91 32 56245 3285 34897369
Dysarthria 30.56 27.91 9 56268 34773 34865881
Medication error 30.31 27.91 3 56274 25562 34875092
Therapy cessation 30.12 27.91 77 56200 16896 34883758
Sinus congestion 30.10 27.91 41 56236 5564 34895090
Hepatic function abnormal 30.05 27.91 17 56260 44346 34856308
Chronic obstructive pulmonary disease 30.03 27.91 21 56256 48897 34851757
Loss of consciousness 29.54 27.91 55 56222 82612 34818042
Cardiogenic shock 29.38 27.91 4 56273 26614 34874040
Acute respiratory failure 29.07 27.91 7 56270 30921 34869733
Injection site warmth 28.80 27.91 25 56252 2037 34898617
Shock 28.25 27.91 3 56274 24176 34876478
Suicidal ideation 28.04 27.91 15 56262 40373 34860281
Aspartate aminotransferase increased 28.03 27.91 41 56236 67742 34832912
Bone pain 27.97 27.91 85 56192 20601 34880053

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
Wrong technique in product usage process 24932.48 24.54 7500 104879 66375 79565634
Accidental exposure to product 15340.20 24.54 4262 108117 27060 79604949
Device difficult to use 13971.24 24.54 3331 109048 10054 79621955
Injection site pain 8242.86 24.54 3889 108490 125949 79506060
Product dose omission issue 5109.55 24.54 3562 108817 243975 79388034
Injection site bruising 4725.48 24.54 1876 110503 39126 79592883
Drug dose omission by device 4137.38 24.54 1082 111297 5168 79626841
Injection site haemorrhage 3987.17 24.54 1493 110886 26377 79605632
Incorrect dose administered by device 3303.26 24.54 864 111515 4125 79627884
Device issue 3067.57 24.54 1225 111154 25883 79606126
Rhinorrhoea 2975.83 24.54 1649 110730 74425 79557584
Device use error 2841.21 24.54 828 111551 6273 79625736
Myalgia 2599.12 24.54 2123 110256 183518 79448491
Influenza like illness 2333.34 24.54 1379 111000 70328 79561681
Back pain 2258.99 24.54 2445 109934 301735 79330274
Underdose 1886.91 24.54 925 111454 32226 79599783
Injury associated with device 1527.58 24.54 437 111942 3069 79628940
Product storage error 1506.91 24.54 637 111742 15589 79616420
Injection site swelling 1365.60 24.54 842 111537 46290 79585719
Muscle spasms 1288.80 24.54 1402 110977 173328 79458681
Injection site mass 1076.22 24.54 539 111840 19645 79612364
Low density lipoprotein decreased 1001.66 24.54 251 112128 970 79631039
Incorrect disposal of product 936.74 24.54 228 112151 757 79631252
Device defective 934.55 24.54 261 112118 1659 79630350
Wrong technique in device usage process 880.45 24.54 296 112083 3732 79628277
Injection site erythema 732.01 24.54 714 111665 77483 79554526
Drug ineffective 699.56 24.54 327 112052 1080586 78551423
Low density lipoprotein increased 693.76 24.54 306 112073 8316 79623693
Device malfunction 676.91 24.54 405 111974 21043 79610966
Pain in extremity 658.11 24.54 1530 110849 363008 79269001
Acute kidney injury 621.41 24.54 26 112353 519378 79112631
Blood cholesterol decreased 588.81 24.54 178 112201 1547 79630462
Injection site discomfort 547.60 24.54 223 112156 4943 79627066
Oropharyngeal pain 533.17 24.54 712 111667 108641 79523368
Condition aggravated 476.21 24.54 70 112309 501054 79130955
Drug interaction 467.35 24.54 30 112349 415153 79216856
Nasopharyngitis 441.47 24.54 1051 111328 252830 79379179
Feeling abnormal 428.99 24.54 789 111590 158410 79473599
Anaemia 413.94 24.54 66 112313 444949 79187060
Injection site discolouration 413.60 24.54 206 112173 7408 79624601
Neutropenia 379.19 24.54 5 112374 287705 79344304
Arthralgia 373.25 24.54 1693 110686 570110 79061899
Pyrexia 358.66 24.54 261 112118 678448 78953561
Blood glucose increased 340.53 24.54 594 111785 114381 79517628
Thrombocytopenia 331.87 24.54 9 112370 265250 79366759
Completed suicide 325.02 24.54 4 112375 245763 79386246
Fear of injection 319.05 24.54 172 112207 7302 79624707
Hypotension 309.45 24.54 117 112262 440200 79191809
Infusion related reaction 294.97 24.54 6 112373 230231 79401778
Vomiting 292.36 24.54 305 112074 665523 78966486
Product use in unapproved indication 281.76 24.54 18 112361 250341 79381668
Injection site pruritus 277.77 24.54 320 112059 41963 79590046
Therapeutic response unexpected 277.55 24.54 228 112151 19718 79612291
General physical health deterioration 276.60 24.54 32 112347 275206 79356803
Injection site urticaria 254.21 24.54 181 112198 12645 79619364
Pneumonia 248.71 24.54 341 112038 659905 78972104
Device failure 247.63 24.54 137 112242 6124 79625885
Blood triglycerides increased 240.75 24.54 215 112164 20825 79611184
Sepsis 232.91 24.54 48 112331 269380 79362629
Intercepted product administration error 224.71 24.54 62 112317 374 79631635
Haemoglobin decreased 222.69 24.54 26 112353 222093 79409916
Circumstance or information capable of leading to medication error 217.92 24.54 108 112271 3840 79628169
Platelet count decreased 213.16 24.54 16 112363 194648 79437361
Product administered at inappropriate site 211.58 24.54 106 112273 3859 79628150
Overdose 210.97 24.54 12 112367 184194 79447815
Inappropriate schedule of product administration 210.38 24.54 533 111846 133095 79498914
Respiratory failure 209.64 24.54 11 112368 180900 79451109
Treatment failure 208.75 24.54 7 112372 170479 79461530
Hyponatraemia 205.50 24.54 11 112368 177837 79454172
Product use issue 204.39 24.54 27 112352 209795 79422214
White blood cell count decreased 201.91 24.54 17 112362 188271 79443738
Product communication issue 200.24 24.54 70 112309 999 79631010
Disease progression 199.48 24.54 16 112363 184346 79447663
Pancytopenia 198.81 24.54 8 112371 165737 79466272
Oedema peripheral 196.43 24.54 56 112323 252232 79379777
Injection site rash 192.72 24.54 177 112202 17777 79614232
Injection site vesicles 190.50 24.54 91 112288 2981 79629028
Incorrect dose administered 190.25 24.54 367 112012 76263 79555746
Sinus disorder 187.66 24.54 193 112186 22271 79609738
Contraindicated product administered 184.36 24.54 9 112370 157529 79474480
Rheumatoid arthritis 180.42 24.54 37 112342 208433 79423576
Influenza 175.64 24.54 489 111890 129117 79502892
Intentional product use issue 170.88 24.54 11 112368 152101 79479908
Infection 169.97 24.54 64 112315 241648 79390361
Hypokalaemia 169.29 24.54 8 112371 144032 79487977
Musculoskeletal pain 168.14 24.54 415 111964 101939 79530070
Injection site extravasation 165.72 24.54 125 112254 9544 79622465
Seizure 162.40 24.54 34 112345 188800 79443209
Memory impairment 161.79 24.54 432 111947 111302 79520707
Drug intolerance 160.57 24.54 86 112293 264033 79367976
Injection site induration 159.62 24.54 123 112256 9696 79622313
Maternal exposure during pregnancy 150.08 24.54 11 112368 136527 79495482
Pulmonary embolism 149.48 24.54 30 112349 171624 79460385
Leukopenia 149.30 24.54 3 112376 116510 79515499
Device dispensing error 144.05 24.54 35 112344 115 79631894
Incorrect dose administered by product 135.48 24.54 36 112343 184 79631825
Oxygen saturation decreased 134.69 24.54 13 112366 129034 79502975
Septic shock 134.66 24.54 10 112369 122791 79509218
Cardiac arrest 134.28 24.54 38 112341 172058 79459951
Multiple organ dysfunction syndrome 134.15 24.54 9 112370 120237 79511772
Tachycardia 131.93 24.54 43 112336 177725 79454284
Occupational exposure to product 131.74 24.54 46 112333 654 79631355
Nasal congestion 130.61 24.54 315 112064 76237 79555772
Unevaluable event 130.41 24.54 260 112119 55325 79576684
Renal failure 130.32 24.54 60 112319 200908 79431101
Hyperkalaemia 129.29 24.54 8 112371 114390 79517619
Stomatitis 129.14 24.54 25 112354 146732 79485277
Gastrointestinal haemorrhage 128.23 24.54 26 112353 147693 79484316
Dehydration 127.36 24.54 98 112281 248089 79383920
Coma 127.36 24.54 3 112376 100646 79531363
Sleep disorder due to a general medical condition 127.17 24.54 127 112252 14150 79617859
Interstitial lung disease 126.88 24.54 8 112371 112592 79519417
Cough 125.15 24.54 915 111464 365874 79266135
C-reactive protein increased 122.32 24.54 18 112361 129009 79503000
Depressed level of consciousness 121.84 24.54 3 112376 96649 79535360
Systemic lupus erythematosus 121.82 24.54 14 112365 121135 79510874
Pericarditis 121.79 24.54 6 112373 104230 79527779
Pleural effusion 121.15 24.54 28 112351 145234 79486775
Decreased appetite 120.58 24.54 185 112194 342233 79289776
Hypoxia 120.45 24.54 6 112373 103237 79528772
Fall 120.17 24.54 324 112055 487305 79144704
Paranasal sinus hypersecretion 119.67 24.54 72 112307 3774 79628235
Cardiac failure 119.31 24.54 35 112344 154807 79477202
Sneezing 117.69 24.54 142 112237 19541 79612468
Confusional state 117.63 24.54 166 112213 317831 79314178
Glycosylated haemoglobin increased 113.61 24.54 138 112241 19122 79612887
Bradycardia 113.30 24.54 26 112353 135531 79496478
Dysphonia 112.41 24.54 248 112131 56624 79575385
Needle issue 112.28 24.54 114 112265 12954 79619055
Muscle disorder 111.85 24.54 80 112299 5627 79626382
Injection site indentation 111.53 24.54 30 112349 162 79631847
Neutrophil count decreased 111.10 24.54 5 112374 93954 79538055
Stent placement 111.10 24.54 84 112295 6436 79625573
Abdominal pain 110.83 24.54 240 112139 389329 79242680
Respiratory tract congestion 108.11 24.54 137 112242 19817 79612192
Deep vein thrombosis 105.54 24.54 21 112358 120898 79511111
Low density lipoprotein abnormal 105.34 24.54 35 112344 424 79631585
Delirium 105.27 24.54 3 112376 84624 79547385
Cardio-respiratory arrest 103.17 24.54 15 112364 108495 79523514
Cardiac operation 102.25 24.54 72 112307 4940 79627069
Blood creatinine increased 100.97 24.54 46 112333 155011 79476998
Wound 99.69 24.54 21 112358 116158 79515851
Hypoacusis 94.70 24.54 160 112219 29990 79602019
Drug hypersensitivity 94.56 24.54 173 112206 298743 79333266
Adverse reaction 94.50 24.54 89 112290 9225 79622784
Somnolence 93.16 24.54 120 112259 238861 79393148
Oedema 90.35 24.54 28 112351 119552 79512457
International normalised ratio increased 89.82 24.54 8 112371 84713 79547296
Syncope 88.09 24.54 74 112305 179375 79452634
Muscular weakness 87.72 24.54 453 111926 160276 79471733
Ascites 86.24 24.54 5 112374 75557 79556452
Device delivery system issue 85.92 24.54 34 112345 697 79631312
Mobility decreased 85.40 24.54 370 112009 121805 79510204
Alanine aminotransferase increased 84.89 24.54 63 112316 162507 79469502
Injection site injury 84.77 24.54 34 112345 723 79631286
Injection site reaction 84.55 24.54 217 112162 54568 79577441
Adverse event 84.29 24.54 230 112149 59984 79572025
Joint swelling 83.56 24.54 176 112203 288470 79343539
Medication error 83.35 24.54 3 112376 68639 79563370
Intentional product misuse 83.16 24.54 309 112070 94856 79537153
Lactic acidosis 82.35 24.54 4 112375 70355 79561654
Lower respiratory tract infection 81.56 24.54 40 112339 129180 79502829
Death 80.36 24.54 469 111910 566045 79065964
Renal impairment 80.02 24.54 63 112316 157720 79474289
Upper-airway cough syndrome 79.30 24.54 90 112289 11603 79620406
Rash pruritic 78.68 24.54 251 112128 71378 79560631
Glossodynia 78.42 24.54 24 112355 103313 79528696
Helicobacter infection 78.38 24.54 5 112374 69699 79562310
Encephalopathy 78.35 24.54 4 112375 67393 79564616
Constipation 77.48 24.54 178 112201 282872 79349137
Pneumonia aspiration 74.72 24.54 5 112374 66962 79565047
Application site swelling 74.68 24.54 31 112348 722 79631287
Aspartate aminotransferase increased 74.64 24.54 52 112327 138589 79493420
Hypoglycaemia 74.60 24.54 25 112354 101569 79530440
Application site mass 74.41 24.54 17 112362 39 79631970
Agitation 74.17 24.54 24 112355 99691 79532318
Psoriatic arthropathy 73.64 24.54 11 112368 77988 79554021
Pulmonary oedema 73.59 24.54 17 112362 88237 79543772
Therapeutic product effect decreased 71.69 24.54 75 112304 163788 79468221
Blood bilirubin increased 70.90 24.54 6 112373 66226 79565783
Muscle tightness 70.49 24.54 89 112290 12825 79619184
Haematocrit decreased 70.14 24.54 4 112375 61308 79570701
Lack of injection site rotation 69.65 24.54 27 112352 523 79631486
Melaena 69.58 24.54 4 112375 60886 79571123
Mental status changes 69.19 24.54 7 112372 66952 79565057
Atrial fibrillation 67.60 24.54 109 112270 197777 79434232
Pneumonitis 66.58 24.54 5 112374 60855 79571154
Rhabdomyolysis 66.50 24.54 31 112348 103100 79528909
Injury 66.49 24.54 14 112365 77482 79554527
Rash maculo-papular 66.24 24.54 3 112376 56075 79575934
Arthropathy 65.88 24.54 92 112287 177019 79454990
Hepatitis 65.76 24.54 3 112376 55724 79576285
Bone pain 65.53 24.54 200 112179 55542 79576467
Product dispensing error 63.97 24.54 86 112293 13177 79618832
Neck pain 63.49 24.54 242 112137 75175 79556834
Musculoskeletal disorder 62.35 24.54 110 112269 21338 79610671
Blood cholesterol abnormal 61.19 24.54 45 112334 3305 79628704
Suicidal ideation 61.13 24.54 16 112363 76324 79555685
Haematemesis 61.07 24.54 3 112376 52261 79579748
Loss of consciousness 60.72 24.54 89 112290 167854 79464155
Sedation 60.57 24.54 3 112376 51892 79580117
High density lipoprotein decreased 60.16 24.54 51 112328 4604 79627405
Cellulitis 59.91 24.54 40 112339 109020 79522989
Acute respiratory failure 59.55 24.54 7 112372 59534 79572475
Application site haemorrhage 59.29 24.54 32 112347 1361 79630648
Injection site irritation 58.40 24.54 46 112333 3744 79628265
Anaphylactic reaction 57.44 24.54 23 112356 83720 79548289
Hepatic function abnormal 57.26 24.54 16 112363 73091 79558918
White blood cell count increased 57.23 24.54 17 112362 74616 79557393
Unresponsive to stimuli 57.21 24.54 6 112373 55782 79576227
Haematochezia 57.04 24.54 26 112353 87619 79544390
Injection site warmth 56.68 24.54 86 112293 14721 79617288
Drug ineffective for unapproved indication 56.65 24.54 4 112375 51234 79580775
Device physical property issue 56.50 24.54 39 112340 2591 79629418
Hepatic enzyme increased 55.67 24.54 108 112271 182502 79449507
Blood alkaline phosphatase increased 55.66 24.54 11 112368 63653 79568356
Rectal haemorrhage 55.63 24.54 19 112360 76281 79555728
Impaired healing 55.51 24.54 27 112352 87628 79544381
Orthostatic hypotension 55.19 24.54 7 112372 56157 79575852
Hallucination 54.93 24.54 26 112353 85719 79546290
Headache 54.72 24.54 1255 111124 652517 78979492
Red blood cell count decreased 54.55 24.54 8 112371 57505 79574504
Throat irritation 53.94 24.54 153 112226 40793 79591216
Injection site paraesthesia 53.49 24.54 23 112356 586 79631423
Dysarthria 52.59 24.54 15 112364 67607 79564402
Pulmonary hypertension 52.46 24.54 4 112375 48076 79583933
Haematuria 52.20 24.54 16 112363 68820 79563189
Folliculitis 51.84 24.54 8 112371 55372 79576637
Hepatocellular injury 51.81 24.54 4 112375 47589 79584420
Musculoskeletal discomfort 51.66 24.54 97 112282 19738 79612271
Jaundice 51.58 24.54 7 112372 53342 79578667
Liver injury 51.17 24.54 9 112370 56605 79575404
Gamma-glutamyltransferase increased 50.96 24.54 8 112371 54672 79577337
Multiple sclerosis relapse 50.41 24.54 4 112375 46529 79585480
Back disorder 49.74 24.54 71 112308 11507 79620502
Depression 49.63 24.54 149 112230 216641 79415368
Swelling 49.57 24.54 149 112230 216562 79415447
Osteoarthritis 49.34 24.54 31 112348 87278 79544731
Leukocytosis 49.21 24.54 3 112376 43452 79588557
Respiratory distress 49.11 24.54 11 112368 58328 79573681
Colitis 48.88 24.54 21 112358 73286 79558723
Liver function test abnormal 48.87 24.54 15 112364 64460 79567549
Cerebral haemorrhage 48.30 24.54 11 112368 57662 79574347
Therapy cessation 48.16 24.54 139 112240 37423 79594586
Respiratory arrest 48.15 24.54 11 112368 57539 79574470
Nervousness 48.12 24.54 129 112250 33286 79598723
Cardiac failure congestive 48.10 24.54 79 112300 142323 79489686
Dyspnoea 47.74 24.54 886 111493 856139 78775870
Limb discomfort 47.49 24.54 127 112252 32723 79599286
Application site pain 47.47 24.54 45 112334 4702 79627307
Drug-induced liver injury 47.28 24.54 17 112362 66100 79565909
Plasma cell myeloma 46.99 24.54 9 112370 53250 79578759
Altered state of consciousness 46.82 24.54 4 112375 43818 79588191
Psychotic disorder 46.46 24.54 3 112376 41399 79590610
Blood cholesterol increased 46.36 24.54 237 112142 83483 79548526
Aggression 46.27 24.54 8 112371 50950 79581059
Injection site hypoaesthesia 46.00 24.54 20 112359 524 79631485
Pruritus 45.82 24.54 796 111583 393852 79238157
Epilepsy 45.73 24.54 3 112376 40857 79591152
Inflammation 45.57 24.54 39 112340 93714 79538295
Blood pressure systolic increased 44.97 24.54 19 112360 66967 79565042
Haemorrhage 44.17 24.54 38 112341 91080 79540929
Drug level increased 44.12 24.54 3 112376 39648 79592361
Chronic kidney disease 44.03 24.54 19 112360 66135 79565874
Shock 43.85 24.54 5 112374 43543 79588466
Blood lactate dehydrogenase increased 43.48 24.54 3 112376 39167 79592842
Coronary artery bypass 43.40 24.54 48 112331 6014 79625995
Gait disturbance 42.77 24.54 464 111915 207042 79424967
Hypervolaemia 42.74 24.54 5 112374 42685 79589324
Fatigue 42.14 24.54 1654 110725 928073 78703936
Acute respiratory distress syndrome 42.09 24.54 6 112373 44061 79587948
Transaminases increased 41.13 24.54 11 112368 51732 79580277
Wheezing 41.02 24.54 63 112316 116601 79515408
Increased tendency to bruise 40.37 24.54 61 112318 10403 79621606
Emotional distress 39.23 24.54 5 112374 39964 79592045
Haemoptysis 39.03 24.54 15 112364 55984 79576025
Angioedema 38.99 24.54 30 112349 76005 79556004
Basal cell carcinoma 38.37 24.54 4 112375 37371 79594638
Pericardial effusion 38.36 24.54 9 112370 46228 79585781
Stevens-Johnson syndrome 38.20 24.54 5 112374 39161 79592848
No adverse event 38.13 24.54 4 112375 37188 79594821
Treatment noncompliance 38.13 24.54 13 112366 52255 79579754
Clostridium difficile infection 38.11 24.54 7 112372 42678 79589331
Red blood cell sedimentation rate increased 38.00 24.54 9 112370 45933 79586076
Pulmonary fibrosis 37.78 24.54 8 112371 44104 79587905
Disease recurrence 37.77 24.54 8 112371 44101 79587908
Injection site haematoma 37.67 24.54 40 112339 4787 79627222
Drug resistance 37.52 24.54 7 112372 42206 79589803
Sluggishness 37.00 24.54 46 112333 6526 79625483
Asthma 36.89 24.54 85 112294 135010 79496999
Blood pressure fluctuation 36.37 24.54 25 112354 67120 79564889
Dizziness 36.35 24.54 985 111394 525456 79106553
Circulatory collapse 36.28 24.54 5 112374 37663 79594346
Thrombosis 36.20 24.54 39 112340 84061 79547948
Laboratory test abnormal 36.16 24.54 104 112275 27944 79604065
Pallor 35.58 24.54 13 112366 50049 79581960
Hypertension 35.51 24.54 297 112082 330695 79301314
Head discomfort 35.40 24.54 69 112310 14433 79617576
Osteoporosis 35.29 24.54 16 112363 54096 79577913
Blister 35.25 24.54 72 112307 119404 79512605
Cardiogenic shock 35.09 24.54 8 112371 41906 79590103
Bacteraemia 35.06 24.54 3 112376 32821 79599188
Ejection fraction decreased 34.74 24.54 4 112375 34573 79597436
Intentional self-injury 34.53 24.54 3 112376 32416 79599593
Hyperglycaemia 34.50 24.54 29 112350 70306 79561703
Body temperature increased 34.27 24.54 10 112369 44410 79587599
Aphonia 34.08 24.54 56 112323 10256 79621753
Staphylococcal infection 33.91 24.54 20 112359 58275 79573734
Blood calcium decreased 33.74 24.54 3 112376 31816 79600193
Obstructive airways disorder 33.26 24.54 3 112376 31456 79600553
Haematoma 33.16 24.54 16 112363 52179 79579830
Blood glucose abnormal 33.08 24.54 56 112323 10510 79621499
Obesity 33.05 24.54 5 112374 35120 79596889
Nausea 32.83 24.54 1064 111315 956132 78675877
Injection site scab 32.62 24.54 14 112365 355 79631654
Candida infection 32.58 24.54 7 112372 38207 79593802
Neuropathy peripheral 32.41 24.54 97 112282 141208 79490801
Urinary retention 32.14 24.54 20 112359 56610 79575399
Proteinuria 32.06 24.54 4 112375 32498 79599511
Drug delivery system malfunction 32 24.54 17 112362 700 79631309
Coagulopathy 31.94 24.54 6 112373 36000 79596009
Drug eruption 31.92 24.54 11 112368 43924 79588085
Urinary tract infection 31.90 24.54 241 112138 274271 79357738
Lung disorder 31.82 24.54 40 112339 80517 79551492
High density lipoprotein increased 31.82 24.54 20 112359 1134 79630875
Myelodysplastic syndrome 31.74 24.54 3 112376 30298 79601711
Blood pressure diastolic decreased 31.63 24.54 3 112376 30213 79601796
Full blood count abnormal 31.43 24.54 9 112370 40465 79591544
Anxiety 31.38 24.54 213 112166 248299 79383710
Chronic obstructive pulmonary disease 31.12 24.54 45 112334 85374 79546635
Intestinal obstruction 30.86 24.54 11 112368 43009 79589000
Abortion spontaneous 30.70 24.54 3 112376 29504 79602505
Hepatic cirrhosis 30.58 24.54 6 112373 34900 79597109
Neutrophil count increased 30.56 24.54 3 112376 29393 79602616
Abnormal behaviour 30.39 24.54 7 112372 36414 79595595
Spinal operation 30.33 24.54 46 112333 7871 79624138
Osteonecrosis 30.25 24.54 4 112375 31091 79600918
COVID-19 30.21 24.54 117 112262 157557 79474452
Injection site laceration 29.96 24.54 10 112369 123 79631886
Heart rate decreased 29.83 24.54 33 112346 70283 79561726
Liver disorder 29.62 24.54 35 112344 72382 79559627
Dyskinesia 29.57 24.54 13 112366 44760 79587249
Blood urea increased 29.44 24.54 16 112363 48774 79583235
Device leakage 29.41 24.54 54 112325 10802 79621207
Coronary artery occlusion 29.36 24.54 66 112313 15249 79616760
Pain 29.24 24.54 1241 111138 702561 78929448
Muscle injury 29.19 24.54 16 112363 48545 79583464
Psoriasis 29.05 24.54 51 112328 89536 79542473
Ventricular fibrillation 29.01 24.54 5 112374 31921 79600088
Sinus congestion 28.84 24.54 77 112302 19819 79612190
Burning sensation 28.39 24.54 160 112219 58472 79573537
Ischaemic stroke 28.39 24.54 6 112373 33125 79598884
Osteomyelitis 28.06 24.54 6 112373 32859 79599150
Gastrointestinal disorder 27.94 24.54 84 112295 122121 79509888
Vascular graft 27.79 24.54 23 112356 2008 79630001
Small intestinal obstruction 27.79 24.54 3 112376 27269 79604740
Lacrimation increased 27.68 24.54 82 112297 22395 79609614
Diabetic ketoacidosis 27.60 24.54 7 112372 34115 79597894
Atelectasis 27.32 24.54 6 112373 32251 79599758
Withdrawal syndrome 27.25 24.54 3 112376 26851 79605158
Hemiparesis 27.14 24.54 7 112372 33726 79598283
Urosepsis 26.78 24.54 3 112376 26492 79605517
Pneumothorax 26.72 24.54 4 112375 28319 79603690
Haemorrhage intracranial 26.39 24.54 3 112376 26190 79605819
Type 2 diabetes mellitus 26.28 24.54 25 112354 57097 79574912
Discomfort 26.18 24.54 90 112289 125527 79506482
Device dislocation 26.10 24.54 3 112376 25967 79606042
Femur fracture 25.88 24.54 11 112368 38641 79593368
Iron deficiency anaemia 25.71 24.54 3 112376 25669 79606340
COVID-19 pneumonia 25.18 24.54 5 112374 28844 79603165
Lipids increased 25.14 24.54 20 112359 1651 79630358
Skin lesion 24.85 24.54 14 112365 41830 79590179
Bronchospasm 24.66 24.54 3 112376 24856 79607153
Blood triglycerides decreased 24.58 24.54 10 112369 221 79631788

FDA Adverse Event Reporting System (Pediatric)

None

Pharmacologic Action:

SourceCodeDescription
ATC C10AX13 CARDIOVASCULAR SYSTEM
LIPID MODIFYING AGENTS
LIPID MODIFYING AGENTS, PLAIN
Other lipid modifying agents
FDA CS M0001357 Antibodies, Monoclonal
MeSH PA D000924 Anticholesteremic Agents
MeSH PA D000963 Antimetabolites
MeSH PA D004791 Enzyme Inhibitors
MeSH PA D000960 Hypolipidemic Agents
MeSH PA D057847 Lipid Regulating Agents
MeSH PA D000091362 PCSK9 Inhibitors
MeSH PA D011480 Protease Inhibitors
MeSH PA D015842 Serine Proteinase Inhibitors
FDA MoA N0000191730 PCSK9 Inhibitors
FDA EPC N0000191731 PCSK9 Inhibitor

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

DiseaseRelationSNOMED_IDDOID
Hypercholesterolemia indication 13644009
Cardiovascular disease indication 49601007 DOID:1287
Familial hypercholesterolemia - homozygous indication 238078005
Familial hypercholesterolemia - heterozygous indication 238079002
Complex dyslipidemia indication 109041000119107




🐶 Veterinary Drug Use

None

🐶 Veterinary products

None

Acid dissociation constants calculated using MoKa v3.0.0

None

Orange Book patent data (new drug applications)

None

Orange Book exclusivity data (new drug applications)

None

Bioactivity Summary:

TargetClassPharosUniProtActionTypeActivity value
(-log[M])
Mechanism
action
Bioact sourceMoA source
Proprotein convertase subtilisin/kexin type 9 Enzyme INHIBITOR Kd 9.72 IUPHAR SCIENTIFIC LITERATURE

External reference:

IDSource
D10557 KEGG_DRUG
4034786 VANDF
CHEMBL2364655 ChEMBL_ID
C577155 MESH_SUPPLEMENTAL_RECORD_UI
7343 IUPHAR_LIGAND_ID
DB09303 DRUGBANK_ID
1665684 RXNORM
236233 MMSL
31213 MMSL
d08383 MMSL
016368 NDDF
716068004 SNOMEDCT_US
763586000 SNOMEDCT_US
C3529352 UMLSCUI
9643 INN_ID
LKC0U3A8NJ UNII

Pharmaceutical products:

ProductCategoryIngredientsNDCFormQuantityRouteMarketingLabel
REPATHA HUMAN PRESCRIPTION DRUG LABEL 1 55513-750 INJECTION, SOLUTION 140 mg SUBCUTANEOUS BLA 33 sections
REPATHA HUMAN PRESCRIPTION DRUG LABEL 1 55513-750 INJECTION, SOLUTION 140 mg SUBCUTANEOUS BLA 33 sections
REPATHA HUMAN PRESCRIPTION DRUG LABEL 1 55513-750 INJECTION, SOLUTION 140 mg SUBCUTANEOUS BLA 33 sections
REPATHA HUMAN PRESCRIPTION DRUG LABEL 1 55513-760 INJECTION, SOLUTION 140 mg SUBCUTANEOUS BLA 33 sections
REPATHA HUMAN PRESCRIPTION DRUG LABEL 1 55513-760 INJECTION, SOLUTION 140 mg SUBCUTANEOUS BLA 33 sections
REPATHA HUMAN PRESCRIPTION DRUG LABEL 1 55513-760 INJECTION, SOLUTION 140 mg SUBCUTANEOUS BLA 33 sections
REPATHA HUMAN PRESCRIPTION DRUG LABEL 1 72511-750 INJECTION, SOLUTION 140 mg SUBCUTANEOUS BLA 33 sections
REPATHA HUMAN PRESCRIPTION DRUG LABEL 1 72511-750 INJECTION, SOLUTION 140 mg SUBCUTANEOUS BLA 33 sections
REPATHA HUMAN PRESCRIPTION DRUG LABEL 1 72511-750 INJECTION, SOLUTION 140 mg SUBCUTANEOUS BLA 33 sections
REPATHA HUMAN PRESCRIPTION DRUG LABEL 1 72511-760 INJECTION, SOLUTION 140 mg SUBCUTANEOUS BLA 33 sections
REPATHA HUMAN PRESCRIPTION DRUG LABEL 1 72511-760 INJECTION, SOLUTION 140 mg SUBCUTANEOUS BLA 33 sections
REPATHA HUMAN PRESCRIPTION DRUG LABEL 1 72511-760 INJECTION, SOLUTION 140 mg SUBCUTANEOUS BLA 33 sections