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| Stem definition | Drug id | CAS RN |
|---|---|---|
| receptor molecules or membrane ligands, native, modified or synthetic | 5815 | None |
| Molecule | Description |
|---|---|
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Synonyms:
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Sotatercept-csrk is a recombinant fusion protein consisting of the extracellular domain of human activin receptor type IIA (ActRIIA) linked to the Fc portion of human IgG1. Sotatercept-csrk functions as an activin signaling ligand trap.
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| Date | Agency | Company | Orphan |
|---|---|---|---|
| March 26, 2024 | FDA | Merck Sharp & Dohme LLC | |
| Aug. 22, 2024 | EMA | Merck Sharp & Dohme B.V. | |
| June 24, 2025 | PMDA | MSD 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 |
|---|---|---|---|---|---|---|
| Haemoglobin increased | 761.96 | 29.26 | 157 | 5397 | 7324 | 90615569 |
| Epistaxis | 408.98 | 29.26 | 164 | 5390 | 84961 | 90537932 |
| Pericardial effusion | 388.49 | 29.26 | 127 | 5427 | 36706 | 90586187 |
| Dyspnoea exertional | 171.13 | 29.26 | 85 | 5469 | 72203 | 90550690 |
| Telangiectasia | 146.24 | 29.26 | 30 | 5524 | 1353 | 90621540 |
| Headache | 112.90 | 29.26 | 194 | 5360 | 862552 | 89760341 |
| Platelet count decreased | 106.96 | 29.26 | 79 | 5475 | 136890 | 90486003 |
| Vascular device infection | 93.49 | 29.26 | 33 | 5521 | 11919 | 90610974 |
| Gastrointestinal haemorrhage | 77.09 | 29.26 | 55 | 5499 | 90193 | 90532700 |
| Flushing | 73.45 | 29.26 | 53 | 5501 | 88438 | 90534455 |
| Pain in jaw | 70.10 | 29.26 | 41 | 5513 | 47944 | 90574949 |
| Device occlusion | 66.43 | 29.26 | 24 | 5530 | 9258 | 90613635 |
| Product administration interrupted | 62.97 | 29.26 | 25 | 5529 | 12467 | 90610426 |
| Dyspnoea | 61.26 | 29.26 | 153 | 5401 | 880802 | 89742091 |
| Haematocrit increased | 59.73 | 29.26 | 17 | 5537 | 3061 | 90619832 |
| Complication associated with device | 55.39 | 29.26 | 26 | 5528 | 19423 | 90603470 |
| Laboratory test abnormal | 53.95 | 29.26 | 33 | 5521 | 41821 | 90581072 |
| Hospitalisation | 50.58 | 29.26 | 50 | 5504 | 128050 | 90494843 |
| Dizziness | 49.13 | 29.26 | 110 | 5444 | 589174 | 90033719 |
| Pulmonary hypertension | 48.44 | 29.26 | 31 | 5523 | 42492 | 90580401 |
| Diarrhoea | 48.17 | 29.26 | 146 | 5408 | 939044 | 89683849 |
| Haemoptysis | 44.81 | 29.26 | 27 | 5527 | 33293 | 90589600 |
| Pulmonary arteriovenous fistula | 43.64 | 29.26 | 6 | 5548 | 19 | 90622874 |
| Ventilation perfusion mismatch | 40.67 | 29.26 | 9 | 5545 | 583 | 90622310 |
| Drug delivery system malfunction | 37.81 | 29.26 | 10 | 5544 | 1371 | 90621522 |
| Drug ineffective | 34.89 | 29.26 | 21 | 5533 | 1384277 | 89238616 |
| Gingival bleeding | 33.64 | 29.26 | 17 | 5537 | 14886 | 90608007 |
| Hypotension | 31.93 | 29.26 | 65 | 5489 | 325332 | 90297561 |
| Hypoxia | 31.83 | 29.26 | 30 | 5524 | 72369 | 90550524 |
| 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 |
|---|---|---|---|---|---|---|
| Haemoglobin increased | 357.02 | 40.55 | 70 | 1253 | 5136 | 42614876 |
| Epistaxis | 90.07 | 40.55 | 43 | 1280 | 66783 | 42553229 |
| Pericardial effusion | 58.99 | 40.55 | 25 | 1298 | 29250 | 42590762 |
| Infusion site pain | 57.22 | 40.55 | 16 | 1307 | 5379 | 42614633 |
| Gastrointestinal haemorrhage | 54.02 | 40.55 | 35 | 1288 | 97691 | 42522321 |
| Dyspnoea exertional | 43.40 | 40.55 | 24 | 1299 | 50124 | 42569888 |
| Headache | 42.20 | 40.55 | 44 | 1279 | 239325 | 42380687 |
| 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 |
|---|---|---|---|---|---|---|
| Pericardial effusion | 411.83 | 32.05 | 129 | 3760 | 57088 | 110528322 |
| Haemoglobin increased | 296.97 | 32.05 | 68 | 3821 | 9079 | 110576331 |
| Epistaxis | 242.38 | 32.05 | 109 | 3780 | 130263 | 110455147 |
| Dyspnoea exertional | 129.06 | 32.05 | 66 | 3823 | 103994 | 110481416 |
| Headache | 91.48 | 32.05 | 132 | 3757 | 882245 | 109703165 |
| Telangiectasia | 88.70 | 32.05 | 19 | 3870 | 1858 | 110583552 |
| Device occlusion | 79.55 | 32.05 | 27 | 3862 | 15158 | 110570252 |
| Product administration interrupted | 79.04 | 32.05 | 25 | 3864 | 11267 | 110574143 |
| Vascular device infection | 69.72 | 32.05 | 25 | 3864 | 16487 | 110568923 |
| Gastrointestinal haemorrhage | 59.32 | 32.05 | 48 | 3841 | 165470 | 110419940 |
| Pulmonary arteriovenous fistula | 54.16 | 32.05 | 7 | 3882 | 25 | 110585385 |
| Dyspnoea | 53.75 | 32.05 | 119 | 3770 | 1106753 | 109478657 |
| Drug delivery system malfunction | 46.21 | 32.05 | 10 | 3879 | 1025 | 110584385 |
| Diarrhoea | 43.86 | 32.05 | 112 | 3777 | 1139393 | 109446017 |
| Flushing | 43.15 | 32.05 | 33 | 3856 | 104703 | 110480707 |
| Pain in jaw | 42.65 | 32.05 | 25 | 3864 | 51152 | 110534258 |
| Infusion site pain | 40.14 | 32.05 | 17 | 3872 | 17402 | 110568008 |
| Complication associated with device | 37.83 | 32.05 | 17 | 3872 | 20056 | 110565354 |
| Platelet count decreased | 37.02 | 32.05 | 43 | 3846 | 230400 | 110355010 |
| Haemoptysis | 35.05 | 32.05 | 25 | 3864 | 71329 | 110514081 |
| Dizziness | 34.77 | 32.05 | 76 | 3813 | 698117 | 109887293 |
| Hospitalisation | 32.44 | 32.05 | 32 | 3857 | 142461 | 110442949 |
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| Source | Code | Description |
|---|---|---|
| ATC | C02KX06 | CARDIOVASCULAR SYSTEM ANTIHYPERTENSIVES OTHER ANTIHYPERTENSIVES Antihypertensives for pulmonary arterial hypertension |
| MeSH PA | D002317 | Cardiovascular Agents |
| FDA EPC | N0000194100 | Activin Signaling Inhibitor |
| FDA MoA | N0000194101 | Activin Signaling Inhibitors |
| CHEBI has role | CHEBI:35610 | antineoplastic agent |
| CHEBI has role | CHEBI:35674 | antihypertensive agent |
| CHEBI has role | CHEBI:75835 | anti-anaemic agent |
| CHEBI has role | CHEBI:233423 | antifibrotic agent |
| Disease | Relation | SNOMED_ID | DOID |
|---|---|---|---|
| Pulmonary arterial hypertension | indication | 11399002 |
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| Target | Class | Pharos | UniProt | Action | Type | Activity value (-log[M]) | Mechanism action | Bioact source | MoA source |
|---|---|---|---|---|---|---|---|---|---|
| Growth/differentiation factor 11 | Cytokine | INHIBITOR | Kd | 11.17 | DRUG LABEL | DRUG LABEL | |||
| Inhibin beta A chain | Secreted | INHIBITOR | Kd | 11.34 | DRUG LABEL | DRUG LABEL | |||
| Inhibin beta B chain | Secreted | INHIBITOR | Kd | 11.97 | DRUG LABEL | DRUG LABEL | |||
| Bone morphogenetic protein 10 | Secreted | INHIBITOR | Kd | 11.11 | DRUG LABEL | DRUG LABEL |
| ID | Source |
|---|---|
| CHEMBL1743073 | ChEMBL_ID |
| DB12118 | DRUGBANK_ID |
| 4043056 | VANDF |
| 4043057 | VANDF |
| C5911057 | UMLSCUI |
| CHEBI:750150 | CHEBI |
| 1001080-50-7 | SECONDARY_CAS_RN |
| 962 | PUBCHEM_CID |
| 384190 | MMSL |
| 42739 | MMSL |
| d10178 | MMSL |
| 019707 | NDDF |
| 12962 | IUPHAR_LIGAND_ID |
| 9188 | INN_ID |
| 2678930 | RXNORM |
| 933398421000036106 | SNOMEDCT_US |
| C542017 | MESH_SUPPLEMENTAL_RECORD_UI |
| D09670 | KEGG_DRUG |
| 0QI90BTJ37 | UNII |
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