Alemtuzumab
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Also known as Alemtuzumab (genetical recombination)Allo 647Campath mabcampathCAMPATH-1HlemtradaGZ-402673GZ402673LDP-03Mabcampath
Summary
Alemtuzumab (CHEMBL1201587) is an approved antibody (ATC L04AG06) targeting CD52; indicated across 67 conditions including b-cell chronic lymphocytic leukemia and multiple sclerosis; with CIViC clinical evidence for 1 variant-indication association (e.g. TP53 Mutation in chronic lymphocytic leukemia).
At a glance
- Status: Approved (max clinical phase 4)
- Modality: Antibody
- ATC class: L04AG06
- Targets: 1 (CD52)
- Indications: 67 conditions
- Clinical trials: 247
- Precision-oncology evidence (CIViC): 1 variant–indication association
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL1201587 |
| Name | Alemtuzumab |
| Type | Antibody |
| Max phase | 4 |
| ATC | L04AG06 |
Also known as: Alemtuzumab, Alemtuzumab (genetical recombination), Allo 647, Campath mabcampath, CAMPATH-1H, lemtrada, GZ-402673, GZ402673, LDP-03, Lemtrada, Mabcampath, ALEMTUZUMAB
Targets
Targets
Primary targets (GtoPdb curated mechanism): the Cancer dependency column is the DepMap CRISPR fitness signal (% of screened cell lines dependent on the target).
| Gene | Target | Action | pAffinity | Cancer dependency | UniProt |
|---|---|---|---|---|---|
| CD52 | CD52 | Binding | 0.1% | P31358 |
Bioactivity
No ChEMBL bioactivity rows at pChembl ≥ 5 (expected for biologics / antibodies).
Target pathways
Aggregated over 1 target gene(s): CD52.
Top Reactome pathways
3 total, by targets touching each:
| Pathway | Targets | Genes |
|---|---|---|
| Post-translational modification: synthesis of GPI-anchored proteins | 1 | CD52 |
| Metabolism of proteins | 1 | CD52 |
| Post-translational protein modification | 1 | CD52 |
Dominant GO biological processes
| GO term | Targets |
|---|---|
| positive regulation of cytosolic calcium ion concentration | 1 |
| respiratory burst | 1 |
Indications & clinical
Indications
67 indications (2 at ChEMBL trial phase 4). Phase below is the highest clinical-trial phase recorded for this drug against each disease — not the molecule’s overall approval status (that is in the Summary).
| Indication | Trial phase | MONDO | EFO |
|---|---|---|---|
| B-cell chronic lymphocytic leukemia | 4 | MONDO:0004948 | EFO:0000095 |
| multiple sclerosis | 4 | MONDO:0005301 | MONDO:0005301 |
| peripheral T-cell lymphoma, not otherwise specified | 3 | MONDO:0004964 | EFO:0000211 |
| leukemia | 3 | MONDO:0005059 | EFO:0000565 |
| lymphoma | 3 | MONDO:0005062 | EFO:0000574 |
| relapsing-remitting multiple sclerosis | 3 | MONDO:0005314 | EFO:0003929 |
| myelodysplastic syndrome | 3 | MONDO:0018881 | EFO:0000198 |
| acute myeloid leukemia | 3 | MONDO:0018874 | EFO:0000222 |
| angioimmunoblastic T-cell lymphoma | 3 | MONDO:0004977 | EFO:0000255 |
| nasal cavity and paranasal sinus lethal midline granuloma | 3 | MONDO:0006828 | MONDO:0019472 |
| sickle cell disease | 3 | MONDO:0011382 | MONDO:0011382 |
| graft versus host disease | 2 | MONDO:0013730 | EFO:0004599 |
| acute lymphoblastic leukemia | 2 | MONDO:0004967 | EFO:0000220 |
| immune system disorder | 2 | MONDO:0005046 | EFO:0000540 |
| Hodgkins lymphoma | 2 | MONDO:0004952 | EFO:0000183 |
| T-cell acute lymphoblastic leukemia | 2 | MONDO:0004963 | EFO:0000209 |
| aplastic anemia | 2 | MONDO:0015909 | HP:0001915 |
| Crohn disease | 2 | MONDO:0005011 | EFO:0000384 |
| diffuse large B-cell lymphoma | 2 | MONDO:0018905 | EFO:0000403 |
| neoplasm | 2 | MONDO:0005070 | EFO:0000616 |
| liver disorder | 2 | MONDO:0005154 | EFO:0001421 |
| lymphoid neoplasm | 2 | MONDO:0005157 | EFO:0001642 |
| lymphoid leukemia | 2 | MONDO:0005402 | EFO:0004289 |
| inclusion body myositis | 2 | MONDO:0007827 | EFO:0007323 |
| Sezary syndrome | 2 | MONDO:0017844 | EFO:1000785 |
| mycosis fungoides | 2 | MONDO:0009691 | EFO:1001051 |
| acute erythroid leukemia | 2 | MONDO:0017858 | EFO:1001257 |
| thalassemia | 2 | MONDO:0000984 | EFO:1001996 |
| histiocytosis | 2 | MONDO:0002637 | HP:0100727 |
| beta thalassemia | 2 | MONDO:0019402 | Orphanet:848 |
| Waldenstrom macroglobulinemia | 2 | MONDO:0100280 | EFO:0009441 |
| myeloproliferative neoplasm | 2 | MONDO:0020076 | EFO:0002428 |
| autoimmune thrombocytopenic purpura | 2 | MONDO:0008558 | EFO:0007160 |
| autoimmune hemolytic anemia | 2 | MONDO:0020108 | EFO:1001264 |
| prolymphocytic leukemia | 2 | MONDO:0001023 | MONDO:0001023 |
| kidney cancer | 2 | MONDO:0002367 | MONDO:0002367 |
| hematopoietic and lymphoid system neoplasm | 2 | MONDO:0002334 | MONDO:0044881 |
| B-cell acute lymphoblastic leukemia | 2 | MONDO:0004947 | EFO:0000094 |
| type 1 diabetes mellitus | 2 | MONDO:0005147 | MONDO:0005147 |
| severe combined immunodeficiency | 2 | MONDO:0015974 | MONDO:0015974 |
| osteopetrosis | 2 | MONDO:0017198 | MONDO:0017198 |
| chronic granulomatous disease | 2 | MONDO:0018305 | MONDO:0018305 |
| inherited hemoglobinopathy | 2 | MONDO:0019050 | MONDO:0044348 |
| chronic kidney disease | 2 | MONDO:0005300 | MONDO:0024327 |
| neuroblastoma | 1 | MONDO:0005072 | EFO:0000621 |
| plasma cell myeloma | 1 | MONDO:0009693 | EFO:0001378 |
| kidney disorder | 1 | MONDO:0005240 | EFO:0003086 |
| anemia | 1 | MONDO:0002280 | EFO:0004272 |
| non-Hodgkin lymphoma | 1 | MONDO:0018908 | EFO:0005952 |
| rheumatoid arthritis | 1 | MONDO:0008383 | EFO:0000685 |
| vasculitis | 1 | MONDO:0018882 | EFO:0006803 |
| T-cell prolymphocytic leukemia | 1 | MONDO:0019468 | EFO:1000560 |
| kidney failure | 1 | MONDO:0001106 | EFO:1002048 |
| peritoneal neoplasm | 1 | MONDO:0006901 | MONDO:0002087 |
| fallopian tube neoplasm | 1 | MONDO:0021092 | MONDO:0002158 |
| ovarian cancer | 1 | MONDO:0008170 | MONDO:0008170 |
| Fanconi anemia | 1 | MONDO:0019391 | MONDO:0019391 |
| neoplasm of mature B-cells | 1 | MONDO:0004949 | EFO:0000096 |
| neuroepithelial neoplasm | 0 | MONDO:0021193 | MONDO:0021193 |
| epidermolysis bullosa | 0 | MONDO:0006541 | EFO:1000690 |
7 further indication records had no mapped disease name (EFO/MeSH-only) or were duplicates, and are omitted.
Clinical trials
Total trials: 247.
Phase distribution
| Phase | Trials |
|---|---|
| PHASE2 | 121 |
| PHASE1/PHASE2 | 40 |
| Not specified | 26 |
| PHASE1 | 23 |
| PHASE4 | 16 |
| PHASE3 | 12 |
| PHASE2/PHASE3 | 5 |
| EARLY_PHASE1 | 4 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT00113269 | PHASE4 | COMPLETED | Safety/Efficacy of Induction Agents With Tacrolimus, MMF, and Rapid Steroid Withdrawal in Renal Transplant Recipients |
| NCT00166712 | PHASE4 | TERMINATED | A Trial of Two Steroid-Free Approaches Toward Mycophenolate Mofetil-Based Monotherapy Immunosuppression |
| NCT00177138 | PHASE4 | TERMINATED | Use of Campath for Induction and Maintenance Therapy in Pancreas After Kidney Transplantation |
| NCT00331162 | PHASE4 | COMPLETED | Study of Alemtuzumab Versus Anti-thymocyte Globulin to Help Prevent Rejection in Kidney and Pancreas Transplantation |
| NCT00681343 | PHASE4 | COMPLETED | Thymoglobulin Versus Campath-1H Versus Daclizumab in Adult, Primary Living Donor Renal Transplantation |
| NCT00685061 | PHASE4 | COMPLETED | Thymoglobulin Versus Campath-1H Versus Daclizumab in Adult, Primary Deceased Donor Renal Transplantation |
| NCT01172418 | PHASE4 | COMPLETED | Randomized Trial of 2 Antibody Induction Steroid Avoidance Protocols |
| NCT01213329 | PHASE4 | TERMINATED | Immunophenotyping of Peripheral T Cells After T Cell Depletion With Alemtuzumab |
| NCT01395316 | PHASE4 | COMPLETED | Alemtuzumab on Surrogate Markers of Disease Activity and Repair Using Advanced MRI Measures in Subjects With Relapsing Remitting Multiple Sclerosis |
| NCT01405807 | PHASE4 | UNKNOWN | Alemtuzumab for ANCA Associated Refractory Vasculitis |
| NCT01729494 | PHASE4 | COMPLETED | Belatacept Early Steroid Withdrawal Trial |
| NCT01757574 | PHASE4 | WITHDRAWN | Alemtuzumab in Chronic Inflammatory Demyelinating Polyradiculoneuropathy (CIPD) |
| NCT02205489 | PHASE4 | COMPLETED | Management Of The Infusion-Associated Reactions In RRMS Patients Treated With LEMTRADA |
| NCT02255656 | PHASE4 | COMPLETED | Phase IIIB-IV Long-Term Follow-up Study for Patients Who Participated in CAMMS03409 |
| NCT02419378 | PHASE4 | COMPLETED | Alemtuzumab in Autoimmune Inflammatory Neurodegeneration: Mechanisms of Action and Neuroprotective Potential |
| NCT03135249 | PHASE4 | COMPLETED | Sequential Natalizumab - Alemtuzumab Therapy in Patients With Relapsing Forms of Multiple Sclerosis |
| NCT03477500 | PHASE3 | ACTIVE_NOT_RECRUITING | Randomized Autologous heMatopoietic Stem Cell Transplantation Versus Alemtuzumab, Cladribine or Ocrelizumab for RRMS (RAM-MS) |
| NCT00046683 | PHASE3 | COMPLETED | Efficacy/Safety of Frontline Alemtuzumab (Campath, MabCampath) vs Chlorambucil in Patients With Progressive B-Cell Lymphocytic Leukemia |
| NCT00147381 | PHASE3 | COMPLETED | Effectiveness and Safety of Campath in Combination With Tacrolimus Monotherapy to Prevent Kidney Graft Rejection |
| NCT00226512 | PHASE3 | WITHDRAWN | To Determine the Role of Adding Campath-1H or ATG Given In-vivo in Addition to Fludarabine and Low Dose Busulfex on Outcome in Patients Treated With Reduced Intensity Conditioning |
| NCT00316810 | PHASE3 | COMPLETED | Simultaneous Pancreas-kidney Transplantation With Campath Protocol |
| NCT00454480 | PHASE2/PHASE3 | COMPLETED | Combination Chemotherapy With or Without Gemtuzumab Ozogamicin or Tipifarnib in Treating Patients With Acute Myeloid Leukemia or High-Risk Myelodysplastic Syndromes |
| NCT00530348 | PHASE3 | COMPLETED | Comparison of Alemtuzumab and Rebif® Efficacy in Multiple Sclerosis, Study One |
| NCT00548405 | PHASE3 | COMPLETED | Comparison of Alemtuzumab and Rebif® Efficacy in Multiple Sclerosis, Study Two |
| NCT00725231 | PHASE3 | UNKNOWN | Immunotherapy in Peripheral T Cell Lymphoma - the Role of Alemtuzumab in Addition to Dose Dense CHOP |
| NCT00749112 | PHASE2/PHASE3 | COMPLETED | Alemtuzumab and Rituximab in the Treatment of Refractory Autoimmune Cytopenias |
| NCT00775931 | PHASE2/PHASE3 | COMPLETED | Allogeneic Transplantation For Severe Osteopetrosis |
| NCT00930553 | PHASE3 | COMPLETED | An Extension Protocol for Multiple Sclerosis Patients Who Participated in Genzyme-Sponsored Studies of Alemtuzumab |
| NCT01019876 | PHASE2/PHASE3 | COMPLETED | Risk-Adapted Allogeneic Stem Cell Transplantation For Mixed Donor Chimerism In Patients With Non-Malignant Diseases |
| NCT01120028 | PHASE2/PHASE3 | COMPLETED | Campath, Calcineurin Inhibitor Reduction and Chronic Allograft Nephropathy |
| NCT01333358 | PHASE3 | UNKNOWN | Evaluating Alemtuzumab as a Treatment in Stabilizing Neurocognitive Function In Relapsing Remitting Multiple Sclerosis Patients |
| NCT01877837 | PHASE3 | COMPLETED | Stem Cell Transplantation for Sickle Cell Anemia |
| NCT03368664 | PHASE3 | TERMINATED | A Study to Evaluate Efficacy, Safety, and Tolerability of Alemtuzumab in Pediatric Patients With RRMS With Disease Activity on Prior DMT |
| NCT00408447 | PHASE2 | ACTIVE_NOT_RECRUITING | Stem Cell Transplant in Sickle Cell Disease and Thalassemia |
| NCT00692939 | PHASE1/PHASE2 | RECRUITING | Autologous Stem Cell Transplantation for Crohn’s Disease |
| NCT00977691 | PHASE1/PHASE2 | ACTIVE_NOT_RECRUITING | Haploidentical PBMC Transplant for Severe Congenital Anemias |
| NCT01361711 | PHASE2 | ACTIVE_NOT_RECRUITING | Alemtuzumab-Ofatumumab in Previously Untreated Symptomatic Chronic Lymphocytic Leukemia |
| NCT01499888 | PHASE1/PHASE2 | ACTIVE_NOT_RECRUITING | Ph I/II Study of Allogeneic SCT for Clinically Aggressive Sickle Cell Disease (SCD) |
| NCT01659606 | PHASE2 | ACTIVE_NOT_RECRUITING | Radiation- and Alkylator-free Bone Marrow Transplantation Regimen for Patients With Dyskeratosis Congenita |
| NCT01962415 | PHASE2 | RECRUITING | Reduced Intensity Conditioning for Non-Malignant Disorders Undergoing UCBT, BMT or PBSCT |
Clinical evidence (CIViC)
Variant × indication × effect (1 predictive associations from 1 curated evidence items):
| Variant | Indication | Effect | Therapy | Level | CIViC |
|---|---|---|---|---|---|
| TP53 Mutation | Chronic Lymphocytic Leukemia | Sensitivity/Response | Alemtuzumab | CIViC B | EID1481 |
Pharmacology
Pharmacogenomics
No PharmGKB pharmacogenomic data curated for this drug.
Related molecules
Related molecules
No competitor molecules sharing a primary target (ChEMBL phase ≥2 or PubChem drug-class).
Related Atlas pages
- Genes: CD52
- Diseases: B-cell chronic lymphocytic leukemia, multiple sclerosis, peripheral T-cell lymphoma, not otherwise specified, leukemia, lymphoma, relapsing-remitting multiple sclerosis, myelodysplastic syndrome, acute myeloid leukemia, angioimmunoblastic T-cell lymphoma, nasal cavity and paranasal sinus lethal midline granuloma, sickle cell disease
- Biomarker genes: TP53