nelarabine ๐Ÿถ Veterinary Use | Indications/Contra | FAERs-F | FAERs-M | Orange Bk | BioActivity |

Stem definitionDrug idCAS RN
arabinofuranosyl derivatives 1892 121032-29-9

Description:

MoleculeDescription

Molfile Inchi Smiles

Synonyms:

  • nelarabine
  • arranon
  • nelzarabine
  • atriance
prodrug of ara-G
  • Molecular weight: 297.27
  • Formula: C11H15N5O5
  • CLOGP: -0.39
  • LIPINSKI: 0
  • HAC: 10
  • HDO: 4
  • TPSA: 148.77
  • ALOGS: -1.33
  • ROTB: 3

  • Status: OFP

  • Legend:
    OFP - off patent
    OFM - off market
    ONP - on patent

Drug dosage:

None

ADMET properties:

PropertyValueReference
BDDCS (Biopharmaceutical Drug Disposition Classification System) 2 Benet LZ, Broccatelli F, Oprea TI
S (Water solubility) 1 mg/mL Benet LZ, Broccatelli F, Oprea TI
EoM (Fraction excreted unchanged in urine) 6.60 % Benet LZ, Broccatelli F, Oprea TI
MRTD (Maximum Recommended Therapeutic Daily Dose) 4.23 ยตM/kg/day Contrera JF, Matthews EJ, Kruhlak NL, Benz RD
BA (Bioavailability) 11 % Kim MT, Sedykh A, Chakravarti SK, Saiakhov RD, Zhu H
Vd (Volume of distribution) 4.90 L/kg Lombardo F, Berellini G, Obach RS
CL (Clearance) 81 mL/min/kg Lombardo F, Berellini G, Obach RS
fu (Fraction unbound in plasma) 0.80 % Lombardo F, Berellini G, Obach RS
t_half (Half-life) 0.50 hours Lombardo F, Berellini G, Obach RS

Approvals:

DateAgencyCompanyOrphan
Oct. 28, 2005 FDA NOVARTIS PHARMS CORP

FDA Adverse Event Reporting System (Female)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Subacute combined cord degeneration 93.35 47.78 12 446 218 56291391
Myelopathy 83.45 47.78 15 443 2633 56288976
Peripheral motor neuropathy 50.25 47.78 9 449 1539 56290070

FDA Adverse Event Reporting System (Male)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Myelopathy 66.41 43.22 16 1309 2229 31693790
Neuropathy peripheral 57.61 43.22 37 1288 75612 31620407
Guillain-Barre syndrome 48.37 43.22 15 1310 5345 31690674
Peripheral sensory neuropathy 45.95 43.22 15 1310 6300 31689719
Polyneuropathy 45.63 43.22 18 1307 13004 31683015

FDA Adverse Event Reporting System (Geriatric)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Myelopathy 141.67 41.76 30 1628 4221 70922565
Subacute combined cord degeneration 90.74 41.76 14 1644 325 70926461
Peripheral sensory neuropathy 74.19 41.76 22 1636 12088 70914698
Neuropathy peripheral 67.45 41.76 40 1618 126856 70799930
T-cell type acute leukaemia 63.25 41.76 10 1648 273 70926513
Neurotoxicity 61.79 41.76 24 1634 29802 70896984
Febrile neutropenia 61.21 41.76 45 1613 204273 70722513
Muscular weakness 56.76 41.76 37 1621 138299 70788487
Polyneuropathy 50.70 41.76 19 1639 21396 70905390
Peripheral motor neuropathy 49.31 41.76 12 1646 3120 70923666
Precursor T-lymphoblastic lymphoma/leukaemia 46.90 41.76 7 1651 129 70926657
West Nile viral infection 45.19 41.76 9 1649 930 70925856
Guillain-Barre syndrome 42.31 41.76 13 1645 8027 70918759
Ataxia 42.18 41.76 17 1641 23200 70903586

FDA Adverse Event Reporting System (Pediatric)

None

Pharmacologic Action:

SourceCodeDescription
ATC L01BB07 ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS
ANTINEOPLASTIC AGENTS
ANTIMETABOLITES
Purine analogues
FDA MoA N0000000233 Nucleic Acid Synthesis Inhibitors
FDA EPC N0000175595 Nucleoside Metabolic Inhibitor
CHEBI has role CHEBI:35610 antineoplastic agents
CHEBI has role CHEBI:50266 Prodrugs
CHEBI has role CHEBI:59517 DNA synthesis inhibitors

Drug Use | Suggest Off label Use Form| |View source of the data|

DiseaseRelationSNOMED_IDDOID
T-cell acute lymphoblastic leukemia indication 277575008
Precursor T-cell lymphoblastic lymphoma indication 421246008
Hyperbilirubinemia contraindication 14783006 DOID:2741
Peripheral demyelinating neuropathy contraindication 23414001 DOID:5214
Demyelination contraindication 32693004
Dehydration contraindication 34095006
Mental handicap contraindication 47437004
Hepatic failure contraindication 59927004
Seizure disorder contraindication 128613002
Intrathecal injection of chemotherapeutic agent contraindication 171765004
Impaired renal function disorder contraindication 197663003
Anemia contraindication 271737000 DOID:2355
Drowsy contraindication 271782001
Pregnancy, function contraindication 289908002
Thrombocytopenic disorder contraindication 302215000 DOID:1588
Peripheral nerve disease contraindication 302226006
Neutropenic disorder contraindication 303011007 DOID:1227
Breastfeeding (mother) contraindication 413712001
Radiation Therapy of Cranium contraindication
Severe Leukopenia contraindication
Radiation Therapy of Vertebral Column contraindication
Chemotherapy-Induced Hyperuricemia contraindication




๐Ÿถ Veterinary Drug Use

None

๐Ÿถ Veterinary products

None

Acid dissociation constants calculated using MoKa v3.0.0

Dissociation levelDissociation constantType (acidic/basic)
pKa1 11.67 acidic
pKa2 12.33 acidic
pKa3 13.34 acidic
pKa4 3.39 Basic

Orange Book patent data (new drug applications)

None

Orange Book exclusivity data (new drug applications)

Formulation strengthTrade nameApplicantApplication numberApproval dateTypeDose formRouteExclusivity dateDescription
250MG/50ML (5MG/ML) NELARABINE ZYDUS PHARMS A215037 Nov. 17, 2021 RX INJECTABLE INTRAVENOUS May 22, 2022 COMPETITIVE GENERIC THERAPY

Bioactivity Summary:

None

External reference:

IDSource
4025093 VUID
N0000175345 NUI
D05134 KEGG_DRUG
4025093 VANDF
C0907349 UMLSCUI
CHEBI:63612 CHEBI
CHEMBL1201112 ChEMBL_ID
DB01280 DRUGBANK_ID
C104457 MESH_SUPPLEMENTAL_RECORD_UI
3011155 PUBCHEM_CID
7090 IUPHAR_LIGAND_ID
7704 INN_ID
60158CV180 UNII
274771 RXNORM
20608 MMSL
354214 MMSL
72483 MMSL
d05655 MMSL
011068 NDDF
418538001 SNOMEDCT_US
418784008 SNOMEDCT_US
C0050203 UMLSCUI
38819-10-2 SECONDARY_CAS_RN
135499520 PUBCHEM_CID
0Z99WX0GPF UNII

Pharmaceutical products:

ProductCategoryIngredientsNDCFormQuantityRouteMarketingLabel
Arranon HUMAN PRESCRIPTION DRUG LABEL 1 0078-0683 INJECTION 5 mg INTRAVENOUS NDA 31 sections
Arranon HUMAN PRESCRIPTION DRUG LABEL 1 0078-0683 INJECTION 5 mg INTRAVENOUS NDA 31 sections
Nelarabine HUMAN PRESCRIPTION DRUG LABEL 1 70710-1726 INJECTION 5 mg INTRAVENOUS ANDA 26 sections
Nelarabine HUMAN PRESCRIPTION DRUG LABEL 1 70710-1839 INJECTION 5 mg INTRAVENOUS ANDA 26 sections
Nelarabine HUMAN PRESCRIPTION DRUG LABEL 1 70771-1685 INJECTION 5 mg INTRAVENOUS ANDA 1 sections