Anakinra
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Also known as Alta-2530Alta2530AMG-719AntrilKineretOsp-101R-METHUIL-1RA
Summary
Anakinra (CHEMBL1201570) is an approved protein (ATC L04AC03); indicated across 63 conditions including rheumatoid arthritis and immune system disorder.
At a glance
- Status: Approved (max clinical phase 4)
- Modality: Protein
- ATC class: L04AC03
- Indications: 63 conditions
- Clinical trials: 156
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL1201570 |
| Name | Anakinra |
| Type | Protein |
| Max phase | 4 |
| ATC | L04AC03 |
Also known as: Alta-2530, Alta2530, AMG-719, Anakinra, Antril, Kineret, Osp-101, R-METHUIL-1RA, ANAKINRA
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 |
|---|---|---|---|---|---|
| Interleukin-1 receptor, type I | Inhibition | 7.82 |
Bioactivity
No ChEMBL bioactivity rows at pChembl ≥ 5 (expected for biologics / antibodies).
Target pathways
No target-pathway data for this drug (no mapped target genes).
Indications & clinical
Indications
63 indications (5 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 |
|---|---|---|---|
| rheumatoid arthritis | 4 | MONDO:0008383 | EFO:0000685 |
| immune system disorder | 4 | MONDO:0005046 | EFO:0000540 |
| cryopyrin-associated periodic syndrome | 4 | MONDO:0016168 | Orphanet:47045 |
| COVID-19 | 4 | MONDO:0100096 | MONDO:0100096 |
| Kawasaki disease | 3 | MONDO:0012727 | EFO:0004246 |
| metabolic syndrome X | 3 | MONDO:0011565 | EFO:0000195 |
| pericarditis | 3 | MONDO:0005904 | EFO:0007427 |
| adult-onset Still disease | 3 | MONDO:0019355 | EFO:0007135 |
| temporal arteritis | 3 | MONDO:0008538 | EFO:1001209 |
| severe acute respiratory syndrome | 3 | MONDO:0005091 | EFO:0000694 |
| acute myocardial infarction | 3 | MONDO:0004781 | EFO:0008583 |
| pneumonia | 3 | MONDO:0005249 | EFO:0003106 |
| influenza | 3 | MONDO:0005812 | EFO:0007328 |
| allergic contact dermatitis | 3 | MONDO:0006525 | EFO:1000668 |
| familial Mediterranean fever | 3 | MONDO:0018088 | MONDO:0018088 |
| diabetes mellitus | 2 | MONDO:0005015 | EFO:0000400 |
| heart failure | 2 | MONDO:0005252 | EFO:0003144 |
| juvenile idiopathic arthritis | 2 | MONDO:0011429 | EFO:0002609 |
| chronic kidney disease | 2 | MONDO:0005300 | EFO:0003884 |
| myalgic encephalomeyelitis/chronic fatigue syndrome | 2 | MONDO:0005404 | EFO:0004540 |
| hidradenitis suppurativa | 2 | MONDO:0006559 | EFO:1000710 |
| uveitis | 2 | MONDO:0020283 | EFO:1001231 |
| dermatomyositis | 2 | MONDO:0016367 | EFO:0000398 |
| plasma cell myeloma | 2 | MONDO:0009693 | EFO:0001378 |
| gout | 2 | MONDO:0005393 | EFO:0004274 |
| inclusion body myositis | 2 | MONDO:0007827 | EFO:0007323 |
| alcoholic hepatitis | 2 | MONDO:0001505 | EFO:1001345 |
| macrophage activation syndrome | 2 | MONDO:0015545 | EFO:1001806 |
| polycystic ovary syndrome | 2 | MONDO:0008487 | EFO:0000660 |
| neoplasm of mature B-cells | 2 | MONDO:0004949 | EFO:0000096 |
| brain injury | 2 | MONDO:0043510 | MONDO:0043510 |
| intracerebral hemorrhage | 2 | MONDO:0013792 | EFO:0005669 |
| hypoglycemia | 2 | MONDO:0004946 | HP:0001943 |
| amyotrophic lateral sclerosis | 2 | MONDO:0004976 | MONDO:0004976 |
| type 1 diabetes mellitus | 2 | MONDO:0005147 | MONDO:0005147 |
| osteoarthritis | 2 | MONDO:0005178 | MONDO:0005178 |
| Dengue hemorrhagic fever | 2 | MONDO:0005358 | EFO:0004227 |
| acute respiratory distress syndrome | 2 | MONDO:0006502 | EFO:1000637 |
| viral infectious disease | 2 | MONDO:0005108 | EFO:0000763 |
| Meniere disease | 2 | MONDO:0007972 | EFO:0006862 |
| cystic fibrosis | 2 | MONDO:0009061 | MONDO:0009061 |
| mucopolysaccharidosis type 2 | 2 | MONDO:0010674 | MONDO:0010674 |
| pulmonary arterial hypertension | 1 | MONDO:0015924 | EFO:0001361 |
| neoplasm | 1 | MONDO:0005070 | EFO:0000616 |
| HIV infectious disease | 1 | MONDO:0005109 | EFO:0000764 |
| exocrine pancreatic carcinoma | 1 | MONDO:0005192 | EFO:0002618 |
| smoldering plasma cell myeloma | 1 | MONDO:0005235 | EFO:0003073 |
| hearing loss disorder | 1 | MONDO:0005365 | EFO:0004238 |
| blepharitis | 1 | MONDO:0004785 | EFO:0009536 |
| pulmonary hypertension | 1 | MONDO:0005149 | MONDO:0005149 |
| breast neoplasm | 1 | MONDO:0021100 | MONDO:0007254 |
| B-cell chronic lymphocytic leukemia | 1 | MONDO:0004948 | EFO:0000095 |
| rectal cancer | 1 | MONDO:0006519 | EFO:1000657 |
| asthma | 1 | MONDO:0004979 | MONDO:0004979 |
| multiple sclerosis | 1 | MONDO:0005301 | MONDO:0005301 |
| endometriosis | 0 | MONDO:0005133 | EFO:0001065 |
| chronic granulomatous disease | 0 | MONDO:0018305 | MONDO:0018305 |
6 further indication records had no mapped disease name (EFO/MeSH-only) or were duplicates, and are omitted.
Clinical trials
Total trials: 156.
Phase distribution
| Phase | Trials |
|---|---|
| PHASE2 | 59 |
| PHASE3 | 20 |
| PHASE1/PHASE2 | 20 |
| PHASE1 | 17 |
| Not specified | 15 |
| PHASE2/PHASE3 | 13 |
| PHASE4 | 6 |
| EARLY_PHASE1 | 6 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT06624436 | PHASE4 | RECRUITING | Immunomodulatory Effects of Dexamethasone, Tocilizumab and Anakinra During Experimental Human Endotoxemia |
| NCT06666335 | PHASE4 | NOT_YET_RECRUITING | A Study to Evaluate Efficacy and Safety of Anakinra in Chinese Patients With Colchicine-resistent FMF |
| NCT06697431 | PHASE4 | NOT_YET_RECRUITING | Non Inferiority KawasakI Trial With Anakinra |
| NCT00111410 | PHASE4 | COMPLETED | Evaluating the Effect of Anakinra (r-metHuIL-1ra) on Vaccine AntibodyResponse in Subjects With Rheumatoid Arthritis (RA) |
| NCT02219828 | PHASE4 | COMPLETED | AnakInRa for Treatment of Recurrent Idiopathic Pericarditis (AIRTRIP) |
| NCT02236481 | PHASE4 | TERMINATED | Clinical Study to Evaluate the Efficacy of Anakinra in Patients With Rheumatoid Arthritis and Diabetes |
| NCT02735707 | PHASE3 | RECRUITING | Randomized, Embedded, Multifactorial Adaptive Platform Trial for Community- Acquired Pneumonia |
| NCT04381936 | PHASE3 | RECRUITING | Randomised Evaluation of COVID-19 Therapy |
| NCT04656184 | PHASE3 | RECRUITING | A Trial Comparing the Efficacy and Safety of Anakinra Versus Intravenous Immunoglobulin (IVIG) Retreatment, in Patients With Kawasaki Disease Who Failed to Respond to Initial Standard IVIG Treatment |
| NCT05267821 | PHASE2/PHASE3 | RECRUITING | Targeted Reversal of Inflammation in Pediatric Sepsis-induced MODS |
| NCT05805930 | PHASE3 | NOT_YET_RECRUITING | Therapeutic Approach in Colchicine-resistant Recurrent pEricarditis in Children |
| NCT05814159 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study of Anakinra in Japanese Patients With Still’s Disease (SJIA and AOSD) |
| NCT05926505 | PHASE2/PHASE3 | RECRUITING | Safety and Efficacy of Anakinra Treatment for Patients With Post Acute Covid Syndrome |
| NCT06336733 | PHASE3 | RECRUITING | Randomized Controlled Trial in Patients on Long-term Colchicine With Colchicine-resistant Familial Mediterranean Fever (FMF) to Evaluate the Efficacy of On-demand Anakinra Treatment for Painful Attacks in Patients Who Refuse Continuous Daily Therapy |
| NCT07281027 | PHASE3 | NOT_YET_RECRUITING | COMparison Between Anakinra and Tocilizumab in NORSE - COMBAT-NORSE |
| NCT07371689 | PHASE3 | NOT_YET_RECRUITING | ANAKINRA IN THE TREATMENT OF PEDIATRIC ACUTE MYOCARDITIS |
| NCT00117091 | PHASE3 | COMPLETED | Anakinra (Kineret®) in Combination With Disease Modifying Anti-Rheumatic Drugs (DMARDS) in Subjects With Active Rheumatoid Arthritis (RA) |
| NCT00339157 | PHASE2/PHASE3 | COMPLETED | Interleukin-1 Receptor Antagonist (IL-1RA) (ANAKINRA) IN SEVERE SYSTEMIC-ONSET JUVENILE IDIOPATHIC ARTHRITIS |
| NCT00711503 | PHASE2/PHASE3 | COMPLETED | Anti-Interleukin-1 in Diabetes Action |
| NCT00789724 | PHASE3 | COMPLETED | Anakinra to Prevent Post-infarction Remodeling |
| NCT01165008 | PHASE2/PHASE3 | COMPLETED | Anakinra in Myositis |
| NCT01705756 | PHASE3 | COMPLETED | Kineret (Anakinra), in Adult Patients With Colchicine-Resistant Familial Mediterranean Fever |
| NCT01809132 | PHASE2/PHASE3 | COMPLETED | Efficacy Study of Anakinra, Pentoxifylline, and Zinc Compared to Methylprednisolone in Severe Acute Alcoholic Hepatitis |
| NCT01950299 | PHASE2/PHASE3 | COMPLETED | Interleukin-1 (IL-1) Blockade in Acute Myocardial Infarction (VCU-ART3) |
| NCT02108210 | PHASE2/PHASE3 | COMPLETED | Cytokine Inhibition in Chronic Fatigue Syndrome Patients |
| NCT02227420 | PHASE3 | COMPLETED | Effects of IL-1 Beta on the HPA-axis in Obese Persons |
| NCT02672592 | PHASE3 | COMPLETED | Effects of Interleukin-1 Beta on Low Testosterone Levels in Men With Obesity and Metabolic Syndrome |
| NCT02902731 | PHASE3 | TERMINATED | Giant Cell Arteritis and Anakinra Trial |
| NCT03018834 | PHASE2/PHASE3 | COMPLETED | Anakinra Versus Placebo for the Treatment of Acute MyocarditIS |
| NCT03265132 | PHASE3 | TERMINATED | A Study to Evaluate Efficacy and Safety of Anakinra in the Treatment of Still’s Disease (SJIA and AOSD) |
| NCT04324021 | PHASE2/PHASE3 | TERMINATED | Efficacy and Safety of Emapalumab and Anakinra in Reducing Hyperinflammation and Respiratory Distress in Patients With COVID-19 Infection. |
| NCT04330638 | PHASE3 | COMPLETED | Treatment of COVID-19 Patients With Anti-interleukin Drugs |
| NCT04362111 | PHASE3 | COMPLETED | Early Treatment of Cytokine Storm Syndrome in Covid-19 |
| NCT04424056 | PHASE3 | UNKNOWN | A Trial Using ANAKINRA, TOCILIZUMAB Alone or in Association With RUXOLITINIB in Severe Stage 2b and 3 of COVID19-associated Disease |
| NCT04443881 | PHASE2/PHASE3 | COMPLETED | Clinical Trial of the Use of Anakinra in Cytokine Storm Syndrome Secondary to Covid-19 (ANA-COVID-GEAS) |
| NCT04643678 | PHASE2/PHASE3 | COMPLETED | Anakinra in the Management of COVID-19 Infection |
| NCT04680949 | PHASE3 | COMPLETED | suPAR-Guided Anakinra Treatment for Management of Severe Respiratory Failure by COVID-19 |
| NCT04898231 | PHASE2/PHASE3 | COMPLETED | MIS-C Comparative Effectiveness Study |
| NCT05498467 | PHASE3 | COMPLETED | The Role of Interleukin-1 Beta Targeted Therapy for Patients Suffering From Allergic Contact Dermatitis |
| NCT03587701 | PHASE2 | RECRUITING | Effects of Anakinra in Subjects With Corticosteroid-resistant/Intolerant Meniere’s Disease and Autoimmune Inner Ear Disease |
Clinical evidence (CIViC)
No CIViC predictive evidence (expected for non-precision-medicine drugs).
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
- Diseases: rheumatoid arthritis, immune system disorder, cryopyrin-associated periodic syndrome, COVID-19, Kawasaki disease, metabolic syndrome X, pericarditis, adult-onset Still disease, temporal arteritis, severe acute respiratory syndrome, acute myocardial infarction, pneumonia, influenza, allergic contact dermatitis, familial Mediterranean fever