| 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 |
|---|---|---|---|
| Feb. 20, 2023 | EMA | ASTRAZENECA AB | |
| Oct. 21, 2022 | FDA | 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 | 230.94 | 79.00 | 33 | 987 | 669 | 63487333 |
| Pyrexia | 99.94 | 79.00 | 72 | 948 | 470406 | 63017596 |
| Urinary tract obstruction | 94.32 | 79.00 | 18 | 1002 | 2190 | 63485812 |
| Embolism | 86.61 | 79.00 | 21 | 999 | 7885 | 63480117 |
| 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 | 148.94 | 51.68 | 30 | 1204 | 2185 | 34953512 |
| Pneumonitis | 116.58 | 51.68 | 44 | 1190 | 33834 | 34921863 |
| Biliary tract infection | 115.44 | 51.68 | 20 | 1214 | 635 | 34955062 |
| Colitis | 101.46 | 51.68 | 41 | 1193 | 37709 | 34917988 |
| Enterocolitis infectious | 96.46 | 51.68 | 20 | 1214 | 1675 | 34954022 |
| Enterocolitis | 53.00 | 51.68 | 17 | 1217 | 8009 | 34947688 |
| 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 | 328.68 | 56.76 | 53 | 2245 | 1335 | 79740755 |
| Immune-mediated hepatitis | 180.27 | 56.76 | 37 | 2261 | 3619 | 79738471 |
| Colitis | 164.17 | 56.76 | 66 | 2232 | 73241 | 79668849 |
| Pneumonitis | 136.88 | 56.76 | 55 | 2243 | 60805 | 79681285 |
| Pyrexia | 119.50 | 56.76 | 120 | 2178 | 678589 | 79063501 |
| Bile duct stenosis | 85.38 | 56.76 | 18 | 2280 | 1998 | 79740092 |
| Febrile neutropenia | 79.21 | 56.76 | 60 | 2238 | 230939 | 79511151 |
| Drug-induced liver injury | 77.92 | 56.76 | 38 | 2260 | 66079 | 79676011 |
| Embolism | 74.61 | 56.76 | 24 | 2274 | 13958 | 79728132 |
| Hepatic infection | 66.01 | 56.76 | 13 | 2285 | 1027 | 79741063 |
| Presyncope | 65.13 | 56.76 | 29 | 2269 | 41025 | 79701065 |
| Urinary tract obstruction | 60.32 | 56.76 | 16 | 2282 | 4749 | 79737341 |
| Sepsis | 58.97 | 56.76 | 54 | 2244 | 269374 | 79472716 |
| Cholangitis infective | 58.73 | 56.76 | 11 | 2287 | 666 | 79741424 |
| Enterocolitis infectious | 57.97 | 56.76 | 14 | 2284 | 2855 | 79739235 |
| Myocarditis | 57.02 | 56.76 | 22 | 2276 | 21711 | 79720379 |
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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 | D000970 | Antineoplastic Agents |
| 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 |
|---|---|
| CHEMBL2108658 | ChEMBL_ID |
| C520704 | MESH_SUPPLEMENTAL_RECORD_UI |
| 8462 | IUPHAR_LIGAND_ID |
| DB11771 | DRUGBANK_ID |
| 019215 | NDDF |
| 4041790 | VANDF |
| 4041791 | VANDF |
| C2351038 | UMLSCUI |
| 8716 | INN_ID |
| D06657 | KEGG_DRUG |
| 2619312 | RXNORM |
| 362315 | MMSL |
| 40997 | MMSL |
| d09937 | MMSL |
| QEN1X95CIX | UNII |
| Product | Category | Ingredients | NDC | Form | Quantity | Route | Marketing | Label |
|---|---|---|---|---|---|---|---|---|
| IMJUDO | HUMAN PRESCRIPTION DRUG LABEL | 1 | 0310-4505 | INJECTION, SOLUTION | 25 mg | INTRAVENOUS | BLA | 25 sections |
| IMJUDO | HUMAN PRESCRIPTION DRUG LABEL | 1 | 0310-4505 | INJECTION, SOLUTION | 25 mg | INTRAVENOUS | BLA | 25 sections |
| IMJUDO | HUMAN PRESCRIPTION DRUG LABEL | 1 | 0310-4535 | INJECTION, SOLUTION | 300 mg | INTRAVENOUS | BLA | 25 sections |
| IMJUDO | HUMAN PRESCRIPTION DRUG LABEL | 1 | 0310-4535 | INJECTION, SOLUTION | 300 mg | INTRAVENOUS | BLA | 25 sections |