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| Stem definition | Drug id | CAS RN |
|---|---|---|
| humanized origin | 5391 | 1491917-83-9 |
| Molecule | Description |
|---|---|
|
Synonyms:
|
Sacituzumab govitecan-hziy is a Trop-2-directed antibody-drug conjugate. Sacituzumab is a humanized antibody that recognizes Trop-2. The small molecule, SN-38, is a topoisomerase I inhibitor, which is covalently attached to the antibody by a linker. Pharmacology data suggest that sacituzumab govitecan-hziy binds to Trop-2-expressing cancer cells and is internalized with the subsequent release of SN-38 via hydrolysis of the linker. SN-38 interacts with topoisomerase I and prevents re-ligation of topoisomerase I-induced single strand breaks. The resulting DNA damage leads to apoptosis and cell death. Sacituzumab govitecan-hziy decreased tumor growth in mouse xenograft models of triple-negative breast cancer
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| Date | Agency | Company | Orphan |
|---|---|---|---|
| April 4, 2020 | FDA | IMMUNOMEDICS INC | |
| Nov. 22, 2021 | EMA | GILEAD SCIENCES IRELAND UC |
| 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 |
|---|---|---|---|---|---|---|
| Disease progression | 4243.78 | 32.35 | 1320 | 10791 | 155295 | 90461041 |
| Neutropenia | 967.99 | 32.35 | 508 | 11603 | 224396 | 90391940 |
| Inappropriate schedule of product administration | 629.89 | 32.35 | 334 | 11777 | 149599 | 90466737 |
| Weight fluctuation | 600.99 | 32.35 | 184 | 11927 | 19565 | 90596771 |
| Death | 561.78 | 32.35 | 472 | 11639 | 456079 | 90160257 |
| Diarrhoea | 385.22 | 32.35 | 543 | 11568 | 938647 | 89677689 |
| Febrile neutropenia | 244.97 | 32.35 | 188 | 11923 | 158161 | 90458175 |
| Neutrophil count decreased | 219.47 | 32.35 | 130 | 11981 | 71402 | 90544934 |
| Neutropenic colitis | 207.84 | 32.35 | 57 | 12054 | 4086 | 90612250 |
| Metastases to central nervous system | 166.90 | 32.35 | 69 | 12042 | 17473 | 90598863 |
| Neutrophil count abnormal | 131.97 | 32.35 | 40 | 12071 | 4088 | 90612248 |
| Asthenia | 122.50 | 32.35 | 239 | 11872 | 533512 | 90082824 |
| Thrombocytopenia | 115.90 | 32.35 | 141 | 11970 | 208584 | 90407752 |
| Myelosuppression | 113.24 | 32.35 | 77 | 12034 | 53514 | 90562822 |
| Colitis | 94.91 | 32.35 | 77 | 12034 | 69865 | 90546471 |
| Heart rate increased | 87.85 | 32.35 | 91 | 12020 | 112811 | 90503525 |
| Metastases to liver | 84.72 | 32.35 | 51 | 12060 | 28756 | 90587580 |
| General physical condition abnormal | 84.19 | 32.35 | 30 | 12081 | 5081 | 90611255 |
| Pneumonitis | 80.55 | 32.35 | 58 | 12053 | 44112 | 90572224 |
| Febrile bone marrow aplasia | 78.29 | 32.35 | 34 | 12077 | 9704 | 90606632 |
| Weight decreased | 74.93 | 32.35 | 160 | 11951 | 379750 | 90236586 |
| Product preparation issue | 67.63 | 32.35 | 21 | 12090 | 2325 | 90614011 |
| Haematotoxicity | 58.27 | 32.35 | 30 | 12081 | 12505 | 90603831 |
| Anaemia | 56.62 | 32.35 | 137 | 11974 | 352665 | 90263671 |
| Cholinergic syndrome | 56.30 | 32.35 | 14 | 12097 | 682 | 90615654 |
| Haemoglobin abnormal | 54.51 | 32.35 | 24 | 12087 | 7076 | 90609260 |
| Metastases to meninges | 54.33 | 32.35 | 20 | 12091 | 3715 | 90612621 |
| Constipation | 51.68 | 32.35 | 115 | 11996 | 280280 | 90336056 |
| Mucosal inflammation | 47.60 | 32.35 | 48 | 12063 | 57577 | 90558759 |
| Product preparation error | 46.09 | 32.35 | 24 | 12087 | 10237 | 90606099 |
| Drug hypersensitivity | 44.50 | 32.35 | 5 | 12106 | 463604 | 90152732 |
| SARS-CoV-2 test positive | 41.50 | 32.35 | 23 | 12088 | 11105 | 90605231 |
| Drug intolerance | 40.14 | 32.35 | 6 | 12105 | 447585 | 90168751 |
| Cell death | 39.48 | 32.35 | 15 | 12096 | 3040 | 90613296 |
| COVID-19 | 38.98 | 32.35 | 76 | 12035 | 168767 | 90447569 |
| Arthralgia | 38.23 | 32.35 | 29 | 12082 | 778493 | 89837843 |
| Alopecia | 35.99 | 32.35 | 146 | 11965 | 494925 | 90121411 |
| White blood cell count decreased | 35.90 | 32.35 | 73 | 12038 | 167036 | 90449300 |
| Neutropenic sepsis | 35.79 | 32.35 | 25 | 12086 | 18105 | 90598231 |
| Breast cancer metastatic | 34.96 | 32.35 | 23 | 12088 | 15109 | 90601227 |
| Septic shock | 34.42 | 32.35 | 49 | 12062 | 84111 | 90532225 |
| Metastases to bone | 34.40 | 32.35 | 28 | 12083 | 25477 | 90590859 |
| Condition aggravated | 33.52 | 32.35 | 19 | 12092 | 595526 | 90020810 |
| 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 |
|---|---|---|---|---|---|---|
| Febrile neutropenia | 88.05 | 44.57 | 43 | 470 | 185660 | 42435162 |
| Sepsis | 59.54 | 44.57 | 34 | 479 | 199300 | 42421522 |
| Neutropenic sepsis | 50.79 | 44.57 | 15 | 498 | 15931 | 42604891 |
| Neutropenic colitis | 47.70 | 44.57 | 11 | 502 | 4459 | 42616363 |
| Disease progression | 46.79 | 44.57 | 26 | 487 | 143630 | 42477192 |
| Colitis | 45.31 | 44.57 | 18 | 495 | 46554 | 42574268 |
| 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 |
|---|---|---|---|---|---|---|
| Disease progression | 1862.88 | 29.40 | 714 | 8644 | 243320 | 110336621 |
| Neutropenia | 604.67 | 29.40 | 381 | 8977 | 374239 | 110205702 |
| Weight fluctuation | 563.70 | 29.40 | 162 | 9196 | 21983 | 110557958 |
| Inappropriate schedule of product administration | 331.79 | 29.40 | 209 | 9149 | 203428 | 110376513 |
| Diarrhoea | 327.70 | 29.40 | 438 | 8920 | 1139067 | 109440874 |
| Death | 288.30 | 29.40 | 323 | 9035 | 698546 | 109881395 |
| Neutrophil count decreased | 203.81 | 29.40 | 127 | 9231 | 120814 | 110459127 |
| Febrile neutropenia | 148.24 | 29.40 | 157 | 9201 | 316610 | 110263331 |
| Neutropenic colitis | 140.10 | 29.40 | 44 | 9314 | 8021 | 110571920 |
| Metastases to central nervous system | 118.03 | 29.40 | 51 | 9307 | 22766 | 110557175 |
| Myelosuppression | 114.96 | 29.40 | 81 | 9277 | 94259 | 110485682 |
| Heart rate increased | 92.66 | 29.40 | 85 | 9273 | 143749 | 110436192 |
| Asthenia | 84.31 | 29.40 | 182 | 9176 | 688817 | 109891124 |
| Alopecia | 81.18 | 29.40 | 125 | 9233 | 364628 | 110215313 |
| Colitis | 80.99 | 29.40 | 68 | 9290 | 102255 | 110477686 |
| Metastases to liver | 72.00 | 29.40 | 42 | 9316 | 35344 | 110544597 |
| Weight decreased | 65.76 | 29.40 | 131 | 9227 | 467926 | 110112015 |
| Neutrophil count abnormal | 60.91 | 29.40 | 21 | 9337 | 5111 | 110574830 |
| Thrombocytopenia | 50.57 | 29.40 | 99 | 9259 | 348786 | 110231155 |
| Product preparation issue | 47.58 | 29.40 | 15 | 9343 | 2764 | 110577177 |
| Constipation | 46.46 | 29.40 | 97 | 9261 | 357689 | 110222252 |
| Weight increased | 42.44 | 29.40 | 103 | 9255 | 419541 | 110160400 |
| White blood cell count decreased | 41.94 | 29.40 | 72 | 9286 | 229318 | 110350623 |
| Fatigue | 40.47 | 29.40 | 206 | 9152 | 1215752 | 109364189 |
| Anaemia | 39.93 | 29.40 | 119 | 9239 | 546967 | 110032974 |
| Febrile bone marrow aplasia | 38.91 | 29.40 | 22 | 9336 | 17443 | 110562498 |
| Nausea | 37.44 | 29.40 | 204 | 9154 | 1235486 | 109344455 |
| Breast cancer metastatic | 35.99 | 29.40 | 18 | 9340 | 11163 | 110568778 |
| Energy increased | 32.16 | 29.40 | 12 | 9346 | 3662 | 110576279 |
| SARS-CoV-2 test positive | 31.56 | 29.40 | 19 | 9339 | 16916 | 110563025 |
| Metastases to bone | 31.52 | 29.40 | 24 | 9334 | 31348 | 110548593 |
| Haemoglobin abnormal | 30.42 | 29.40 | 15 | 9343 | 9023 | 110570918 |
| Flashback | 29.66 | 29.40 | 7 | 9351 | 435 | 110579506 |
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| Source | Code | Description |
|---|---|---|
| ATC | L01FX17 | ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS ANTINEOPLASTIC AGENTS MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES Other monoclonal antibodies and antibody drug conjugates |
| CHEBI has role | CHEBI:35610 | antineoplastic agent |
| Disease | Relation | SNOMED_ID | DOID |
|---|---|---|---|
| Triple negative breast neoplasms | indication | 706970001 |
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| Target | Class | Pharos | UniProt | Action | Type | Activity value (-log[M]) | Mechanism action | Bioact source | MoA source |
|---|---|---|---|---|---|---|---|---|---|
| DNA topoisomerase 1 | Enzyme | BINDING AGENT | DRUG LABEL | DRUG LABEL | |||||
| Tumor-associated calcium signal transducer 2 | Tumour-associated antigen | ANTIBODY BINDING | Kd | 9.58 | DRUG LABEL | DRUG LABEL | |||
| IgG receptor FcRn large subunit p51 | Membrane receptor | ANTIBODY BINDING | Kd | 6.71 | DRUG LABEL |
| ID | Source |
|---|---|
| D10985 | KEGG_DRUG |
| M9BYU8XDQ6 | UNII |
| 1796566-95-4 | SECONDARY_CAS_RN |
| 4039353 | VANDF |
| 4039354 | VANDF |
| C4086837 | UMLSCUI |
| CHEBI:755547 | CHEBI |
| CHEMBL3545262 | ChEMBL_ID |
| 91668186 | PUBCHEM_CID |
| DB12893 | DRUGBANK_ID |
| CHEMBL3707405 | ChEMBL_ID |
| 10097 | INN_ID |
| C000608132 | MESH_SUPPLEMENTAL_RECORD_UI |
| 8253 | IUPHAR_LIGAND_ID |
| 871700000 | SNOMEDCT_US |
| 871701001 | SNOMEDCT_US |
| 871812009 | SNOMEDCT_US |
| 10418 | INN_ID |
| 333695 | MMSL |
| 38376 | MMSL |
| 38377 | MMSL |
| d09554 | MMSL |
| 018344 | NDDF |
| 2360231 | RXNORM |
| Product | Category | Ingredients | NDC | Form | Quantity | Route | Marketing | Label |
|---|---|---|---|---|---|---|---|---|
| TRODELVY | HUMAN PRESCRIPTION DRUG LABEL | 1 | 55135-132 | POWDER, FOR SOLUTION | 180 mg | INTRAVENOUS | BLA | 35 sections |