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| Stem definition | Drug id | CAS RN |
|---|---|---|
| monoclonal antibodies (chimeric origin); tumor | 5837 | None |
| Molecule | Description |
|---|---|
|
Synonyms:
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Zolbetuximab-clzb is a monoclonal antibody directed against Claudin 18.2 (CLDN18.2). Zolbetuximab-clzb binds to CLDN18.2-expressing tumor cells and induces antibody-dependent cellular cytotoxicity (ADCC) and complement-dependent cytotoxicity (CDC).
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| Date | Agency | Company | Orphan |
|---|---|---|---|
| Oct. 18, 2024 | FDA | Astellas Pharma | |
| Sept. 19, 2024 | EMA | Astellas Pharma Europe B.V. | |
| March 26, 2024 | PMDA | Astellas Pharma Inc. |
| 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 |
|---|---|---|---|---|---|---|
| Nausea | 235.32 | 54.60 | 141 | 785 | 1110175 | 89517346 |
| Vomiting | 107.55 | 54.60 | 77 | 849 | 788216 | 89839305 |
| Hypoalbuminaemia | 96.37 | 54.60 | 24 | 902 | 15873 | 90611648 |
| Decreased appetite | 91.20 | 54.60 | 53 | 873 | 376487 | 90251034 |
| Protein-losing gastroenteropathy | 85.92 | 54.60 | 12 | 914 | 326 | 90627195 |
| Malignant neoplasm progression | 77.70 | 54.60 | 32 | 894 | 106838 | 90520683 |
| Blood albumin decreased | 75.54 | 54.60 | 20 | 906 | 16783 | 90610738 |
| Myelosuppression | 67.58 | 54.60 | 24 | 902 | 53567 | 90573954 |
| Ascites | 62.54 | 54.60 | 22 | 904 | 47718 | 90579803 |
| 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 |
|---|---|---|---|---|---|---|
| Nausea | 475.17 | 45.23 | 260 | 1623 | 396539 | 42222913 |
| Hypoalbuminaemia | 214.10 | 45.23 | 61 | 1822 | 15549 | 42603903 |
| Vomiting | 144.20 | 45.23 | 111 | 1772 | 289612 | 42329840 |
| Ascites | 140.43 | 45.23 | 62 | 1821 | 56616 | 42562836 |
| Decreased appetite | 132.36 | 45.23 | 90 | 1793 | 193047 | 42426405 |
| Blood albumin decreased | 119.97 | 45.23 | 39 | 1844 | 15363 | 42604089 |
| Malignant neoplasm progression | 52.18 | 45.23 | 41 | 1842 | 108359 | 42511093 |
| Gastritis | 49.01 | 45.23 | 23 | 1860 | 23924 | 42595528 |
| Neutrophil count decreased | 46.53 | 45.23 | 31 | 1852 | 63384 | 42556068 |
| 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 |
|---|---|---|---|---|---|---|
| Nausea | 527.38 | 45.33 | 342 | 2441 | 1235348 | 109351168 |
| Hypoalbuminaemia | 321.50 | 45.33 | 85 | 2698 | 28889 | 110557627 |
| Ascites | 242.37 | 45.33 | 90 | 2693 | 92718 | 110493798 |
| Decreased appetite | 226.77 | 45.33 | 143 | 2640 | 475703 | 110110813 |
| Blood albumin decreased | 204.28 | 45.33 | 59 | 2724 | 27593 | 110558923 |
| Vomiting | 165.46 | 45.33 | 154 | 2629 | 910521 | 109675995 |
| Malignant neoplasm progression | 115.19 | 45.33 | 65 | 2718 | 174502 | 110412014 |
| Protein-losing gastroenteropathy | 88.93 | 45.33 | 16 | 2767 | 890 | 110585626 |
| Neutrophil count decreased | 85.04 | 45.33 | 47 | 2736 | 120894 | 110465622 |
| Myelosuppression | 81.33 | 45.33 | 42 | 2741 | 94298 | 110492218 |
| Gastritis | 77.20 | 45.33 | 34 | 2749 | 53665 | 110532851 |
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| Source | Code | Description |
|---|---|---|
| ATC | L01FX31 | ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS ANTINEOPLASTIC AGENTS MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES Other monoclonal antibodies and antibody drug conjugates |
| FDA MoA | N0000194106 | Claudin 18.2-directed Antibody Interactions |
| FDA EPC | N0000194107 | Claudin 18.2-directed Cytolytic Antibody |
| CHEBI has role | CHEBI:35610 | antineoplastic agent |
| Disease | Relation | SNOMED_ID | DOID |
|---|---|---|---|
| Locally advanced or metastatic HER2-negative gastroesophageal junction adenocarcinoma | indication | 187734007 | |
| Locally advanced or metastatic HER2-negative gastric adenocarcinoma | indication | 408647009 | DOID:3717 |
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| Target | Class | Pharos | UniProt | Action | Type | Activity value (-log[M]) | Mechanism action | Bioact source | MoA source |
|---|---|---|---|---|---|---|---|---|---|
| Claudin-18 | Membrane other | ANTIBODY BINDING | Kd | 8.54 | DRUG LABEL | DRUG LABEL |
| ID | Source |
|---|---|
| CHEMBL2109427 | ChEMBL_ID |
| DB15118 | DRUGBANK_ID |
| 4043498 | VANDF |
| 4043499 | VANDF |
| C5964728 | UMLSCUI |
| CHEBI:754224 | CHEBI |
| 1496553-00-4 | SECONDARY_CAS_RN |
| 390115 | MMSL |
| 43363 | MMSL |
| d10229 | MMSL |
| 9209 | IUPHAR_LIGAND_ID |
| 10473 | INN_ID |
| 2695869 | RXNORM |
| 43534311000001109 | SNOMEDCT_US |
| C585662 | MESH_SUPPLEMENTAL_RECORD_UI |
| D11527 | KEGG_DRUG |
| TF5MPQ8WGY | UNII |
| 019900 | NDDF |
| Product | Category | Ingredients | NDC | Form | Quantity | Route | Marketing | Label |
|---|---|---|---|---|---|---|---|---|
| VYLOY | HUMAN PRESCRIPTION DRUG LABEL | 1 | 0469-3425 | INJECTION, POWDER, FOR SUSPENSION | 20 mg | INTRAVENOUS | BLA | 24 sections |
| VYLOY | HUMAN PRESCRIPTION DRUG LABEL | 1 | 0469-4425 | INJECTION, POWDER, FOR SUSPENSION | 20 mg | INTRAVENOUS | BLA | 24 sections |