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| Stem definition | Drug id | CAS RN |
|---|---|---|
| monoclonal antibodies (human origin); immunomodulator | 5690 | 745013-59-6 |
| Molecule | Description |
|---|---|
|
Synonyms:
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CTLA-4 is a negative regulator of T-cell activity. Tremelimumab-actl is a monoclonal antibody that binds to CTLA-4 and blocks the interaction with its ligands CD80 and CD86, releasing CTLA-4-mediated inhibition of T-cell activation. In synergistic mouse tumor models, blocking CTLA-4 activity resulted in decreased tumor growth and increased proliferation of T cells in tumors.
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| Date | Agency | Company | Orphan |
|---|---|---|---|
| Oct. 21, 2022 | FDA | ASTRAZENECA AB | |
| Feb. 20, 2023 | EMA | ASTRAZENECA AB | |
| Dec. 23, 2023 | PMDA | AstraZeneca K.K. |
| 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 |
|---|---|---|---|---|---|---|
| Biliary tract infection | 234.13 | 61.28 | 34 | 1356 | 810 | 90626247 |
| Embolism | 104.05 | 61.28 | 25 | 1365 | 9456 | 90617601 |
| Urinary tract obstruction | 101.08 | 61.28 | 19 | 1371 | 2230 | 90624827 |
| Pyrexia | 93.04 | 61.28 | 78 | 1312 | 660407 | 89966650 |
| Bile duct stenosis | 80.07 | 61.28 | 15 | 1375 | 1727 | 90625330 |
| Colitis | 78.08 | 61.28 | 32 | 1358 | 69910 | 90557147 |
| Small intestinal obstruction | 71.18 | 61.28 | 22 | 1368 | 21212 | 90605845 |
| Cholangitis infective | 69.80 | 61.28 | 11 | 1379 | 454 | 90626603 |
| Immune-mediated enterocolitis | 65.04 | 61.28 | 15 | 1375 | 4742 | 90622315 |
| Bacillus infection | 61.85 | 61.28 | 11 | 1379 | 948 | 90626109 |
| 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 |
|---|---|---|---|---|---|---|
| Immune-mediated hepatitis | 170.35 | 41.10 | 41 | 2667 | 3733 | 42614894 |
| Immune-mediated enterocolitis | 130.31 | 41.10 | 36 | 2672 | 5641 | 42612986 |
| Colitis | 124.13 | 41.10 | 60 | 2648 | 46512 | 42572115 |
| Pneumonitis | 118.01 | 41.10 | 56 | 2652 | 41662 | 42576965 |
| Biliary tract infection | 111.20 | 41.10 | 22 | 2686 | 796 | 42617831 |
| Enterocolitis infectious | 102.22 | 41.10 | 24 | 2684 | 1959 | 42616668 |
| Immune-mediated hepatic disorder | 62.56 | 41.10 | 17 | 2691 | 2497 | 42616130 |
| Enterocolitis | 60.44 | 41.10 | 23 | 2685 | 9906 | 42608721 |
| Malignant neoplasm progression | 52.40 | 41.10 | 48 | 2660 | 108352 | 42510275 |
| Myocarditis | 52.15 | 41.10 | 25 | 2683 | 18913 | 42599714 |
| Hypopituitarism | 51.79 | 41.10 | 15 | 2693 | 2776 | 42615851 |
| Drug-induced liver injury | 50.49 | 41.10 | 31 | 2677 | 38242 | 42580385 |
| Death | 47.82 | 41.10 | 97 | 2611 | 471088 | 42147539 |
| Adrenal insufficiency | 46.17 | 41.10 | 23 | 2685 | 18901 | 42599726 |
| Pyrexia | 44.61 | 41.10 | 85 | 2623 | 393957 | 42224670 |
| Liver disorder | 44.51 | 41.10 | 29 | 2679 | 39615 | 42579012 |
| Immune-mediated myocarditis | 41.96 | 41.10 | 12 | 2696 | 2122 | 42616505 |
| Cytokine release syndrome | 41.45 | 41.10 | 29 | 2679 | 44498 | 42574129 |
| 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 |
|---|---|---|---|---|---|---|
| Biliary tract infection | 324.13 | 45.02 | 56 | 4026 | 1668 | 110583549 |
| Immune-mediated hepatitis | 226.61 | 45.02 | 52 | 4030 | 6659 | 110578558 |
| Immune-mediated enterocolitis | 200.11 | 45.02 | 51 | 4031 | 10134 | 110575083 |
| Colitis | 193.72 | 45.02 | 88 | 3994 | 102235 | 110482982 |
| Pneumonitis | 164.57 | 45.02 | 72 | 4010 | 76459 | 110508758 |
| Pyrexia | 123.80 | 45.02 | 158 | 3924 | 898107 | 109687110 |
| Myocarditis | 108.31 | 45.02 | 41 | 4041 | 30014 | 110555203 |
| Bile duct stenosis | 86.36 | 45.02 | 20 | 4062 | 2656 | 110582561 |
| Adrenal insufficiency | 84.94 | 45.02 | 38 | 4044 | 42352 | 110542865 |
| Embolism | 84.11 | 45.02 | 29 | 4053 | 16260 | 110568957 |
| Drug-induced liver injury | 80.76 | 45.02 | 52 | 4030 | 120015 | 110465202 |
| Immune-mediated hepatic disorder | 76.25 | 45.02 | 20 | 4062 | 4430 | 110580787 |
| Cytokine release syndrome | 72.18 | 45.02 | 40 | 4042 | 70266 | 110514951 |
| Hepatic infection | 71.26 | 45.02 | 15 | 4067 | 1284 | 110583933 |
| Malignant neoplasm progression | 69.67 | 45.02 | 55 | 4027 | 174512 | 110410705 |
| Presyncope | 67.76 | 45.02 | 34 | 4048 | 48853 | 110536364 |
| Immune-mediated myocarditis | 66.13 | 45.02 | 17 | 4065 | 3481 | 110581736 |
| Febrile neutropenia | 65.59 | 45.02 | 69 | 4013 | 316698 | 110268519 |
| Sepsis | 65.47 | 45.02 | 70 | 4012 | 327276 | 110257941 |
| Hepatic function abnormal | 63.31 | 45.02 | 40 | 4042 | 89255 | 110495962 |
| Hypopituitarism | 62.30 | 45.02 | 17 | 4065 | 4373 | 110580844 |
| Urinary tract obstruction | 59.53 | 45.02 | 17 | 4065 | 5160 | 110580057 |
| Cholangitis infective | 53.65 | 45.02 | 11 | 4071 | 828 | 110584389 |
| Platelet count decreased | 52.72 | 45.02 | 53 | 4029 | 230390 | 110354827 |
| Enterocolitis infectious | 51.97 | 45.02 | 14 | 4068 | 3430 | 110581787 |
| Liver carcinoma ruptured | 50.47 | 45.02 | 9 | 4073 | 321 | 110584896 |
| Small intestinal obstruction | 49.37 | 45.02 | 24 | 4058 | 32189 | 110553028 |
| Diarrhoea | 48.62 | 45.02 | 120 | 3962 | 1139385 | 109445832 |
| Bacillus infection | 46.48 | 45.02 | 11 | 4071 | 1603 | 110583614 |
| Death | 45.03 | 45.02 | 87 | 3995 | 698782 | 109886435 |
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| Source | Code | Description |
|---|---|---|
| ATC | L01FX20 | 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 |
| FDA PE | N0000182157 | Increased T Lymphocyte Activation |
| FDA MoA | N0000182634 | CTLA-4-directed Antibody Interactions |
| FDA EPC | N0000182635 | CTLA-4-directed Blocking Antibody |
| CHEBI has role | CHEBI:35610 | antineoplastic agent |
| CHEBI has role | CHEBI:64946 | anti-HIV agent |
| Disease | Relation | SNOMED_ID | DOID |
|---|---|---|---|
| Liver cell carcinoma | indication | 109841003 | DOID:684 |
| Non-small cell lung cancer, negative for epidermal growth factor receptor expression | indication | 427038005 | |
| Metastatic non-small cell lung cancer with no anaplastic lymphoma kinase genomic tumor aberrations | indication | 830055006 |
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| Target | Class | Pharos | UniProt | Action | Type | Activity value (-log[M]) | Mechanism action | Bioact source | MoA source |
|---|---|---|---|---|---|---|---|---|---|
| Cytotoxic T-lymphocyte protein 4 | Surface antigen | BINDING AGENT | Kd | 8.23 | SCIENTIFIC LITERATURE | DRUG LABEL |
| ID | Source |
|---|---|
| CHEBI:753608 | CHEBI |
| CHEMBL2108658 | ChEMBL_ID |
| C520704 | MESH_SUPPLEMENTAL_RECORD_UI |
| 8462 | IUPHAR_LIGAND_ID |
| DB11771 | DRUGBANK_ID |
| 2054101000122107 | SNOMEDCT_US |
| 4041790 | VANDF |
| 4041791 | VANDF |
| C2351038 | UMLSCUI |
| 8716 | INN_ID |
| D06657 | KEGG_DRUG |
| 362315 | MMSL |
| 40997 | MMSL |
| d09937 | MMSL |
| 019215 | NDDF |
| QEN1X95CIX | UNII |
| 2619312 | RXNORM |
| Product | Category | Ingredients | NDC | Form | Quantity | Route | Marketing | Label |
|---|---|---|---|---|---|---|---|---|
| IMJUDO | HUMAN PRESCRIPTION DRUG LABEL | 1 | 0310-4505 | INJECTION, SOLUTION | 25 mg | INTRAVENOUS | BLA | 24 sections |
| IMJUDO | HUMAN PRESCRIPTION DRUG LABEL | 1 | 0310-4535 | INJECTION, SOLUTION | 300 mg | INTRAVENOUS | BLA | 24 sections |