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| Stem definition | Drug id | CAS RN |
|---|---|---|
| human origin | 5221 | 1537032-82-8 |
| Molecule | Description |
|---|---|
|
Synonyms:
|
Avelumab is a programmed death ligand-1 (PD-L1) blocking antibody. Avelumab is a human IgG1 lambda monoclonal antibody that has a molecular weight of approximately 147 kDa. PD-L1 may be expressed on tumor cells and tumor-infiltrating immune cells and can contribute to the inhibition of the anti-tumor immune response in the tumor microenvironment. Binding of PD-L1 to the PD-1 and B7.1 receptors found on T cells and antigen presenting cells suppresses cytotoxic T-cell activity, T-cell proliferation and cytokine production. Avelumab binds PD-L1 and blocks the interaction between PD-L1 and its receptors PD-1 and B7.1. This interaction releases the inhibitory effects of PD-L1 on the immune response resulting in the restoration of immune responses, including anti-tumor immune responses. Avelumab has also been shown to induce antibody-dependent cell-mediated cytotoxicity (ADCC) in vitro.
|
| Dose | Unit | Route |
|---|---|---|
| 57.10 | mg | P |
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| Date | Agency | Company | Orphan |
|---|---|---|---|
| Sept. 18, 2017 | EMA | Merck Europe B.V. | |
| Sept. 27, 2017 | PMDA | Merck Serono Co., Ltd. | |
| March 23, 2017 | FDA | EMD SERONO 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 |
|---|---|---|---|---|---|---|
| Disease progression | 257.10 | 41.69 | 97 | 1448 | 156518 | 90470384 |
| Neoplasm progression | 85.08 | 41.69 | 31 | 1514 | 44455 | 90582447 |
| Death | 67.11 | 41.69 | 58 | 1487 | 456493 | 90170409 |
| Hypothyroidism | 46.05 | 41.69 | 21 | 1524 | 53106 | 90573796 |
| 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 |
|---|---|---|---|---|---|---|
| Disease progression | 384.94 | 30.84 | 216 | 4124 | 143440 | 42473555 |
| Neoplasm progression | 171.16 | 30.84 | 75 | 4265 | 28925 | 42588070 |
| Death | 131.85 | 30.84 | 197 | 4143 | 470988 | 42146007 |
| Infusion related reaction | 118.81 | 30.84 | 75 | 4265 | 60731 | 42556264 |
| Interstitial lung disease | 110.59 | 30.84 | 79 | 4261 | 78383 | 42538612 |
| Chills | 73.29 | 30.84 | 67 | 4273 | 93999 | 42522996 |
| Skin toxicity | 62.73 | 30.84 | 24 | 4316 | 6525 | 42610470 |
| Hypothyroidism | 58.65 | 30.84 | 38 | 4302 | 32046 | 42584949 |
| Adrenal insufficiency | 54.38 | 30.84 | 30 | 4310 | 18894 | 42598101 |
| Myocarditis | 54.36 | 30.84 | 30 | 4310 | 18908 | 42598087 |
| General physical health deterioration | 41.41 | 30.84 | 63 | 4277 | 151183 | 42465812 |
| Myositis | 41.15 | 30.84 | 23 | 4317 | 14843 | 42602152 |
| Lymphoma transformation | 37.08 | 30.84 | 9 | 4331 | 523 | 42616472 |
| Transaminases increased | 37.03 | 30.84 | 29 | 4311 | 32856 | 42584139 |
| Dysphonia | 36.23 | 30.84 | 27 | 4313 | 28423 | 42588572 |
| Neuropathy peripheral | 34.55 | 30.84 | 47 | 4293 | 101806 | 42515189 |
| Polymyalgia rheumatica | 31.49 | 30.84 | 11 | 4329 | 2312 | 42614683 |
| 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 |
|---|---|---|---|---|---|---|
| Disease progression | 617.35 | 32.44 | 285 | 5543 | 243749 | 110339722 |
| Death | 259.88 | 32.44 | 245 | 5583 | 698624 | 109884847 |
| Neoplasm progression | 249.04 | 32.44 | 102 | 5726 | 64493 | 110518978 |
| Interstitial lung disease | 146.01 | 32.44 | 91 | 5737 | 139243 | 110444228 |
| Hypothyroidism | 100.82 | 32.44 | 57 | 5771 | 72842 | 110510629 |
| Infusion related reaction | 81.15 | 32.44 | 100 | 5728 | 381062 | 110202409 |
| Myocarditis | 75.02 | 32.44 | 35 | 5793 | 30020 | 110553451 |
| Myositis | 67.79 | 32.44 | 33 | 5795 | 31083 | 110552388 |
| Chills | 66.69 | 32.44 | 65 | 5763 | 190515 | 110392956 |
| Skin toxicity | 64.38 | 32.44 | 24 | 5804 | 11759 | 110571712 |
| Adrenal insufficiency | 60.89 | 32.44 | 34 | 5794 | 42356 | 110541115 |
| Palmar-plantar erythrodysaesthesia syndrome | 53.79 | 32.44 | 31 | 5797 | 40994 | 110542477 |
| Hepatic function abnormal | 48.28 | 32.44 | 39 | 5789 | 89256 | 110494215 |
| Neuropathy peripheral | 48.01 | 32.44 | 53 | 5775 | 179224 | 110404247 |
| Lymphoma transformation | 47.54 | 32.44 | 10 | 5818 | 594 | 110582877 |
| Immune-mediated hepatitis | 45.37 | 32.44 | 16 | 5812 | 6695 | 110576776 |
| Myasthenia gravis | 44.42 | 32.44 | 22 | 5806 | 21489 | 110561982 |
| Pneumonitis | 42.59 | 32.44 | 34 | 5794 | 76497 | 110506974 |
| Thyroiditis | 41.89 | 32.44 | 15 | 5813 | 6558 | 110576913 |
| Transaminases increased | 41.47 | 32.44 | 31 | 5797 | 63359 | 110520112 |
| General physical health deterioration | 37.03 | 32.44 | 74 | 5754 | 425221 | 110158250 |
| Immune-mediated myositis | 35.26 | 32.44 | 13 | 5815 | 6173 | 110577298 |
| Tumour hyperprogression | 34.28 | 32.44 | 7 | 5821 | 359 | 110583112 |
| Haematuria | 34.14 | 32.44 | 31 | 5797 | 82974 | 110500497 |
| Pyrexia | 33.92 | 32.44 | 114 | 5714 | 898151 | 109685320 |
| Dysphonia | 32.49 | 32.44 | 29 | 5799 | 75900 | 110507571 |
None
| Source | Code | Description |
|---|---|---|
| ATC | L01FF04 | ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS ANTINEOPLASTIC AGENTS MONOCLONAL ANTIBODIES AND ANTIBODY DRUG CONJUGATES PD-1/PD-L1 (Programmed cell death protein 1/death ligand 1) inhibitors |
| MeSH PA | D000074322 | Antineoplastic Agents, Immunological |
| MeSH PA | D000970 | Antineoplastic Agents |
| FDA CS | M0001357 | Antibodies, Monoclonal |
| FDA MoA | N0000193336 | Programmed Death Ligand-1-directed Antibody Interactions |
| FDA MoA | N0000193337 | Programmed Death Ligand-1 Antagonists |
| FDA EPC | N0000193338 | Programmed Death Ligand-1 Blocker |
| CHEBI has role | CHEBI:35610 | antineoplastic agent |
| CHEBI has role | CHEBI:233423 | antifibrotic agent |
| Disease | Relation | SNOMED_ID | DOID |
|---|---|---|---|
| Maintenance therapy of unresectable urothelial carcinoma in patients who have received chemotherapy | indication | 27090000 | DOID:2671 |
| Merkel cell carcinoma | indication | 253001006 | |
| Renal cell carcinoma | indication | 702391001 | DOID:4450 |
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| Target | Class | Pharos | UniProt | Action | Type | Activity value (-log[M]) | Mechanism action | Bioact source | MoA source |
|---|---|---|---|---|---|---|---|---|---|
| Programmed cell death 1 ligand 1 | CD molecules | ANTIBODY BINDING | UNKNOWN | DRUG LABEL |
| ID | Source |
|---|---|
| KXG2PJ551I | UNII |
| 4036553 | VANDF |
| C4055417 | UMLSCUI |
| CHEBI:755952 | CHEBI |
| CHEMBL3833373 | ChEMBL_ID |
| DB11945 | DRUGBANK_ID |
| D10817 | KEGG_DRUG |
| 10062 | INN_ID |
| C000609138 | MESH_SUPPLEMENTAL_RECORD_UI |
| 8735 | IUPHAR_LIGAND_ID |
| 733055009 | SNOMEDCT_US |
| 763506002 | SNOMEDCT_US |
| 254791 | MMSL |
| 32511 | MMSL |
| d08537 | MMSL |
| 017142 | NDDF |
| 1875534 | RXNORM |
| Product | Category | Ingredients | NDC | Form | Quantity | Route | Marketing | Label |
|---|---|---|---|---|---|---|---|---|
| BAVENCIO | HUMAN PRESCRIPTION DRUG LABEL | 1 | 44087-3535 | INJECTION, SOLUTION, CONCENTRATE | 20 mg | INTRAVENOUS | BLA | 30 sections |