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| Stem definition | Drug id | CAS RN |
|---|---|---|
| humanized origin | 5363 | 1531589-13-5 |
| Molecule | Description |
|---|---|
|
Synonyms:
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Brolucizumab-dbll is a humanized monoclonal single-chain Fv (scFv) antibody fragmentand a human VEGF inhibitor. Brolucizumab binds to the three major isoforms of VEGF-A (e.g., VEGF110, VEGF121, and VEGF165), thereby preventing interaction with receptors VEGFR-1 and VEGFR-2. By inhibiting VEGF-A, brolucizumab suppresses endothelial cell proliferation, neovascularization, and vascular permeability.
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| Date | Agency | Company | Orphan |
|---|---|---|---|
| March 25, 2020 | PMDA | Novartis Pharma K.K. | |
| Feb. 13, 2020 | EMA | Novartis Europharm Limited | |
| Oct. 7, 2019 | FDA | NOVARTIS PHARMS CORP |
| MedDRA adverse event term | Likelihood ratio | Likelihood ratio threshold | Patients taking drug having adverse event | Patients taking drug not having adverse event | Patients not taking drug having adverse event | Patients not taking drug not having adverse event |
|---|---|---|---|---|---|---|
| Retinal vasculitis | 1417.43 | 111.71 | 206 | 4478 | 1335 | 90622428 |
| Vitreous floaters | 1333.80 | 111.71 | 244 | 4440 | 7305 | 90616458 |
| Vitritis | 1228.59 | 111.71 | 183 | 4501 | 1431 | 90622332 |
| Eye inflammation | 1013.63 | 111.71 | 195 | 4489 | 7656 | 90616107 |
| Uveitis | 848.89 | 111.71 | 190 | 4494 | 15713 | 90608050 |
| Keratic precipitates | 832.16 | 111.71 | 107 | 4577 | 216 | 90623547 |
| Visual acuity reduced | 811.61 | 111.71 | 197 | 4487 | 23213 | 90600550 |
| Anterior chamber cell | 808.08 | 111.71 | 115 | 4569 | 621 | 90623142 |
| Vitreous opacities | 666.96 | 111.71 | 92 | 4592 | 378 | 90623385 |
| Vision blurred | 517.75 | 111.71 | 199 | 4485 | 110094 | 90513669 |
| Retinal artery occlusion | 508.78 | 111.71 | 90 | 4594 | 2181 | 90621582 |
| Visual impairment | 485.96 | 111.71 | 200 | 4484 | 132165 | 90491598 |
| Retinal vascular occlusion | 444.64 | 111.71 | 64 | 4620 | 377 | 90623386 |
| Iridocyclitis | 435.10 | 111.71 | 85 | 4599 | 3576 | 90620187 |
| Eye pain | 387.35 | 111.71 | 127 | 4557 | 44041 | 90579722 |
| Anterior chamber inflammation | 329.65 | 111.71 | 49 | 4635 | 371 | 90623392 |
| Blindness | 326.92 | 111.71 | 99 | 4585 | 26469 | 90597294 |
| Subretinal fluid | 311.59 | 111.71 | 50 | 4634 | 654 | 90623109 |
| Iritis | 308.91 | 111.71 | 64 | 4620 | 3622 | 90620141 |
| Anterior chamber flare | 300.69 | 111.71 | 39 | 4645 | 86 | 90623677 |
| Ocular hyperaemia | 275.31 | 111.71 | 92 | 4592 | 33706 | 90590057 |
| Vitreal cells | 266.33 | 111.71 | 35 | 4649 | 89 | 90623674 |
| Retinal perivascular sheathing | 255.14 | 111.71 | 31 | 4653 | 28 | 90623735 |
| Retinal haemorrhage | 232.63 | 111.71 | 55 | 4629 | 5709 | 90618054 |
| Retinal oedema | 210.23 | 111.71 | 38 | 4646 | 1038 | 90622725 |
| Vitreous haze | 203.86 | 111.71 | 26 | 4658 | 47 | 90623716 |
| Blindness transient | 202.53 | 111.71 | 47 | 4637 | 4496 | 90619267 |
| Retinal exudates | 185.45 | 111.71 | 32 | 4652 | 664 | 90623099 |
| Retinal occlusive vasculitis | 166.03 | 111.71 | 25 | 4659 | 208 | 90623555 |
| Retinal ischaemia | 163.05 | 111.71 | 27 | 4657 | 433 | 90623330 |
| Intraocular pressure increased | 143.54 | 111.71 | 39 | 4645 | 7054 | 90616709 |
| Chorioretinitis | 140.60 | 111.71 | 26 | 4658 | 807 | 90622956 |
| Detachment of retinal pigment epithelium | 126.29 | 111.71 | 22 | 4662 | 483 | 90623280 |
| Intra-ocular injection complication | 120.28 | 111.71 | 16 | 4668 | 46 | 90623717 |
| Metamorphopsia | 114.48 | 111.71 | 24 | 4660 | 1433 | 90622330 |
| MedDRA adverse event term | Likelihood ratio | Likelihood ratio threshold | Patients taking drug having adverse event | Patients taking drug not having adverse event | Patients not taking drug having adverse event | Patients not taking drug not having adverse event |
|---|---|---|---|---|---|---|
| Vitreous opacities | 836.76 | 199.00 | 117 | 2962 | 359 | 42617897 |
| Vitreous floaters | 783.43 | 199.00 | 150 | 2929 | 4080 | 42614176 |
| Retinal vasculitis | 681.45 | 199.00 | 102 | 2977 | 561 | 42617695 |
| Eye inflammation | 607.10 | 199.00 | 116 | 2963 | 3102 | 42615154 |
| Vitritis | 602.79 | 199.00 | 100 | 2979 | 1149 | 42617107 |
| Keratic precipitates | 562.27 | 199.00 | 76 | 3003 | 164 | 42618092 |
| Anterior chamber cell | 550.41 | 199.00 | 81 | 2998 | 387 | 42617869 |
| Visual acuity reduced | 508.83 | 199.00 | 137 | 2942 | 17413 | 42600843 |
| Subretinal fluid | 390.08 | 199.00 | 64 | 3015 | 679 | 42617577 |
| Uveitis | 382.96 | 199.00 | 96 | 2983 | 9162 | 42609094 |
| Vision blurred | 361.73 | 199.00 | 138 | 2941 | 53561 | 42564695 |
| Anterior chamber inflammation | 345.22 | 199.00 | 53 | 3026 | 351 | 42617905 |
| Iritis | 315.55 | 199.00 | 61 | 3018 | 1721 | 42616535 |
| Retinal perivascular sheathing | 313.82 | 199.00 | 39 | 3040 | 25 | 42618231 |
| Visual impairment | 287.08 | 199.00 | 110 | 2969 | 43003 | 42575253 |
| Retinal oedema | 285.69 | 199.00 | 51 | 3028 | 917 | 42617339 |
| Visual acuity reduced transiently | 227.97 | 199.00 | 32 | 3047 | 100 | 42618156 |
| Blindness | 227.32 | 199.00 | 74 | 3005 | 17904 | 42600352 |
| Retinal haemorrhage | 219.35 | 199.00 | 56 | 3023 | 5714 | 42612542 |
| Blindness transient | 215.29 | 199.00 | 48 | 3031 | 2741 | 42615515 |
| Iridocyclitis | 215.00 | 199.00 | 46 | 3033 | 2165 | 42616091 |
| MedDRA adverse event term | Likelihood ratio | Likelihood ratio threshold | Patients taking drug having adverse event | Patients taking drug not having adverse event | Patients not taking drug having adverse event | Patients not taking drug not having adverse event |
|---|---|---|---|---|---|---|
| Vitreous floaters | 1785.13 | 156.68 | 326 | 5926 | 8808 | 110574239 |
| Retinal vasculitis | 1674.44 | 156.68 | 250 | 6002 | 1799 | 110581248 |
| Vitritis | 1417.40 | 156.68 | 224 | 6028 | 2429 | 110580618 |
| Eye inflammation | 1343.78 | 156.68 | 257 | 5995 | 8914 | 110574133 |
| Vitreous opacities | 1279.29 | 156.68 | 178 | 6074 | 711 | 110582336 |
| Keratic precipitates | 1139.43 | 156.68 | 152 | 6100 | 404 | 110582643 |
| Anterior chamber cell | 1128.64 | 156.68 | 166 | 6086 | 1055 | 110581992 |
| Visual acuity reduced | 1087.72 | 156.68 | 270 | 5982 | 31903 | 110551144 |
| Uveitis | 937.09 | 156.68 | 222 | 6030 | 21488 | 110561559 |
| Vision blurred | 732.62 | 156.68 | 274 | 5978 | 128748 | 110454299 |
| Anterior chamber inflammation | 604.83 | 156.68 | 91 | 6161 | 684 | 110582363 |
| Subretinal fluid | 590.41 | 156.68 | 96 | 6156 | 1248 | 110581799 |
| Visual impairment | 576.26 | 156.68 | 233 | 6019 | 134195 | 110448852 |
| Retinal artery occlusion | 571.30 | 156.68 | 111 | 6141 | 4138 | 110578909 |
| Iritis | 555.20 | 156.68 | 110 | 6142 | 4542 | 110578505 |
| Iridocyclitis | 515.14 | 156.68 | 106 | 6146 | 5302 | 110577745 |
| Retinal vascular occlusion | 507.33 | 156.68 | 76 | 6176 | 552 | 110582495 |
| Retinal perivascular sheathing | 488.10 | 156.68 | 60 | 6192 | 55 | 110582992 |
| Eye pain | 422.23 | 156.68 | 143 | 6109 | 49956 | 110533091 |
| Retinal oedema | 421.61 | 156.68 | 74 | 6178 | 1553 | 110581494 |
| Blindness | 412.49 | 156.68 | 130 | 6122 | 36229 | 110546818 |
| Retinal haemorrhage | 392.73 | 156.68 | 94 | 6158 | 9407 | 110573640 |
| Anterior chamber flare | 373.95 | 156.68 | 51 | 6201 | 167 | 110582880 |
| Blindness transient | 342.10 | 156.68 | 77 | 6175 | 5879 | 110577168 |
| Vitreal cells | 315.22 | 156.68 | 43 | 6209 | 141 | 110582906 |
| Visual acuity reduced transiently | 314.87 | 156.68 | 46 | 6206 | 274 | 110582773 |
| Ocular hyperaemia | 291.38 | 156.68 | 102 | 6150 | 39184 | 110543863 |
| Vitreous haze | 280.26 | 156.68 | 37 | 6215 | 87 | 110582960 |
| Intraocular pressure increased | 243.58 | 156.68 | 66 | 6186 | 10810 | 110572237 |
| Idiopathic orbital inflammation | 187.74 | 156.68 | 30 | 6222 | 345 | 110582702 |
| Retinal ischaemia | 183.49 | 156.68 | 34 | 6218 | 973 | 110582074 |
| Retinal exudates | 169.10 | 156.68 | 33 | 6219 | 1251 | 110581796 |
| Retinal occlusive vasculitis | 168.80 | 156.68 | 26 | 6226 | 231 | 110582816 |
| Detachment of retinal pigment epithelium | 164.49 | 156.68 | 31 | 6221 | 974 | 110582073 |
None
| Source | Code | Description |
|---|---|---|
| ATC | S01LA06 | SENSORY ORGANS OPHTHALMOLOGICALS OCULAR VASCULAR DISORDER AGENTS Antineovascularisation agents |
| CHEBI has role | CHEBI:66981 | ophthalmology drug |
| Disease | Relation | SNOMED_ID | DOID |
|---|---|---|---|
| Macular edema due to diabetes mellitus | indication | 312912001 | DOID:9191 |
| Exudative age-related macular degeneration | indication | 414173003 | DOID:10873 |
| Eye infection | contraindication | 128351009 | |
| Uveitis | contraindication | 128473001 | DOID:13141 |
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| Target | Class | Pharos | UniProt | Action | Type | Activity value (-log[M]) | Mechanism action | Bioact source | MoA source |
|---|---|---|---|---|---|---|---|---|---|
| Vascular endothelial growth factor A | Secreted | INHIBITOR | Kd | 8.80 | IUPHAR | DRUG LABEL |
| ID | Source |
|---|---|
| 4038779 | VANDF |
| 4038780 | VANDF |
| CHEBI:755824 | CHEBI |
| CHEMBL3707357 | ChEMBL_ID |
| D11083 | KEGG_DRUG |
| C000622091 | MESH_SUPPLEMENTAL_RECORD_UI |
| 8713 | IUPHAR_LIGAND_ID |
| DB14864 | DRUGBANK_ID |
| 819963008 | SNOMEDCT_US |
| 819985002 | SNOMEDCT_US |
| C4550124 | UMLSCUI |
| 10053 | INN_ID |
| 324861 | MMSL |
| 37505 | MMSL |
| 37526 | MMSL |
| 018166 | NDDF |
| XSZ53G39H5 | UNII |
| 2204915 | RXNORM |
| Product | Category | Ingredients | NDC | Form | Quantity | Route | Marketing | Label |
|---|---|---|---|---|---|---|---|---|
| BEOVU | HUMAN PRESCRIPTION DRUG LABEL | 1 | 0078-0827 | INJECTION, SOLUTION | 6 mg | INTRAVITREAL | BLA | 26 sections |
| BEOVU | HUMAN PRESCRIPTION DRUG LABEL | 1 | 0078-0827 | INJECTION, SOLUTION | 6 mg | INTRAVITREAL | BLA | 26 sections |