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| Stem definition | Drug id | CAS RN |
|---|---|---|
| antitumor, monoclonal antibodies | 5405 | 2050232-20-5 |
| Molecule | Description |
|---|---|
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Synonyms:
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Belantamab mafodotin-blmf is an antibody-drug conjugate (ADC). The antibody component is an afucosylated IgG1 directed against BCMA, a protein expressed on normal B lymphocytes and multiple myeloma cells. The small molecule component is MMAF, a microtubule inhibitor. Upon binding to BCMA, belantamab mafodotin-blmf is internalized followed by release of MMAF via proteolytic cleavage. The released MMAF intracellularly disrupts the microtubule network, leading to cell cycle arrest and apoptosis.
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| Date | Agency | Company | Orphan |
|---|---|---|---|
| May 8, 2020 | FDA | GLAXOSMITHKLINE | |
| Aug. 25, 2020 | EMA | GlaxoSmithKline (Ireland) Limited |
| 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 |
|---|---|---|---|---|---|---|
| Keratopathy | 904.74 | 65.45 | 106 | 928 | 602 | 90626811 |
| Visual acuity reduced | 521.97 | 65.45 | 104 | 930 | 23306 | 90604107 |
| Night blindness | 332.43 | 65.45 | 42 | 992 | 463 | 90626950 |
| Dry eye | 203.80 | 65.45 | 58 | 976 | 57873 | 90569540 |
| Foreign body sensation in eyes | 144.34 | 65.45 | 26 | 1008 | 3274 | 90624139 |
| Death | 121.83 | 65.45 | 71 | 963 | 456480 | 90170933 |
| Ocular toxicity | 106.10 | 65.45 | 17 | 1017 | 1060 | 90626353 |
| Photophobia | 100.81 | 65.45 | 27 | 1007 | 21242 | 90606171 |
| 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 |
|---|---|---|---|---|---|---|
| Keratopathy | 1137.26 | 56.87 | 144 | 1131 | 554 | 42619506 |
| Visual acuity reduced | 527.09 | 56.87 | 118 | 1157 | 17432 | 42602628 |
| Night blindness | 234.36 | 56.87 | 32 | 1243 | 231 | 42619829 |
| Dry eye | 180.74 | 56.87 | 49 | 1226 | 15457 | 42604603 |
| Punctate keratitis | 126.65 | 56.87 | 20 | 1255 | 421 | 42619639 |
| Corneal epithelial microcysts | 119.79 | 56.87 | 13 | 1262 | 3 | 42620057 |
| Corneal epithelium defect | 91.30 | 56.87 | 15 | 1260 | 407 | 42619653 |
| Photophobia | 73.07 | 56.87 | 21 | 1254 | 8098 | 42611962 |
| Foreign body sensation in eyes | 72.83 | 56.87 | 14 | 1261 | 941 | 42619119 |
| Corneal disorder | 71.38 | 56.87 | 14 | 1261 | 1045 | 42619015 |
| Death | 69.43 | 56.87 | 77 | 1198 | 471108 | 42148952 |
| Ocular toxicity | 57.79 | 56.87 | 10 | 1265 | 372 | 42619688 |
| 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 |
|---|---|---|---|---|---|---|
| Keratopathy | 1667.27 | 47.11 | 206 | 1763 | 1167 | 110586163 |
| Visual acuity reduced | 875.74 | 47.11 | 182 | 1787 | 31991 | 110555339 |
| Night blindness | 432.18 | 47.11 | 57 | 1912 | 552 | 110586778 |
| Dry eye | 327.75 | 47.11 | 92 | 1877 | 55701 | 110531629 |
| Foreign body sensation in eyes | 182.27 | 47.11 | 34 | 1935 | 3300 | 110584030 |
| Ocular toxicity | 170.17 | 47.11 | 28 | 1941 | 1310 | 110586020 |
| Corneal epithelial microcysts | 150.99 | 47.11 | 17 | 1952 | 32 | 110587298 |
| Punctate keratitis | 144.67 | 47.11 | 24 | 1945 | 1180 | 110586150 |
| Photophobia | 130.65 | 47.11 | 38 | 1931 | 25733 | 110561597 |
| Corneal epithelium defect | 122.44 | 47.11 | 20 | 1949 | 892 | 110586438 |
| Corneal disorder | 71.83 | 47.11 | 15 | 1954 | 2582 | 110584748 |
| Death | 60.73 | 47.11 | 68 | 1901 | 698801 | 109888529 |
| Corneal cyst | 56.56 | 47.11 | 6 | 1963 | 4 | 110587326 |
| Visual impairment | 56.22 | 47.11 | 33 | 1936 | 134395 | 110452935 |
| Plasma cell myeloma refractory | 52.12 | 47.11 | 11 | 1958 | 1990 | 110585340 |
| Plasmacytoma | 51.26 | 47.11 | 13 | 1956 | 5249 | 110582081 |
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| Source | Code | Description |
|---|---|---|
| ATC | L01FX15 | 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 |
|---|---|---|---|
| Multiple myeloma | indication | 109989006 | DOID:9538 |
| Relapse multiple myeloma | indication |
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| Target | Class | Pharos | UniProt | Action | Type | Activity value (-log[M]) | Mechanism action | Bioact source | MoA source |
|---|---|---|---|---|---|---|---|---|---|
| IgG receptor FcRn large subunit p51 | Membrane receptor | BINDING AGENT | Kd | 7.28 | DRUG LABEL | DRUG LABEL | |||
| High affinity immunoglobulin gamma Fc receptor I | Membrane receptor | BINDING AGENT | Kd | 8.15 | DRUG LABEL | DRUG LABEL | |||
| Low affinity immunoglobulin gamma Fc region receptor III-A | Membrane receptor | BINDING AGENT | Kd | 7.55 | DRUG LABEL | DRUG LABEL | |||
| Tumor necrosis factor receptor superfamily member 17 | Tumour-associated antigen | BINDING AGENT | Kd | 9 | SCIENTIFIC LITERATURE | DRUG LABEL |
| ID | Source |
|---|---|
| D11595 | KEGG_DRUG |
| DB1041CXDG | UNII |
| 2061894-48-0 | SECONDARY_CAS_RN |
| 4039621 | VANDF |
| 4039622 | VANDF |
| C5227411 | UMLSCUI |
| CHEBI:757615 | CHEBI |
| CHEMBL4298209 | ChEMBL_ID |
| DB15719 | DRUGBANK_ID |
| CHEMBL4298208 | ChEMBL_ID |
| 10754 | INN_ID |
| C000631691 | MESH_SUPPLEMENTAL_RECORD_UI |
| 11117 | IUPHAR_LIGAND_ID |
| 895362005 | SNOMEDCT_US |
| 896748005 | SNOMEDCT_US |
| 10797 | INN_ID |
| 337068 | MMSL |
| 38715 | MMSL |
| d09613 | MMSL |
| 018466 | NDDF |
| 2387833 | RXNORM |
| Product | Category | Ingredients | NDC | Form | Quantity | Route | Marketing | Label |
|---|---|---|---|---|---|---|---|---|
| Blenrep | HUMAN PRESCRIPTION DRUG LABEL | 1 | 0173-0913 | INJECTION, POWDER, FOR SOLUTION | 50 mg | INTRAVENOUS | BLA | 27 sections |