The Drug Explorer

Search the nephrotoxic landscape

A live index of 240+ anti-cancer agents, cross-filterable by injury signature, drug class, nephron segment, severity, and era. Profiled agents open to a full citation-grounded page; the rest are catalog entries with their signature kidney signal.

25 agents · filtered from 240

5-Fluorouracil

Adrucil · Pyrimidine analog

Profile

Rare TMA, esp. with mitomycin; mostly renally safe.

TMAPRE
MildOpen →

Bendamustine

Treanda · Alkylator

Profile

Tumor lysis-mediated AKI is the principal risk; TMA is rare.

PRETMALYTE
ModerateOpen →

Bevacizumab

Avastin · Anti-VEGF antibody

Profile

Proteinuria, hypertension, glomerular TMA.

GLOMHTNTMA
ModerateOpen →

Bortezomib

Velcade · Proteasome inhibitor

Profile

Rare TMA; reverses myeloma cast nephropathy.

TMAGLOM
ModerateOpen →

Busulfan

Myleran · Alkylator

Profile

Conditioning-regimen TMA risk.

TMA
ModerateOpen →

Capecitabine

Xeloda · Pyrimidine analog (oral 5-FU)

Profile

Diarrhea-driven prerenal AKI; dose-adjust for CrCl.

PRETMA
MildOpen →

Carfilzomib

Kyprolis · Proteasome inhibitor

Profile

AKI, TMA and hypertension — a hot myeloma signal.

TMAATNHTN
SevereOpen →

Carmofur (HCFU)

Mifurol · Antimetabolite (oral 5-FU prodrug)

Profile

Lipophilic oral 5-FU prodrug (Japan); class-level renal risk; hallmark toxicity is leukoencephalopathy not nephropathy.

TMALYTEPRE
ModerateOpen →

Carmustine (BCNU)

BiCNU · Nitrosourea alkylator

Profile

Delayed interstitial fibrosis with high cumulative dose.

CINTMA
ModerateOpen →

Decitabine

Dacogen · Hypomethylating agent

Profile

Tumor lysis in MDS/AML.

PRELYTETMA
MildOpen →

Doxifluridine

Furtulon · Antimetabolite (oral 5-FU prodrug)

Profile

5'-DFUR prodrug; class-level TMA risk plus a real renal-clearance component warranting caution in renal impairment.

TMALYTEPRE
ModerateOpen →

Gemcitabine

Gemzar · Nucleoside analog

Profile

Dose-cumulative thrombotic microangiopathy.

TMAHTNGLOM
SevereOpen →

Ixazomib

Ninlaro · Proteasome inhibitor

Profile

Rare TMA reports.

TMA
MildOpen →

Lenalidomide

Revlimid · Immunomodulatory drug (IMiD)

Profile

Renally cleared; AKI and rare Fanconi/TMA.

ATNFANCTMA
ModerateOpen →

Lutetium-177 Dotatate

Lutathera · Radioligand therapy (PRRT)

Profile

Peptide receptor radionuclide therapy; proximal tubular radiation nephropathy is dose-limiting — amino-acid co-infusion is renoprotective.

CINTMA
ModerateOpen →

Mitomycin C

Mutamycin · Antitumor antibiotic

Profile

Prototype dose-dependent TMA.

TMAGLOM
SevereOpen →

Moxetumomab pasudotox

Lumoxiti · Immunotoxin (anti-CD22 PE38)

Profile

Boxed warning for capillary-leak syndrome and hemolytic-uremic syndrome / TMA.

TMAPRE
SevereOpen →

Nintedanib

Ofev · VEGFR/FGFR/PDGFR TKI

Profile

Proteinuria and rare TMA.

HTNTMAGLOM
MildOpen →

Olaparib

Lynparza · PARP inhibitor

Profile

Benign creatinine rise via OCT2/MATE inhibition.

PRETMAPSEUDO
MildOpen →

Oxaliplatin

Eloxatin · Platinum agent

Profile

Least nephrotoxic platinum; rare immune hemolysis.

ATNTMA
MildOpen →

Ramucirumab

Cyramza · Anti-VEGFR2 antibody

Profile

Hypertension and proteinuria, class effect.

HTNGLOMTMA
ModerateOpen →

Tegafur-uracil (UFT)

UFT · Antimetabolite (oral 5-FU prodrug)

Profile

Oral tegafur+uracil; rare fluoropyrimidine-class TMA/HUS (often with mitomycin C), otherwise kidney-sparing.

TMALYTEPRE
SevereOpen →

Trastuzumab emtansine (T-DM1)

Kadcyla · Antibody-drug conjugate (HER2/DM1)

Profile

Rare nodular regenerative TMA-like signals.

TMAGLOM
ModerateOpen →

VEGFR TKIs (sunitinib · sorafenib · pazopanib · axitinib)

VEGFR TKI

Profile

Hypertension as an on-target marker; proteinuria.

HTNGLOMTMA
ModerateOpen →

Ziv-aflibercept

Zaltrap · VEGF trap

Profile

Hypertension and proteinuria like bevacizumab.

HTNGLOMTMA
ModerateOpen →