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| Stem definition | Drug id | CAS RN |
|---|---|---|
| rat origin | 5734 | 2134641-34-0 |
| Molecule | Description |
|---|---|
|
Synonyms:
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Epcoritamab-bysp is a T-cell engaging bispecific antibody that binds to the CD3 receptor expressed on the surface of T-cells and CD20 expressed on the surface of lymphoma cells and healthy B-lineage cells. In vitro, epcoritamab-bysp activated T-cells, caused the release of proinflammatory cytokines, and induced lysis of B-cells.
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| Date | Agency | Company | Orphan |
|---|---|---|---|
| May 19, 2023 | FDA | GENMAB US, INC. | |
| Sept. 22, 2023 | EMA | AbbVie Deutschland GmbH & Co. KG |
| 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 |
|---|---|---|---|---|---|---|
| Cytokine release syndrome | 1905.10 | 44.82 | 371 | 2425 | 27602 | 90598049 |
| Immune effector cell-associated neurotoxicity syndrome | 337.32 | 44.82 | 68 | 2728 | 5700 | 90619951 |
| Febrile neutropenia | 217.63 | 44.82 | 103 | 2693 | 158246 | 90467405 |
| Pyrexia | 109.57 | 44.82 | 117 | 2679 | 660368 | 89965283 |
| Hydronephrosis | 105.79 | 44.82 | 31 | 2765 | 12371 | 90613280 |
| Cytomegalovirus infection | 89.91 | 44.82 | 33 | 2763 | 26569 | 90599082 |
| Tumour pseudoprogression | 76.28 | 44.82 | 14 | 2782 | 707 | 90624944 |
| Sepsis | 74.86 | 44.82 | 54 | 2742 | 179760 | 90445891 |
| Cytomegalovirus infection reactivation | 73.17 | 44.82 | 21 | 2775 | 7779 | 90617872 |
| Cytomegalovirus test positive | 63.72 | 44.82 | 16 | 2780 | 3575 | 90622076 |
| Hypogammaglobulinaemia | 62.53 | 44.82 | 20 | 2776 | 10654 | 90614997 |
| COVID-19 pneumonia | 55.72 | 44.82 | 21 | 2775 | 18156 | 90607495 |
| Neutrophil count decreased | 48.03 | 44.82 | 29 | 2767 | 71503 | 90554148 |
| COVID-19 | 46.97 | 44.82 | 40 | 2756 | 168803 | 90456848 |
| Blood creatinine increased | 45.69 | 44.82 | 32 | 2764 | 101354 | 90524297 |
| 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 |
|---|---|---|---|---|---|---|
| Cytokine release syndrome | 2013.38 | 35.66 | 515 | 3407 | 44012 | 42573401 |
| Immune effector cell-associated neurotoxicity syndrome | 320.05 | 35.66 | 88 | 3834 | 9373 | 42608040 |
| Pyrexia | 164.04 | 35.66 | 190 | 3732 | 393852 | 42223561 |
| Febrile neutropenia | 124.51 | 35.66 | 116 | 3806 | 185587 | 42431826 |
| COVID-19 | 100.69 | 35.66 | 84 | 3838 | 115864 | 42501549 |
| Cytomegalovirus infection reactivation | 79.15 | 35.66 | 32 | 3890 | 11146 | 42606267 |
| C-reactive protein increased | 78.96 | 35.66 | 57 | 3865 | 63503 | 42553910 |
| Fibrin D dimer increased | 71.51 | 35.66 | 24 | 3898 | 4961 | 42612452 |
| Diffuse large B-cell lymphoma | 63.28 | 35.66 | 26 | 3896 | 9428 | 42607985 |
| Septic shock | 56.83 | 35.66 | 55 | 3867 | 91617 | 42525796 |
| COVID-19 pneumonia | 56.24 | 35.66 | 31 | 3891 | 21582 | 42595831 |
| Hypogammaglobulinaemia | 51.27 | 35.66 | 24 | 3898 | 11867 | 42605546 |
| Pneumocystis jirovecii infection | 50.02 | 35.66 | 16 | 3906 | 2844 | 42614569 |
| Sepsis | 45.17 | 35.66 | 72 | 3850 | 199262 | 42418151 |
| Pneumonia | 44.00 | 35.66 | 110 | 3812 | 422039 | 42195374 |
| Neutropenic infection | 43.39 | 35.66 | 13 | 3909 | 1860 | 42615553 |
| Neutrophil count decreased | 42.98 | 35.66 | 40 | 3882 | 63375 | 42554038 |
| Enterobacter pneumonia | 42.73 | 35.66 | 10 | 3912 | 551 | 42616862 |
| Tumour lysis syndrome | 42.22 | 35.66 | 26 | 3896 | 22205 | 42595208 |
| Disease progression | 41.25 | 35.66 | 58 | 3864 | 143598 | 42473815 |
| Tumour pseudoprogression | 36.51 | 35.66 | 10 | 3912 | 1040 | 42616373 |
| Abdominal mass | 36.25 | 35.66 | 12 | 3910 | 2374 | 42615039 |
| 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 |
|---|---|---|---|---|---|---|
| Cytokine release syndrome | 3857.63 | 42.27 | 877 | 5832 | 69429 | 110513161 |
| Immune effector cell-associated neurotoxicity syndrome | 569.43 | 42.27 | 140 | 6569 | 14642 | 110567948 |
| Febrile neutropenia | 331.20 | 42.27 | 217 | 6492 | 316550 | 110266040 |
| Pyrexia | 283.08 | 42.27 | 307 | 6402 | 897958 | 109684632 |
| COVID-19 | 199.10 | 42.27 | 144 | 6565 | 244916 | 110337674 |
| Cytomegalovirus infection reactivation | 153.10 | 42.27 | 53 | 6656 | 18280 | 110564310 |
| Hypogammaglobulinaemia | 118.79 | 42.27 | 45 | 6664 | 20031 | 110562559 |
| Sepsis | 118.29 | 42.27 | 121 | 6588 | 327225 | 110255365 |
| COVID-19 pneumonia | 110.52 | 42.27 | 51 | 6658 | 37092 | 110545498 |
| Cytomegalovirus infection | 106.02 | 42.27 | 56 | 6653 | 54388 | 110528202 |
| Diffuse large B-cell lymphoma | 95.37 | 42.27 | 36 | 6673 | 15862 | 110566728 |
| Neutrophil count decreased | 93.26 | 42.27 | 69 | 6640 | 120872 | 110461718 |
| Tumour pseudoprogression | 86.49 | 42.27 | 20 | 6689 | 1596 | 110580994 |
| Neutropenic infection | 81.99 | 42.27 | 22 | 6687 | 3223 | 110579367 |
| Tumour lysis syndrome | 81.47 | 42.27 | 39 | 6670 | 30762 | 110551828 |
| Cytomegalovirus test positive | 81.32 | 42.27 | 26 | 6683 | 7010 | 110575580 |
| C-reactive protein increased | 77.58 | 42.27 | 80 | 6629 | 217839 | 110364751 |
| Hydronephrosis | 72.99 | 42.27 | 32 | 6677 | 20633 | 110561957 |
| Pneumonia | 70.27 | 42.27 | 160 | 6549 | 876554 | 109706036 |
| Septic shock | 69.40 | 42.27 | 65 | 6644 | 157463 | 110425127 |
| Fibrin D dimer increased | 65.28 | 42.27 | 24 | 6685 | 9821 | 110572769 |
| Neutropenia | 64.00 | 42.27 | 95 | 6614 | 374525 | 110208065 |
| Haemophagocytic lymphohistiocytosis | 62.94 | 42.27 | 33 | 6676 | 31526 | 110551064 |
| Pneumocystis jirovecii infection | 58.09 | 42.27 | 18 | 6691 | 4382 | 110578208 |
| Tumour associated fever | 54.92 | 42.27 | 13 | 6696 | 1148 | 110581442 |
| Hypoxia | 48.67 | 42.27 | 49 | 6660 | 129466 | 110453124 |
| Thrombocytopenia | 43.84 | 42.27 | 77 | 6632 | 348808 | 110233782 |
| Cytomegalovirus viraemia | 42.47 | 42.27 | 21 | 6688 | 17743 | 110564847 |
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| Source | Code | Description |
|---|---|---|
| ATC | L01FX27 | ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS ANTINEOPLASTIC AGENTS MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES Other monoclonal antibodies and antibody drug conjugates |
| FDA PE | N0000009267 | Increased Cytokine Activity |
| FDA MoA | N0000175078 | CD20-directed Antibody Interactions |
| MeSH PA | D000074322 | Antineoplastic Agents, Immunological |
| MeSH PA | D000970 | Antineoplastic Agents |
| FDA MoA | N0000175617 | CD3-directed Antibody Interactions |
| FDA MoA | N0000175618 | CD3 Receptor Agonists |
| FDA MoA | N0000182136 | Cytochrome P450 Inhibitors |
| FDA EPC | N0000194063 | Bispecific CD20-directed CD3 T Cell Engager |
| CHEBI has role | CHEBI:35610 | antineoplastic agent |
| Disease | Relation | SNOMED_ID | DOID |
|---|---|---|---|
| Relapsed or refractory diffuse large B-cell lymphoma | indication | 1172695008 |
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| Target | Class | Pharos | UniProt | Action | Type | Activity value (-log[M]) | Mechanism action | Bioact source | MoA source |
|---|---|---|---|---|---|---|---|---|---|
| T-cell surface glycoprotein CD3 | Surface antigen | ANTIBODY BINDING | EC50 | 8.80 | DRUG LABEL | DRUG LABEL | |||
| B-lymphocyte antigen CD20 | Surface antigen | ANTIBODY BINDING | EC50 | 8.61 | DRUG LABEL | DRUG LABEL |
| ID | Source |
|---|---|
| CHEBI:758284 | CHEBI |
| CHEMBL4650393 | ChEMBL_ID |
| C000731938 | MESH_SUPPLEMENTAL_RECORD_UI |
| 11442 | IUPHAR_LIGAND_ID |
| DB16672 | DRUGBANK_ID |
| 1363209009 | SNOMEDCT_US |
| 4042278 | VANDF |
| 4042279 | VANDF |
| C5418281 | UMLSCUI |
| 11078 | INN_ID |
| 367260 | MMSL |
| 41558 | MMSL |
| d10049 | MMSL |
| 019447 | NDDF |
| D12368 | KEGG_DRUG |
| D6OMY2L0WA | UNII |
| 2637392 | RXNORM |
| Product | Category | Ingredients | NDC | Form | Quantity | Route | Marketing | Label |
|---|---|---|---|---|---|---|---|---|
| EPKINLY | HUMAN PRESCRIPTION DRUG LABEL | 1 | 82705-002 | INJECTION, SOLUTION | 4 mg | SUBCUTANEOUS | BLA | 32 sections |
| EPKINLY | HUMAN PRESCRIPTION DRUG LABEL | 1 | 82705-010 | INJECTION, SOLUTION | 48 mg | SUBCUTANEOUS | BLA | 32 sections |