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 92.53 44.98 12 431 217 50604464
Myelopathy 76.36 44.98 14 429 2547 50602134
Peripheral motor neuropathy 50.30 44.98 9 434 1422 50603259

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
Neuropathy peripheral 58.99 41.64 37 1228 70990 29502272
Guillain-Barre syndrome 48.89 41.64 15 1250 5043 29568219
Myelopathy 47.62 41.64 12 1253 1962 29571300
West Nile viral infection 43.08 41.64 9 1256 641 29572621
Peripheral sensory neuropathy 42.46 41.64 14 1251 5925 29567337

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 113.88 40.11 25 1563 3949 64493195
Subacute combined cord degeneration 90.06 40.11 14 1574 324 64496820
Peripheral sensory neuropathy 70.07 40.11 21 1567 11357 64485787
Neuropathy peripheral 68.39 40.11 40 1548 117485 64379659
Febrile neutropenia 60.28 40.11 44 1544 187613 64309531
Muscular weakness 57.83 40.11 37 1551 127301 64369843
Neurotoxicity 55.48 40.11 22 1566 27382 64469762
Peripheral motor neuropathy 49.32 40.11 12 1576 2958 64494186
Polyneuropathy 47.46 40.11 18 1570 19876 64477268
West Nile viral infection 44.94 40.11 9 1579 908 64496236
Guillain-Barre syndrome 42.31 40.11 13 1575 7622 64489522
Hypertriglyceridaemia 41.31 40.11 14 1574 11191 64485953

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
38819-10-2 SECONDARY_CAS_RN
60158CV180 UNII
135499520 PUBCHEM_CID
274771 RXNORM
20608 MMSL
354214 MMSL
72483 MMSL
d05655 MMSL
011068 NDDF
418538001 SNOMEDCT_US
418784008 SNOMEDCT_US
C0050203 UMLSCUI
0Z99WX0GPF UNII

Pharmaceutical products:

ProductCategoryIngredientsNDCFormQuantityRouteMarketingLabel
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 70771-1685 INJECTION 5 mg INTRAVENOUS ANDA 1 sections