Asparaginase
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Also known as ColaspaseE. coli asparaginaseE. coli l-asparaginaseElsparEscherichia coli l-asparaginaseKidrolaseL-asparaginaseL-asparagine amidohydrolaseNSC-109229Spectrila
Summary
Asparaginase (CHEMBL2108989) is an approved enzyme (ATC L01XX02); indicated across 24 conditions including neoplasm and acute lymphoblastic leukemia; with CIViC clinical evidence for 10 variant-indication associations (e.g. ASNS Amplification in ovarian cancer).
At a glance
- Status: Approved (max clinical phase 4)
- Modality: Enzyme
- ATC class: L01XX02
- Indications: 24 conditions
- Clinical trials: 119
- Precision-oncology evidence (CIViC): 10 variant–indication associations
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL2108989 |
| Name | Asparaginase |
| Type | Enzyme |
| Max phase | 4 |
| ATC | L01XX02 |
Also known as: Asparaginase, Colaspase, E. coli asparaginase, E. coli l-asparaginase, Elspar, Escherichia coli l-asparaginase, Kidrolase, L-asparaginase, L-asparagine amidohydrolase, NSC-109229, Spectrila, ASPARAGINASE
Targets
Targets
No target linkage available.
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
24 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 |
|---|---|---|---|
| neoplasm | 4 | MONDO:0005070 | EFO:0000616 |
| acute lymphoblastic leukemia | 4 | MONDO:0004967 | EFO:0000220 |
| lymphoid leukemia | 4 | MONDO:0005402 | EFO:0004289 |
| lymphoma | 3 | MONDO:0005062 | EFO:0000574 |
| myelodysplastic syndrome | 3 | MONDO:0018881 | EFO:0000198 |
| acute myeloid leukemia | 3 | MONDO:0018874 | EFO:0000222 |
| leukemia | 3 | MONDO:0005059 | EFO:0000565 |
| non-Hodgkin lymphoma | 3 | MONDO:0018908 | EFO:0005952 |
| myeloid sarcoma | 3 | MONDO:0006861 | EFO:1001052 |
| acute erythroid leukemia | 3 | MONDO:0017858 | EFO:0000218 |
| acute monocytic leukemia | 3 | MONDO:0007896 | EFO:0000221 |
| acute myelomonocytic leukemia M4 | 3 | MONDO:0018871 | EFO:0000223 |
| acute megakaryoblastic leukemia | 3 | MONDO:0018872 | EFO:0003025 |
| acute myeloblastic leukemia without maturation | 3 | MONDO:0005224 | EFO:0003027 |
| myelodysplastic syndrome with single lineage dysplasia | 3 | MONDO:0005272 | EFO:0003802 |
| myelodysplastic syndrome with excess blasts | 3 | MONDO:0019454 | EFO:0003811 |
| chronic myelomonocytic leukemia | 3 | MONDO:0020311 | EFO:1001779 |
| acute basophilic leukemia | 3 | MONDO:0019458 | EFO:0003029 |
| B-cell acute lymphoblastic leukemia | 2 | MONDO:0004947 | EFO:0000094 |
| T-cell acute lymphoblastic leukemia | 2 | MONDO:0004963 | EFO:0000209 |
4 further indication records had no mapped disease name (EFO/MeSH-only) or were duplicates, and are omitted.
Clinical trials
Total trials: 119.
Phase distribution
| Phase | Trials |
|---|---|
| PHASE3 | 42 |
| PHASE2 | 39 |
| PHASE4 | 14 |
| Not specified | 14 |
| PHASE1/PHASE2 | 4 |
| PHASE2/PHASE3 | 3 |
| PHASE1 | 3 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT00198978 | PHASE4 | COMPLETED | German Multicenter Trial for Treatment of Elderly Patients With Newly Diagnosed Acute Lymphoblastic Leukemia |
| NCT00198991 | PHASE4 | COMPLETED | German Multicenter Trial for Treatment of Newly Diagnosed Acute Lymphoblastic Leukemia in Adults (07/2003) |
| NCT00199004 | PHASE4 | COMPLETED | Trial for Treatment of Adult Patients With Standard Risk Acute Lymphoblastic Leukemia With Chemotherapy and Rituximab |
| NCT00199017 | PHASE4 | COMPLETED | German Multicenter Trial for the Treatment of Newly Diagnosed T-lymphoblastic Lymphoma in Adults |
| NCT00199056 | PHASE4 | COMPLETED | German Multicenter Trial for Treatment of Newly Diagnosed Acute Lymphoblastic Leukemia in Adults (06/99) |
| NCT00199069 | PHASE4 | COMPLETED | German Multicenter Trial for Treatment of Newly Diagnosed Acute Lymphoblastic Leukemia in Adults (05/93) |
| NCT00494897 | PHASE4 | COMPLETED | PETHEMA LAL-RI/96: Treatment for Patients With Standard Risk Acute Lymphoblastic Leukemia |
| NCT00526175 | PHASE4 | COMPLETED | LAL-BR/2001: Study Treatment to Low Risk ALL |
| NCT00526305 | PHASE4 | COMPLETED | LAL-Ph-2000: Treatment of Acute Lymphoblastic Leukemia Chromosome Philadelphia Positive |
| NCT00526409 | PHASE4 | COMPLETED | LAL-AR-N-2005:Study Treatment for Children High Risk Acute Lymphoblastic Leukemia |
| NCT01358253 | PHASE4 | COMPLETED | Rituximab Plus Chemotherapy for CD20+ Adult Acute Lymphoblastic Leukemia |
| NCT02036489 | PHASE4 | COMPLETED | Pethema LAL-RI/2008: Treatment for Patients With Standard Risk Acute Lymphoblastic Leukemia |
| NCT02894645 | PHASE4 | UNKNOWN | Malaysia-Singapore Acute Lymphoblastic Leukemia 2010 Study |
| NCT03071822 | PHASE4 | UNKNOWN | Combination Chemotherapy Including Cisplatin, Ifosfamide, Gemcitabine, L-asparaginase, Etoposide and Dexamethasone as Treatment of Newly Diagnosed and Relapsed/Refractory Peripheral T Cell Lymphomas |
| NCT02101853 | PHASE3 | ACTIVE_NOT_RECRUITING | Blinatumomab in Treating Younger Patients With Relapsed B-cell Acute Lymphoblastic Leukemia |
| NCT02521493 | PHASE3 | ACTIVE_NOT_RECRUITING | Response-Based Chemotherapy in Treating Newly Diagnosed Acute Myeloid Leukemia or Myelodysplastic Syndrome in Younger Patients With Down Syndrome |
| NCT03020030 | PHASE3 | ACTIVE_NOT_RECRUITING | Treatment of Newly Diagnosed Acute Lymphoblastic Leukemia in Children and Adolescents |
| NCT03150693 | PHASE3 | RECRUITING | Inotuzumab Ozogamicin and Frontline Chemotherapy in Treating Young Adults With Newly Diagnosed B Acute Lymphoblastic Leukemia |
| NCT00002499 | PHASE2/PHASE3 | UNKNOWN | Combination Chemotherapy in Treating Children With Relapsed Acute Lymphocytic Leukemia |
| NCT00002514 | PHASE3 | COMPLETED | Stem Cell Transplantation Compared With Standard Chemotherapy in Treating Patients With Acute Lymphoblastic Leukemia in First Remission |
| NCT00002700 | PHASE3 | COMPLETED | Chemotherapy With or Without Bone Marrow Transplantation in Treating Patients With Acute Lymphoblastic Leukemia |
| NCT00002744 | PHASE3 | COMPLETED | Combination Chemotherapy in Treating Children With Newly Diagnosed Acute Lymphoblastic Leukemia |
| NCT00002798 | PHASE3 | COMPLETED | Combination Chemotherapy With or Without Bone Marrow Transplantation in Treating Children With Acute Myelogenous Leukemia or Myelodysplastic Syndrome |
| NCT00002812 | PHASE3 | COMPLETED | Combination Chemotherapy in Treating Children With Acute Lymphocytic Leukemia |
| NCT00003423 | PHASE3 | UNKNOWN | Combination Chemotherapy in Treating Children With Non-Hodgkin’s Lymphoma |
| NCT00003436 | PHASE3 | COMPLETED | Combination Chemotherapy With or Without Bone Marrow Transplantation in Treating Children With Acute Myeloid Leukemia |
| NCT00003437 | PHASE3 | UNKNOWN | Hormone Therapy Plus Chemotherapy in Treating Children With Acute Lymphoblastic Leukemia |
| NCT00003593 | PHASE3 | COMPLETED | Chemotherapy in Treating Children With Down Syndrome and Myeloproliferative Disorder, Acute Myelogenous Leukemia, or Myelodysplastic Syndrome |
| NCT00003650 | PHASE3 | COMPLETED | Combination Chemotherapy in Treating Children With Non-Hodgkin’s Lymphoma |
| NCT00003728 | PHASE3 | UNKNOWN | Combination Chemotherapy Plus Steroid Therapy in Treating Children With Acute Lymphoblastic Leukemia or Lymphoblastic Non-Hodgkin’s Lymphoma |
| NCT00004228 | PHASE3 | COMPLETED | Combination Chemotx in Treating Children or Adolescents With Newly Diagnosed Stg III or Stg IV Lymphoblastic Lymphoma |
| NCT00005603 | PHASE3 | COMPLETED | Combination Chemotherapy in Treating Children With Acute Lymphoblastic Leukemia |
| NCT00015873 | PHASE3 | COMPLETED | Comparison of Different Combination Chemotherapy Regimens in Treating Infants With Acute Lymphoblastic Leukemia |
| NCT00019409 | PHASE3 | WITHDRAWN | Radiation Therapy to the Head or Intrathecal Chemotherapy Plus High Dose Cytarabine in Preventing CNS Disease in Children With Acute Lymphoblastic Leukemia |
| NCT00022737 | PHASE3 | COMPLETED | Combination Chemotherapy With or Without Peripheral Stem Cell Transplant in Treating Children With Acute Lymphoblastic Leukemia |
| NCT00131027 | PHASE3 | UNKNOWN | High-Dose Methotrexate (MTX) for Adult Acute Lymphoblastic Leukemia (ALL) |
| NCT00136084 | PHASE3 | COMPLETED | Treatment of Patients With Newly Diagnosed Acute Myeloid Leukemia or Myelodysplasia |
| NCT00137111 | PHASE3 | COMPLETED | Therapy for Newly Diagnosed Patients With Acute Lymphoblastic Leukemia |
| NCT00165087 | PHASE3 | TERMINATED | Treatment of Childhood Acute Lymphoblastic Leukemia |
| NCT00165178 | PHASE3 | COMPLETED | Treatment of Acute Lymphoblastic Leukemia in Children |
Clinical evidence (CIViC)
Variant × indication × effect (10 predictive associations from 10 curated evidence items):
| Variant | Indication | Effect | Therapy | Level | CIViC |
|---|---|---|---|---|---|
| ASNS Amplification | Ovarian Cancer | Resistance | Asparaginase | CIViC D | EID953 |
| KMT2E::ASNS Fusion | T-cell Lymphoblastic Leukemia/lymphoma | Resistance | Asparaginase | CIViC D | EID5926 |
| PRPS1 A190T | B-lymphoblastic Leukemia/lymphoma | Resistance | Cytarabine + Asparaginase + Methotrexate + Daunorubicin | CIViC D | EID7928 |
| PRPS1 D183E | B-lymphoblastic Leukemia/lymphoma | Resistance | Asparaginase + Methotrexate + Cytarabine + Daunorubicin | CIViC D | EID7927 |
| PRPS1 K176N | B-lymphoblastic Leukemia/lymphoma | Resistance | Daunorubicin + Cytarabine + Methotrexate + Asparaginase | CIViC D | EID7926 |
| PRPS1 L191F | B-lymphoblastic Leukemia/lymphoma | Resistance | Asparaginase + Daunorubicin + Methotrexate | CIViC D | EID7923 |
| PRPS1 N144S | B-lymphoblastic Leukemia/lymphoma | Resistance | Daunorubicin + Methotrexate + Asparaginase | CIViC D | EID7930 |
| PRPS1 S103N | B-lymphoblastic Leukemia/lymphoma | Resistance | Methotrexate + Asparaginase + Daunorubicin + Cytarabine | CIViC D | EID7925 |
| PRPS1 S103T | B-lymphoblastic Leukemia/lymphoma | Resistance | Methotrexate + Asparaginase + Daunorubicin + Cytarabine | CIViC D | EID7924 |
| PRPS1 T303S | B-lymphoblastic Leukemia/lymphoma | Resistance | Asparaginase + Daunorubicin + Cytarabine + Methotrexate | CIViC D | EID7929 |
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: neoplasm, acute lymphoblastic leukemia, lymphoid leukemia, lymphoma, myelodysplastic syndrome, acute myeloid leukemia, leukemia, non-Hodgkin lymphoma, myeloid sarcoma, acute monocytic leukemia, acute megakaryoblastic leukemia, acute myeloblastic leukemia without maturation, myelodysplastic syndrome with single lineage dysplasia, myelodysplastic syndrome with excess blasts, chronic myelomonocytic leukemia, acute basophilic leukemia, ovarian carcinoma, B-cell acute lymphoblastic leukemia
- Biomarker genes: ASNS