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| Stem definition | Drug id | CAS RN |
|---|---|---|
| primate origin | 5451 | 2022215-59-2 |
| Molecule | Description |
|---|---|
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Synonyms:
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Dostarlimab-gxly is a humanized monoclonal antibody of the IgG4 isotype that binds to the PD-1 receptor and blocks its interaction with PD-L1 and PD-L2, releasing PD-1 pathway-mediated inhibition of the immune response, including the anti-tumor immune response. In syngeneic mouse tumor models, blocking PD-1 activity resulted in decreased tumor growth. Binding of the PD-1 ligands, PD-L1 and PD-L2, to the PD-1 receptor found on T cells inhibits T-cell proliferation and cytokine production. Upregulation of PD-1 ligands occurs in some tumors, and signaling through this pathway can contribute to inhibition of active T-cell immune surveillance of tumors.
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| Date | Agency | Company | Orphan |
|---|---|---|---|
| April 21, 2021 | EMA | GlaxoSmithKline (Ireland) Limited | |
| April 22, 2021 | FDA | GLAXOSMITHKLINE |
| 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 |
|---|---|---|---|---|---|---|
| Malignant neoplasm progression | 353.83 | 46.96 | 123 | 2145 | 106747 | 90519432 |
| Rash maculo-papular | 104.29 | 46.96 | 39 | 2229 | 40894 | 90585285 |
| Hypothyroidism | 101.26 | 46.96 | 41 | 2227 | 53086 | 90573093 |
| Adrenal insufficiency | 100.57 | 46.96 | 35 | 2233 | 29886 | 90596293 |
| Toxic skin eruption | 96.18 | 46.96 | 29 | 2239 | 15745 | 90610434 |
| Thrombocytopenia | 75.54 | 46.96 | 53 | 2215 | 208672 | 90417507 |
| Acute polyneuropathy | 71.41 | 46.96 | 12 | 2256 | 449 | 90625730 |
| Anaemia | 70.29 | 46.96 | 63 | 2205 | 352739 | 90273440 |
| Immune-mediated lung disease | 65.83 | 46.96 | 14 | 2254 | 1866 | 90624313 |
| Hyperthyroidism | 56.07 | 46.96 | 20 | 2248 | 18290 | 90607889 |
| Neuropathy peripheral | 54.70 | 46.96 | 37 | 2231 | 136933 | 90489246 |
| Colitis | 54.33 | 46.96 | 29 | 2239 | 69913 | 90556266 |
| Myocarditis | 49.64 | 46.96 | 17 | 2251 | 13789 | 90612390 |
| Skin toxicity | 48.00 | 46.96 | 14 | 2254 | 6765 | 90619414 |
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| 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 |
|---|---|---|---|---|---|---|
| Malignant neoplasm progression | 293.74 | 44.17 | 113 | 1955 | 174454 | 110412777 |
| Hypothyroidism | 86.81 | 44.17 | 37 | 2031 | 72862 | 110514369 |
| Rash maculo-papular | 86.17 | 44.17 | 37 | 2031 | 74185 | 110513046 |
| Toxic skin eruption | 80.61 | 44.17 | 27 | 2041 | 27488 | 110559743 |
| Adrenal insufficiency | 80.01 | 44.17 | 30 | 2038 | 42360 | 110544871 |
| Acute polyneuropathy | 68.79 | 44.17 | 12 | 2056 | 756 | 110586475 |
| Immune-mediated lung disease | 55.45 | 44.17 | 14 | 2054 | 5289 | 110581942 |
| Neuropathy peripheral | 53.07 | 44.17 | 36 | 2032 | 179241 | 110407990 |
| Thrombocytopenia | 52.73 | 44.17 | 47 | 2021 | 348838 | 110238393 |
| Hyperthyroidism | 49.03 | 44.17 | 19 | 2049 | 29242 | 110557989 |
| Skin toxicity | 48.58 | 44.17 | 15 | 2053 | 11768 | 110575463 |
| Peritoneal neoplasm | 48.56 | 44.17 | 7 | 2061 | 127 | 110587104 |
| Anaemia | 46.54 | 44.17 | 54 | 2014 | 547032 | 110040199 |
| Colitis | 46.53 | 44.17 | 27 | 2041 | 102296 | 110484935 |
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| Source | Code | Description |
|---|---|---|
| ATC | L01FF07 | ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS ANTINEOPLASTIC AGENTS MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES PD-1/PD-L1 (Programmed cell death protein 1/death ligand 1) inhibitors |
| MeSH PA | D000970 | Antineoplastic Agents |
| FDA MoA | N0000191259 | Programmed Death Receptor-1-directed Antibody Interactions |
| FDA EPC | N0000191260 | Programmed Death Receptor-1 Blocking Antibody |
| CHEBI has role | CHEBI:35610 | antineoplastic agent |
| Disease | Relation | SNOMED_ID | DOID |
|---|---|---|---|
| Recurrent or advanced endometrial cancer | indication | 254878006 | DOID:2871 |
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| Target | Class | Pharos | UniProt | Action | Type | Activity value (-log[M]) | Mechanism action | Bioact source | MoA source |
|---|---|---|---|---|---|---|---|---|---|
| Programmed cell death protein 1 | Membrane receptor | ANTIBODY BINDING | Kd | 8.82 | SCIENTIFIC LITERATURE | DRUG LABEL |
| ID | Source |
|---|---|
| D11366 | KEGG_DRUG |
| P0GVQ9A4S5 | UNII |
| C5242455 | UMLSCUI |
| CHEBI:757538 | CHEBI |
| CHEMBL4298124 | ChEMBL_ID |
| DB15627 | DRUGBANK_ID |
| 10787 | INN_ID |
| C000719628 | MESH_SUPPLEMENTAL_RECORD_UI |
| 11518 | IUPHAR_LIGAND_ID |
| 1156877005 | SNOMEDCT_US |
| 1156880006 | SNOMEDCT_US |
| 4040426 | VANDF |
| 4040427 | VANDF |
| 345588 | MMSL |
| 39478 | MMSL |
| d09732 | MMSL |
| 018705 | NDDF |
| 2539967 | RXNORM |
| Product | Category | Ingredients | NDC | Form | Quantity | Route | Marketing | Label |
|---|---|---|---|---|---|---|---|---|
| Jemperli | HUMAN PRESCRIPTION DRUG LABEL | 1 | 0173-0898 | INJECTION | 50 mg | INTRAVENOUS | BLA | 27 sections |