Drug General Information (ID: D0031)
  Drug Name
Alectinib
  Drug Type Small molecule
  Drug Synonymous
1256580-46-7; CH5424802; CH 5424802; AF-802; Alecensa; UNII-LIJ4CT1Z3Y; AF 802; LIJ4CT1Z3Y; Alectinib (CH5424802); 9-ethyl-6,6-dimethyl-8-(4-morpholinopiperidin-1-yl)-11-oxo-6,11-dihydro-5H-benzo[b]carbazole-3-carbonitrile; CHEMBL1738797; AF802; 9-Ethyl-6,6-Dimethyl-8-[4-(Morpholin-4-Yl)piperidin-1-Yl]-11-Oxo-6,11-Dihydro-5h-Benzo[b]carbazole-3-Carbonitrile; 9-Ethyl-6,11-dihydro-6,6-dimethyl-8-[4-(4-morpholinyl)-1-piperidinyl]-11-oxo-5H-benzo[b]carbazole-3-carbonitrile; AK170451; C30H34N4O2; Alectinib; 9-ethyl-6,6-dimethyl-
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  Disease Class 2C25: Lung cancer
  Therapeutic Class Multikinase Inhibitors
  Structure Could Not Find 2D Structure
3D Structure 2D Structure
  Formula C30H34N4O2
  InChI 1S/C30H34N4O2/c1-4-20-16-23-24(17-26(20)34-9-7-21(8-10-34)33-11-13-36-14-12-33)30(2,3)29-27(28(23)35)22-6-5-19(18-31)15-25(22)32-29/h5-6,15-17,21,32H,4,7-14H2,1-3H3
  InChIKey KDGFLJKFZUIJMX-UHFFFAOYSA-N
  Canonical SMILES CCC1=CC2=C(C=C1N3CCC(CC3)N4CCOCC4)C(C5=C(C2=O)C6=C(N5)C=C(C=C6)C#N)(C)C
  External Link
Pubchem ID 49806720
CAS Number 1256580-46-7
CHEBI ID 90936
TTD ID D0U3SY

Drug-Drug Interaction Network
  Sunburst Graph
AM006  Pharmacodynamic additive effects
BM049  Increased risk of atrioventricular block
BM051  Increased risk of bradycardia
BM055  Increased risk of hepatotoxicity
BM075  Increased risk of photosensitivity reactions
BM109  Increased risk of other adverse reactions (Unspecific)
  Relation Graph
 Full list of drugs interacting with Alectinib
      Pharmacodynamic additive effects
   Increased risk of bradycardia Drug Num:  60
Drug ID
 
Drug Name
Formula Pubchem ID Severity Level Interaction Detail REF
D1474
 
Siponimod
 
C29H35F3N2O3
 
44599207 
Major    Inter Info   
[2], [3]
D0010
 
Acebutolol
 
C18H28N2O4
 
1978 
Moderate    Inter Info   
[11], [12]
D0204
 
Brigatinib
 
C29H39ClN7O2P
 
68165256 
Moderate    Inter Info   
[13]
D0897
 
Lasmiditan
 
C19H18F3N3O2
 
11610526 
Moderate    Inter Info   
[26]
D1211
 
Ozanimod
 
C23H24N4O3
 
52938427 
Moderate    Inter Info   
[27]
D0052
 
Ambenonium
 
C28H42Cl2N4O2+2
 
2131 
Moderate    Inter Info   
[11], [12]
D0116
 
Atazanavir
 
C38H52N6O7
 
148192 
Moderate    Inter Info   
[11], [12]
D0117
 
Atenolol
 
C14H22N2O3
 
2249 
Moderate    Inter Info   
[11], [12]
D0173
 
Betaxolol
 
C18H29NO3
 
2369 
Moderate    Inter Info   
[11], [12]
D0174
 
Betaxolol (ophthalmic)
 
C18H29NO3
 
2369 
Moderate    Inter Info   
[11], [12]
D0188
 
Bisoprolol
 
C18H31NO4
 
2405 
Moderate    Inter Info   
[11], [12]
D0265
 
Carteolol
 
C16H24N2O3
 
2583 
Moderate    Inter Info   
[11], [12]
D0266
 
Carteolol (ophthalmic)
 
C16H24N2O3
 
2583 
Moderate    Inter Info   
[11], [12]
D0267
 
Carvedilol
 
C24H26N2O4
 
2585 
Moderate    Inter Info   
[11], [12]
D0308
 
Cevimeline
 
C10H17NOS
 
83898 
Moderate    Inter Info   
[11], [12]
D0440
 
Demecarium (ophthalmic)
 
C32H52N4O4+2
 
5966 
Moderate    Inter Info   
[11], [12]
D0490
 
Digitoxin
 
C41H64O13
 
441207 
Moderate    Inter Info   
[11], [12]
D0491
 
Digoxin
 
C41H64O14
 
2724385 
Moderate    Inter Info   
[11], [12]
D0497
 
Diltiazem
 
C22H26N2O4S
 
39186 
Moderate    Inter Info   
[11], [12]
D0514
 
Dolasetron
 
C19H20N2O3
 
3033818 
Moderate    Inter Info   
[11], [12]
D0516
 
Donepezil
 
C24H29NO3
 
3152 
Moderate    Inter Info   
[11], [12]
D0546
 
Echothiophate (ophthalmic)
 
C9H23NO3PS+
 
10548 
Moderate    Inter Info   
[11], [12]
D0552
 
Edrophonium
 
C10H16NO+
 
3202 
Moderate    Inter Info   
[11], [12]
D0602
 
Esmolol
 
C16H25NO4
 
59768 
Moderate    Inter Info   
[11], [12]
D0661
 
Fingolimod
 
C19H33NO2
 
107970 
Moderate    Inter Info   
[39], [40]
D0664
 
Flecainide
 
C17H20F6N2O3
 
3356 
Moderate    Inter Info   
[11], [12]
D0707
 
Galantamine
 
C17H21NO3
 
9651 
Moderate    Inter Info   
[11], [12]
D0856
 
Isoflurophate (ophthalmic)
 
C6H14FO3P
 
5936 
Moderate    Inter Info   
[11], [12]
D0868
 
Ivabradine
 
C27H36N2O5
 
132999 
Moderate    Inter Info   
[11], [12]
D0884
 
Labetalol
 
C19H24N2O3
 
3869 
Moderate    Inter Info   
[11], [12]
D0885
 
Lacosamide
 
C13H18N2O3
 
219078 
Moderate    Inter Info   
[11], [12]
D0914
 
Levobetaxolol (ophthalmic)
 
C18H29NO3
 
60657 
Moderate    Inter Info   
[11], [12]
D0915
 
Levobunolol (ophthalmic)
 
C17H25NO3
 
39468 
Moderate    Inter Info   
[11], [12]
D0948
 
Lopinavir
 
C37H48N4O5
 
92727 
Moderate    Inter Info   
[11], [12]
D0992
 
Mefloquine
 
C17H16F6N2O
 
4046 
Moderate    Inter Info   
[11], [12]
D1045
 
Metipranolol (ophthalmic)
 
C17H27NO4
 
31477 
Moderate    Inter Info   
[11], [12]
D1049
 
Metoprolol
 
C15H25NO3
 
4171 
Moderate    Inter Info   
[11], [12]
D1088
 
Moricizine
 
C22H25N3O4S
 
34633 
Moderate    Inter Info   
[11], [12]
D1098
 
Nadolol
 
C17H27NO4
 
39147 
Moderate    Inter Info   
[11], [12]
D1114
 
Nebivolol
 
C22H25F2NO4
 
71301 
Moderate    Inter Info   
[11], [12]
D1122
 
Neostigmine
 
C12H19N2O2+
 
4456 
Moderate    Inter Info   
[11], [12]
D1244
 
Penbutolol
 
C18H29NO2
 
37464 
Moderate    Inter Info   
[11], [12]
D1285
 
Physostigmine
 
C15H21N3O2
 
5983 
Moderate    Inter Info   
[11], [12]
D1286
 
Physostigmine (ophthalmic)
 
C15H21N3O2
 
5983 
Moderate    Inter Info   
[11], [12]
D1288
 
Pilocarpine
 
C11H16N2O2
 
5910 
Moderate    Inter Info   
[11], [12]
D1293
 
Pindolol
 
C14H20N2O2
 
4828 
Moderate    Inter Info   
[11], [12]
D1353
 
Propafenone
 
C21H27NO3
 
4932 
Moderate    Inter Info   
[11], [12]
D1357
 
Propranolol
 
C16H21NO2
 
4946 
Moderate    Inter Info   
[11], [12]
D1365
 
Pyridostigmine
 
C9H13N2O2+
 
4991 
Moderate    Inter Info   
[11], [12]
D1372
 
Quinine
 
C20H24N2O2
 
3034034 
Moderate    Inter Info   
[11], [12]
D1418
 
Rivastigmine
 
C14H22N2O2
 
77991 
Moderate    Inter Info   
[11], [12]
D1444
 
Saquinavir
 
C38H50N6O5
 
441243 
Moderate    Inter Info   
[11], [12]
D1498
 
Sotalol
 
C12H20N2O3S
 
5253 
Moderate    Inter Info   
[11], [12]
D1510
 
Succinylcholine
 
C14H30N2O4+2
 
5314 
Moderate    Inter Info   
[11], [12]
D1522
 
Sunitinib
 
C22H27FN4O2
 
5329102 
Moderate    Inter Info   
[11], [12]
D1525
 
Tacrine
 
C13H14N2
 
1935 
Moderate    Inter Info   
[11], [12]
D1569
 
Thalidomide
 
C13H10N2O4
 
5426 
Moderate    Inter Info   
[11], [12]
D1585
 
Timolol
 
C13H24N4O3S
 
33624 
Moderate    Inter Info   
[11], [12]
D1586
 
Timolol (ophthalmic)
 
C13H24N4O3S
 
33624 
Moderate    Inter Info   
[11], [12]
D1690
 
Verapamil
 
C27H38N2O4
 
2520 
Moderate    Inter Info   
[11], [12]
   Increased risk of hepatotoxicity Drug Num:  23
Drug ID
 
Drug Name
Formula Pubchem ID Severity Level Interaction Detail REF
D1258
 
Pexidartinib
 
C20H15ClF3N5
 
25151352 
Major    Inter Info   
[1]
D0900
 
Leflunomide
 
C12H9F3N2O2
 
3899 
Major    Inter Info   
[6], [7], [8]
D0944
 
Lomitapide
 
C39H37F6N3O2
 
9853053 
Major    Inter Info   
[9]
D1073
 
Mipomersen
 
C230H324N67O122P19S19
 
118984467 
Major    Inter Info   
[10]
D1556
 
Teriflunomide
 
C12H9F3N2O2
 
54684141 
Major    Inter Info   
[6], [7], [8]
D0232
 
Calaspargase pegol
 
NA
 
NA
Moderate    Inter Info   
[14], [15], [16], [2], [17], [18], [19], [20], [21], [22], [23], [24], [25]
D1389
 
Remdesivir
 
C27H35N6O8P
 
121304016 
Moderate    Inter Info   
[2], [17], [28], [29], [30]
D0113
 
Asparaginase Erwinia chrysanthemi
 
NA
 
NA
Moderate    Inter Info   
[14], [15], [16], [2], [17], [18], [19], [20], [21], [22], [23], [24], [25]
D0114
 
Asparaginase Escherichia coli
 
NA
 
NA
Moderate    Inter Info   
[14], [15], [16], [2], [17], [18], [19], [20], [21], [22], [23], [24], [25]
D0149
 
Bedaquiline
 
C32H31BrN2O2
 
5388906 
Moderate    Inter Info   
[32]
D0199
 
Brentuximab vedotin
 
NA
 
NA
Moderate    Inter Info   
[33]
D0248
 
Cannabidiol
 
C21H30O2
 
644019 
Moderate    Inter Info   
[17], [34]
D0357
 
Clofarabine
 
C10H11ClFN5O3
 
119182 
Moderate    Inter Info   
[35]
D0554
 
Efavirenz
 
C14H9ClF3NO2
 
64139 
Moderate    Inter Info   
[36], [37]
D0584
 
Epirubicin
 
C27H29NO11
 
41867 
Moderate    Inter Info   
[2], [17], [38]
D0789
 
Idelalisib
 
C22H18FN7O
 
11625818 
Moderate    Inter Info   
[41]
D0826
 
Interferon beta-1a
 
NA
 
NA
Moderate    Inter Info   
[42], [43], [44], [45]
D0827
 
Interferon beta-1b
 
NA
 
NA
Moderate    Inter Info   
[42], [43], [44], [45]
D1106
 
Naltrexone
 
C20H23NO4
 
5360515 
Moderate    Inter Info   
[49]
D1234
 
Pegaspargase
 
C14H19NO
 
436058 
Moderate    Inter Info   
[14], [15], [16], [2], [17], [18], [19], [20], [21], [22], [23], [24], [25]
D1239
 
Peginterferon beta-1a
 
NA
 
NA
Moderate    Inter Info   
[42], [43], [44], [45]
D1589
 
Tioguanine
 
C5H5N5S
 
2723601 
Moderate    Inter Info   
[52], [53]
D1615
 
Trabectedin
 
C39H43N3O11S
 
108150 
Moderate    Inter Info   
[17], [54]
   Increased risk of photosensitivity reactions Drug Num:  6
Drug ID
 
Drug Name
Formula Pubchem ID Severity Level Interaction Detail REF
D0062
 
Aminolevulinic acid
 
C5H9NO3
 
137 
Major    Inter Info   
[4], [5]
D0063
 
Aminolevulinic acid (topical)
 
C5H9NO3
 
137 
Moderate    Inter Info   
[2], [17], [31]
D1028
 
Methoxsalen
 
C12H8O4
 
4114 
Moderate    Inter Info   
[2], [46], [4], [47], [48]
D1033
 
Methyl aminolevulinate (topical)
 
C6H11NO3
 
157922 
Moderate    Inter Info   
[2], [17], [31]
D1314
 
Porfimer sodium
 
C68H74N8O11
 
135577896 
Moderate    Inter Info   
[50], [17], [51]
D1691
 
Verteporfin
 
C82H84N8O16
 
11980904 
Moderate    Inter Info   
[17], [46], [4], [55]
References
1 Product Information. Turalio (pexidartinib). Daiichi Sankyo, Inc., Parsippany, NJ.
2 Cerner Multum, Inc. "Australian Product Information.".
3 Product Information. Mayzent (siponimod). Novartis Pharmaceuticals, East Hanover, NJ.
4 Product Information. Nulibry (fosdenopterin). Origin Biosciences Inc, Boston, MA.
5 Product Information. Gleolan (aminolevulinic acid). NX Development Corp, Lexington, KY.
6 Canadian Pharmacists Association.
7 EMEA "EMEA public statement on leflunomide (ARAVA) - severe and serious hepatic reactions.".
8 Product Information. Arava (leflunomide). Hoechst Marion-Roussel Inc, Kansas City, MO.
9 Product Information. Juxtapid (lomitapide). Aegerion Pharmaceuticals Inc, Cambridge, MA.
10 Product Information. Kynamro (mipomersen). Genzyme Corporation, Cambridge, MA.
11 Product Information. Kaletra (lopinavir-ritonavir) Abbott Pharmaceutical, Abbott Park, IL.
12 Product Information. Alecensa (alectinib). Genentech, South San Francisco, CA.
13 Product Information. Alunbrig (brigatinib). Ariad Pharmaceuticals Inc, Cambridge, MA.
14 Al-Nawakil C, Willems L, Mauprivez C, et.al "Successful treatment of l-asparaginase-induced severe acute hepatotoxicity using mitochondrial cofactors." Leuk Lymphoma 55 (2014): 1670-4. [PMID: 24090500]
15 Bodmer M, Sulz M, Stadlmann S, Droll A, Terracciano L, Krahenbuhl S "Fatal liver failure in an adult patient with acute lymphoblastic leukemia following treatment with L-asparaginase." Digestion 74 (2006): epub. [PMID: 16988508]
16 Cerner Multum, Inc "ANVISA Bulario Eletrnico.".
17 Cerner Multum, Inc. "UK Summary of Product Characteristics.".
18 Christ TN, Stock W, Knoebel RW "Incidence of asparaginase-related hepatotoxicity, pancreatitis, and thrombotic events in adults with acute lymphoblastic leukemia treated with a pediatric-inspired regimen." J Oncol Pharm Pract 24 (2018): 299-308. [PMID: 28355969]
19 Jenkins R, Perlin E "Severe hepatotoxicity from Escherichia coli L-asparaginase." J Natl Med Assoc 79 (1987): 775-9. [PMID: 3305969]
20 Lu G, Karur V, Herrington JD, Walker MG "Successful treatment of pegaspargase-induced acute hepatotoxicity with vitamin B complex and L-carnitine" Proc (Bayl Univ Med Cent) 29 (2016): 46-7. [PMID: 26722167]
21 Product Information. Asparlas (calaspargase pegol). Servier, Boston, MA.
22 Product Information. Elspar (asparaginase). Merck & Co, Inc, West Point, PA.
23 Product Information. Erwinaze (asparaginase Erwinia chrysanthemi). EUSA Pharma, Newtown, PA.
24 Product Information. Oncaspar (pegaspargase). Rhone-Poulenc Rorer, Collegeville, PA.
25 Burke PW, Aldoss I, Lunning MA, et.al "High-grade PEGylated asparaginase-related hepatotoxicity occurrence in a pediatric-inspired adult acute lymphoblastic leukemia regimen does not necessarily predict recurrent hepatotoxicity in subsequent cycles." Blood 122 (2013): 2671. [PMID: 29407583]
26 Product Information. Reyvow (lasmiditan). Lilly, Eli and Company, Indianapolis, IN.
27 Product Information. Zeposia (ozanimod). Celgene Corporation, Summit, NJ.
28 European Medicines Agency "Summary on compassionate use. Remdesivir Gilead.".
29 Gilead Sciences, Inc "About Remdesivir.".
30 US Food and Drug Administration "Fact sheet for health care providers emergency use authorization (EUA) of remdesivir (GS-5734TM)".
31 Product Information. Metvixia (methyl aminolevulinate topical). Galderma Laboratories Inc, Cranbury, NJ.
32 Product Information. Sirturo (bedaquiline). Janssen Pharmaceuticals, Titusville, NJ.
33 Product Information. Adcetris (brentuximab vedotin). Seattle Genetics Inc, Bothell, WA.
34 Product Information. Epidiolex (cannabidiol). Greenwich Biosciences Inc, Carlsbad, CA.
35 Product Information. Clolar (clofarabine). sanofi-aventis, Bridgewater, NJ.
36 Elsharkawy AM, Schwab U, McCarron B, et al. "Efavirenz induced acute liver failure requiring liver transplantation in a slow drug metaboliser." J Clin Virol 58 (2013): 331-3. [PMID: 23763943]
37 Product Information. Sustiva (efavirenz). DuPont Pharmaceuticals, Wilmington, DE.
38 Product Information. Ellence (epirubicin) Pharmacia and Upjohn, Kalamazoo, MI.
39 Product Information. Gilenya (fingolimod). Novartis Pharmaceuticals, East Hanover, NJ.
40 FDA. U.S. Food and Drug Administration "FDA Drug Safety Communication: Revised recommendations for cardiovascular monitoring and use of multiple sclerosis drug Gilenya (fingolimod).".
41 Product Information. Zydelig (idelalisib). Gilead Sciences, Foster City, CA.
42 Product Information. Avonex (interferon beta-1a). Biogen, Cambridge, MA.
43 Product Information. Betaseron (interferon beta-1b). Berlex, Richmond, CA.
44 Product Information. Plegridy (peginterferon beta-1a). Biogen Idec Inc, Cambridge, MA.
45 Product Information. Rebif (interferon beta-1a). Serono Laboratories Inc, Norwell, MA.
46 Multum Information Services, Inc. Expert Review Panel.
47 Product Information. Oxsoralen (methoxsalen). ICN Pharmaceuticals Inc, Costa Mesa, CA.
48 Product Information. Uvadex (methoxsalen). Therakos Inc, Exton, PA.
49 Product Information. ReVia (naltrexone). DuPont Pharmaceuticals, Wilmington, DE.
50 Blakely KM, Drucker AM, Rosen CF "Drug-induced photosensitivity-an update: Culprit drugs, prevention and management." Drug Saf 42 (2019): 827-47. [PMID: 30888626]
51 Product Information. Photofrin (porfimer). Sanofi Winthrop Pharmaceuticals, New York, NY.
52 Product Information. Aubagio (teriflunomide). Genzyme Corporation, Cambridge, MA.
53 Product Information. Tabloid (thioguanine). Prasco Laboratories, Cincinnati, OH.
54 Product Information. Yondelis (trabectedin). Janssen Pharmaceuticals, Titusville, NJ.
55 Product Information. Visudyne (verteporfin) Valeant Pharmaceuticals, Costa Mesa, CA.