Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Asparaginase
Drug ID BADD_D00175
Description Asparaginase derived from _Escherichia coli_ (L-asparagine amidohydrolase, EC 3.5.1.1) is an enzyme responsible for the metabolism of L-asparagine, by catalyzing L-asparagine into L-aspartic acid and ammonia. It also facilitates the production of oxaloacetate which is needed for general cellular metabolism. Asparaginase from _E. coli_ has clinically shown to exhibit antitumor actions in models of leukaemias [A31996, A31997]. L-asparaginase of _E. coli_ is marketed under several different trade names, including Elspar, for the treatment of acute lymphoblastic leukemia (ALL) as part of a multi-agent chemotherapeutic regimen. It is available as intramuscular or intravenous injections. Therapeutic L-asparaginase from _E. coli_ works by depleting the levels of non-essential amino acid, asparagine, in lymphoblastic leukemic cells thus promoting apoptotic cell death [A31999]. For patients who develop hypersensitivity to _E. coli_-derived formulations of L-asparaginase, the use of PEGylated or non-PEGylated [DB08886] is recommended [A31999].
Indications and Usage Indicated as a component of a multi-agent chemotherapeutic regimen for the treatment of patients with acute lymphoblastic leukemia (ALL) [FDA Label].
Marketing Status Prescription
ATC Code L01XX02
DrugBank ID DB00023
KEGG ID D02997
MeSH ID D001215
PubChem ID 5460875
TTD Drug ID Not Available
NDC Product Code 81561-413
Synonyms Asparaginase | Asparagine Deaminase | Deaminase, Asparagine | Colaspase | Asparaginase II | Erwinase | Paronal | Crasnitin | Kidrolase | Leunase | Elspar | Asparaginase medac | medac, Asparaginase
Chemical Information
Molecular Formula C4H7N2O3-
CAS Registry Number 9015-68-3
SMILES C(C(C(=O)[O-])N)C(=O)N
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
Coagulation factor decreasedAlpha-2-antiplasminP08697Not Available6203549; 6177359; 2418896; 1391253; 7025339; 2757000; 11074138
Coagulation factor decreasedCoagulation factor XP00742T846316203549; 6177359; 2418896; 1391253; 7025339; 2757000; 11074138
Haemorrhagic diathesisCoagulase/fibrinolysinP17811T003296203549; 6177359; 2418896; 1391253; 7025339; 2757000; 11074138
Haemorrhagic diathesisHistidine-rich glycoproteinP04196Not Available6203549; 6177359; 2418896; 1391253; 7025339; 2757000; 11074138
Lipid metabolism disorderVery low-density lipoprotein receptorP98155Not Available9058708; 12612284; 9669823; 2497719; 10924863; 11223449; 14560932
Lipids abnormalApolipoprotein BP11682Not Available9058708; 12612284; 9669823; 2497719; 10924863; 11223449; 14560932
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Activated partial thromboplastin time prolonged13.01.02.001--
Anaphylactic reaction24.06.03.006; 10.01.07.001--
Azotaemia20.01.01.001--Not Available
Blood fibrinogen decreased13.01.02.003--
Cerebral haemorrhage24.07.04.001; 17.08.01.003--Not Available
Cerebral thrombosis24.01.04.003; 17.08.01.006--Not Available
Coagulopathy01.01.02.001--Not Available
Coma17.02.09.001--Not Available
Glucose tolerance impaired14.06.02.001; 05.06.02.001--
Hallucination19.10.02.002--
Hepatic function abnormal09.01.02.001--Not Available
Hepatotoxicity12.03.01.008; 09.01.07.009--Not Available
Hyperbilirubinaemia09.01.01.003; 01.06.04.003; 14.11.01.010--Not Available
Hypercholesterolaemia14.08.01.001--Not Available
Hyperglycaemia14.06.02.002; 05.06.02.002--
Hypersensitivity10.01.03.003--
Hypertriglyceridaemia14.08.02.001--
Pancreatitis07.18.01.001--
Protein C decreased13.01.02.009--Not Available
Prothrombin time prolonged13.01.02.012--Not Available
Seizure17.12.03.001--
Superior sagittal sinus thrombosis17.08.03.001; 24.01.04.004--Not Available
Thrombosis24.01.01.006--Not Available
Antithrombin III decreased13.01.02.014--Not Available
Protein S decreased13.01.02.015--Not Available
Transaminases increased13.03.01.015--Not Available
Hyperlipidaemia14.08.03.001--
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