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| Stem definition | Drug id | CAS RN |
|---|---|---|
| antiviral, monoclonal antibodies | 5698 | 1989556-22-0 |
| Molecule | Description |
|---|---|
|
Synonyms:
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Nirsevimab is a recombinant neutralising human IgG1kappa long-acting monoclonal antibody to the prefusion conformation of the RSV F protein which has been modified with a triple amino acid substitution (YTE) in the Fc region to extend serum half-life. Nirsevimab binds to a highly conserved epitope in antigenic site OE on the prefusion protein with dissociation constants Kd = 0.12 nM and Kd = 1.22 nM for RSV subtype A and B strains, respectively. Nirsevimab inhibits the essential membrane fusion step in the viral entry process, neutralising the virus and blocking cell-to-cell fusion.
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| Date | Agency | Company | Orphan |
|---|---|---|---|
| Oct. 31, 2022 | EMA | ASTRAZENECA AB | |
| July 17, 2023 | FDA | ASTRAZENECA AB |
| 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 |
|---|---|---|---|---|---|---|
| Respiratory syncytial virus bronchiolitis | 807.52 | 102.06 | 89 | 753 | 338 | 90627267 |
| Bronchiolitis | 319.72 | 102.06 | 50 | 792 | 3362 | 90624243 |
| Incorrect dose administered | 238.91 | 102.06 | 67 | 775 | 78863 | 90548742 |
| Drug ineffective | 138.11 | 102.06 | 107 | 735 | 1384191 | 89243414 |
| Respiratory syncytial virus infection | 131.09 | 102.06 | 28 | 814 | 10452 | 90617153 |
| Extra dose administered | 123.38 | 102.06 | 26 | 816 | 9092 | 90618513 |
| Respiratory syncytial virus test positive | 117.43 | 102.06 | 18 | 824 | 1040 | 90626565 |
| 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 |
|---|---|---|---|---|---|---|
| Respiratory syncytial virus bronchiolitis | 1065.20 | 123.79 | 134 | 1059 | 525 | 42619617 |
| Bronchiolitis | 391.06 | 123.79 | 71 | 1122 | 3835 | 42616307 |
| Respiratory syncytial virus infection | 312.88 | 123.79 | 65 | 1128 | 7087 | 42613055 |
| Incorrect dose administered | 263.62 | 123.79 | 85 | 1108 | 52889 | 42567253 |
| Drug ineffective | 221.77 | 123.79 | 161 | 1032 | 630036 | 41990106 |
| Respiratory syncytial virus test positive | 180.90 | 123.79 | 27 | 1166 | 415 | 42619727 |
| Oxygen therapy | 124.58 | 123.79 | 23 | 1170 | 1335 | 42618807 |
| 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 |
|---|---|---|---|---|---|---|
| Respiratory syncytial virus bronchiolitis | 1088.55 | 112.05 | 123 | 865 | 652 | 110587659 |
| Respiratory syncytial virus infection | 335.28 | 112.05 | 64 | 924 | 14420 | 110573891 |
| Incorrect dose administered | 308.40 | 112.05 | 86 | 902 | 103555 | 110484756 |
| Bronchiolitis | 222.27 | 112.05 | 39 | 949 | 5454 | 110582857 |
| Drug ineffective | 147.46 | 112.05 | 114 | 874 | 1520426 | 109067885 |
| 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 |
|---|---|---|---|---|---|---|
| Incorrect dose administered | 138.74 | 99.16 | 32 | 202 | 49 | 113670 |
| Source | Code | Description |
|---|---|---|
| ATC | J06BD08 | ANTIINFECTIVES FOR SYSTEMIC USE IMMUNE SERA AND IMMUNOGLOBULINS IMMUNOGLOBULINS Antiviral monoclonal antibodies |
| FDA MoA | N0000175615 | Fusion Protein Inhibitors |
| FDA EPC | N0000175623 | Respiratory Syncytial Virus Anti-F Protein Monoclonal Antibody |
| CHEBI has role | CHEBI:22587 | antiviral agent |
| CHEBI has role | CHEBI:35441 | antiinfective agent |
| Disease | Relation | SNOMED_ID | DOID |
|---|---|---|---|
| Prevention of respiratory Syncytial Virus (RSV) lower respiratory tract disease | indication | 55735004 | DOID:1273 |
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| Target | Class | Pharos | UniProt | Action | Type | Activity value (-log[M]) | Mechanism action | Bioact source | MoA source |
|---|---|---|---|---|---|---|---|---|---|
| Fusion glycoprotein F0 | Surface antigen | BINDING AGENT | Kd | 9.92 | DRUG LABEL | DRUG LABEL | |||
| Fusion glycoprotein F0 | Surface antigen | BINDING AGENT | Kd | 8.91 | DRUG LABEL | DRUG LABEL |
| ID | Source |
|---|---|
| CHEBI:757050 | CHEBI |
| CHEMBL4297575 | ChEMBL_ID |
| C000709769 | MESH_SUPPLEMENTAL_RECORD_UI |
| DB16258 | DRUGBANK_ID |
| 58331000087101 | SNOMEDCT_US |
| 4042488 | VANDF |
| 4042489 | VANDF |
| C5418478 | UMLSCUI |
| 10780 | INN_ID |
| D11380 | KEGG_DRUG |
| 41819 | MMSL |
| 019497 | NDDF |
| VRN8S9CW5V | UNII |
| 2642401 | RXNORM |
| Product | Category | Ingredients | NDC | Form | Quantity | Route | Marketing | Label |
|---|---|---|---|---|---|---|---|---|
| BEYFORTUS | HUMAN PRESCRIPTION DRUG LABEL | 1 | 49281-574 | INJECTION | 100 mg | INTRAMUSCULAR | BLA | 31 sections |
| BEYFORTUS | HUMAN PRESCRIPTION DRUG LABEL | 1 | 49281-574 | INJECTION | 100 mg | INTRAMUSCULAR | BLA | 31 sections |
| BEYFORTUS | HUMAN PRESCRIPTION DRUG LABEL | 1 | 49281-575 | INJECTION | 100 mg | INTRAMUSCULAR | BLA | 31 sections |
| BEYFORTUS | HUMAN PRESCRIPTION DRUG LABEL | 1 | 49281-575 | INJECTION | 100 mg | INTRAMUSCULAR | BLA | 31 sections |