| Stem definition | Drug id | CAS RN |
|---|---|---|
| immunomodulators, both stimulant/suppressive and stimulant | 5383 | 1306760-87-1 |
| Dose | Unit | Route |
|---|---|---|
| 0.92 | mg | O |
| Property | Value | Reference |
|---|---|---|
| S (Water solubility) | 0.00 mg/mL | Bocci G, Oprea TI, Benet LZ |
| BDDCS (Biopharmaceutical Drug Disposition Classification System) | 1 | Bocci G, Oprea TI, Benet LZ |
| Date | Agency | Company | Orphan |
|---|---|---|---|
| May 20, 2020 | EMA | Bristol-Myers Squibb Pharma EEIG | |
| March 25, 2020 | FDA | CELGENE INTL |
| 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 |
|---|---|---|---|---|---|---|
| Multiple sclerosis relapse | 508.81 | 35.80 | 170 | 4098 | 48308 | 63436446 |
| Fatigue | 139.26 | 35.80 | 227 | 4041 | 887801 | 62596953 |
| Headache | 131.80 | 35.80 | 185 | 4083 | 633056 | 62851698 |
| Dizziness | 89.54 | 35.80 | 126 | 4142 | 429799 | 63054955 |
| Lymphopenia | 80.16 | 35.80 | 34 | 4234 | 18293 | 63466461 |
| Lymphocyte count decreased | 66.75 | 35.80 | 35 | 4233 | 30222 | 63454532 |
| COVID-19 | 59.72 | 35.80 | 54 | 4214 | 113049 | 63371705 |
| Balance disorder | 51.96 | 35.80 | 44 | 4224 | 84378 | 63400376 |
| Back pain | 51.20 | 35.80 | 75 | 4193 | 264070 | 63220684 |
| Migraine | 48.08 | 35.80 | 46 | 4222 | 103300 | 63381454 |
| Unevaluable event | 40.57 | 35.80 | 31 | 4237 | 51355 | 63433399 |
| Hypoaesthesia | 40.34 | 35.80 | 53 | 4215 | 168340 | 63316414 |
| COVID-19 pneumonia | 38.81 | 35.80 | 19 | 4249 | 14190 | 63470564 |
| Memory impairment | 38.57 | 35.80 | 41 | 4227 | 104217 | 63380537 |
| Product dose omission issue | 36.23 | 35.80 | 60 | 4208 | 234253 | 63250501 |
| 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 |
|---|---|---|---|---|---|---|
| Multiple sclerosis relapse | 174.49 | 45.82 | 48 | 1228 | 13085 | 34942570 |
| Drug ineffective | 80.60 | 45.82 | 90 | 1186 | 456661 | 34498994 |
| Fatigue | 53.23 | 45.82 | 66 | 1210 | 370587 | 34585068 |
| COVID-19 | 46.34 | 45.82 | 31 | 1245 | 77519 | 34878136 |
| 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 |
|---|---|---|---|---|---|---|
| Multiple sclerosis relapse | 476.45 | 37.95 | 153 | 4279 | 46380 | 79693576 |
| Fatigue | 173.41 | 37.95 | 233 | 4199 | 929494 | 78810462 |
| Headache | 148.38 | 37.95 | 181 | 4251 | 653591 | 79086365 |
| Dizziness | 92.79 | 37.95 | 129 | 4303 | 526312 | 79213644 |
| Lymphopenia | 88.24 | 37.95 | 40 | 4392 | 30517 | 79709439 |
| Back pain | 74.65 | 37.95 | 88 | 4344 | 304092 | 79435864 |
| COVID-19 | 68.39 | 37.95 | 62 | 4370 | 157612 | 79582344 |
| Migraine | 55.75 | 37.95 | 43 | 4389 | 87450 | 79652506 |
| Hypoaesthesia | 54.37 | 37.95 | 58 | 4374 | 179294 | 79560662 |
| Balance disorder | 53.20 | 37.95 | 44 | 4388 | 98813 | 79641143 |
| Drug ineffective | 51.10 | 37.95 | 153 | 4279 | 1080760 | 78659196 |
| Product dose omission issue | 45.37 | 37.95 | 62 | 4370 | 247475 | 79492481 |
| Memory impairment | 42.73 | 37.95 | 41 | 4391 | 111693 | 79628263 |
| Heart rate decreased | 41.41 | 37.95 | 33 | 4399 | 70283 | 79669673 |
| Unevaluable event | 39.11 | 37.95 | 29 | 4403 | 55556 | 79684400 |
| Lymphocyte count decreased | 38.59 | 37.95 | 27 | 4405 | 47262 | 79692694 |
None
| Source | Code | Description |
|---|---|---|
| ATC | L04AA38 | ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS IMMUNOSUPPRESSANTS IMMUNOSUPPRESSANTS Selective immunosuppressants |
| MeSH PA | D007155 | Immunologic Factors |
| MeSH PA | D007166 | Immunosuppressive Agents |
| MeSH PA | D000081243 | Sphingosine 1 Phosphate Receptor Modulators |
| FDA MoA | N0000181815 | Sphingosine 1-Phosphate Receptor Modulators |
| FDA EPC | N0000181816 | Sphingosine 1-phosphate Receptor Modulator |
| Disease | Relation | SNOMED_ID | DOID |
|---|---|---|---|
| Multiple sclerosis | indication | 24700007 | DOID:2377 |
| Ulcerative colitis | indication | 64766004 | DOID:8577 |
| Relapsing remitting multiple sclerosis | indication | 426373005 | DOID:2378 |
| Preinfarction syndrome | contraindication | 4557003 | |
| Myocardial infarction | contraindication | 22298006 | DOID:5844 |
| Mobitz type II atrioventricular block | contraindication | 28189009 | DOID:11312 |
| Sick sinus syndrome | contraindication | 36083008 | DOID:13884 |
| Sinoatrial block | contraindication | 65778007 | |
| Sleep apnea | contraindication | 73430006 | DOID:0050847 |
| Heart failure | contraindication | 84114007 | DOID:6000 |
| Cerebrovascular accident | contraindication | 230690007 | |
| Transient ischemic attack | contraindication | 266257000 | DOID:224 |
None
None
| Dissociation level | Dissociation constant | Type (acidic/basic) |
|---|---|---|
| pKa1 | 8.46 | Basic |
| Formulation strength | Trade name | Applicant | Application number | Approval date | Type | Dose form | Route | Patent number | Patent expiration date | Patent use |
|---|---|---|---|---|---|---|---|---|---|---|
| EQ 0.23MG BASE | ZEPOSIA | CELGENE INTL | N209899 | March 25, 2020 | RX | CAPSULE | ORAL | 8481573 | May 14, 2029 | TREATMENT OF RELAPSING FORMS OF MULTIPLE SCLEROSIS (MS), TO INCLUDE CLINICALLY ISOLATED SYNDROME, RELAPSING-REMITTING DISEASE, AND ACTIVE SECONDARY PROGRESSIVE DISEASE, IN ADULTS |
| EQ 0.23MG BASE | ZEPOSIA | CELGENE INTL | N209899 | March 25, 2020 | RX | CAPSULE | ORAL | 9382217 | May 14, 2029 | TREATMENT OF RELAPSING FORMS OF MULTIPLE SCLEROSIS (MS), TO INCLUDE CLINICALLY ISOLATED SYNDROME, RELAPSING-REMITTING DISEASE, AND ACTIVE SECONDARY PROGRESSIVE DISEASE, IN ADULTS |
| EQ 0.46MG BASE | ZEPOSIA | CELGENE INTL | N209899 | March 25, 2020 | RX | CAPSULE | ORAL | 8481573 | May 14, 2029 | TREATMENT OF RELAPSING FORMS OF MULTIPLE SCLEROSIS (MS), TO INCLUDE CLINICALLY ISOLATED SYNDROME, RELAPSING-REMITTING DISEASE, AND ACTIVE SECONDARY PROGRESSIVE DISEASE, IN ADULTS |
| EQ 0.46MG BASE | ZEPOSIA | CELGENE INTL | N209899 | March 25, 2020 | RX | CAPSULE | ORAL | 9382217 | May 14, 2029 | TREATMENT OF RELAPSING FORMS OF MULTIPLE SCLEROSIS (MS), TO INCLUDE CLINICALLY ISOLATED SYNDROME, RELAPSING-REMITTING DISEASE, AND ACTIVE SECONDARY PROGRESSIVE DISEASE, IN ADULTS |
| EQ 0.92MG BASE | ZEPOSIA | CELGENE INTL | N209899 | March 25, 2020 | RX | CAPSULE | ORAL | 8481573 | May 14, 2029 | TREATMENT OF RELAPSING FORMS OF MULTIPLE SCLEROSIS (MS), TO INCLUDE CLINICALLY ISOLATED SYNDROME, RELAPSING-REMITTING DISEASE, AND ACTIVE SECONDARY PROGRESSIVE DISEASE, IN ADULTS |
| EQ 0.92MG BASE | ZEPOSIA | CELGENE INTL | N209899 | March 25, 2020 | RX | CAPSULE | ORAL | 9382217 | May 14, 2029 | TREATMENT OF RELAPSING FORMS OF MULTIPLE SCLEROSIS (MS), TO INCLUDE CLINICALLY ISOLATED SYNDROME, RELAPSING-REMITTING DISEASE, AND ACTIVE SECONDARY PROGRESSIVE DISEASE, IN ADULTS |
| EQ 0.23MG BASE | ZEPOSIA | CELGENE INTL | N209899 | March 25, 2020 | RX | CAPSULE | ORAL | 10239846 | Nov. 15, 2030 | INDICATED FOR THE TREATMENT OF MODERATELY TO SEVERELY ACTIVE ULCERATIVE COLITIS |
| EQ 0.46MG BASE | ZEPOSIA | CELGENE INTL | N209899 | March 25, 2020 | RX | CAPSULE | ORAL | 10239846 | Nov. 15, 2030 | INDICATED FOR THE TREATMENT OF MODERATELY TO SEVERELY ACTIVE ULCERATIVE COLITIS |
| EQ 0.92MG BASE | ZEPOSIA | CELGENE INTL | N209899 | March 25, 2020 | RX | CAPSULE | ORAL | 10239846 | Nov. 15, 2030 | INDICATED FOR THE TREATMENT OF MODERATELY TO SEVERELY ACTIVE ULCERATIVE COLITIS |
| Formulation strength | Trade name | Applicant | Application number | Approval date | Type | Dose form | Route | Exclusivity date | Description |
|---|---|---|---|---|---|---|---|---|---|
| EQ 0.23MG BASE | ZEPOSIA | CELGENE INTL | N209899 | March 25, 2020 | RX | CAPSULE | ORAL | May 27, 2024 | FOR THE TREATMENT OF MODERATELY TO SEVERELY ACTIVE ULCERATIVE COLITIS IN ADULT PATIENTS |
| EQ 0.46MG BASE | ZEPOSIA | CELGENE INTL | N209899 | March 25, 2020 | RX | CAPSULE | ORAL | May 27, 2024 | FOR THE TREATMENT OF MODERATELY TO SEVERELY ACTIVE ULCERATIVE COLITIS IN ADULT PATIENTS |
| EQ 0.92MG BASE | ZEPOSIA | CELGENE INTL | N209899 | March 25, 2020 | RX | CAPSULE | ORAL | May 27, 2024 | FOR THE TREATMENT OF MODERATELY TO SEVERELY ACTIVE ULCERATIVE COLITIS IN ADULT PATIENTS |
| EQ 0.23MG BASE | ZEPOSIA | CELGENE INTL | N209899 | March 25, 2020 | RX | CAPSULE | ORAL | March 25, 2025 | NEW CHEMICAL ENTITY |
| EQ 0.46MG BASE | ZEPOSIA | CELGENE INTL | N209899 | March 25, 2020 | RX | CAPSULE | ORAL | March 25, 2025 | NEW CHEMICAL ENTITY |
| EQ 0.92MG BASE | ZEPOSIA | CELGENE INTL | N209899 | March 25, 2020 | RX | CAPSULE | ORAL | March 25, 2025 | NEW CHEMICAL ENTITY |
| Target | Class | Pharos | UniProt | Action | Type | Activity value (-log[M]) | Mechanism action | Bioact source | MoA source |
|---|---|---|---|---|---|---|---|---|---|
| Sphingosine 1-phosphate receptor 1 | GPCR | AGONIST | EC50 | 9.39 | SCIENTIFIC LITERATURE | DRUG LABEL | |||
| Sphingosine 1-phosphate receptor 5 | GPCR | AGONIST | EC50 | 7.96 | SCIENTIFIC LITERATURE | DRUG LABEL | |||
| Sphingosine 1-phosphate receptor 4 | GPCR | EC50 | 5.38 | CHEMBL | |||||
| Sphingosine 1-phosphate receptor 3 | GPCR | EC50 | 5 | CHEMBL | |||||
| Sphingosine 1-phosphate receptor 2 | GPCR | EC50 | 5.02 | CHEMBL |
| ID | Source |
|---|---|
| Z80293URPV | UNII |
| 1618636-37-5 | SECONDARY_CAS_RN |
| C4278675 | UMLSCUI |
| CHEMBL3707247 | ChEMBL_ID |
| 52938427 | PUBCHEM_CID |
| DB12612 | DRUGBANK_ID |
| CHEMBL3707246 | ChEMBL_ID |
| 10057 | INN_ID |
| D10968 | KEGG_DRUG |
| 8709 | IUPHAR_LIGAND_ID |
| 018313 | NDDF |
| 018314 | NDDF |
| 870525003 | SNOMEDCT_US |
| 871794001 | SNOMEDCT_US |
| 871800005 | SNOMEDCT_US |
| 4039423 | VANDF |
| 4039424 | VANDF |
| JEU | PDB_CHEM_ID |
| 2288235 | RXNORM |
| 38279 | MMSL |
| d09534 | MMSL |
| C000607776 | MESH_SUPPLEMENTAL_RECORD_UI |
| Product | Category | Ingredients | NDC | Form | Quantity | Route | Marketing | Label |
|---|---|---|---|---|---|---|---|---|
| ZEPOSIA | HUMAN PRESCRIPTION DRUG LABEL | 1 | 59572-820 | CAPSULE | 0.92 mg | ORAL | NDA | 29 sections |
| ZEPOSIA | HUMAN PRESCRIPTION DRUG LABEL | 1 | 59572-820 | CAPSULE | 0.92 mg | ORAL | NDA | 29 sections |
| ZEPOSIA | HUMAN PRESCRIPTION DRUG LABEL | 1 | 59572-820 | CAPSULE | 0.92 mg | ORAL | NDA | 29 sections |
| ZEPOSIA | HUMAN PRESCRIPTION DRUG LABEL | 1 | 59572-820 | CAPSULE | 0.92 mg | ORAL | NDA | 29 sections |