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| Stem definition | Drug id | CAS RN |
|---|---|---|
| antitumor, monoclonal antibodies | 5463 | 2171511-58-1 |
| Molecule | Description |
|---|---|
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Synonyms:
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Amivantamab-vmjw is a bispecific antibody that binds to the extracellular domains of EGFR and MET. In in vitro and in vivo studies amivantamab-vmjw was able to disrupt EGFR and MET signaling functions through blocking ligand binding and, in exon 20 insertion mutation models, degradation of EGFR and MET. The presence of EGFR and MET on the surface of tumor cells also allows for targeting of these cells for destruction by immune effector cells, such as natural killer cells and macrophages, through antibody-dependent cellular cytotoxicity ( ADCC) and trogocytosis mechanisms, respectively.
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| Date | Agency | Company | Orphan |
|---|---|---|---|
| May 21, 2021 | FDA | JANSSEN BIOTECH | |
| Sept. 12, 2021 | EMA | Janssen-Cilag International N.V. |
| 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 |
|---|---|---|---|---|---|---|
| Infusion related reaction | 566.61 | 40.55 | 282 | 3039 | 416498 | 90208628 |
| Paronychia | 308.78 | 40.55 | 69 | 3252 | 7937 | 90617189 |
| Dermatitis acneiform | 219.08 | 40.55 | 50 | 3271 | 6304 | 90618822 |
| Non-small cell lung cancer | 209.08 | 40.55 | 45 | 3276 | 4336 | 90620790 |
| Skin toxicity | 148.59 | 40.55 | 37 | 3284 | 6742 | 90618384 |
| Rash | 110.64 | 40.55 | 140 | 3181 | 795960 | 89829166 |
| Hypoalbuminaemia | 96.93 | 40.55 | 32 | 3289 | 15865 | 90609261 |
| Pulmonary embolism | 91.82 | 40.55 | 58 | 3263 | 130762 | 90494364 |
| Oxygen saturation decreased | 73.75 | 40.55 | 47 | 3274 | 107436 | 90517690 |
| Adverse reaction | 67.39 | 40.55 | 29 | 3292 | 29683 | 90595443 |
| Stasis dermatitis | 57.92 | 40.55 | 12 | 3309 | 958 | 90624168 |
| Febrile bone marrow aplasia | 56.93 | 40.55 | 19 | 3302 | 9719 | 90615407 |
| Mucosal inflammation | 54.52 | 40.55 | 31 | 3290 | 57594 | 90567532 |
| Flushing | 51.66 | 40.55 | 35 | 3286 | 88456 | 90536670 |
| Pancytopenia | 48.45 | 40.55 | 38 | 3283 | 120225 | 90504901 |
| Off label use | 45.51 | 40.55 | 114 | 3207 | 1102138 | 89522988 |
| Neutropenia | 45.06 | 40.55 | 48 | 3273 | 224856 | 90400270 |
| Peptic ulcer perforation | 41.36 | 40.55 | 8 | 3313 | 450 | 90624676 |
| 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 |
|---|---|---|---|---|---|---|
| Infusion related reaction | 577.12 | 36.33 | 179 | 1774 | 60627 | 42558755 |
| Paronychia | 184.29 | 36.33 | 42 | 1911 | 4213 | 42615169 |
| Dermatitis acneiform | 168.97 | 36.33 | 44 | 1909 | 7695 | 42611687 |
| Rash | 138.33 | 36.33 | 108 | 1845 | 276846 | 42342536 |
| Skin toxicity | 72.91 | 36.33 | 22 | 1931 | 6527 | 42612855 |
| Genital tract inflammation | 41.12 | 36.33 | 6 | 1947 | 45 | 42619337 |
| Rash pustular | 40.86 | 36.33 | 14 | 1939 | 6201 | 42613181 |
| Hypoalbuminaemia | 40.85 | 36.33 | 18 | 1935 | 15592 | 42603790 |
| 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 |
|---|---|---|---|---|---|---|
| Infusion related reaction | 621.16 | 34.70 | 295 | 3865 | 380867 | 110204272 |
| Dermatitis acneiform | 362.00 | 34.70 | 86 | 4074 | 12609 | 110572530 |
| Paronychia | 320.75 | 34.70 | 76 | 4084 | 11005 | 110574134 |
| Skin toxicity | 172.90 | 34.70 | 47 | 4113 | 11736 | 110573403 |
| Hypoalbuminaemia | 116.33 | 34.70 | 43 | 4117 | 28931 | 110556208 |
| Non-small cell lung cancer | 104.11 | 34.70 | 29 | 4131 | 7906 | 110577233 |
| Rash | 103.94 | 34.70 | 140 | 4020 | 820824 | 109764315 |
| Pulmonary embolism | 81.19 | 34.70 | 66 | 4094 | 214408 | 110370731 |
| Oxygen saturation decreased | 62.95 | 34.70 | 50 | 4110 | 156932 | 110428207 |
| Mucosal inflammation | 62.34 | 34.70 | 41 | 4119 | 96100 | 110489039 |
| Rash pustular | 58.77 | 34.70 | 21 | 4139 | 12808 | 110572331 |
| Febrile bone marrow aplasia | 52.46 | 34.70 | 21 | 4139 | 17444 | 110567695 |
| Stasis dermatitis | 50.07 | 34.70 | 12 | 4148 | 1810 | 110583329 |
| Flushing | 45.50 | 34.70 | 35 | 4125 | 104701 | 110480438 |
| Skin reaction | 45.33 | 34.70 | 20 | 4140 | 21124 | 110564015 |
| Skin disorder | 45.18 | 34.70 | 25 | 4135 | 42888 | 110542251 |
| Thrombocytopenia | 44.58 | 34.70 | 60 | 4100 | 348825 | 110236314 |
| Myelosuppression | 42.02 | 34.70 | 32 | 4128 | 94308 | 110490831 |
| Deep vein thrombosis | 40.55 | 34.70 | 37 | 4123 | 139850 | 110445289 |
| Off label use | 39.94 | 34.70 | 135 | 4025 | 1500050 | 109085089 |
| Pyogenic granuloma | 39.79 | 34.70 | 8 | 4152 | 535 | 110584604 |
| Pneumonitis | 38.65 | 34.70 | 28 | 4132 | 76503 | 110508636 |
| Embolism venous | 38.02 | 34.70 | 12 | 4148 | 5011 | 110580128 |
| Administration related reaction | 37.69 | 34.70 | 7 | 4153 | 308 | 110584831 |
| Neutropenia | 36.97 | 34.70 | 57 | 4103 | 374563 | 110210576 |
| Interstitial lung disease | 36.81 | 34.70 | 35 | 4125 | 139299 | 110445840 |
| Febrile neutropenia | 36.73 | 34.70 | 52 | 4108 | 316715 | 110268424 |
| Peptic ulcer perforation | 36.38 | 34.70 | 8 | 4152 | 825 | 110584314 |
| Adverse reaction | 36.06 | 34.70 | 19 | 4141 | 29575 | 110555564 |
| Genital tract inflammation | 35.67 | 34.70 | 6 | 4154 | 148 | 110584991 |
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| Source | Code | Description |
|---|---|---|
| ATC | L01FX18 | ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS ANTINEOPLASTIC AGENTS MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES Other monoclonal antibodies and antibody drug conjugates |
| MeSH PA | D000074322 | Antineoplastic Agents, Immunological |
| MeSH PA | D000970 | Antineoplastic Agents |
| CHEBI has role | CHEBI:35610 | antineoplastic agent |
| Disease | Relation | SNOMED_ID | DOID |
|---|---|---|---|
| Advanced or metastatic non-small cell lung cancer with EGFR exon 20 insertion mutations | indication | 703228009 |
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| Target | Class | Pharos | UniProt | Action | Type | Activity value (-log[M]) | Mechanism action | Bioact source | MoA source |
|---|---|---|---|---|---|---|---|---|---|
| Epidermal growth factor receptor | Kinase | ANTIBODY BINDING | Kd | 8.84 | DRUG LABEL | DRUG LABEL | |||
| Hepatocyte growth factor receptor | Kinase | ANTIBODY BINDING | Kd | 10.40 | DRUG LABEL | DRUG LABEL |
| ID | Source |
|---|---|
| 0JSR7Z0NB6 | UNII |
| D11894 | KEGG_DRUG |
| C5446297 | UMLSCUI |
| CHEBI:757222 | CHEBI |
| CHEMBL4297774 | ChEMBL_ID |
| DB16695 | DRUGBANK_ID |
| 11030 | INN_ID |
| C000718215 | MESH_SUPPLEMENTAL_RECORD_UI |
| 10505 | IUPHAR_LIGAND_ID |
| 1162751008 | SNOMEDCT_US |
| 1162897004 | SNOMEDCT_US |
| 4040533 | VANDF |
| 4040534 | VANDF |
| 346603 | MMSL |
| 39540 | MMSL |
| d09748 | MMSL |
| 018739 | NDDF |
| 2549198 | RXNORM |
| Product | Category | Ingredients | NDC | Form | Quantity | Route | Marketing | Label |
|---|---|---|---|---|---|---|---|---|
| Rybrevant | HUMAN PRESCRIPTION DRUG LABEL | 1 | 57894-501 | INJECTION | 350 mg | INTRAVENOUS | BLA | 30 sections |
| Rybrevant | HUMAN PRESCRIPTION DRUG LABEL | 1 | 57894-501 | INJECTION | 350 mg | INTRAVENOUS | BLA | 30 sections |
| Rybrevant Faspro | HUMAN PRESCRIPTION DRUG LABEL | 2 | 57894-510 | INJECTION | 1600 mg | SUBCUTANEOUS | BLA | 29 sections |
| Rybrevant Faspro | HUMAN PRESCRIPTION DRUG LABEL | 2 | 57894-514 | INJECTION | 2240 mg | SUBCUTANEOUS | BLA | 29 sections |
| Rybrevant Faspro | HUMAN PRESCRIPTION DRUG LABEL | 2 | 57894-515 | INJECTION | 2400 mg | SUBCUTANEOUS | BLA | 29 sections |
| Rybrevant Faspro | HUMAN PRESCRIPTION DRUG LABEL | 2 | 57894-522 | INJECTION | 3520 mg | SUBCUTANEOUS | BLA | 29 sections |