Drug intelligence / Profile preview

calaspargase pegol + Hyper-CVAD

Development stage
Unknown
Lead developer
Servier
Modality
Monoclonal Antibodies → Antibody-Based Therapeutics, Recombinant Proteins and Enzymes, Small Molecules
Administration
Intravenous
01

Overview

This combination therapy regimen consists of calaspargase pegol (Asparlas) and the Hyper-CVAD multi-agent chemotherapy protocol. Calaspargase pegol is a pegylated recombinant E. coli-derived L-asparaginase enzyme that functions by depleting circulating L-asparagine, an amino acid essential for the survival of leukemic lymphoblasts which lack asparagine synthetase. The Hyper-CVAD component is an intensive chemotherapy regimen involving alternating cycles (Course A and Course B). Course A includes hyperfractionated cyclophosphamide, vincristine, doxorubicin, and dexamethasone, while Course B consists of high-dose methotrexate and cytarabine. This specific combination is being investigated by the H. Lee Moffitt Cancer Center and Research Institute in a Phase 1b study to evaluate its safety and efficacy in young adults (up to age 50) with newly diagnosed Philadelphia chromosome-negative acute lymphoblastic leukemia (ALL). Rituximab may also be included for patients with CD20-positive disease.

Brand names
Asparlas
Other names
Hyper-CVAD + Calaspargase PegolHyper-CVAD + AsparlasHyper CVAD-H. Lee Moffitt Cancer Center and Research Institute-acute lymphoblastic leukemia
02

Targets

TOP2A (DNA topoisomerase II)CD20 (B-lymphocyte antigen CD20)TUBB (Tubulin (alpha and beta subunits))DHFR (Dihydrofolate reductase)DNA polymerase familyGR (Glucocorticoid receptor)DNA

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