Misplaced Pages

Pegaspargase

Article snapshot taken from Wikipedia with creative commons attribution-sharealike license. Give it a read and then ask your questions in the chat. We can research this topic together.
Pharmaceutical drug

Pharmaceutical compound
Pegaspargase
Clinical data
Pronunciation/pəˈɡæspərɡeɪz/
Trade namesOncaspar
AHFS/Drugs.comMonograph
MedlinePlusa695031
License data
Pregnancy
category
  • AU: D
Routes of
administration		Intramuscular, intravenous
ATC code
Legal status
Legal status
Identifiers
IUPAC name
  • Pegylated E. coli L-asparagine amidohydrolase
CAS Number
DrugBank
ChemSpider
  • none
UNII
KEGG
ChEMBL
Chemical and physical data
FormulaC1377H2208N382O442S17
Molar mass31732.06 g·mol
  (what is this?)  (verify)

Pegaspargase, sold under the brand name Oncaspar, is a medication used in the treatment of acute lymphoblastic leukemia (ALL). Often it is used together with anthracycline, vincristine, and corticosteroids (for example prednisone and dexamethasone). Pegaspargase can be administered either via an intravenous infusion or a intramuscular injection.

Known side effects include allergic reactions, coagulopathy, high blood sugar, affecting liver function, pancreas inflammation, and blood clots in the brain. There is no data regarding the usage of pegaspargase during pregnancy. Therefore, caution should be observed and pegaspargase should only be used during pregnancy when the benefits outweigh the possible risks.

Pegaspargase is a modified version of the enzyme asparaginase which has undergone PEGylation. It works by breaking down the amino acid asparagine that are circulating in the bloodstream. The circulating asparagine is essential for the cancer cells to enable growth since they can't produce their own, in contrast to normal cells. The normal cells are therefore less affected by pegaspargase.

Pegaspargase was approved for medical use in the United States in 1994. It is on the World Health Organization's List of Essential Medicines. It is made by Sigma-Tau.

References

  1. "Prescription medicines: registration of new chemical entities in Australia, 2017". Therapeutic Goods Administration (TGA). 21 June 2022. Retrieved 9 April 2023.
  2. "Prescription medicines and biologicals: TGA annual summary 2017". Therapeutic Goods Administration (TGA). 21 June 2022. Retrieved 31 March 2024.
  3. "Cancer therapies". Health Canada. 8 May 2018. Retrieved 13 April 2024.
  4. "Oncaspar EPAR". European Medicines Agency (EMA). Retrieved 21 January 2021.
  5. Graham ML (2003). "Pegaspargase: a review of clinical studies". Adv. Drug Deliv. Rev. 55 (10): 1293–302. doi:10.1016/S0169-409X(03)00110-8. PMID 14499708.
  6. ^ "Pegaspargase Monograph for Professionals". Drugs.com. Retrieved 11 October 2019.
  7. "Pegaspargase (Oncaspar) Use During Pregnancy". Drugs.com. Retrieved 11 October 2019.
  8. "UNM Cancer Center". Archived from the original on 3 September 2006. Retrieved 28 August 2007.
  9. "DailyMed - oncaspar- pegaspargase injection, solution for intramuscular and intravenous use". dailymed.nlm.nih.gov. Retrieved 25 September 2022.
  10. World Health Organization (2019). World Health Organization model list of essential medicines: 21st list 2019. Geneva: World Health Organization. hdl:10665/325771. WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO.
Intracellular chemotherapeutic agents / antineoplastic agents (L01)
SPs/MIs
(M phase)
Block microtubule assembly
Block microtubule disassembly
DNA replication
inhibitor
DNA precursors/
antimetabolites
(S phase)
Folic acid
Purine
Pyrimidine
Deoxyribonucleotide
Topoisomerase inhibitors
(S phase)
I
II
II+Intercalation
Crosslinking of DNA
(CCNS)
Alkylating
Platinum-based
Nonclassical
Intercalation
Photosensitizers/PDT
Other
Enzyme inhibitors
Receptor antagonists
Other/ungrouped
Portal:


Stub icon

This antineoplastic or immunomodulatory drug article is a stub. You can help Misplaced Pages by expanding it.

Categories: