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DRUG:

nelarabine

i
Other names: 506U , 506U78, C 506, compound 506, GW 506U78, SH-111
Company:
Generic mfg.
Drug class:
DNA synthesis inhibitor
Related drugs:
1m
Optimization of upfront therapy for adult acute lymphoblastic leukemia: a paradigm shift toward immunotherapy. (PubMed, Med Oncol)
Targeted immune therapies like blinatumomab, inotuzumab ozogamicin (InO), rituximab, and nelarabine are being combined with traditional chemotherapy protocols to enhance remission rates and minimal residual disease (MRD) negativity while decreasing toxicities...Ph + ALL patients receive standard treatment with multi-agent chemotherapy and TKIs dasatinib or ponatinib and blinatumomab as part of their frontline therapy to enhance molecular responses and minimize the requirement for allogeneic hematopoietic stem cell transplantation (allo-HCT)...The practice of testing MRD and genomic profiling at diagnosis revolutionized treatment approaches by allowing personalized curative strategies for all patients. Research on clinical trials aims to establish the best sequence of targeted therapies and CAR T-cell therapy for high-risk and MRD-positive patients to achieve longer survival rates with reduced toxicity and less dependence on allo-HCT in first remission.
Review • Journal
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CD20 (Membrane Spanning 4-Domains A1)
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CD20 positive
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dasatinib • Rituxan (rituximab) • Iclusig (ponatinib) • Blincyto (blinatumomab) • Besponsa (inotuzumab ozogamicin) • nelarabine
2ms
Trial initiation date
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cytarabine • bortezomib • doxorubicin hydrochloride • cyclophosphamide • methotrexate • Darzalex (daratumumab) • vincristine • daunorubicin • Oncaspar liquid (pegaspargase) • nelarabine • Asparlas (calaspargase pegol-mknl) • thioguanine • Hemady (dexamethasone tablets) • Purixan (mercaptopurine oral suspension) • Starasid (cytarabine ocfosfate)
5ms
New P2/3 trial
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cytarabine • bortezomib • doxorubicin hydrochloride • cyclophosphamide • methotrexate • Darzalex (daratumumab) • vincristine • daunorubicin • Oncaspar liquid (pegaspargase) • nelarabine • Asparlas (calaspargase pegol-mknl) • thioguanine • Hemady (dexamethasone tablets) • Purixan (mercaptopurine oral suspension) • Starasid (cytarabine ocfosfate)
7ms
Adult Acute Lymphoblastic Leukemia: 2025 Update on Diagnosis, Therapy, and Monitoring. (PubMed, Am J Hematol)
The use of inotuzumab ozogamicin and blinatumomab in lieu of intensive chemotherapy in this population has improved safety and efficacy in patients ≥ 60 years old...Combination chemotherapy regimens incorporating pegylated asparaginase and nelarabine are the standard for patients with T-cell ALL...Inclusion of the BCL-2 inhibitor venetoclax into treatment for patients with ETP-ALL may be beneficial and is currently being investigated...However, the best outcomes are obtained with combination therapy including chemo- and immuno- therapies followed by CAR T-cell consolidation and allogeneic SCT. Clinical trials optimizing this approach are ongoing.
Review • Journal • IO biomarker
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ABL1 (ABL proto-oncogene 1)
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Venclexta (venetoclax) • Blincyto (blinatumomab) • Besponsa (inotuzumab ozogamicin) • nelarabine
7ms
Identification of key exosomes-related genes in hepatitis B virus-related hepatocellular carcinoma. (PubMed, Technol Health Care)
Finally, nelarabine, methylprednisolone, and methylprednisolone were predicted to be possible medications that target the hub gene based on the CellMiner database. To sum up, this work was crucial for discovering new biomarkers and comprehending the function of exosome-related genes in the growth of HBV-infected HCC.
Journal
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APOA1 (Apolipoprotein A-I) • PON1 (Paraoxonase 1)
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nelarabine
7ms
Mechanistic Insights into Drug-Induced Guillain-Barré Syndrome: A Large-Cohort Analysis of the FAERS Database. (PubMed, Pharmaceuticals (Basel))
Among these, the antineoplastic drug Nelarabine showed the strongest correlation with GBS...KEGG analysis indicated that pyrimidine metabolism, purine metabolism, and the IL6/JAK/STAT3 signaling pathway also significantly contribute to drug-induced GBS. This study improved our understanding of the biological mechanisms of drug-induced GBS, thereby pinpointing potential therapeutic targets for future intervention.
Journal
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IL6 (Interleukin 6) • PD-L2 (Programmed Cell Death 1 Ligand 2)
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nelarabine
8ms
Total Therapy XVII for Newly Diagnosed Patients With Acute Lymphoblastic Leukemia and Lymphoma (clinicaltrials.gov)
P2/3, N=790, Active, not recruiting, St. Jude Children's Research Hospital | Trial completion date: Mar 2028 --> Sep 2028
Trial completion date
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BCL2 (B-cell CLL/lymphoma 2)
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dasatinib • cytarabine • bortezomib • doxorubicin hydrochloride • Jakafi (ruxolitinib) • cyclophosphamide • Blincyto (blinatumomab) • etoposide IV • methotrexate • vincristine • prednisone • daunorubicin • Zolinza (vorinostat) • clofarabine • idarubicin hydrochloride • Oncaspar liquid (pegaspargase) • nelarabine • Asparlas (calaspargase pegol-mknl) • Rylaze (asparaginase erwinia chrysanthemi (recombinant)-rywn) • thioguanine • Purixan (mercaptopurine oral suspension) • prednisolone
8ms
UKALL14: Standard Chemotherapy with or Without Nelarabine or Rituximab in Treating Patients with Newly Diagnosed Acute Lymphoblastic Leukemia (clinicaltrials.gov)
P=N/A, N=0, Completed, University College, London | Active, not recruiting --> Completed | N=1033 --> 0 | Trial completion date: Dec 2025 --> Feb 2025
Trial completion • Enrollment change • Trial completion date
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ABL1 (ABL proto-oncogene 1) • BCR (BCR Activator Of RhoGEF And GTPase) • MYC (V-myc avian myelocytomatosis viral oncogene homolog)
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Rituxan (rituximab) • imatinib • cytarabine • cyclophosphamide • etoposide IV • vincristine • daunorubicin • melphalan • Oncaspar liquid (pegaspargase) • fludarabine IV • nelarabine • mercaptopurine • Kepivance (palifermin)
9ms
The niosomal nelarabine as a promising nano combination for retinoblastoma treatment: an in vitro study-experimental research. (PubMed, Ann Med Surg (Lond))
After cultivation of the Y79 cell line, the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) test was performed to determine IC50 of niosomal nelarabine (Nio-Nelarobine) and also the cytotoxicity of Nio-Nelarobine and doxorubicin against Y79 cell line was investigated. Nio-Nelarobine may be a functional therapeutic combination for RB treatment. Further experimental and preclinical investigations are necessary to verify this impact in greater detail.
Preclinical • Journal
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PTEN (Phosphatase and tensin homolog) • AKT1 (V-akt murine thymoma viral oncogene homolog 1) • FOXO1 (Forkhead box O1)
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doxorubicin hydrochloride • nelarabine
10ms
Enrollment change
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Venclexta (venetoclax) • dasatinib • cytarabine • bortezomib • cyclophosphamide • vincristine • daunorubicin • nelarabine • mercaptopurine • Asparlas (calaspargase pegol-mknl) • thioguanine
11ms
Enrollment open
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Venclexta (venetoclax) • dasatinib • cytarabine • bortezomib • cyclophosphamide • vincristine • daunorubicin • nelarabine • mercaptopurine • Asparlas (calaspargase pegol-mknl) • thioguanine
11ms
GMALL: Optimization of Therapy in Adult Patients with Newly Diagnosed Acute Lymphoblastic Leukemia or Lymphoblastic Lymphoma by Individualised, Targeted and Intensified Treatment (clinicaltrials.gov)
P3, N=1000, Completed, Goethe University | Active, not recruiting --> Completed | Trial completion date: Jul 2025 --> Dec 2024 | Trial primary completion date: Aug 2022 --> Dec 2024
Trial completion • Trial completion date • Trial primary completion date
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Rituxan (rituximab) • imatinib • cytarabine • doxorubicin hydrochloride • cyclophosphamide • vincristine • daunorubicin • idarubicin hydrochloride • fludarabine IV • nelarabine • mercaptopurine • dexamethasone injection • vindesine