Difference between revisions of "Nelarabine (Arranon)"

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==History of changes in FDA indication==
 
==History of changes in FDA indication==
* 10/28/2005: Initial FDA approval for the treatment of patients with [[T-cell acute lymphoblastic leukemia | T-cell acute lymphoblastic leukemia and T-cell lymphoblastic lymphoma]] whose disease has not responded to or has relapsed following treatment with at least two chemotherapy regimens. ''(Based on Berg et al. 2005 and CALGB 19801)''
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* 10/28/2005: Accelerated approval for the treatment of patients with [[T-cell acute lymphoblastic leukemia | T-cell acute lymphoblastic leukemia and T-cell lymphoblastic lymphoma]] whose disease has not responded to or has relapsed following treatment with at least two chemotherapy regimens. ''(Based on Berg et al. 2005 and CALGB 19801)''
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**7/31/2019: Converted to regular approval.
  
 
==Also known as==
 
==Also known as==

Revision as of 12:04, 10 December 2021

General information

Class/mechanism: Purine analog, antimetabolite. Nelarabine is metabolized to the cytotoxic deoxyguanosine analogue, 9-β-Darabinofuranosylguanine (ara-G), which is eventually converted to ara-GTP. ara-GTP is incorporated into DNA and leads to inhibition of DNA synthesis and cell death.[1][2]
Route: IV
Extravasation: neutral

For conciseness and simplicity, HemOnc.org currently will focus on treatment regimens and not list information such as: renal/hepatic dose adjustments, metabolism (including CYP450), excretion, monitoring parameters (although this will be considered for checklists), or manufacturer. Instead, for the most current information, please refer to your preferred pharmacopeias such as Micromedex, Lexicomp, UpToDate (courtesy of Lexicomp), or the prescribing information.[1]

Diseases for which it is used

Patient drug information

History of changes in FDA indication

Also known as

  • Code name: 506U78
  • Brand names: Arranon, Atriance

References