Page last updated: 2024-12-06

cladribine

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Cladribine is a purine nucleoside analog that inhibits DNA synthesis and repair by being incorporated into DNA. It is primarily used to treat hairy cell leukemia, a rare type of leukemia, and is also being investigated for other diseases such as multiple sclerosis and chronic lymphocytic leukemia. The synthesis of cladribine involves multiple chemical steps, beginning with the modification of adenosine, a naturally occurring nucleoside. Cladribine is a potent immunosuppressant, which means it weakens the immune system. This is why it is effective in treating hairy cell leukemia, as the leukemia cells are often targeted by the immune system. Its importance lies in its effectiveness against diseases that are difficult to treat with other medications. Research continues to explore its potential for treating other autoimmune diseases and cancers.'

Cross-References

ID SourceID
PubMed CID20279
CHEMBL ID1619
CHEBI ID567361
SCHEMBL ID3775
MeSH IDM0026332

Synonyms (125)

Synonym
AC-7591
chlorodeoxyadenosine
nsc 105014
2-chloro-6-amino-9-(2-deoxy-beta-d-erythropentofuranosyl)purine
rwj 26251
brn 0624220
cladarabine
MLS001077345
AB00382963-17
MLS000028484
smr000058553
2-chloro-2'-deoxyadenosine
CL9 ,
MLS000028377 ,
(2r,3s,5r)-5-(6-amino-2-chloro-purin-9-yl)-2-(hydroxymethyl)tetrahydrofuran-3-ol
adenosine, 2-chloro-2'-deoxy
4291-63-8
cladribine ,
adenosine, 2-chloro-2'-deoxy-
rwj-26251
2cda
2-cda
nsc-105014
leustatin
2 chlorodeoxyadenosine
2-chloro-2'-deoxyadenosine, antileukemic
MLS000759397
cldado
(2r,3s,5r)-5-(6-amino-2-chloropurin-9-yl)-2-(hydroxymethyl)oxolan-3-ol
2clado
2-chloro-deoxyadenosine
DB00242
2-chloro-2'-deoxy-beta-adenosine
(2r,3s,5r)-5-(6-amino-2-chloro-9h-purin-9-yl)-2-(hydroxymethyl)tetrahydrofuran-3-ol
2-chloro-6-amino-9-(2-deoxy-beta-d-erythro-pentofuranosyl)purine
leustatin (tn)
mavenclad (tn)
cladribine (jan/usp/inn)
D01370
NCGC00164384-01
2-chlorodeoxyadenosine
NCGC00022567-05
HMS2052K13
movectro
mylinax
rwj-26251-000
litak
CHEMBL1619
cladaribine
nsc-05014
nsc-105014-f
cladribinum
cladribina
CHEBI:567361 ,
NCGC00022567-06
NCGC00022567-07
hsdb 7564
47m74x9yt5 ,
unii-47m74x9yt5
ccris 9374
cladribine [usan:usp:inn:ban]
NCGC00254518-01
tox21_300596
2-chloro-2'-deoxyadenosine;(2r,3s,5r)-5-(6-amino-2-chloro-purin-9-yl)-2-(hydroxymethyl)tetrahydrofuran-3-ol
A826062
BCP9000538
MLS001424194
cas-4291-63-8
tox21_110834
dtxsid8022828 ,
dtxcid602828
HMS2232C23
CCG-101116
NCGC00022567-08
cladribine [vandf]
cladribine [hsdb]
cladribine [jan]
cladribine [mi]
cladribine [ema epar]
cladribine [usp-rs]
cladribine [orange book]
cladribine [usp impurity]
cladribine [usan]
cladribine [inn]
cladribine [who-dd]
cladribine [usp monograph]
cladribine [ep monograph]
mavenclad
cladribine [mart.]
AKOS015854898
AKOS015892544
(2r,3s,5r)-5-(6-amino-2-chloro-9h-purin-9-yl)-2-(hydroxymethyl)oxolan-3-ol
gtpl4799
HY-13599
CS-2057
2-chloro-2'-deoxy-adenosine
6-amino-2-chloro-9-(2-deoxy-beta-erythropentofuranosyl)purine
PTOAARAWEBMLNO-KVQBGUIXSA-N
6-amino-2-chloro-9-(2-deoxy-beta-d-erythro-pentofuranosyl)purine
NC00366
SCHEMBL3775
bdbm38920
cid_20279
(2r,3s,5r)-5-(6-amino-2-chloropurin-9-yl)-2-(hydroxymethyl)oxalan-3-ol
OPERA_ID_1191
AB00382963_19
mfcd00153939
2-chloro-2 inverted exclamation marka-deoxyadenosine
sr-01000003063
SR-01000003063-10
cladribine, united states pharmacopeia (usp) reference standard
cladribine for peak identification, european pharmacopoeia (ep) reference standard
cladribine, european pharmacopoeia (ep) reference standard
SR-01000003063-7
HMS3715F17
SW197746-4
Q414030
24757-90-2
AS-12366
BCP02868
AMY22140
BP-25407
cladribine- bio-x
BC164318
cladribine for peak identification

Research Excerpts

Overview

Cladribine (2CdA) is a synthetic chlorinated purine nucleoside analogue which acts as a pro-drug requiring intracellular phosphorylation to be activated. Oral cladribine treatment leads to a long-lasting disease stabilization, potentially attributable to immune reconstitution.

ExcerptReferenceRelevance
"Cladribine in tablets is a cost-saving alternative for treatment of patients with highly active multiple sclerosis compared to the current treatment practice. "( [Pharmacoeconomic aspects of using cladribine (in tablets) for treatment of adult patients with remitting multiple sclerosis].
Avxentyev, NA; Davydovskaya, MV; Frolov, MY; Klabukova, DL; Makarova, YV, 2021
)
2.34
"Cladribine (CLAD) is a deoxyadenosine analogue prodrug which is given in multiple sclerosis (MS) as two short oral treatment courses 12 months apart. "( Cladribine Alters Immune Cell Surface Molecules for Adhesion and Costimulation: Further Insights to the Mode of Action in Multiple Sclerosis.
Akgün, K; Feige, J; Haschke-Becher, E; Hoepner, L; Moser, T; Schwenker, K; Seiberl, M; Sellner, J; Ziemssen, T, 2021
)
3.51
"Cladribine is a synthetic deoxyadenosine analogue with demonstrated efficacy in patients with relapsing-remitting multiple sclerosis (MS). "( Immunomodulatory Effects Associated with Cladribine Treatment.
Boschert, U; Calvo-Barreiro, L; Comabella, M; Eixarch, H; Espejo, C; Fissolo, N; Montalban, X, 2021
)
2.33
"Cladribine (2CdA) is a synthetic chlorinated purine nucleoside analogue which acts as a pro-drug requiring intracellular phosphorylation to be activated. "( 2-Chlorodeoxyadenosine (Cladribine) preferentially inhibits the biological activity of microglial cells.
Aybar, F; Correale, J; Eugenia Samman, M; Julia Perez, M; María Pasquini, J; Marrodan, M; Silvina Marcora, M, 2022
)
2.47
"Oral cladribine is a novel treatment for Multiple Sclerosis (MS). "( Anti-HBs titers are not decreased after treatment with oral Cladribine in patients with Multiple Sclerosis vaccinated against Hepatitis B virus.
Cola, G; Di Mauro, G; Grimaldi, A; Landi, D; Marfia, GA; Mataluni, G; Nicoletti, CG, 2022
)
1.48
"Cladribine is a synthetic deoxyadenosine analogue approved for the treatment of highly active relapsing multiple sclerosis (RMS). "( Immunological consequences of cladribine treatment in multiple sclerosis: A real-world study.
Aslan, D; Hackert, J; Hagenacker, T; Huntemann, N; Kleinschnitz, C; Kleinschnitz, K; Meuth, SG; Pawlitzki, M; Pfeuffer, S; Pul, R; Rolfes, L; Ruck, T; Schmidt, M; Skuljec, J; Su, C, 2022
)
2.45
"Cladribine is a synthetic purine nucleoside analog that induces cell death of lymphocytes and oral cladribine treatment leads to a long-lasting disease stabilization, potentially attributable to immune reconstitution."( Cladribine Treatment for MS Preserves the Differentiative Capacity of Subsequently Generated Monocytes, Whereas Its Administration
Aprico, A; Ayoub, S; Binder, MD; Johnson, LJ; Kilpatrick, TJ; Medeiros-Furquim, T; Nwoke, E, 2022
)
2.89
"Cladribine is a purine analog used in first-line treatment of hairy cell leukemia and in relapsed/refractory chronic lymphocytic anemia. "( Increased risk of severe cutaneous adverse reactions when cladribine is used together with other medications with a propensity for skin reactions.
Haynes, J; Jackson, M; Smugar, SS, 2022
)
2.41
"Oral cladribine is a highly effective pulsed selective immune reconstitution therapy licensed for relapsing multiple sclerosis (RMS) since 2017. "( Long-term management of multiple sclerosis patients treated with cladribine tablets beyond year 4.
Bayas, A; Kallmann, B; Kleinschnitz, C; Linker, R; Mäurer, M; Meuth, SG; Rieckmann, P; Wattjes, MP, 2022
)
1.47
"Cladribine tablets are a newly launched short course oral treatment approved for high disease activity (HDA) relapsing multiple sclerosis (RMS). "( Economic evaluation of cladribine tablets in high disease activity (HDA) relapsing multiple sclerosis (RMS) patients in Lebanon.
Fleifel, L; Khamis, C; Koussa, S; Matni, M; Mohamed, O; Sharifi, S; Yamout, B, 2022
)
2.47
"Cladribine tablets are a cost-effective and a budget-saving treatment option for the treatment of HDA-RMS patients in Lebanon from the NSSF perspective."( Economic evaluation of cladribine tablets in high disease activity (HDA) relapsing multiple sclerosis (RMS) patients in Lebanon.
Fleifel, L; Khamis, C; Koussa, S; Matni, M; Mohamed, O; Sharifi, S; Yamout, B, 2022
)
2.47
"Cladribine is an effective immunomodulatory treatment used for relapsing forms of multiple sclerosis (MS)."( Cladribine treatment for highly active multiple sclerosis: Real-world clinical outcomes for years 3 and 4.
Achiron, A; Didikin, M; Dreyer-Alster, S; Flechter, S; Harari, G; Magalashvili, D; Mandel, M, 2022
)
3.61
"Cladribine is a synthetic purine analogue that interferes with DNA synthesis and repair next to disrupting cellular proliferation in actively dividing lymphocytes. "( Cladribine treatment improves cortical network functionality in a mouse model of autoimmune encephalomyelitis.
Bock, S; Budde, T; Cerina, M; Dobelmann, V; Duarte-Silva, E; Fazio, L; Gothan, KSS; Gruchot, J; Henes, A; Herrmann, AM; Hundehege, P; Huntemann, N; Kremer, D; Küry, P; Meuth, SG; Müntefering, T; Narayanan, V; Nelke, C; Pfeuffer, S; Raba, K; Räuber, S; Rolfes, L; Ruck, T; Schroeter, CB; Wiendl, H, 2022
)
3.61
"Cladribine is a rational candidate steroid-sparing treatment for presumed neurologic autoimmune conditions such as CLIPPERS."( CLIPPERS Responsive to Cladribine as a Durable Steroid-Sparing Agent.
Atkins, HL; Bergman, H; Brooks, J; Freedman, MS; Thebault, S, 2023
)
2.66
"Cladribine is a nucleoside analogue interfering with synthesis and repair of DNA. "( Real-world experience of cladribine treatment in relapsing-remitting multiple sclerosis: A Danish nationwide study.
Heick, A; Joensen, H; Magyari, M; Pihl, CE; Pontieri, L; Rasmussen, PV; Ratzer, R; Schäfer, J; Sellebjerg, F; Sorensen, PS, 2023
)
2.66
"Cladribine is a selective and oral immunological reconstitution treatment, approved in Europe for very active multiple sclerosis (MS) with relapses. "( Safety and Effectiveness of Cladribine in Multiple Sclerosis: Real-World Clinical Experience From 5 Tertiary Hospitals in Portugal.
Abreu, P; Brum, M; Capela, C; de Sá, J; Dias, R; Ferreira, J; Guerreiro, R; Ladeira, F; Leitão, L; Sá, MJ; Salgado, V; Santos, M; Sequeira, J,
)
1.87
"Cladribine tablets are a highly effective immune reconstitution therapy licensed for treating relapsing multiple sclerosis (RMS) in Europe since 2017. "( Safety and effectiveness of cladribine tablets for multiple sclerosis: Results from a single-center real-world cohort.
Aerts, S; Khan, H; Peeters, LM; Popescu, V; Severijns, D; Van Wijmeersch, B, 2023
)
2.65
"Cladribine is an oral disease-modifying drug authorized by the European Medicine Agency for the treatment of highly active relapsing multiple sclerosis (MS)."( Cladribine tablets in people with relapsing multiple sclerosis: A real-world multicentric study from southeast European MS centers.
Abičić, A; Adamec, I; Barun, B; Bašić Kes, V; Brecl Jakob, G; Cindrić, I; Drulović, J; Gabelić, T; Gomezelj, S; Gržinčić, T; Habek, M; Klivényi, P; Krbot Skorić, M; Lazibat, I; Mesaroš, Š; Pekmezović, T; Radulović, L; Rajda, C; Rimac, J, 2023
)
3.8
"Cladribine monotherapy is an effective and well-tolerated therapeutic option for XD patients. "( Clinical and pathological evaluation of cladribine treatment response in a case series of patients with xanthoma disseminatum.
Bi, Y; Huang, Y; Li, J; Li, L; Tuan, H; Wang, B; Wang, Y; Yin, H; Yu, F; Zhao, Y; Zhou, EY, 2023
)
2.62
"Cladribine is a purine nucleoside found to enhance toxic amyloid protein and cause memory impairment. "( Cladribine induces apoptosis, neuroinflammation, mitochondrial oxidative stress, tau phosphorylation and Aβ (1-42) pathway in the hippocampus: An in vivo approach.
Aran, KR; Gupta, GD; Singh, S, 2023
)
3.8
"Cladribine is a nucleoside analogue widely used in the pharmaceutical industry for the treatment of several neoplasms, including hairy-cell leukemia among others. "( Biotransformation of cladribine using a stabilized biocatalyst in calcium alginate beads.
Britos, CN; Lapponi, MJ; Rivero, CW; Trelles, JA, 2020
)
2.32
"Cladribine seems to be a safe and effective emergency therapy in a population of patients with refractory MG."( Cladribine in myasthenia gravis: a pilot open-label study.
Baranowski, D; Korchut, A; Rejdak, K; Szklener, S, 2020
)
3.44
"Cladribine is a prodrug, a synthetic analogue of deoxyadenosine, approved for use as selective immune reconstitution therapy in very active recurring multiple sclerosis in adults."( [Recommendations for the use of cladribine tablets in recurring multiple sclerosis].
Álvarez-Cermeño, JC; Estrada-Pérez, V; Fernández, O; García-Merino, JA; Izquierdo, G; Oreja-Guevara, C; Rodríguez-Antigüedad, A; Saiz, A, 2019
)
2.24
"Cladribine is a new oral treatment for relapsing-remitting multiple sclerosis."( [Neurology 2019].
Benninger, D; Diserens, K; Hirt, L; Kuntzer, T; Michel, P; Novy, J; Pantazou, V; Pasquier, RD; Perrenoud, M; Rossetti, AO; Rouaud, O; Ryvlin, P; Theaudin, M, 2020
)
1.28
"Cladribine is an approved drug for the treatment of highly active multiple sclerosis. "( Lichenoid rash: A new side effect of oral Cladribine.
Aruta, F; Costa, C; Iodice, R; Iovino, A; Manganelli, F, 2020
)
2.27
"Cladribine is an antimetabolite used for the treatment of relapsing-remitting multiple sclerosis. "( Cladribine transfer into human milk: A case report.
Baker, T; Ciplea, AI; Datta, P; Gold, R; Hale, TW; Hellwig, K; Rewers-Felkins, K, 2021
)
3.51
"Cladribine is a purine nucleoside analog used to treat B-cell chronic lymphocytic leukemia and hairy cell leukemia, also functions as an inhibitor of DNA synthesis to block the repair of the damaged DNA. "( Cladribine Induces ATF4 Mediated Apoptosis and Synergizes with SAHA in Diffuse Large B-Cell Lymphoma Cells.
Gao, X; Jiao, J; Li, Z; Liu, M; Qin, Y; Sang, W; Song, X; Sun, C; Sun, X; Tian, Y; Xu, K; Xu, L; Yan, D; Yang, P; Zeng, L; Zhu, F, 2020
)
3.44
"Oral cladribine is a highly effective pulsed selective immune reconstitution therapy licensed for relapsing multiple sclerosis. "( Long-term management of multiple sclerosis patients treated with cladribine tablets: an expert opinion.
Bayas, A; Kallmann, B; Kleinschnitz, C; Linker, R; Mäurer, M; Meuth, SG; Rieckmann, P, 2020
)
1.31
"Cladribine is a highly effective, recently available treatment in multiple sclerosis. "( Normal antibody response after COVID-19 during treatment with cladribine.
Celius, EG, 2020
)
2.24
"Cladribine is a purine nucleoside analog initially developed in the 1970s as a treatment for various blood cancers. "( The Development of Cladribine Tablets for the Treatment of Multiple Sclerosis: A Comprehensive Review.
Coyle, PK; Dangond, F; Galazka, A; Grosso, M; Leist, TP; Rammohan, K; Sylvester, E, 2020
)
2.33
"Cladribine (Cd) is a purine nucleoside analogue which in an oral formulation is approved for treatment of patients with multiple sclerosis (MS). "( Cladribine inhibits secretion of pro-inflammatory cytokines and phagocytosis in human monocyte-derived M1 macrophages in-vitro.
Gad, M; Larsen, J; Mathiesen, CBK; Pedersen, AE; Rudjord-Levann, AM; Sellebjerg, F, 2021
)
3.51
"Cladribine is an approved selective immune reconstitution therapy for relapsing-remitting MS (RRMS). "( The development and impact of cladribine on lymphoid and myeloid cells in multiple sclerosis.
Butzkueven, H; Monif, M; O'Brien, T; Stankovich, J; Voo, VTF, 2021
)
2.35
"Oral cladribine is an approved disease-modifying drug for the treatment of relapsing multiple sclerosis. "( Autoimmune glomerulonephritis in a multiple sclerosis patient after cladribine treatment.
Eisenberger, U; Fleischer, M; Gäckler, A; Hackert, J; Hagenacker, T; Kleinschnitz, C; Krämer, J; Kribben, A; Meuth, SG; Pfeuffer, S; Pfister, F; Pul, R; Ruck, T; Schönfelder, K; Schuh, H; Skuljec, J, 2021
)
1.37
"Cladribine tablets are a dominant treatment option for patients with HDA-RRMS from the payer perspective in the KSA."( Economic Evaluation of Cladribine Tablets in Patients With High Disease Activity-Relapsing-Remitting Multiple Sclerosis in the Kingdom of Saudi Arabia.
Al Malik, Y; Al-Johani, A; Al-Saqa'aby, M; Alarieh, R; Bohlega, S; Elboghdady, A; Mahajan, K; Mohamed, O; Mughari, MK, 2021
)
2.37
"Cladribine is an effective therapy for relapse-onset multiple sclerosis. "( Cladribine versus fingolimod, natalizumab and interferon β for multiple sclerosis.
Barnett, M; Butler, E; Butzkueven, H; Duquette, P; Fabis-Pedrini, M; Ferraro, D; Girard, M; Grammond, P; Grand'Maison, F; Havrdova, E; Hodgkinson, S; Horakova, D; Hupperts, R; Jokubaitis, V; Kalincik, T; Kermode, A; Lechner-Scott, J; Lugaresi, A; McCombe, P; Prat, A; Prevost, J; Shaw, C; Slee, M; Sola, P; Solaro, C; Spelman, T; Terzi, M; Trojano, M, 2018
)
3.37
"Cladribine is a purine nucleoside analogue that selectively depletes peripheral lymphocytes without a major impact on cells of the innate immune system. "( Cladribine to Treat Relapsing Forms of Multiple Sclerosis.
Giovannoni, G, 2017
)
3.34
"Cladribine tablets are an important addition to the therapeutic landscape in RMS. "( [Cladribine tablets : Oral immunotherapy of relapsing-remitting multiple sclerosis with short yearly treatment periods].
Aktas, O; Hartung, HP; Meuth, SG; Ruck, T, 2018
)
2.83
"Cladribine tablets are a cost-effective alternative to alemtuzumab and natalizumab in the treatment of HDA-RRMS from the perspective of the NHS in England."( Cost-effectiveness of cladribine tablets, alemtuzumab, and natalizumab in the treatment of relapsing-remitting multiple sclerosis with high disease activity in England.
Harty, G; Hettle, R; Wong, SL, 2018
)
2.24
"Cladribine is a safe and effective form of induction therapy for relapsing MS. "( Cladribine: mechanisms and mysteries in multiple sclerosis.
Ammoscato, F; Baker, D; Giovannoni, G; Jacobs, BM; Schmierer, K, 2018
)
3.37
"Cladribine is a useful immunosuppressive drug for the treatment of autoimmune diseases, leukemias and multiple sclerosis (MS). "( Expression of caspase 1 and histomorphology of lung after cladribine treatment.
Chylińska-Wrzos, P; Jodłowska-Jędrych, B; Lis-Sochocka, M; Wawryk-Gawda, E, 2019
)
2.2
"Cladribine is an oral immunosuppressant recently approved in Europe for the treatment of highly active relapsing multiple sclerosis."( [Cladribine in the treatment of relapsing multiple sclerosis].
Ramio-Torrenta, L; Robles-Cedeno, R, 2018
)
2.11
"Oral cladribine is a novel treatment for relapsing multiple sclerosis (MS). "( Potential mechanisms of action related to the efficacy and safety of cladribine.
Baker, D; Herrod, SS; Pryce, G; Schmierer, K, 2019
)
1.26
"Cladribine Tablets is a cost-effective treatment, compared to fingolimod, for the treatment of RMS with high disease activity."( Cost-effectiveness of Cladribine Tablets and fingolimod in the treatment of relapsing multiple sclerosis with high disease activity in Spain.
Polanco, A; Poveda, JL; Rubio-Rodríguez, D; Rubio-Terrés, C; Torres, C; Trillo, JL, 2020
)
2.32
"Cladribine is a purine nucleoside analog developed to treat lymphoid malignancies. "( Cladribine exerts an immunomodulatory effect on human and murine dendritic cells.
Hubo, M; Jolivel, V; Jonuleit, H; Kraus, SH; Lerch, S; Luessi, F; Paterka, M; Poisa-Beiro, L; Trinschek, B; Zipp, F, 2014
)
3.29
"Cladribine is a purine nucleoside analog which initiates the apoptotic mechanism within cells. "( Intrinsic apoptosis pathway in fallopian tube epithelial cells induced by cladribine.
Bulak, K; Chylińska-Wrzos, P; Jodłowska-Jędrych, B; Lis-Sochocka, M; Wawryk-Gawda, E, 2014
)
2.08
"Cladribine is a cytotoxic drug which ameliorates the clinical course of relapsing-remitting multiple sclerosis. "( Cladribine Exposure Results in a Sustained Modulation of the Cytokine Response in Human Peripheral Blood Mononuclear Cells.
Bragado Alonso, S; Bröker, BM; Dressel, A; Korsen, M; Peix, L, 2015
)
3.3
"Cladribine is a purine substrate analogue that is toxic to lymphocytes and monocytes with good hematoencephalic penetration."( Successful treatment with cladribine of Erdheim-Chester disease with orbital and central nervous system involvement developing after treatment of Langerhans cell histiocytosis.
Antić, B; Jovandić, S; Knezević-Usaj, S; Magić, Z; Perić, P; Radić-Tasić, O; Radovinović-Tasić, S; Sekulović, L; Tarabar, O; Tukić, L; Vasić-Vilić, J, 2016
)
1.46
"Cladribine is an effective therapy for these patients and leads to complete response in most of the patients."( Hairy cell leukemia: clinical, pathological and ultrastructural findings in Asian-Indians.
Chatterjee, T; Choudhry, VP; Kumar, R; Mahapatra, M; Naithani, R; Panigrahi, I; Pati, HP; Saxena, R; Wadhwa, S,
)
0.85
"Cladribine, which is a preferential lymphocyte-depleting therapy, has the potential to be the first oral agent available for the treatment of relapsing forms of MS."( Cladribine tablets' potential in multiple: sclerosis treatment.
Costello, K; Sipe, JC, 2008
)
2.51
"Cladribine is an immunosuppressive drug currently investigated in a phase-III clinical trial for relapsing-remitting MS."( Cladribine impedes in vitro migration of mononuclear cells: a possible implication for treating multiple sclerosis.
Dehmel, T; Döbert, M; Kieseier, BC; Kopadze, T; Leussink, VI, 2009
)
2.52
"Cladribine is an immunosuppressant that offers targeted, sustained regulation of the immune system and that has a well-characterized safety profile, derived from more than 15 years of use of the parenteral formulation in oncology indications and MS."( Development of oral cladribine for the treatment of multiple sclerosis.
Aktas, O; Giancarlo Comi, GC; Hartung, HP; Kieseier, B, 2010
)
1.41
"Cladribine is an immunomodulator with a long-lasting effect and a well-characterized safety profile based on over 15 years of experience with the parenteral route for MS and other indications."( [Cladribin. Development of an oral formulation for the treatment of multiple sclerosis].
Aktas, O; Hartung, HP; Kieseier, BC, 2010
)
1.08
"Cladribine (2CdA) is a nucleoside analog that has been introduced as a promising agent for treatment of advanced SM."( In vitro and in vivo growth-inhibitory effects of cladribine on neoplastic mast cells exhibiting the imatinib-resistant KIT mutation D816V.
Blatt, K; Böhm, A; Gleixner, KV; Herrmann, H; Pehamberger, H; Peter, B; Pickl, WF; Rabitsch, W; Schernthaner, GH; Schuch, K; Sonneck, K; Sperr, WR; Valent, P, 2010
)
1.34
"Cladribine is a synthetic deoxyadenosine analogue in development as an oral multiple sclerosis (MS) therapy."( Safety and tolerability of cladribine tablets in multiple sclerosis: the CLARITY (CLAdRIbine Tablets treating multiple sclerosis orallY) study.
Comi, G; Cook, S; Giovannoni, G; Greenberg, SJ; Hamlett, A; Miret, M; Musch, B; Rammohan, K; Rieckmann, P; Sørensen, PS; Vermersch, P; Viglietta, V; Weiner, J, 2011
)
2.11
"Cladribine is a prodrug which is selectively activated intracellularly."( Hairy cell leukemia: epidemiology, pharmacokinetics of cladribine, and long-term follow-up of subcutaneous therapy.
Juliusson, G; Samuelsson, H, 2011
)
1.34
"R-cladribine is an effective therapy for previously untreated MCL, and these results validate the use of R-cladribine for the initial treatment of MCL."( Cladribine plus rituximab is an effective therapy for newly diagnosed mantle cell lymphoma.
Abbi, K; Chen, Y; Chen, Z; Epner, EM; Mater, E; Okada, C; Pindyck, T; Spurgeon, SE, 2011
)
2.37
"Cladribine is a purine nucleotide analogue, and its efficacy is based on long-term reduction of CD4+ and CD8+ lymphocytes."( [Current treatment of multiple sclerosis].
Csépány, T, 2011
)
1.09
"Cladribine is a highly effective medication used in treating Langerhans cell histiocytosis. "( [Cladribine is highly effective in the treatment of Langerhans cell histiocytosis and rare histiocytic disorders of the juvenile xanthogranuloma group].
Adam, Z; Koukalová, R; Král, Z; Krejčí, M; Mayer, J; Pour, L; Rehák, Z; Szturz, P; Tomíška, M; Zahradová, L, 2012
)
2.73
"Cladribine is a suitable medication for multiorgan and multifocal forms of LCH. "( [Treatment of Langerhans cells histiocytosis by cladribin reached long-term complete remission in 9 out of 10 adult patients].
Adam, Z; Duraš, J; Hájek, R; Koukalová, R; Král, Z; Krejčí, M; Mayer, J; Navrátil, M; Pour, L; Rehák, Z; Szturz, P, 2012
)
1.82
"Cladribine is a prodrug and must be phosphorylated intracellularly to cladribine-monophosphate (MP) by the nuclear/cystosol enzyme deoxycytidine kinase (dCK) and the mitochondrial enzyme deoxyguanosine kinase."( Pharmacological basis for cladribine resistance.
Albertioni, F; Juliusson, G; Lotfi, K, 2003
)
1.34
"Cladribine is a newer purine analogue and is of particular interest because it is resistant to deamination by adenosine deaminase."( Treatment of indolent non-Hodgkin's lymphoma with cladribine as single-agent therapy and in combination with mitoxantrone.
Armitage, JO; Hoelzer, D; Rummel, MJ; Tobinai, K, 2004
)
1.3
"Cladribine is a potent immunosuppressive agent and should be included with the list of immunosuppressive agents that may be associated with EBV-related B-cell lymphoproliferative disorders."( Epstein-Barr virus positive large B-cell lymphoma arising in a patient previously treated with Cladribine for hairy cell leukemia.
Barbashina, V; Bhargava, R; Filippa, DA; Teruya-Feldstein, J, 2004
)
1.26
"Cladribine is a purine analogue that is resistant to degradation by adenosine deaminase. "( [Cladribine monotherapy for patients with relapsed or refractory indolent non-Hodgkin lymphoma].
Choi, I; Nakashima, Y; Shimada, T; Uike, N; Yamada, Y; Yufu, Y, 2004
)
2.68
"Cladribine is an adenosine deaminase-resistant deoxyadenosine analog with a unique mechanism of action. "( Cladribine: from the bench to the bedside--focus on hairy cell leukemia.
Greyz, N; Saven, A, 2004
)
3.21
"Cladribine is a purine analog that demonstrates lymphocytotoxic activity. "( Cladribine: an investigational immunomodulatory agent for multiple sclerosis.
Brousil, JA; Roberts, RJ; Schlein, AL, 2006
)
3.22
"Cladribine is a purine nucleoside analogue that is resistant to cellular catabolism."( Cladribine in indolent non-Hodgkin's lymphoma.
Saven, A; Sigal, DS, 2008
)
2.51
"Cladribine is an effective therapy for hairy cell leukaemia (HCL), but the standard regime is frequently complicated by neutropenic fever and prolonged T-cell depression. "( Low-dose cladribine for symptomatic hairy cell leukaemia.
Heldal, D; Juliusson, G; Lenkei, R; Liliemark, J; Tjønnfjord, G, 1995
)
2.15
"Cladribine is a synthetic analogue of adenine used in the treatment of lymphoid malignancies, commonly associated with a decrease in T lymphocytes."( Transfusion-associated graft-versus-host disease in a patient treated with Cladribine (2-chlorodeoxyadenosine): demonstration of exogenous DNA in various tissue extracts by PCR analysis.
Alberto, P; Betticher, DC; Diebold-Berger, S; Extermann, M; Helg, C; Reymond, JM; Roux, E; Tiercy, JM; Zubler, R; Zulian, GB, 1995
)
1.24
"Cladribine is a synthetic purine nucleoside with demonstrated activity in hairy cell leukemia and acute myeloid leukemia. "( Pharmacokinetics of cladribine (2-chlorodeoxyadenosine) in children with acute leukemia.
Blakley, RL; Crom, WR; Kearns, CM; Santana, VM, 1994
)
2.05
"Cladribine is a newly developed antimetabolite with promising activity in lymphoproliferative disorders. "( A limited sampling strategy for estimation of the cladribine plasma area under the concentration versus time curve after intermittent i.v. infusion, s.c. injection, and oral administration.
Albertioni, F; Eksborg, S; Juliusson, G; Liliemark, J, 1996
)
1.99
"Cladribine is a new purine nucleoside analogue with promising activity in low-grade lymphoproliferative disorders, childhood acute myelogenous leukaemia and multiple sclerosis. "( The clinical pharmacokinetics of cladribine.
Liliemark, J, 1997
)
2.02
"Cladribine is a new type of drug with properties of selective lymphocyte suppression that appear to favorably alter the clinical course of progressive multiple sclerosis (MS). "( Development of cladribine treatment in multiple sclerosis.
Beutler, E; Koziol, JA; McMillan, R; Romine, JS; Sipe, JC; Zyroff, J, 1996
)
2.09
"Cladribine is an active single agent in the treatment of patients with refractory or relapsed advanced stage indolent lymphoma, with major responses in one third of patients."( Cladribine in the treatment of advanced relapsed or refractory low and intermediate grade non-Hodgkin's lymphoma.
Boswell, W; Espina, BM; Harvey-Buchanan, LA; Khan, AU; Lee, M; Levine, AM; Nathwani, B; Schiller, G; Tulpule, A, 1998
)
3.19
"Cladribine is a purine analog with impressive activity in patients with low-grade lymphoproliferative disorders. "( Cytotoxicity of 2-chlorodeoxadenosine (cladribine, 2-cdA) in combination with other chemotherapy drugs against two lymphoma cell lines.
Hoffman, M; Lesser, M; Rai, K; Xu, JC, 1999
)
2.02
"Cladribine is an active agent in HCL-V albeit with a lower response rate than in classic HCL."( Treatment of hairy cell leukemia-variant with cladribine.
Robbins, BA; Saven, A; Tetreault, SA, 1999
)
1.28
"Cladribine is a lymphocytotoxic purine nucleoside with potential for treatment of autoimmune diseases. "( Hematological effects of intermittent 2-hour infusions of cladribine in multiple sclerosis patients: a comparison of 2 dosage patterns.
Chrapusta, SJ; Grieb, P; Hoser, G; Janisz, M; Kamienowski, J; Kawiak, J; Kuśnierczyk, P, 2001
)
2
"Cladribine (2-CdA) is a purine analogue that exhibits activity against a variety of hematological malignancies and has a potent immunosuppressive effect. "( Therapeutic potential of a reduced-intensity preparative regimen for allogeneic transplantation with cladribine, busulfan, and antithymocyte globulin against advanced/refractory acute leukemia/lymphoma.
Kami, M; Kanai, S; Kanda, Y; Kato, K; Kawano, Y; Makimoto, A; Matsubara, H; Mineishi, S; Nakai, K; Ogasawara, T; Ohnishi, T; Saito, T; Shoji, N; Takaue, Y; Tanosaki, R; Tobinai, K; Wakasugi, H, 2002
)
1.97

Effects

Cladribine has a unique pharmacokinetic/pharmacodynamic (PK/PD) profile with a short elimination half-life (~1 day) Relative to a prolonged PD effect on specific immune cells (most notably a reversible reduction in B and T lymphocyte counts).

Cladribine has been reported to have little activity in fludarabine- refractory chronic lymphocytic leukemia (CLL) It has single-drug activity in acute myeloid leukaemia (AML), and may enhance the formation of the active metabolite of cytosine arabinoside (ara-C)

ExcerptReferenceRelevance
"Cladribine has a unique pharmacokinetic/pharmacodynamic (PK/PD) profile with a short elimination half-life (~ 1 day) relative to a prolonged PD effect on specific immune cells (most notably a reversible reduction in B and T lymphocyte counts)."( Model-informed assessment of ethnic sensitivity and dosage justification for Asian populations in the global clinical development and use of cladribine tablets.
Li, D; Liu, P; Munafo, A; Terranova, N; Venkatakrishnan, K, 2022
)
1.64
"Cladribine has a significant efficacy and encouraging acute and long-term benefits when administered to patients with HCL. "( Treatment Outcomes Of Patients With Hairy Cell Leukaemia; A 16-Year Experience At A Tertiary Care Center In Pakistan.
Ahmad, U; Chaudary, QU; Iftikhar, R; Javed, H; Khan, MA; Shahbaz, N; Yousaf, M,
)
1.57
"Cladribine tablets have been approved in many countries for the treatment of patients with various forms of relapsing multiple sclerosis (MS). "( Model-informed assessment of ethnic sensitivity and dosage justification for Asian populations in the global clinical development and use of cladribine tablets.
Li, D; Liu, P; Munafo, A; Terranova, N; Venkatakrishnan, K, 2022
)
2.37
"Cladribine has a significant efficacy and encouraging acute and long-term benefits when administered to patients with HCL. "( Treatment Outcomes Of Patients With Hairy Cell Leukaemia; A 16-Year Experience At A Tertiary Care Center In Pakistan.
Ahmad, U; Chaudary, QU; Iftikhar, R; Javed, H; Khan, MA; Shahbaz, N; Yousaf, M,
)
1.57
"Cladribine has been approved for the treatment of multiple sclerosis (MS) and its administration results in a long-lasting depletion of lymphocytes. "( Immune Response to Seasonal Influenza Vaccination in Multiple Sclerosis Patients Receiving Cladribine.
Aslan, D; Hagenacker, T; He, X; Kleinschnitz, C; Kleinschnitz, K; Korsen, M; Meuth, SG; Oezalp, SH; Pawlitzki, M; Pfeuffer, S; Pul, R; Rolfes, L; Ruck, T; Skuljec, J; Su, C, 2023
)
2.57
"Cladribine has activity in AML, and an enhancing effect on other cytostatic drugs thus may help overcome resistance."( Long-term follow-up of Cladribine, high-dose Cytarabine, and Idarubicin as salvage treatment for relapsed acute myeloid leukemia and literature review.
Brossart, P; Glasmacher, A; Hahn-Ast, C; Mayer, K; Schmidt-Wolf, IGH; Schwab, K; von Lilienfeld-Toal, M, 2020
)
1.59
"Cladribine has been shown to lower relapse rates and decrease disease progression in patients with relapsing forms of multiple sclerosis (MS). "( Retinal cotton wool spot associated with cladribine therapy for multiple sclerosis.
Ahmad, B; Gummi, R; Walsh, RD, 2021
)
2.33
"Oral cladribine has been approved for the treatment of relapsing multiple sclerosis (MS) yet real-world evidence regarding its effectiveness and safety remains scarce."( Effectiveness and safety of cladribine in MS: Real-world experience from two tertiary centres.
Hackert, J; Kleinschnitz, C; Kleinschnitz, K; Klotz, L; Meuth, SG; Pfeuffer, S; Pul, R; Rolfes, L; Ruck, T; Wiendl, H, 2022
)
1.53
"Cladribine has shown efficacy at all stages of MS."( Treating the ineligible: Disease modification in people with multiple sclerosis beyond NHS England commissioning policies.
Adams, A; Allen-Philbey, K; Álvarez-González, C; Baker, D; Campion, T; De Trane, S; Espasandin, M; Giovannoni, G; Gnanapavan, S; Mao, Z; Marta, M; Mathews, J; Schmierer, K; Turner, BP; Yildiz, O, 2019
)
1.24
"Cladribine has moderate clinical efficacy in the treatment of ECD and can be considered a treatment option in cases without the BRAF V600E mutation. "( Clinical and Radiologic Responses to Cladribine for the Treatment of Erdheim-Chester Disease.
Call, TG; Go, RS; Goyal, G; Hogan, WJ; Litzow, MR; Shah, MV, 2017
)
2.17
"Cladribine has been noted to have particular activity among lymphoid disorders with few effective therapies, specifically, chronic lymphocytic leukemia, lymphoplasmacytic lymphoma, marginal zone lymphoma, and mantle cell lymphoma."( Beyond hairy cell: the activity of cladribine in other hematologic malignancies.
Miller, HJ; Saven, A; Schram, ED; Sigal, DS, 2010
)
1.36
"Cladribine has been used in the treatment of hairy cell leukemia for about 30 years. "( Immunohistochemical evaluation of cell proliferation and apoptosis markers in ovarian surface epithelial cells of cladribine-treated rats.
Chylińska-Wrzos, P; Jasiński, L; Jędrych, M; Jodłowska-Jędrych, B; Wawryk-Gawda, E, 2013
)
2.04
"Cladribine has been reported to have little activity in fludarabine- refractory chronic lymphocytic leukemia (CLL). "( A phase II study of cladribine treatment for fludarabine refractory B cell chronic lymphocytic leukemia: results from CALGB Study 9211.
Byrd, JC; Larson, RA; Peterson, B; Piro, L; Saven, A; Schiffer, C; Vardiman, JW, 2003
)
2.09
"Cladribine has single-drug activity in acute myeloid leukaemia (AML), and may enhance the formation of the active metabolite (ara-CTP) of cytosine arabinoside (ara-C). "( Increased remissions from one course for intermediate-dose cytosine arabinoside and idarubicin in elderly acute myeloid leukaemia when combined with cladribine. A randomized population-based phase II study.
Björkholm, M; Höglund, M; Juliusson, G; Karlsson, K; Löfgren, C; Möllgård, L; Paul, C; Tidefelt, U, 2003
)
1.96
"Cladribine has also proven useful in the treatment of a variety of other hematologic malignancies, and its current place in the oncologic therapeutic armamentarium, as well as in potential areas of development, are outlined."( Cladribine: from the bench to the bedside--focus on hairy cell leukemia.
Greyz, N; Saven, A, 2004
)
2.49
"Cladribine has epigenetic activity in that it inhibits DNA methylation."( The epigenetics of mantle cell lymphoma.
Epner, E; Yu, M, 2007
)
1.06
"Cladribine has shown efficacy against a variety of hematologic malignancies, notably HCL and CLL."( Cladribine for the treatment of hematologic malignancies.
Baltz, JK; Montello, MJ, 1993
)
2.45
"Cladribine has shown efficacy in phase-II studies in hairy cell leukemia [response rate (RR) = 75-100% and complete response rate (CR) = 46-92%], chronic lymphocytic leukemia (RR = 37-67% and CR = 4-39%), and lymphocytic lymphoma (RR = 43-52% and CR = 14-20%)."( Clinical and toxicological aspects of the antineoplastic drug cladribine: a review.
Guchelaar, HJ; Richel, DJ; Schaafsma, MR, 1994
)
1.25
"Cladribine has shown response rates of nearly 90% in patients with hairy cell leukemia after a single, seven-day continuous infusion. "( The role of cladribine in the treatment of lymphoid malignancies.
Hogan, DK; Nelson, MC, 1995
)
2.11
"Cladribine has high efficacy and a favorable acute and long-term toxicity profile when administered to patients with hairy cell leukemia."( Long-term follow-up of patients with hairy cell leukemia after cladribine treatment.
Burian, C; Koziol, JA; Piro, LD; Saven, A, 1998
)
1.26
"Cladribine has been known since the 1960s as an intermediate for the synthesis of 2-deoxynucleotides and its potential for the treatment of leukemia was disclosed in 1984."( Cladribine. Ortho Biotech Inc.
Filippi, M; Rovaris, M; Tortorella, C, 2001
)
2.47
"Cladribine has in the last decade emerged as the drug of choice for treating hairy cell leukaemia."( [Hairy cell leukemia treated with cladribine].
Ghanima, W; Heldal, D; Tjønnfjord, GE, 2002
)
1.32

Actions

Cladribine therapy, at lower doses than previously reported, was remarkably well tolerated in CPMS, with no significant myelosuppression. The tablets cause a reduction in lymphocytes with a predominant effect on B-cell and T-cell counts.

ExcerptReferenceRelevance
"Cladribine tablets cause a reduction in lymphocytes with a predominant effect on B-cell and T-cell counts. "( Specific Patterns of Immune Cell Dynamics May Explain the Early Onset and Prolonged Efficacy of Cladribine Tablets: A MAGNIFY-MS Substudy.
Achiron, A; Barkhof, F; Boschert, U; Chan, A; Chudecka, A; De Stefano, N; Derfuss, T; Hodgkinson, S; Holmberg, KH; Leocani, L; Montalban, X; Mwape, C; Prat, A; Roy, S; Schmierer, K; Sellebjerg, F; Vermersch, P; Wiendl, H, 2023
)
2.57
"Cladribine was found to inhibit growth of primary MC and the MC line HMC-1 in a dose-dependent manner, with lower IC(50) values recorded in HMC-1.2 cells harboring KIT D816V (IC(50): 10 ng/mL) compared to HMC-1.1 cells lacking KIT D816V (IC(50): 300 ng/mL). "( In vitro and in vivo growth-inhibitory effects of cladribine on neoplastic mast cells exhibiting the imatinib-resistant KIT mutation D816V.
Blatt, K; Böhm, A; Gleixner, KV; Herrmann, H; Pehamberger, H; Peter, B; Pickl, WF; Rabitsch, W; Schernthaner, GH; Schuch, K; Sonneck, K; Sperr, WR; Valent, P, 2010
)
2.06
"Cladribine therapy, at lower doses than previously reported, was remarkably well tolerated in CPMS, with no significant myelosuppression. "( Safety and tolerability of subcutaneous cladribine therapy in progressive multiple sclerosis.
Brandwein, J; O'Connor, P; Selby, R, 1998
)
2.01

Treatment

Oral cladribine (CLD) treats multiple sclerosis (MS) by selectively and transiently depleting B and T cells. Cladribine treated MS patients are able to produce antibodies to SARS-CoV-2 mRNA vaccine.

ExcerptReferenceRelevance
"Oral cladribine is a novel treatment for Multiple Sclerosis (MS). "( Anti-HBs titers are not decreased after treatment with oral Cladribine in patients with Multiple Sclerosis vaccinated against Hepatitis B virus.
Cola, G; Di Mauro, G; Grimaldi, A; Landi, D; Marfia, GA; Mataluni, G; Nicoletti, CG, 2022
)
1.48
"Cladribine treated MS patients are able to produce antibodies to the SARS-CoV-2 mRNA vaccine. "( Effect of cladribine on COVID-19 serology responses following two doses of the BNT162b2 mRNA vaccine in patients with multiple sclerosis.
Brill, L; Haham, N; Levin, N; Rechtman, A; Rozenberg, A; Shifrin, A; Vaknin-Dembinsky, A; Zveik, O, 2022
)
2.57
"cladribine-based treatment was initiated with satisfactory outcome."( [Erdheim-Chester disease: an aggressive systemic disease treated with cladribine with favorable outcome (a case report)].
Lahlimi, F; Lasri, N; Tazi, MI, 2022
)
1.68
"Cladribine (CLD) treats multiple sclerosis (MS) by selectively and transiently depleting B and T cells with a secondary long-term reconstruction of the immune system. "( Cytokine Secretion Dynamics of Isolated PBMC after Cladribine Exposure in RRMS Patients.
Andone, S; Balasa, R; Hutanu, A; Maier, S; Manu, D; Oiaga, M; Voidazan, S, 2022
)
2.42
"Oral cladribine treatment significantly attenuated clinical deficits in EAE mice. "( Cladribine treatment improves cortical network functionality in a mouse model of autoimmune encephalomyelitis.
Bock, S; Budde, T; Cerina, M; Dobelmann, V; Duarte-Silva, E; Fazio, L; Gothan, KSS; Gruchot, J; Henes, A; Herrmann, AM; Hundehege, P; Huntemann, N; Kremer, D; Küry, P; Meuth, SG; Müntefering, T; Narayanan, V; Nelke, C; Pfeuffer, S; Raba, K; Räuber, S; Rolfes, L; Ruck, T; Schroeter, CB; Wiendl, H, 2022
)
2.68
"Cladribine treatment discontinuation was registered in 8% of patients, mainly (69.2%) due to disease activity persistence."( Safety and Effectiveness of Cladribine in Multiple Sclerosis: Real-World Clinical Experience From 5 Tertiary Hospitals in Portugal.
Abreu, P; Brum, M; Capela, C; de Sá, J; Dias, R; Ferreira, J; Guerreiro, R; Ladeira, F; Leitão, L; Sá, MJ; Salgado, V; Santos, M; Sequeira, J,
)
1.15
"Cladribine treatment reduced significantly relapse rate and MRI activity. "( A prospective observational longitudinal study with a two-year follow-up of multiple sclerosis patients on Cladribine.
Ahmed, SF; Al-Hashel, J; AlMojel, M; Alroughani, R, 2023
)
2.57
"Cladribine is a new oral treatment for relapsing-remitting multiple sclerosis."( [Neurology 2019].
Benninger, D; Diserens, K; Hirt, L; Kuntzer, T; Michel, P; Novy, J; Pantazou, V; Pasquier, RD; Perrenoud, M; Rossetti, AO; Rouaud, O; Ryvlin, P; Theaudin, M, 2020
)
1.28
"Cladribine-treated patients with a skin AE were identified."( Skin Reactions in Patients With Multiple Sclerosis Receiving Cladribine Treatment.
Hackert, J; Kleinschnitz, C; Korsen, M; Meuth, SG; Pawlitzki, M; Pfeuffer, S; Pul, R; Rolfes, L; Ruck, T; Sondermann, W; Wiendl, H, 2021
)
1.58
"Cladribine treatment was associated with clinical stabilization, as evidenced by significantly decreased ARR and no progression of EDSS score."( Cladribine suppresses disease activity in neuromyelitis optica spectrum disorder: a 2-year follow-up study.
Papuć, E; Rejdak, K, 2021
)
2.79
"Cladribine treatment in CLARITY produced efficacy improvements that were maintained in patients treated with placebo in the Extension; in patients treated with cladribine 3.5 mg/kg in CLARITY, approximately 75% remained relapse-free when given placebo during the Extension."( Safety and efficacy of cladribine tablets in patients with relapsing-remitting multiple sclerosis: Results from the randomized extension trial of the CLARITY study.
Adeniji, AK; Comi, G; Cook, S; Dangond, F; Giovannoni, G; Rammohan, K; Rieckmann, P; Soelberg Sorensen, P; Vermersch, P, 2018
)
1.51
"Cladribine tablets treatment for 2 years followed by 2 years' placebo treatment produced durable clinical benefits similar to 4 years of cladribine treatment with a low risk of severe lymphopenia or clinical worsening. "( Safety and efficacy of cladribine tablets in patients with relapsing-remitting multiple sclerosis: Results from the randomized extension trial of the CLARITY study.
Adeniji, AK; Comi, G; Cook, S; Dangond, F; Giovannoni, G; Rammohan, K; Rieckmann, P; Soelberg Sorensen, P; Vermersch, P, 2018
)
2.23
"Cladribine treatment was well tolerated without any side effects. "( Disease activity in progressive multiple sclerosis can be effectively reduced by cladribine.
Adams, A; Allen-Philbey, K; Baker, D; Dubuisson, N; Giovannoni, G; Gnanapavan, S; Malaspina, A; Mao, Z; Schmierer, K; Yildiz, O, 2018
)
2.15
"Oral cladribine is a novel treatment for relapsing multiple sclerosis (MS). "( Potential mechanisms of action related to the efficacy and safety of cladribine.
Baker, D; Herrod, SS; Pryce, G; Schmierer, K, 2019
)
1.26
"Cladribine treatment of hairy cell leukemia (HCL) is complicated by neutropenic fever in 42% of patients despite documented infections being relatively uncommon. "( Filgrastim for cladribine-induced neutropenic fever in patients with hairy cell leukemia.
Adusumalli, J; Burian, C; Koziol, JA; Saven, A, 1999
)
2.1
"Both cladribine treatments were superior to placebo for the proportion of patients having gadolinium-enhanced T1 lesions and for the mean volume and number of such lesions (p < or = 0.003)."( Cladribine and progressive MS: clinical and MRI outcomes of a multicenter controlled trial. Cladribine MRI Study Group.
Comi, G; Filippi, M; Rice, GP, 2000
)
2.2
"Cladribine treatment induced mitochondrial transmembrane potential (DeltaPsi(m)) loss, phosphatidylserine exposure, caspase activation and development of typical apoptotic morphology in JM1 (pre-B), Jurkat (T) and U937 (promonocytic) cells."( Cladribine induces apoptosis in human leukaemia cells by caspase-dependent and -independent pathways acting on mitochondria.
Anel, A; Giraldo, P; Marzo, I; Naval, J; Pérez-Galán, P; Rubio-Félix, D, 2001
)
2.47
"Treatment with cladribine tablets (CladT), an immune reconstitution therapy for relapsing multiple sclerosis (RMS), involves two short courses of treatment in Year 1 and Year 2. "( Expert opinion on the long-term use of cladribine tablets for multiple sclerosis: Systematic literature review of real-world evidence.
Brownlee, W; Celius, EG; Centonze, D; Giovannoni, G; Havrdova, EK; Hodgkinson, S; Kleinschnitz, C; Magyari, M; Oreja-Guevara, C; Salloukh, H; Selchen, D; Van Wijmeersch, B; Vermersch, P; Wiendl, H; Yamout, B, 2023
)
1.53
"Treatment with cladribine leads to a preferential reduction in lymphocytes, resulting in profound depletion of B-cells with a rapid recovery of naïve B-cells, while T-cell show a lesser but long-lasting depletion It is approved for treatment of relapsing multiple sclerosis (MS)."( Real-world experience of cladribine treatment in relapsing-remitting multiple sclerosis: A Danish nationwide study.
Heick, A; Joensen, H; Magyari, M; Pihl, CE; Pontieri, L; Rasmussen, PV; Ratzer, R; Schäfer, J; Sellebjerg, F; Sorensen, PS, 2023
)
1.55
"Treatment with cladribine tablets is indicated in highly active relapsing-remitting multiple sclerosis (RRMS). "( Cladribine tablets for highly active relapsing-remitting multiple sclerosis in Poland: a real-world, multi-centre, retrospective, cohort study during the COVID-19 pandemic.
Adamczyk-Sowa, M; Bartosik-Psujek, H; Chorąży, M; Jamróz-Wiśniewska, A; Kurkowska-Jastrzębska, I; Kułakowska, A; Piasecka-Stryczyńska, K; Pogoda-Wesołowska, A; Puz, P; Rejdak, K; Stępień, A; Słowik, A; Tokarz-Kupczyk, E, 2023
)
2.71
"Treatment with cladribine tablets, a high-efficacy disease-modifying therapy (DMT), has been available in England since 2017 for patients with highly active relapsing multiple sclerosis (MS). "( Real-world use of cladribine tablets (completion rates and treatment persistence) in patients with multiple sclerosis in England: The CLARENCE study.
Amin, A; Ashton, L; Brownlee, W; Herbert, A, 2023
)
1.6
"Treatment with cladribine temporarily reversed the patient's neutropenia."( Neutropenia caused by hairy cell leukemia in a patient with myelofibrosis secondary to polycythemia vera: a case report.
Dahm, AEA; Dybedal, I; Habberstad, AH; Randen, U; Spetalen, S; Tjønnfjord, GE; Tran, HTT, 2018
)
0.82
"Treatment with cladribine tablets 3.5 mg/kg resulted in selective reductions in B and T lymphocytes. "( Effect of cladribine tablets on lymphocyte reduction and repopulation dynamics in patients with relapsing multiple sclerosis.
Comi, G; Cook, S; Dangond, F; Galazka, A; Giovannoni, G; Hicking, C; Nolting, A; Rieckmann, P; Sørensen, PS; Vermersch, P, 2019
)
1.27
"Treatment with cladribine (2-chlorodeoxyadenosine) produced a marked and sustained reduction in her symptoms and serum tryptase level."( Sustained improvement in urticaria pigmentosa and pruritus in a case of indolent systemic mastocytosis treated with cladribine.
Lock, AD; McNamara, CJ; Rustin, MH, 2015
)
0.97
"Treatment with cladribine (2-chlorodeoxyadenosine) was subsequently successful with radiological resolution of the CNS lesion."( Successful treatment of central nervous system juvenile xanthogranulomatosis with cladribine.
Duncan, A; Parslew, R; Pizer, BL; Rajendra, B, 2009
)
0.92
"Treatment with cladribine tablets significantly reduced relapse rates, the risk of disability progression, and MRI measures of disease activity at 96 weeks. "( A placebo-controlled trial of oral cladribine for relapsing multiple sclerosis.
Chang, P; Comi, G; Cook, S; Giovannoni, G; Greenberg, SJ; Hamlett, A; Musch, B; Rammohan, K; Rieckmann, P; Soelberg Sørensen, P; Vermersch, P, 2010
)
0.99
"Treatment with cladribine tablets significantly increased the proportion of patients with sustained freedom from disease activity over 96 weeks compared with placebo. "( Sustained disease-activity-free status in patients with relapsing-remitting multiple sclerosis treated with cladribine tablets in the CLARITY study: a post-hoc and subgroup analysis.
Cook, S; Giovannoni, G; Greenberg, S; Hamlett, A; Rammohan, K; Rieckmann, P; Sørensen, PS; Vermersch, P; Viglietta, V, 2011
)
0.93
"Treatment with cladribine resulted in a significant G1 arrest in U266 and RPMI8226 cells, but only a minor increase in the G1 phase for MM1.S cells."( Therapeutic potential of cladribine in combination with STAT3 inhibitor against multiple myeloma.
Deng, XS; Lee, CK; Liu, B; Ma, J; Wang, S; Yu, XD; Zhao, M, 2011
)
1.01
"Treatment with cladribine followed by rituximab is effective tk;4and may increase CR rate."( Phase 2 study of cladribine followed by rituximab in patients with hairy cell leukemia.
Brandt, M; Burger, J; Challagundla, P; Faderl, S; Ferrajoli, A; Jorgensen, J; Kantarjian, H; Keating, M; Koller, C; Luthra, R; O'Brien, S; Pierce, S; Ravandi, F; Thomas, D; York, S, 2011
)
1.05
"The treatment with cladribine, of younger persons and even children, appears to be a major factor stimulating the more exact recognition of its activities."( Immunohistochemical evaluation of cell proliferation and apoptosis markers in ovarian surface epithelial cells of cladribine-treated rats.
Chylińska-Wrzos, P; Jasiński, L; Jędrych, M; Jodłowska-Jędrych, B; Wawryk-Gawda, E, 2013
)
0.92
"Treatment with cladribine/mitoxantrone induced a short-lasting partial response and the patient died 6 months after diagnosis."( CD4+ CD56+ neoplasia: clinical and biological features with emphasis on cytotoxic drug-induced apoptosis and expression of sialyl Lewis X.
Chow, KU; Hoelzer, D; Kim, SZ; Kriener, S; Mitrou, PS; Schui, DK; Sterry, W; Weidmann, E; Zollner, TM, 2003
)
0.66
"Treatment with cladribine led to an impressive improvement of skin lesions, a significant decrease in tryptase serum levels and stabilization of bone marrow infiltrates."( ["Smoldering systemic mastocytosis. "Successful therapy with cladribine].
Landthaler, M; Meyer, S; Schleyer, V; Szeimies, RM, 2004
)
0.9
"Treatment with cladribine, daunorubicin and cytosine arabinoside, followed by autologous stem cell transplantation, induced complete remission of AML and hematologic remission of HCL for 22 months, when he relapsed with AML."( Concomitant hairy cell and acute myeloid leukemia.
Gratwohl, A; Rimner, T; Tichelli, A; Went, P, 2006
)
0.67
"Treatment with cladribine achieved a high overall response rate for patients with HCL and was safe even in elderly patients like ours."( [Successful use of cladribine in the treatment of an elderly woman with typical hairy cell leukemia].
Hirose, A; Ishiura, Y; Nakao, S; Okumura, H; Saito, K; Terasaki, Y; Yokawa, S, 2007
)
1.01
"Pretreatment with cladribine increases the intracellular accumulation of the active metabolite of cytarabine, cytosine arabinoside 5'-triphosphate, by 36 to 40%."( The clinical pharmacokinetics of cladribine.
Liliemark, J, 1997
)
0.9

Toxicity

Cladribine seems to be a safe and effective drug in achieving better treatment for relapsing-remitting MS (RRMS) patients. infection is the most common adverse event after cladribine treatment with a pooled prevalence of 10%. A lichenoid drug eruption is a rare side effect which can occur.

ExcerptReferenceRelevance
"Deoxyadenosine is known to be toxic to both proliferating and resting lymphocytes that lack adenosine deaminase (ADA) activity."( Profound toxicity of deoxyadenosine and 2-chlorodeoxyadenosine toward human monocytes in vitro and in vivo.
Carrera, CJ; Carson, DA; Lotz, M; Piro, LD; Yamanaka, H, 1989
)
0.28
"Deoxyadenosine has been implicated as the toxic metabolite causing profound lymphopenia in immunodeficient children with a genetic deficiency of adenosine deaminase (ADA), and in adults treated with the potent ADA inhibitor deoxycoformycin."( Mechanism of deoxyadenosine and 2-chlorodeoxyadenosine toxicity to nondividing human lymphocytes.
Carrera, CJ; Carson, DA; Kubota, M; Seto, S; Wasson, DB, 1985
)
0.27
"2-Chlorodeoxyadenosine (CdA), an adenosine-deaminase-resistant purine deoxynucleoside, is markedly toxic toward human T-lymphoblastoid cell lines in vitro and is an effective agent against L1210 leukemia in vivo."( Specific toxicity of 2-chlorodeoxyadenosine toward resting and proliferating human lymphocytes.
Carson, DA; Taetle, R; Wasson, DB; Yu, A, 1983
)
0.27
" In addition, case records from National Cancer Institute (NCI) Group C protocols were reviewed for fludarabine in chronic lymphocytic leukemia (CLL), and cladribine and pentostatin in hairy cell leukemia (HCL), as well as adverse drug reactions reported to the NCI from January 1980 through September 1993."( Neurotoxicity of purine analogs: a review.
Cheson, BD; Foss, FM; Sorensen, JM; Vena, DA, 1994
)
0.49
" Although prolonged myelosuppression would have been dose-limiting at 21 mg/m2/d for 5 days, the most important adverse effect was the development of a sensorimotor peripheral neuropathy."( Therapeutic and neurotoxic effects of 2-chlorodeoxyadenosine in adults with acute myeloid leukemia.
Foley, KM; Rosenblum, M; Vahdat, L; Warrell, RP; Wile, MJ; Wong, ET, 1994
)
0.29
" Therefore we reviewed our experience with 2-CdA in 16 HCL patients, with special attention to adverse effects."( Treatment of hairy cell leukaemia (HCL) with 2-chlorodeoxyadenosine (2-CdA): identification of parameters predictive of adverse effects.
Delmer, A; Legrand, O; Marie, JP; Vekhoff, A; Zittoun, R, 1997
)
0.3
"5 mg/kg per cycle is safe and this dose level should not be exceeded in this patient population."( Reduced dose of subcutaneous cladribine induces identical response rates but decreased toxicity in pretreated chronic lymphocytic leukaemia. Swiss Group for Clinical Cancer Research (SAKK).
Betticher, DC; Cerny, T; Fey, MF; Hess, U; Hsu Schmitz, SF; Ratschiller, D; Tichelli, A; Tobler, A; von Rohr, A; Wernli, M; Zulian, G, 1998
)
0.59
" Following an uncomplicated pregnancy, a healthy child was born at full term and careful haematological and immunological monitoring has revealed no adverse effects resulting from exposure to rituximab."( Safety of rituximab therapy during the first trimester of pregnancy: a case history.
Elinder, G; Kimby, E; Sverrisdottir, A, 2004
)
0.32
" After 24 h incubation tezacitabine was equally or less toxic compared to cladribine."( Cytotoxic effects of cladribine and tezacitabine toward HL-60.
Grieb, P; Skierski, JS; Stachnik, K, 2005
)
0.88
"These results show that while cN-I provides both protective and selective benefits to gene-modified cells in vitro, selection requires a treatment strategy that is likely too toxic to consider cN-I as an in vivo selectable marker."( Enforced expression of cytosolic 5'-nucleotidase I confers resistance to nucleoside analogues in vitro but systemic chemotherapy toxicity precludes in vivo selection.
Archer, DR; Gangadharan, B; Gray, T; Morrey, EL; Spencer, HT; Spychala, J; Sumter, TF, 2006
)
0.33
"5 million adverse drug reaction (ADR) reports for 8620 drugs/biologics that are listed for 1191 Coding Symbols for Thesaurus of Adverse Reaction (COSTAR) terms of adverse effects."( Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
Benz, RD; Contrera, JF; Kruhlak, NL; Matthews, EJ; Weaver, JL, 2004
)
0.32
" An understanding of structure-activity relationships (SARs) of chemicals can make a significant contribution to the identification of potential toxic effects early in the drug development process and aid in avoiding such problems."( Developing structure-activity relationships for the prediction of hepatotoxicity.
Fisk, L; Greene, N; Naven, RT; Note, RR; Patel, ML; Pelletier, DJ, 2010
)
0.36
" Safety assessments included monitoring for adverse events (AEs), routine physical and neurologic examinations and frequent laboratory parameter assessments."( Safety and tolerability of cladribine tablets in multiple sclerosis: the CLARITY (CLAdRIbine Tablets treating multiple sclerosis orallY) study.
Comi, G; Cook, S; Giovannoni, G; Greenberg, SJ; Hamlett, A; Miret, M; Musch, B; Rammohan, K; Rieckmann, P; Sørensen, PS; Vermersch, P; Viglietta, V; Weiner, J, 2011
)
0.67
" Only a few studies have evaluated the long-term adverse effects of purine analogs on the immune system or stem cell toxicity, and most of these are not very recent."( Purine analog toxicity in patients with hairy cell leukemia.
Tadmor, T, 2011
)
0.37
"Efficacy and adverse events of patients with refractory or relapsed AML who were treated with one course of CLAG from April 1st, 2014 through December 9th, 2015 in our hospital were retrospectively reviewed."( [Efficacy and safety analysis of the combination of cladribine, cytarabine, granulocyte colonystimulating factor (CLAG) regime in patients with refractory or relapsed acute myeloid leukemia].
Duan, MH; Feng, J; Han, X; Li, J; Tian, LP; Yang, C; Zhang, L; Zhang, M; Zhang, W; Zhang, Y; Zhou, DB, 2016
)
0.68
" Adverse event rates were generally similar between groups, but lymphopenia Grade ⩾ 3 rates were higher with cladribine than placebo (Grade 4 lymphopenia occurred infrequently)."( Safety and efficacy of cladribine tablets in patients with relapsing-remitting multiple sclerosis: Results from the randomized extension trial of the CLARITY study.
Adeniji, AK; Comi, G; Cook, S; Dangond, F; Giovannoni, G; Rammohan, K; Rieckmann, P; Soelberg Sorensen, P; Vermersch, P, 2018
)
1
" Mode of action, adverse effects, reported risks for infections and malignancies, and pregnancy related issues are discussed in the review."( Managing the side effects of multiple sclerosis therapy: pharmacotherapy options for patients.
Rommer, PS; Zettl, UK, 2018
)
0.48
" A lichenoid drug eruption is a rare side effect which can occur following the administration of several different medications, but it has never been described after treatment with oral Cladribine."( Lichenoid rash: A new side effect of oral Cladribine.
Aruta, F; Costa, C; Iodice, R; Iovino, A; Manganelli, F, 2020
)
1.01
" Serious adverse events (SAEs) and predefined SAEs of special interest were recorded."( Long-term safety data from the cladribine tablets clinical development program in multiple sclerosis.
Comi, G; Cook, S; Damian, D; Galazka, A; Giovannoni, G; Leist, T; Montalban, X; Nolting, A; Syed, S, 2020
)
0.84
"825) or occurrence of adverse events (OR=0."( Monitoring of safety and effectiveness of cladribine in multiple sclerosis patients over 50 years.
Brescia Morra, V; Carotenuto, A; Disanto, G; Gobbi, C; Moccia, M; Sacco, R; Spiezia, AL; Zecca, C, 2022
)
0.99
" Safety assessments, including occurrence of treatment-emergent adverse events (TEAEs; any adverse event reported after drug administration), serious adverse events (SAEs), and lymphocyte counts, were summarized descriptively."( Treatment satisfaction, safety, and tolerability of cladribine tablets in patients with highly active relapsing multiple sclerosis: CLARIFY-MS study 6-month interim analysis.
Alexandri, N; Brochet, B; Havrdova, EK; Hupperts, R; Keller, B; Langdon, D; Lechner-Scott, J; Montalban, X; Nolting, A; Patti, F; Piehl, F; Rejdak, K; Selmaj, K; Solari, A; Valis, M, 2022
)
0.97
" This study aims at investigating in a real-world adverse event reporting system whether S1P receptor modulators increase the risk of skin cancer reporting, compared to other DMTs."( S1P receptor modulators in Multiple Sclerosis: Detecting a potential skin cancer safety signal.
Lallas, A; Papadopoulou, A; Papazisis, G; Rigas, A; Stamatellos, VP; Stamoula, E, 2022
)
0.72
"Adverse event reports from the FDA Adverse Event Reporting System (FAERS) were extracted, cleaned, and analyzed from 2004Q1 until 2020Q4."( S1P receptor modulators in Multiple Sclerosis: Detecting a potential skin cancer safety signal.
Lallas, A; Papadopoulou, A; Papazisis, G; Rigas, A; Stamatellos, VP; Stamoula, E, 2022
)
0.72
"CLARION aims to further evaluate adverse events of special interest in patients who are newly initiating treatment with cladribine tablets for relapsing multiple sclerosis (MS)."( The CLARION study design and status update: a long-term, registry-based study evaluating adverse events of special interest in patients with relapsing multiple sclerosis newly started on cladribine tablets.
Aydemir, A; Bezemer, I; Butzkueven, H; Korhonen, P; Moore, N; Sabidó, M; Sõnajalg, J, 2022
)
1.12
"By providing further information on adverse events of special interest during long-term follow-up, CLARION will assist neurologists and patients regarding treatment decision-making for management of relapsing MS."( The CLARION study design and status update: a long-term, registry-based study evaluating adverse events of special interest in patients with relapsing multiple sclerosis newly started on cladribine tablets.
Aydemir, A; Bezemer, I; Butzkueven, H; Korhonen, P; Moore, N; Sabidó, M; Sõnajalg, J, 2022
)
0.91
" Skin-related adverse events were common in the studies focusing on safety aspects."( Real-world evidence for cladribine tablets in multiple sclerosis: further insights into efficacy and safety.
Moser, T; Sellner, J; Ziemssen, T, 2022
)
1.03
"This study provides level 4 evidence that AHSCT in patients previously treated with alemtuzumab, cladribine or rituximab is safe and efficacious."( Impact of previous disease-modifying treatment on safety and efficacy in patients with MS treated with AHSCT.
Burman, J; Bø, L; Kvistad, SAS; Lehmann, AK; Melve, GK; Tolf, A; Torkildsen, Ø; Zjukovskaja, C, 2022
)
0.94
" A higher rate of adverse events (AEs) was revealed for alemtuzumab versus all other high-efficacy DMTs; for alemtuzumab (average probability of an event: 98."( Comparative safety of high-efficacy disease-modifying therapies in relapsing-remitting multiple sclerosis: a systematic review and network meta-analysis.
Holko, P; Kawalec, P; Osiecka, O; Śladowska, K, 2022
)
0.72
"To describe the baseline characteristics of patients enrolled in the Argentina Patient Support Program (PSP) for cladribine tablets (Adveva®), with at least 1 treatment course, evaluate treatment persistence, adverse event reports from PSP patients and reported relapses characterization."( High persistence and low adverse events burden in cladribine treated MS patients from Argentina.
Assefi, A; D'Eramo, M; Etchepare, A; Grinspan, A; Iut, VC; Negrotto, L, 2022
)
1.19
" In addition, using the pharmacovigilance data, reported adverse events and the time elapsed from treatment initiation to relapse were analyzed."( High persistence and low adverse events burden in cladribine treated MS patients from Argentina.
Assefi, A; D'Eramo, M; Etchepare, A; Grinspan, A; Iut, VC; Negrotto, L, 2022
)
0.97
" During follow-up, 425 adverse events were reported, mainly MS relapse (8."( High persistence and low adverse events burden in cladribine treated MS patients from Argentina.
Assefi, A; D'Eramo, M; Etchepare, A; Grinspan, A; Iut, VC; Negrotto, L, 2022
)
0.97
" We examined the Expanded Disability Severity Scale (EDSS), the proportion of severe adverse events, and cost in a 5-year period."( Cost, efficacy, and safety comparison between early intensive and escalating strategies for multiple sclerosis: A systematic review and meta-analysis.
Apóstolos-Pereira, SL; Callegaro, D; Mahler, JV; Nascimento, RFV; Pipek, LZ; Silva, GD, 2023
)
0.91
" Sixty-two patients presented at least one side effect and globally 111 adverse events were recorded, none of them was serious."( Effectiveness and safety profile of cladribine in an Italian real-life cohort of relapsing-remitting multiple sclerosis patients: a monocentric longitudinal observational study.
Ferrè, L; Filippi, M; Martinelli, V; Meani, A; Moiola, L; Rocca, MA; Zanetta, C, 2023
)
1.19
" Our analysis showed that infection is the most common adverse event after cladribine treatment with a pooled prevalence of 10% (95%CI 4%, 18%)."( Safety and efficacy of cladribine in multiple sclerosis: a systematic review and meta-analysis.
Afrashteh, F; Mirmosayyeb, O; Mohamadi, M; Nabizadeh, F; Najdaghi, S; Rahmani, S; Rajabi, R, 2023
)
1.45
" Combination of our findings with the results of previous studies which compared cladribine to other disease-modifying therapies (DMTs), cladribine seems to be a safe and effective drug in achieving better treatment for relapsing-remitting MS (RRMS) patients."( Safety and efficacy of cladribine in multiple sclerosis: a systematic review and meta-analysis.
Afrashteh, F; Mirmosayyeb, O; Mohamadi, M; Nabizadeh, F; Najdaghi, S; Rahmani, S; Rajabi, R, 2023
)
1.45
" Most frequent adverse reactions were lymphocytopenia (55%), infections (25."( Safety and Effectiveness of Cladribine in Multiple Sclerosis: Real-World Clinical Experience From 5 Tertiary Hospitals in Portugal.
Abreu, P; Brum, M; Capela, C; de Sá, J; Dias, R; Ferreira, J; Guerreiro, R; Ladeira, F; Leitão, L; Sá, MJ; Salgado, V; Santos, M; Sequeira, J,
)
0.43
" Safety endpoints included lymphopenia, liver transaminases, and adverse events (AEs) during follow-up."( Safety and effectiveness of cladribine tablets for multiple sclerosis: Results from a single-center real-world cohort.
Aerts, S; Khan, H; Peeters, LM; Popescu, V; Severijns, D; Van Wijmeersch, B, 2023
)
1.2
"To compare adverse effects of immunotherapies for people with MS or clinically isolated syndrome (CIS), and to rank these treatments according to their relative risks of adverse effects through network meta-analyses (NMAs)."( Adverse effects of immunotherapies for multiple sclerosis: a network meta-analysis.
Benedetti, MD; Capobussi, M; Castellini, G; Featherstone, R; Filippini, G; Frau, S; Gonzalez-Lorenzo, M; Lucenteforte, E; Perduca, V; Tramacere, I; Virgili, G, 2023
)
0.91
" Our review, along with other work in the literature, confirms poor-quality reporting of adverse events from RCTs of interventions."( Adverse effects of immunotherapies for multiple sclerosis: a network meta-analysis.
Benedetti, MD; Capobussi, M; Castellini, G; Featherstone, R; Filippini, G; Frau, S; Gonzalez-Lorenzo, M; Lucenteforte, E; Perduca, V; Tramacere, I; Virgili, G, 2023
)
0.91

Pharmacokinetics

The pharmacokinetic parameters of cladribine (CdA) in patient plasma and its intracellular nucleotides were delineated in 17 patients with chronic lymphocytic leukemia, after the last dose intake and up to 72 h thereafter.

ExcerptReferenceRelevance
" The long terminal half-life of CdA after 2-h infusion supports the use of intermittent infusions."( On the pharmacokinetics of 2-chloro-2'-deoxyadenosine in humans.
Juliusson, G; Liliemark, J, 1991
)
0.28
" Early pharmacokinetic data suggest that cladribine may be administered by oral and subcutaneous routes, both of which permit convenient outpatient therapy."( Cladribine. A review of its pharmacodynamic and pharmacokinetic properties and therapeutic potential in haematological malignancies.
Bryson, HM; Sorkin, EM, 1993
)
1.99
" The terminal phase half-life in 22 patients ranged from 14."( Pharmacokinetics of cladribine (2-chlorodeoxyadenosine) in children with acute leukemia.
Blakley, RL; Crom, WR; Kearns, CM; Santana, VM, 1994
)
0.61
" Pharmacokinetic and pharmacodynamic interactions between CdA and ara-C during therapy were investigated."( Chlorodeoxyadenosine and arabinosylcytosine in patients with acute myelogenous leukemia: pharmacokinetic, pharmacodynamic, and molecular interactions.
Chucrallah, A; Estey, E; Gandhi, V; Keating, MJ; Plunkett, W, 1996
)
0.29
"The pharmacokinetic parameters of cladribine (CdA) in patient plasma and its intracellular nucleotides CdA 5'-monophosphate (CdAMP) and CdA 5'-triphosphate (CdATP) were delineated in circulating leukemia cells in 17 patients with chronic lymphocytic leukemia, after the last dose intake and up to 72 h thereafter."( Pharmacokinetics of cladribine in plasma and its 5'-monophosphate and 5'-triphosphate in leukemic cells of patients with chronic lymphocytic leukemia.
Albertioni, F; Eriksson, S; Juliusson, G; Liliemark, J; Lindemalm, S; Pettersson, B; Reichelova, V, 1998
)
0.9
" Furthermore, a method for pharmacodynamic modeling is introduced that permits a quantitative approach for the assessment of the sensitivity of tumor cells to anticancer drugs and combined treatments."( Apoptosis- and necrosis-inducing potential of cladribine, cytarabine, cisplatin, and 5-fluorouracil in vitro: a quantitative pharmacodynamic model.
Guchelaar, HJ; Haanen, C; Koopmans, RP; Reutelingsperger, CP; Vermes, I, 1998
)
0.56
" The primary aim of the study was to evaluate the population distribution of pharmacokinetic parameters in patients undergoing treatment with cladribine and to detect the influence of different covariates on the pharmacokinetic parameters."( Application of population pharmacokinetics to cladribine.
Albertioni, F; Juliusson, G; Karlsson, MO; Liliemark, J; Lindemalm, S; Savic, RM, 2005
)
0.79
"This pharmacokinetic study presents the results of a retrospective population pharmacokinetic analysis based on pooled data from 161 patients, who were given cladribine in different administration routes in various dosing regimens."( Application of population pharmacokinetics to cladribine.
Albertioni, F; Juliusson, G; Karlsson, MO; Liliemark, J; Lindemalm, S; Savic, RM, 2005
)
0.78
" The half-life for the terminal phase was 16 hours."( Application of population pharmacokinetics to cladribine.
Albertioni, F; Juliusson, G; Karlsson, MO; Liliemark, J; Lindemalm, S; Savic, RM, 2005
)
0.59
"To develop and validate a sensitive and specific HPLC assay for cladribine (CdA) in plasma for pharmacokinetic studies in rats."( Development and validation of a sensitive and specific HPLC assay of cladribine for pharmacokinetics studies in rats.
Ferguson, C; Jarrar, A; King, B; Li, ML; Yeung, PK, 2007
)
0.81
" The assay was validated for sensitivity, precision, specificity and application for pharmacokinetic study in rats."( Development and validation of a sensitive and specific HPLC assay of cladribine for pharmacokinetics studies in rats.
Ferguson, C; Jarrar, A; King, B; Li, ML; Yeung, PK, 2007
)
0.57
" The assay was used to study a single dose pharmacokinetic study of CdA in rats after a 2 mg/kg subcutaneous injection."( Development and validation of a sensitive and specific HPLC assay of cladribine for pharmacokinetics studies in rats.
Ferguson, C; Jarrar, A; King, B; Li, ML; Yeung, PK, 2007
)
0.57
"The described HPLC assay has adequate sensitivity and specificity to study pharmacokinetics of CdA in rats, and could be adapted also to clinical pharmacokinetic studies."( Development and validation of a sensitive and specific HPLC assay of cladribine for pharmacokinetics studies in rats.
Ferguson, C; Jarrar, A; King, B; Li, ML; Yeung, PK, 2007
)
0.57
" pharmacokinetic data on 670 drugs representing, to our knowledge, the largest publicly available set of human clinical pharmacokinetic data."( Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
Lombardo, F; Obach, RS; Waters, NJ, 2008
)
0.35
" Topotecan dosing based on simultaneous drug monitoring and pharmacokinetic analysis can yield more accurate and precise estimation of the topotecan systemic exposure than that attainable with the fixed dosing approach."( Topotecan exposure estimation in pediatric acute myeloid leukemia supported by LC-MS-based drug monitoring and pharmacokinetic analysis.
Adamkiewicz-Drożyńska, E; Bączek, T; Balcerska, A; Belka, M; Konieczna, L; Maciejka-Kapuścińska, L; Niedźwiecki, M; Wachowiak, J; Wiśniewski, J, 2012
)
0.38

Compound-Compound Interactions

Cladribine in combination with STAT3 inhibitor exerts a broader therapeutic potential against MM. S cells may particularly benefit from cladribine monotherapy.

ExcerptReferenceRelevance
"The influence of 2-CdA administrated alone and in combination with CY or MTX on the survival time of mice bearing L1210 leukemia was investigated."( Influence of 2-chloro-2'-deoxyadenosine alone and in combination with cyclophosphamide or methotrexate on murine leukemia L1210.
Góra-Tybor, J; Grieb, P; Robak, T; Warzocha, K, 1994
)
0.29
"The influence of 2-chlorodeoxyadenosine (2-CDA) administered alone or in combination with cyclophosphamide (CY) or methotrexate (MTX) on normal hematopoiesis in mice was investigated."( The influence of 2-chlorodeoxyadenosine alone and in combination with cyclophosphamide or methotrexate on normal hematopoiesis in mice.
Góra-Tybor, J; Robak, T, 1993
)
0.29
" Both agents were used alone and in combination with these different concentrations."( The comparison of 2-chlorodeoxyadenosine (2-Cd A) in combination with interferon alpha (IFN alpha) or interferon gamma (IFN gamma) on granulocyte-macrophage progenitor cells (CFU-GM) and clonogenic blasts in (CFU-L) in vitro cultures.
Korycka, A; Robak, T, 1996
)
0.29
" When CSA was combined with 2-CDA, no rejection was seen in 80% of the liver allografts and in 60% of heart allografts, and only mild rejection was observed in the remaining animals."( 2-Chlorodeoxyadenosine (cladribine) in combination with low-dose cyclosporin prevents rejection after allogeneic heart and liver transplantation in the rat.
Dietze, O; Fischer, M; Geisen, F; Hechenleitner, P; Klima, G; Konwalinka, G; Margreiter, R; Mark, W; Roberts, K; Schmid, T, 1998
)
0.61
" Cladribine was combined with cisplatin, daunorubicin, chlorambucil, paclitaxel or etoposide."( Cytotoxicity of 2-chlorodeoxadenosine (cladribine, 2-cdA) in combination with other chemotherapy drugs against two lymphoma cell lines.
Hoffman, M; Lesser, M; Rai, K; Xu, JC, 1999
)
1.48
"We evaluated the influence of amifostine used alone or in combination with 2-chlorodeoxyadenosine (2-CdA) on the colony growth of normal and chronic myeloid leukemia (CML) granulocyte-macrophage progenitor cells (CFU-GM) in semisolid culture in vitro."( The influence of amifostine used alone or in combination with 2-chlorodeoxyadenosine on normal and chronic myelogenous leukemia granulocyte-macrophage progenitor cells in vitro.
Korycka, A; Robak, T, 2000
)
0.31
"A phase II clinical study was performed to evaluate the effectiveness and toxicity of cladribine (2-CdA) combined with mitoxantrone (CM regimen) in the treatment of chronic myeloid leukemia in blastic phase (CML BP)."( Cladribine combined with mitoxantrone in the treatment of blastic phase of chronic myeloid leukemia.
Góra-Tybor, J; Robak, T, 2001
)
1.98
" In the second part, where the interaction between CsA and 2-CdA was examined, the animals were administered CsA at a dose of 15 mg/kg, or 2-CdA at a dose of 20 mg/kg, or CsA combined with 2-CdA at the same doses as in monotherapy."( Cytotoxic effect of cyclosporin A alone and in combination with 2-chlorodeoxyadenosine against P388 murine leukemia in vivo.
Józefowicz-Okonkwo, G; Robak, T; Szmigielska-Kapłon, A, 2002
)
0.31
" 2-CdA in combination with DOX significantly increased the percentage of annexin V-positive cells, particularly after 48 h of incubation, as compared with DOX used in monotherapy (median AI for 2-CdA+DOX=37."( Evaluation of apoptosis induced in vitro by cladribine (2-CdA) combined with anthracyclines in lymphocytes from patients with B-cell chronic lymphocytic leukemia.
Najder, M; Robak, T; Smolewski, P; Szmigielska-Kaplon, A, 2002
)
0.58
"To identify the optimal schedule for infusion of cytarabine (ara-C) given with cladribine (2-CdA) to pediatric patients with acute myeloid leukemia (AML), and to compare the effects of the two schedules on the pharmacokinetics of ara-C triphosphate (ara-CTP) in leukemic cells."( Interim comparison of a continuous infusion versus a short daily infusion of cytarabine given in combination with cladribine for pediatric acute myeloid leukemia.
Behm, FG; Crews, KR; Gandhi, V; Plunkett, W; Pui, CH; Raimondi, SC; Razzouk, BI; Ribeiro, RC; Rubnitz, JE; Srivastava, DK; Stewart, CF; Tong, X, 2002
)
0.75
"Intracellular accumulation of ara-CTP is increased when 2-CdA is given with ara-C, but no schedule-dependent differences in this effect were seen."( Interim comparison of a continuous infusion versus a short daily infusion of cytarabine given in combination with cladribine for pediatric acute myeloid leukemia.
Behm, FG; Crews, KR; Gandhi, V; Plunkett, W; Pui, CH; Raimondi, SC; Razzouk, BI; Ribeiro, RC; Rubnitz, JE; Srivastava, DK; Stewart, CF; Tong, X, 2002
)
0.53
"The aim of the study was to evaluate the activity and toxicity of cladribine (2-CdA) in combination with cyclophosphamide (CY), the CC schedule, in patients with previously untreated B-cell chronic lymphocytic leukemia (B-CLL)."( Cladribine combined with cyclophosphamide is highly effective in the treatment of chronic lymphocytic leukemia.
Błoński, JZ; Dwilewicz-Trojaczek, J; Góra-Tybor, J; Kasznicki, M; Robak, T; Stella-Hołowiecka, B; Wołowiec, D, 2002
)
1.99
" Western blot technique combined with videodensitometry was used for Bax and Bcl-2 determination in homogenate, nuclear and postnuclear fractions of mononuclear cells isolated from peripheral blood of B-CLL patients treated with cladribine alone (C), and in combination with cyclophosphamide (CC) or mitoxantrone and cyclophosphamide (CMC)."( Determination of the in vivo effects of cladribine alone and its combination with cyclophosphamide or cyclophosphamide and mitoxantrone on Bax and Bcl-2 protein expression in B-CLL cells.
Blonski, JZ; Hanausek, M; Kilianska, ZM; Kobylinska, A; Robak, T; Walaszek, Z, 2004
)
0.77
" Cladribine is highly effective as a single agent and in combination with mitoxantrone in the treatment of indolent NHL, and its availability broadens the range of therapeutic options for indolent NHL."( Treatment of indolent non-Hodgkin's lymphoma with cladribine as single-agent therapy and in combination with mitoxantrone.
Armitage, JO; Hoelzer, D; Rummel, MJ; Tobinai, K, 2004
)
1.49
"The anti-tumour in vitro activity of proteasome inhibitor bortezomib (PS-341, VELCADE) in combination with purine nucleoside analogues, cladribine (2-CdA) and fludarabine (FA) was tested in lymphocytes derived from 26 patients with B-cell chronic lymphocytic leukaemia (B-CLL)."( In vitro cytotoxic effect of proteasome inhibitor bortezomib in combination with purine nucleoside analogues on chronic lymphocytic leukaemia cells.
Cebula, B; Duechler, M; Linke, A; Robak, T; Schwarzmeier, JD; Shehata, M; Smolewski, P, 2005
)
0.53
" The observed increase was especially evident when 5 nm of bortezomib were combined with suboptimal doses of 2-CdA or FA."( In vitro cytotoxic effect of proteasome inhibitor bortezomib in combination with purine nucleoside analogues on chronic lymphocytic leukaemia cells.
Cebula, B; Duechler, M; Linke, A; Robak, T; Schwarzmeier, JD; Shehata, M; Smolewski, P, 2005
)
0.33
"In this prospective randomized trial, we compared the efficacy and toxicity of cladribine (2-CdA) alone to 2-CdA combined with cyclophosphamide (CC) or cyclophosphamide and mitoxantrone (CMC) in untreated progressive chronic lymphocytic leukemia (CLL)."( Cladribine alone and in combination with cyclophosphamide or cyclophosphamide plus mitoxantrone in the treatment of progressive chronic lymphocytic leukemia: report of a prospective, multicenter, randomized trial of the Polish Adult Leukemia Group (PALG C
Blonski, JZ; Calbecka, M; Ceglarek, B; Dmoszynska, A; Dwilewicz-Trojaczek, J; Gora-Tybor, J; Jamroziak, K; Kasznicki, M; Kloczko, J; Konopka, L; Kowal, M; Kuliczkowski, K; Robak, T; Skotnicki, AB; Stella-Holowiecka, B; Sulek, K; Tomaszewska, A; Warzocha, K; Zawilska, K, 2006
)
2
" The aim of this study was to evaluate the cytotoxicity of SDX-101 combined with agents proven to be effective as first-line treatment of B-CLL: the purine nucleoside analogs, fludarabine (FA) and cladribine (2-CdA), and the monoclonal antibodies, anti-CD52 (alemtuzumab; ALT) and anti-CD20 (rituximab; RIT)."( Cytotoxic effect of R-etodolac (SDX-101) in combination with purine analogs or monoclonal antibodies on ex vivo B-cell chronic lymphocytic leukemia cells.
Cebula, B; Linke, A; Robak, P; Robak, T; Smolewski, P, 2006
)
0.52
"S), and its therapeutic potential in combination with a specific inhibitor of the signal transducer and activator of transcription 3 (STAT3)."( Therapeutic potential of cladribine in combination with STAT3 inhibitor against multiple myeloma.
Deng, XS; Lee, CK; Liu, B; Ma, J; Wang, S; Yu, XD; Zhao, M, 2011
)
0.67
"S cells may particularly benefit from cladribine monotherapy, whereas cladribine in combination with STAT3 inhibitor exerts a broader therapeutic potential against MM."( Therapeutic potential of cladribine in combination with STAT3 inhibitor against multiple myeloma.
Deng, XS; Lee, CK; Liu, B; Ma, J; Wang, S; Yu, XD; Zhao, M, 2011
)
0.94
"Cladribine (C) and fludarabine (F) combined with cyclophosphamide/mafosfamide in vivo, as well as ex vivo trigger apoptosis in CLL cells."( In vivo and ex vivo responses of CLL cells to purine analogs combined with alkylating agent.
Borowiak, A; Błoński, JZ; Cebula-Obrzut, B; Kiliańska, ZM; Kotkowska, A; Robak, T; Rogalińska, M; Smolewski, P; Wawrzyniak, E; Żołnierczyk, JD, 2013
)
1.83
" After demonstrating the safety and feasibility in a phase I study, we conducted a phase II clinical study of CLAG (cladribine, cytarabine, granulocyte colony-stimulating factor) regimen combined with IM for patients with RR-AML."( A Phase II Study of CLAG Regimen Combined With Imatinib Mesylate for Relapsed or Refractory Acute Myeloid Leukemia.
Cubitt, C; Komrokji, RS; Lancet, JE; List, AF; Mirza, AS; Nardelli, L; Padron, E; Pinilla-Ibarz, J; Sweet, K, 2017
)
0.66
" We evaluated two new lower-intensity regimens with clofarabine (n = 119) or cladribine (n = 129) combined with low-dose cytarabine (LDAC) alternating with decitabine."( Long-term results of low-intensity chemotherapy with clofarabine or cladribine combined with low-dose cytarabine alternating with decitabine in older patients with newly diagnosed acute myeloid leukemia.
Borthakur, G; Burger, J; Daver, N; DiNardo, CD; Estrov, Z; Ferrajoli, A; Garcia-Manero, G; Huang, X; Jabbour, E; Jain, N; Kadia, TM; Kanagal-Shamanna, R; Kantarjian, H; Konopleva, M; Pemmaraju, N; Pierce, S; Popat, U; Rausch, C; Ravandi, F; Verstovsek, S; Wang, X, 2021
)
1.09
" Cladribine in monotherapy or in combination with cyclophosphamide were used for first line therapy."( Therapy of 3 patients with Erdhiem-Chester disease with cladribin or cladribin in combination with cyclophosphamide. Case report and review of the therapy.
Adam, Z; Koukalová, R; Král, Z; Krejčí, M; Pour, L; Řehák, Z; Sandecká, V; Ševčíková, S; Štork, M, 2021
)
1.53
" Furthermore, CCK-8 was used to determine the effects of HCA, alone or in combination with apoptosis inhibitors, necroptosis inhibitors, ferroptosis inhibitors, or autophagy inhibitors, on the proliferation of HL60 and THP1 cells and to screen for possible HCA-mediated death pathways in AML cells."( Homoharringtonine combined with cladribine and aclarubicin (HCA) in acute myeloid leukemia: A new regimen of conventional drugs and its mechanism.
Chen, P; Wang, D; Wang, F; Xie, M; Yang, M, 2022
)
1

Bioavailability

The oral bioavailability of cladribine is 37 to 51%, and that of subcutaneous administration is 100%. The concentration-time profile is very different from intravenous administration.

ExcerptReferenceRelevance
" The aim of the present study was to determine the bioavailability of subcutaneously (SC) and orally administered CdA, and to establish an oral dose of CdA that could supersede IV administration."( On the bioavailability of oral and subcutaneous 2-chloro-2'-deoxyadenosine in humans: alternative routes of administration.
Albertioni, F; Hassan, M; Juliusson, G; Liliemark, J, 1992
)
0.28
"The bioavailability of SC CdA was 102% +/- 28% (mean +/- SD), and the bioavailability of CdA administered in enteric-coated capsules was 19%, 24%, and 60%."( On the bioavailability of oral and subcutaneous 2-chloro-2'-deoxyadenosine in humans: alternative routes of administration.
Albertioni, F; Hassan, M; Juliusson, G; Liliemark, J, 1992
)
0.28
" Food intake did not significantly influence the bioavailability of CdA (42% after food intake vs 46% while fasting) but it did reduce the maximum plasma concentration (Cmax) by 40%; 83 compared to 116 nM while fasting."( On the bioavailability of 2-chloro-2'-deoxyadenosine (CdA). The influence of food and omeprazole.
Albertioni, F; Juliusson, G; Liliemark, J, 1993
)
0.29
"This study was designed to evaluate the absolute bioavailability (F value) of 2-chlorodeoxyadenosine (cladribine; 2-CdA) after multiple oral administrations, and the intersubject variability after oral and 2-hour intravenous (IV) administration schedules in patients with malignancy."( Pharmacokinetic study of oral and bolus intravenous 2-chlorodeoxyadenosine in patients with malignancy.
Cheung, WK; Gollard, R; Johannsen, T; Kosty, M; Miller, WE; Moyer, M; Piro, LD; Rose, E; Saven, A; Smith, I, 1996
)
0.51
"The F value of 2-CdA after oral administration was approximately 37% and there were no cumulative differences in bioavailability observed on multiple dosing of the drug."( Pharmacokinetic study of oral and bolus intravenous 2-chlorodeoxyadenosine in patients with malignancy.
Cheung, WK; Gollard, R; Johannsen, T; Kosty, M; Miller, WE; Moyer, M; Piro, LD; Rose, E; Saven, A; Smith, I, 1996
)
0.29
" We previously established that the oral bioavailability of cladribine is 50%."( Oral cladribine as primary therapy for patients with B-cell chronic lymphocytic leukemia.
Christiansen, I; Elmhorn-Rosenborg, A; Hansen, MM; Johnson, S; Juliusson, G; Kimby, E; Liliemark, J, 1996
)
1.05
" The oral bioavailability of cladribine is 37 to 51%, and that of subcutaneous administration is 100%."( The clinical pharmacokinetics of cladribine.
Liliemark, J, 1997
)
0.87
" Our pharmacokinetic studies revealed that the bioavailability of subcutaneous cladribine is complete but that the concentration-time profile is very different from intravenous administration."( Cladribine (2-CDA) given as subcutaneous bolus injections is active in pretreated Waldenström's macroglobulinaemia. Swiss Group for Clinical Cancer Research (SAKK).
Betticher, DC; Cerny, T; Egger, T; Fey, MF; Hess, U; Hsu Schmitz, SF; Pugin, P; Ratschiller, D; Stalder, M; von Rohr, A, 1997
)
1.97
" The oral bioavailability is only 50%."( Bioavailability and bacterial degradation of rectally administered 2-chloro-2'-deoxyadenosine.
Albertioni, F; Edlund, C; Juliusson, G; Liliemark, J, 1995
)
0.29
" Bioavailability was 100% and 35% for subcutaneous and oral administration, respectively, with low interindividual variability."( Application of population pharmacokinetics to cladribine.
Albertioni, F; Juliusson, G; Karlsson, MO; Liliemark, J; Lindemalm, S; Savic, RM, 2005
)
0.59
" Subcutaneous injection once daily is simple and effective due to 100% bioavailability and no local side effects from injection, and self-administration is easy."( Hairy cell leukemia: epidemiology, pharmacokinetics of cladribine, and long-term follow-up of subcutaneous therapy.
Juliusson, G; Samuelsson, H, 2011
)
0.62
" The oral bioavailability of F-ara-A from 1,2-dimyristoylglycerophosphate derivative 29 was similar to its oral bioavailability from fludarabine phosphate."( Phospholipid derivatives of cladribine and fludarabine: synthesis and biological properties.
Baranovsky, A; Bogushevich, S; Golubeva, M; Kalinichenko, E; Kulak, T; Kuzmitsky, B; Tsybulskaya, I, 2015
)
0.71
"The ATP-binding cassette transporter P-glycoprotein (P-gp) is known to limit both brain penetration and oral bioavailability of many chemotherapy drugs."( A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
Ambudkar, SV; Brimacombe, KR; Chen, L; Gottesman, MM; Guha, R; Hall, MD; Klumpp-Thomas, C; Lee, OW; Lee, TD; Lusvarghi, S; Robey, RW; Shen, M; Tebase, BG, 2019
)
0.51

Dosage Studied

Researchers concluded the recommended 2-year dosing of cladribine tablets may reduce the number and severity of relapses in people with MS for up to 5 years.

ExcerptRelevanceReference
" In addition, there was a dose-response relationship in all patients with improved cytoreduction of peripheral blast cells at higher doses of 2-CDA."( A phase I clinical trial of 2-chlorodeoxyadenosine in pediatric patients with acute leukemia.
Blakley, RL; Cherrie, J; Harwood, FC; Kalwinsky, D; Mirro, J; Santana, VM; Schell, M, 1991
)
0.28
" The enhancement of the killing efficiency of X-rays by CdA was mainly observed in the reduction of quasi-threshold doses (Dq) of the dose-response curves."( 2-Chlorodeoxyadenosine inhibits the repair of DNA double-strand breaks and does not inhibit the repair of DNA single-strand breaks in X-irradiated Chinese hamster V79 cells.
Hiraoka, W; Kuwabara, M; Matsuda, A; Sato, F; Tamura, Y; Tanabe, K; Ueda, T, 1991
)
0.28
" At an optimum dosage schedule, 2-BrdAdo and 2-CldAdo have similar therapeutic effects against L1210 in vivo, both producing over 99% cell kill, but the optimum dosage of 2-CldAdo is lower."( Effects of cytotoxicity of 2-chloro-2'-deoxyadenosine and 2-bromo-2'-deoxyadenosine on cell growth, clonogenicity, DNA synthesis, and cell cycle kinetics.
Ashmun, RA; Avery, TL; Blakley, RL; Huang, MC; Kuehl, M, 1986
)
0.27
"The mechanism of action, pharmacokinetics, efficacy, adverse effects, storage, dosage and administration, and cost of cladribine are reviewed."( Cladribine for the treatment of hematologic malignancies.
Baltz, JK; Montello, MJ, 1993
)
1.94
" Three dosage levels (4, 6, and 8 mg/m2/day) were explored, and patients were observed to determine toxicity."( A phase I study of intermittent infusion cladribine in patients with solid tumors.
Kobayashi, K; O'Brien, SM; Ratain, MJ; Schilsky, RL; Vogelzang, NJ; Vokes, EE, 1994
)
0.55
" The median Cycle-1 leukocyte nadirs for the 4, 6, and 8 mg/m2/day dosage levels were 3100, 2300, and 950 cells/microliters (range 800-3500), respectively, and the and 950 cells/microliters (range 800-3500), respectively, and the mean nadir absolute neutrophil counts were 1500, 936, and 482 cells/microliters (range 130-2241), respectively."( A phase I study of intermittent infusion cladribine in patients with solid tumors.
Kobayashi, K; O'Brien, SM; Ratain, MJ; Schilsky, RL; Vogelzang, NJ; Vokes, EE, 1994
)
0.55
"The F value of 2-CdA after oral administration was approximately 37% and there were no cumulative differences in bioavailability observed on multiple dosing of the drug."( Pharmacokinetic study of oral and bolus intravenous 2-chlorodeoxyadenosine in patients with malignancy.
Cheung, WK; Gollard, R; Johannsen, T; Kosty, M; Miller, WE; Moyer, M; Piro, LD; Rose, E; Saven, A; Smith, I, 1996
)
0.29
" With our dosing and schedule, cladribine seems relatively safe in multiple sclerosis patients."( Effect of repeated treatments with cladribine (2-chlorodeoxyadenosine) on blood counts in multiple sclerosis patients.
Grieb, P; Jakubowska, B; Nowicki, J; Ryba, M; Solski, J; Stelmasiak, Z, 1995
)
0.85
" With this agent, a dosage regimen of 25-30 mg/m2 daily over 5 days seems to be the most effective to date."( Purine analogs in chronic lymphocytic leukemia and Waldenström's macroglobulinemia.
Kantarjian, H; Keating, MJ; O'Brien, S, 1996
)
0.29
" In addition, no evidence of DNA laddering, indicative of cellular apoptosis, was detected at these dosage levels and treatment times."( 2-Chloro-2'-deoxyadenosine, an antileukemic drug, has an early effect on cellular mitochondrial function.
Hentosh, P; Tibudan, M, 1997
)
0.3
"These results demonstrate single-agent activity of cladribine in mantle-cell lymphomas using the intermittent two-hour infusion dosage regimen."( Treatment of mantle-cell lymphomas with intermittent two-hour infusion of cladribine as first-line therapy or in first relapse.
Bergmann, L; Chow, KU; Hansmann, ML; Hoelzer, D; Hossfeld, DK; Jäger, E; Meyer, A; Mitrou, PS; Peters, HD; Rummel, MJ, 1999
)
0.79
" Interestingly, it was possible to arrest and even ameliorate the progression of MS by administering as little as 30% of the dosage recently recommended for the treatment of this disease."( Cladribine treatment of a patient with hairy cell leukemia and concomitant multiple sclerosis.
Berger, T; Hilbe, W; Konwalinka, G; Thaler, J, 1999
)
1.75
" However, further studies are required to optimize the CdA schedule and dosage in order to ameliorate its toxic profile while maintaining antitumor activity."( Fludarabine and cladribine in relapsed/refractory low-grade non-Hodgkin's lymphoma: a phase II randomized study.
Balzarotti, M; Bonadonna, G; De Paoli, A; Luoni, M; Rampinelli, I; Santoro, A; Tondini, C; Valagussa, P, 2000
)
0.65
"Microphthalmia appeared first in the dose-response curve."( Exposure-disease continuum for 2-chloro-2'-deoxyadenosine, a prototype ocular teratogen. 1. Dose-response analysis.
Charlap, JH; Knudsen, TB; Lau, C; Setzer, RW; Wubah, JA, 2001
)
0.31
" The clustered dosage produced a lasting decline in granulocyte count, a delayed decrease in monocyte count, and a transient decrease in RBC count."( Hematological effects of intermittent 2-hour infusions of cladribine in multiple sclerosis patients: a comparison of 2 dosage patterns.
Chrapusta, SJ; Grieb, P; Hoser, G; Janisz, M; Kamienowski, J; Kawiak, J; Kuśnierczyk, P, 2001
)
0.55
" CsA was used for the interaction study at a dosage of 15 mg/kg, as this was best tolerated by the animals."( Cytotoxic effect of cyclosporin A alone and in combination with 2-chlorodeoxyadenosine against P388 murine leukemia in vivo.
Józefowicz-Okonkwo, G; Robak, T; Szmigielska-Kapłon, A, 2002
)
0.31
" More experience in the administration of 2-CdA to patients with renal insufficiency will be necessary to determine the need for dosage adjustment."( Pharmacokinetics of 2-chlorodeoxyadenosine in a child undergoing hemofiltration and hemodialysis for acute renal failure.
Crews, KR; Howard, SC; Hudson, JQ; Razzouk, BI; Ribeiro, RC; Wimmer, PS, 2002
)
0.31
"This pharmacokinetic study presents the results of a retrospective population pharmacokinetic analysis based on pooled data from 161 patients, who were given cladribine in different administration routes in various dosing regimens."( Application of population pharmacokinetics to cladribine.
Albertioni, F; Juliusson, G; Karlsson, MO; Liliemark, J; Lindemalm, S; Savic, RM, 2005
)
0.78
" Individualized dosing on basis of body surface area or weight does not represent an improvement in this study as compared to administering a fixed dose to all patients."( Application of population pharmacokinetics to cladribine.
Albertioni, F; Juliusson, G; Karlsson, MO; Liliemark, J; Lindemalm, S; Savic, RM, 2005
)
0.59
" Because of its simplified dosing schedule, cladribine is commonly used as the initial therapy."( Hairy cell leukemia: an elusive but treatable disease.
de Castro, C; Wanko, SO,
)
0.39
" After 1 year from first dose, cladribine dosage was repeated in four patients because of recurrence of relapses with subsequent similar positive clinical results."( Cladribine in aggressive forms of multiple sclerosis.
Cadavid, D; Cook, SD; Martinez-Rodriguez, JE; Pliner, L; Wolansky, LJ, 2007
)
2.07
" This oral formulation is administered through intermittent, once-daily dosing to treat relapsing forms of MS."( Cladribine tablets' potential in multiple: sclerosis treatment.
Costello, K; Sipe, JC, 2008
)
1.79
" Cladribine given as a single continuous intravenous seven-day infusion is the dosing schedule with the most durable complete remissions and evaluated in the greatest number of patients with HCL."( Cladribine in the treatment of hairy cell leukemia: initial and subsequent results.
Huynh, E; Saven, A; Sigal, D, 2009
)
2.71
"The MTD was not reached in Stratum 1, but a DLT occurred at the lowest cladribine dosage (9."( Combination of cladribine plus topotecan for recurrent or refractory pediatric acute myeloid leukemia.
Crews, KR; Inaba, H; Pounds, S; Pui, CH; Razzouk, BI; Ribeiro, RC; Rubnitz, JE; Stewart, CF; Yang, S, 2010
)
0.95
" This mechanism of action provides the rationale for use in relapsing-remitting multiple sclerosis (MS) in a short-course annual dosing regimen."( Cladribine tablets: a potential new short-course annual treatment for relapsing multiple sclerosis.
Sipe, JC, 2010
)
1.8
" A reduced dosage of cladribine may also be advantageous since it may be associated with reduced toxicity and may set the dose needed for combinations with antibody treatments."( Alternative methods of cladribine administration.
Cencini, E; Forconi, F; Lauria, F, 2011
)
1
" Newer methods of cladribine administration and modified dosing schedules have since been studied."( My treatment approach to hairy cell leukemia.
Naik, RR; Saven, A, 2012
)
0.71
"Individualization of the topotecan dosing can reduce inter-patient variability, toxicity, and at the same time increases chemotherapy efficacy."( Topotecan exposure estimation in pediatric acute myeloid leukemia supported by LC-MS-based drug monitoring and pharmacokinetic analysis.
Adamkiewicz-Drożyńska, E; Bączek, T; Balcerska, A; Belka, M; Konieczna, L; Maciejka-Kapuścińska, L; Niedźwiecki, M; Wachowiak, J; Wiśniewski, J, 2012
)
0.38
" Pharmacokinetic data showed that the 25 mg dosing of midostaurin achieved therapeutic levels with no significant interaction between midostaurin and ATRA."( Phase I study of cladribine, cytarabine, granulocyte colony stimulating factor (CLAG regimen) and midostaurin and all-trans retinoic acid in relapsed/refractory AML.
Abboud, CN; Cashen, A; Dipersio, JF; Fiala, M; McBride, A; Ramsingh, G; Stockerl-Goldstein, K; Uy, G; Vij, R; Westervelt, P, 2014
)
0.74
" Therefore, in study AML-BFM 2004 we aimed to improve outcome of HR-patients by adding moderately dosed 2-Chloro-2-Deoxyadenosine (2-CDA) to the respective consolidation treatment backbone without increasing toxicity."( Randomised Introduction of 2-CDA as Intensification during Consolidation for Children with High-risk AML--results from Study AML-BFM 2004.
Bourquin, JP; Creutzig, U; Dworzak, M; Fleischhack, G; Graf, N; Gruhn, B; Klingebiel, T; Kremens, B; Lehrnbecher, T; Reinhardt, D; Stray, J; von Neuhoff, C; von Stackelberg, A; Zimmermann, M, 2015
)
0.42
" The dosage was 10 mg/(m2 · d) for 4 days, and one course lasted for 28 days, the third to fifth courses of treatment used Arac in combination, the whole treating time lasted for 5 months."( [Cladribine treatment of repeatedly-relapsed Langerhans cell histiocytosis: a case report and literature review].
Qing, S; Weihong, Z; Xintian, L; Yao, X; Ying, H, 2015
)
1.33
" Expert opinion: Cladribine is well tolerated, it is dosed orally in cycles of one year, the need for regular blood testing during treatment is likely limited, and the two-year efficacy data for treatment of relapsing MS are at least in the same range as the most efficient licensed treatments."( An update on cladribine for relapsing-remitting multiple sclerosis.
Holmøy, T; Myhr, KM; Torkildsen, Ø, 2017
)
1.16
" With patient-friendly short dosing periods and a favorable adverse event profile, cladribine tablets provide a sustained and strong reduction of MS disease activity."( [Cladribine tablets : Oral immunotherapy of relapsing-remitting multiple sclerosis with short yearly treatment periods].
Aktas, O; Hartung, HP; Meuth, SG; Ruck, T, 2018
)
1.62
" Personalised dosing led to grade 1-2 lymphopenia in 50% of cases."( Treating the ineligible: Disease modification in people with multiple sclerosis beyond NHS England commissioning policies.
Adams, A; Allen-Philbey, K; Álvarez-González, C; Baker, D; Campion, T; De Trane, S; Espasandin, M; Giovannoni, G; Gnanapavan, S; Mao, Z; Marta, M; Mathews, J; Schmierer, K; Turner, BP; Yildiz, O, 2019
)
0.51
"Personalised dosing of cladribine avoided severe lymphopenia in all but one patients and was very well tolerated across a large spectrum of disease severity."( Treating the ineligible: Disease modification in people with multiple sclerosis beyond NHS England commissioning policies.
Adams, A; Allen-Philbey, K; Álvarez-González, C; Baker, D; Campion, T; De Trane, S; Espasandin, M; Giovannoni, G; Gnanapavan, S; Mao, Z; Marta, M; Mathews, J; Schmierer, K; Turner, BP; Yildiz, O, 2019
)
0.82
" Therapy of multiple sclerosis is based on the use of anti-inflammatory and immunomodulating substances, however, there are certain disadvantages associated with the constant use of these drugs and a possible change in dosage over time."( [New directions of immunocorrection in multiple sclerosis].
Boyko, AN; Evdoshenko, EP; Khachanova, NV; Melnikov, MV; Rozenson, OL; Sivertseva, SA; Spirin, NN; Vasilyev, AV, 2020
)
0.56
" However, adjustments to dosing schedules may help de-risk the chance of infection further and reduce the concerns of people with MS being treated during the COVID-19 pandemic."( The underpinning biology relating to multiple sclerosis disease modifying treatments during the COVID-19 pandemic.
Amor, S; Baker, D; Giovannoni, G; Kang, AS; Schmierer, K, 2020
)
0.56
"5 mg/kg group because this dosage is approved for relapsing forms of MS."( Subgroup analysis of clinical and MRI outcomes in participants with a first clinical demyelinating event at risk of multiple sclerosis in the ORACLE-MS study.
Bowen, JD; Cree, BAC; Damian, D; Dangond, F; Galazka, A; Grosso, M; Hartung, HP; Hughes, B; Hyvert, Y; Jones, DL; Leist, TP; Vermersch, P, 2021
)
0.62
" We develop the Synthetic Lethality Knowledge Graph (SLKG), presenting the tumor therapy landscape of synthetic lethality (SL) and synthetic dosage lethality (SDL)."( The tumor therapy landscape of synthetic lethality.
Cai, X; Chen, L; Chen, X; Liu, Q; Sun, S; Tang, C; Wei, Z; Xing, F; Yao, Y; Zhang, B; Zhang, Z; Zhou, C, 2021
)
0.62
" This results in a short dosing schedule (up to 20 days over 2 years of treatment) to sustain efficacy for at least another 2 years."( Model-informed assessment of ethnic sensitivity and dosage justification for Asian populations in the global clinical development and use of cladribine tablets.
Li, D; Liu, P; Munafo, A; Terranova, N; Venkatakrishnan, K, 2022
)
0.92
" Controlled studies are warranted to examine a view that delaying the dosing interval by 3-6 months may allow more people to potentially seroconvert after vaccination."( CD19 B cell repopulation after ocrelizumab, alemtuzumab and cladribine: Implications for SARS-CoV-2 vaccinations in multiple sclerosis.
Baker, D; Dobson, R; Giovannoni, G; Kang, AS; MacDougall, A; Schmierer, K, 2022
)
0.96
" The benefit of convenient dosing may be lost if side effects prevent people with MS from finishing their treatment."( Side effects that occurred early in people with multiple sclerosis during the first year of treatment with cladribine tablets: a plain language summary.
Aldridge, J; Dangond, F; Giovannoni, G; Jack, D; Lebson, LA; Leist, TP; Nolting, A; Oh, J; Walker, B, 2022
)
0.93
" CLAD tablets are the first oral therapy with an infrequent dosing schedule, administered in two annual treatment courses, each divided into two treatment cycles comprising 4-5 days of treatment."( Real-world evidence for cladribine tablets in multiple sclerosis: further insights into efficacy and safety.
Moser, T; Sellner, J; Ziemssen, T, 2022
)
1.03
"Researchers concluded the recommended 2-year dosing of cladribine tablets may reduce the number and severity of relapses in people with MS for up to 5 years."( Relapses in people with multiple sclerosis treated with cladribine tablets followed for up to 5 years: a plain language summary.
Alexandri, N; Coyle, PK; Dangond, F; Galazka, A; Giovannoni, G; Leist, TP; Rammohan, K; Sormani, MP; Stefano, N, 2022
)
1.21
"Although most newborns are healthy, reinforced councelling on effective contraception 6 months after the last cladribine dosing is necessary."( Cladribine and pregnancy in women with multiple sclerosis: The first cohort study.
Ciplea, AI; Dost-Kovalsky, K; Gold, R; Hellwig, K; Thiel, S, 2023
)
2.56
" The full treatment dosage of cladribine tablets is completed over two years and so these results may be conservative."( Comparative effectiveness of cladribine tablets versus fingolimod in the treatment of highly active multiple sclerosis: A real-world study.
Brownlee, WJ; Duncan, J; Haghikia, A; Harty, GT; Hayward, B; Kayaniyil, S; Khan, Z; Millar, S; Waser, N, 2023
)
1.49
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Roles (2)

RoleDescription
antineoplastic agentA substance that inhibits or prevents the proliferation of neoplasms.
immunosuppressive agentAn agent that suppresses immune function by one of several mechanisms of action. Classical cytotoxic immunosuppressants act by inhibiting DNA synthesis. Others may act through activation of T-cells or by inhibiting the activation of helper cells. In addition, an immunosuppressive agent is a role played by a compound which is exhibited by a capability to diminish the extent and/or voracity of an immune response.
[role information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Drug Classes (2)

ClassDescription
purine 2'-deoxyribonucleosideA 2'-deoxyribonucleoside that has a purine moiety as the nucleobase (the R group in the illustration).
organochlorine compoundAn organochlorine compound is a compound containing at least one carbon-chlorine bond.
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Protein Targets (54)

Potency Measurements

ProteinTaxonomyMeasurementAverage (µ)Min (ref.)Avg (ref.)Max (ref.)Bioassay(s)
glp-1 receptor, partialHomo sapiens (human)Potency12.58930.01846.806014.1254AID624417
Fumarate hydrataseHomo sapiens (human)Potency37.22120.00308.794948.0869AID1347053
TDP1 proteinHomo sapiens (human)Potency0.07060.000811.382244.6684AID686978; AID686979
GLI family zinc finger 3Homo sapiens (human)Potency0.57360.000714.592883.7951AID1259369; AID1259392
AR proteinHomo sapiens (human)Potency28.18380.000221.22318,912.5098AID588515
Smad3Homo sapiens (human)Potency35.48130.00527.809829.0929AID588855
nuclear receptor subfamily 1, group I, member 3Homo sapiens (human)Potency0.12110.001022.650876.6163AID1224838; AID1224893
EWS/FLI fusion proteinHomo sapiens (human)Potency0.31870.001310.157742.8575AID1259252; AID1259253; AID1259255; AID1259256
retinoic acid nuclear receptor alpha variant 1Homo sapiens (human)Potency4.02170.003041.611522,387.1992AID1159552; AID1159555
retinoid X nuclear receptor alphaHomo sapiens (human)Potency6.78470.000817.505159.3239AID1159527; AID1159531
estrogen-related nuclear receptor alphaHomo sapiens (human)Potency33.23780.001530.607315,848.9004AID1224841; AID1224842; AID1224848; AID1224849; AID1259401; AID1259403
farnesoid X nuclear receptorHomo sapiens (human)Potency0.86500.375827.485161.6524AID743217
pregnane X nuclear receptorHomo sapiens (human)Potency4.39510.005428.02631,258.9301AID1346982; AID720659
estrogen nuclear receptor alphaHomo sapiens (human)Potency11.51240.000229.305416,493.5996AID743069; AID743075; AID743078; AID743079
GVesicular stomatitis virusPotency26.83700.01238.964839.8107AID1645842
polyproteinZika virusPotency37.22120.00308.794948.0869AID1347053
67.9K proteinVaccinia virusPotency8.50700.00018.4406100.0000AID720579; AID720580
peroxisome proliferator-activated receptor deltaHomo sapiens (human)Potency15.89770.001024.504861.6448AID588535; AID743212
IDH1Homo sapiens (human)Potency0.36630.005210.865235.4813AID686970
Histone H2A.xCricetulus griseus (Chinese hamster)Potency17.04590.039147.5451146.8240AID1224845; AID1224896
cellular tumor antigen p53 isoform aHomo sapiens (human)Potency18.85410.316212.443531.6228AID902; AID924
nuclear factor erythroid 2-related factor 2 isoform 2Homo sapiens (human)Potency2.90890.00419.984825.9290AID504444; AID720524
thyroid hormone receptor beta isoform 2Rattus norvegicus (Norway rat)Potency0.17650.000323.4451159.6830AID743065; AID743067
huntingtin isoform 2Homo sapiens (human)Potency4.46680.000618.41981,122.0200AID1688
tyrosine-protein kinase YesHomo sapiens (human)Potency79.25860.00005.018279.2586AID686947
nuclear factor erythroid 2-related factor 2 isoform 1Homo sapiens (human)Potency0.02170.000627.21521,122.0200AID651741
urokinase-type plasminogen activator precursorMus musculus (house mouse)Potency0.31620.15855.287912.5893AID540303
plasminogen precursorMus musculus (house mouse)Potency0.31620.15855.287912.5893AID540303
urokinase plasminogen activator surface receptor precursorMus musculus (house mouse)Potency0.31620.15855.287912.5893AID540303
nuclear receptor ROR-gamma isoform 1Mus musculus (house mouse)Potency19.95260.00798.23321,122.0200AID2551
gemininHomo sapiens (human)Potency0.90480.004611.374133.4983AID624296; AID624297
survival motor neuron protein isoform dHomo sapiens (human)Potency7.61110.125912.234435.4813AID1458
muscleblind-like protein 1 isoform 1Homo sapiens (human)Potency0.12590.00419.962528.1838AID2675
relaxin receptor 1 isoform 1Homo sapiens (human)Potency19.11800.038814.350143.6206AID2676
lamin isoform A-delta10Homo sapiens (human)Potency0.51740.891312.067628.1838AID1487
Interferon betaHomo sapiens (human)Potency26.83700.00339.158239.8107AID1645842
HLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)Potency26.83700.01238.964839.8107AID1645842
Cellular tumor antigen p53Homo sapiens (human)Potency0.59680.002319.595674.0614AID651631; AID651743; AID720552
Integrin beta-3Homo sapiens (human)Potency25.11890.316211.415731.6228AID924
Integrin alpha-IIbHomo sapiens (human)Potency25.11890.316211.415731.6228AID924
Rap guanine nucleotide exchange factor 4Homo sapiens (human)Potency39.81073.981146.7448112.2020AID720708
Inositol hexakisphosphate kinase 1Homo sapiens (human)Potency26.83700.01238.964839.8107AID1645842
ATPase family AAA domain-containing protein 5Homo sapiens (human)Potency9.43920.011917.942071.5630AID651632
Ataxin-2Homo sapiens (human)Potency9.43920.011912.222168.7989AID651632
cytochrome P450 2C9, partialHomo sapiens (human)Potency26.83700.01238.964839.8107AID1645842
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Inhibition Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
cGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)IC50 (µMol)10.00000.00001.77679.2000AID1368375
ATP-binding cassette sub-family C member 3Homo sapiens (human)IC50 (µMol)133.00000.63154.45319.3000AID1473740
Multidrug resistance-associated protein 4Homo sapiens (human)IC50 (µMol)133.00000.20005.677410.0000AID1473741
Bile salt export pumpHomo sapiens (human)IC50 (µMol)133.00000.11007.190310.0000AID1473738
Adenosine receptor A3Rattus norvegicus (Norway rat)Ki207.00000.00030.91969.0000AID33337
Canalicular multispecific organic anion transporter 1Homo sapiens (human)IC50 (µMol)133.00002.41006.343310.0000AID1473739
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Activation Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Chain A, BCL-2-RELATED PROTEIN A1Homo sapiens (human)EC50 (µMol)350.00008.0570121.1218338.0000AID2765
bcl-2-like protein 11 isoform 1Homo sapiens (human)EC50 (µMol)350.00008.0570121.1218338.0000AID2765
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Other Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Deoxycytidine kinaseHomo sapiens (human)Km41.55000.40003.57908.5000AID344442; AID344443
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Biological Processes (327)

Processvia Protein(s)Taxonomy
heart valve developmentcGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
ventricular septum developmentcGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
aorta developmentcGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
negative regulation of transcription by RNA polymerase IIcGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
adenylate cyclase-inhibiting G protein-coupled receptor signaling pathwaycGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
regulation of cGMP-mediated signalingcGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
cAMP-mediated signalingcGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
cGMP-mediated signalingcGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
cellular response to macrophage colony-stimulating factor stimuluscGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
negative regulation of vascular permeabilitycGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
positive regulation of vascular permeabilitycGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
regulation of cAMP-mediated signalingcGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
cGMP catabolic processcGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
positive regulation of inflammatory responsecGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
establishment of endothelial barriercGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
cellular response to mechanical stimuluscGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
cellular response to cAMPcGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
cellular response to cGMPcGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
cellular response to transforming growth factor beta stimuluscGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
negative regulation of adenylate cyclase-activating G protein-coupled receptor signaling pathwaycGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
cellular response to 2,3,7,8-tetrachlorodibenzodioxinecGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
positive regulation of gene expressioncGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
negative regulation of cGMP-mediated signalingcGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
negative regulation of cAMP-mediated signalingcGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
regulation of mitochondrion organizationcGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
xenobiotic metabolic processATP-binding cassette sub-family C member 3Homo sapiens (human)
xenobiotic transmembrane transportATP-binding cassette sub-family C member 3Homo sapiens (human)
bile acid and bile salt transportATP-binding cassette sub-family C member 3Homo sapiens (human)
glucuronoside transportATP-binding cassette sub-family C member 3Homo sapiens (human)
xenobiotic transportATP-binding cassette sub-family C member 3Homo sapiens (human)
transmembrane transportATP-binding cassette sub-family C member 3Homo sapiens (human)
leukotriene transportATP-binding cassette sub-family C member 3Homo sapiens (human)
monoatomic anion transmembrane transportATP-binding cassette sub-family C member 3Homo sapiens (human)
transport across blood-brain barrierATP-binding cassette sub-family C member 3Homo sapiens (human)
prostaglandin secretionMultidrug resistance-associated protein 4Homo sapiens (human)
cilium assemblyMultidrug resistance-associated protein 4Homo sapiens (human)
platelet degranulationMultidrug resistance-associated protein 4Homo sapiens (human)
xenobiotic metabolic processMultidrug resistance-associated protein 4Homo sapiens (human)
xenobiotic transmembrane transportMultidrug resistance-associated protein 4Homo sapiens (human)
bile acid and bile salt transportMultidrug resistance-associated protein 4Homo sapiens (human)
prostaglandin transportMultidrug resistance-associated protein 4Homo sapiens (human)
urate transportMultidrug resistance-associated protein 4Homo sapiens (human)
glutathione transmembrane transportMultidrug resistance-associated protein 4Homo sapiens (human)
transmembrane transportMultidrug resistance-associated protein 4Homo sapiens (human)
cAMP transportMultidrug resistance-associated protein 4Homo sapiens (human)
leukotriene transportMultidrug resistance-associated protein 4Homo sapiens (human)
monoatomic anion transmembrane transportMultidrug resistance-associated protein 4Homo sapiens (human)
export across plasma membraneMultidrug resistance-associated protein 4Homo sapiens (human)
transport across blood-brain barrierMultidrug resistance-associated protein 4Homo sapiens (human)
guanine nucleotide transmembrane transportMultidrug resistance-associated protein 4Homo sapiens (human)
fatty acid metabolic processBile salt export pumpHomo sapiens (human)
bile acid biosynthetic processBile salt export pumpHomo sapiens (human)
xenobiotic metabolic processBile salt export pumpHomo sapiens (human)
xenobiotic transmembrane transportBile salt export pumpHomo sapiens (human)
response to oxidative stressBile salt export pumpHomo sapiens (human)
bile acid metabolic processBile salt export pumpHomo sapiens (human)
response to organic cyclic compoundBile salt export pumpHomo sapiens (human)
bile acid and bile salt transportBile salt export pumpHomo sapiens (human)
canalicular bile acid transportBile salt export pumpHomo sapiens (human)
protein ubiquitinationBile salt export pumpHomo sapiens (human)
regulation of fatty acid beta-oxidationBile salt export pumpHomo sapiens (human)
carbohydrate transmembrane transportBile salt export pumpHomo sapiens (human)
bile acid signaling pathwayBile salt export pumpHomo sapiens (human)
cholesterol homeostasisBile salt export pumpHomo sapiens (human)
response to estrogenBile salt export pumpHomo sapiens (human)
response to ethanolBile salt export pumpHomo sapiens (human)
xenobiotic export from cellBile salt export pumpHomo sapiens (human)
lipid homeostasisBile salt export pumpHomo sapiens (human)
phospholipid homeostasisBile salt export pumpHomo sapiens (human)
positive regulation of bile acid secretionBile salt export pumpHomo sapiens (human)
regulation of bile acid metabolic processBile salt export pumpHomo sapiens (human)
transmembrane transportBile salt export pumpHomo sapiens (human)
cell surface receptor signaling pathway via JAK-STATInterferon betaHomo sapiens (human)
response to exogenous dsRNAInterferon betaHomo sapiens (human)
B cell activation involved in immune responseInterferon betaHomo sapiens (human)
cell surface receptor signaling pathwayInterferon betaHomo sapiens (human)
cell surface receptor signaling pathway via JAK-STATInterferon betaHomo sapiens (human)
response to virusInterferon betaHomo sapiens (human)
positive regulation of autophagyInterferon betaHomo sapiens (human)
cytokine-mediated signaling pathwayInterferon betaHomo sapiens (human)
natural killer cell activationInterferon betaHomo sapiens (human)
positive regulation of peptidyl-serine phosphorylation of STAT proteinInterferon betaHomo sapiens (human)
cellular response to interferon-betaInterferon betaHomo sapiens (human)
B cell proliferationInterferon betaHomo sapiens (human)
negative regulation of viral genome replicationInterferon betaHomo sapiens (human)
innate immune responseInterferon betaHomo sapiens (human)
positive regulation of innate immune responseInterferon betaHomo sapiens (human)
regulation of MHC class I biosynthetic processInterferon betaHomo sapiens (human)
negative regulation of T cell differentiationInterferon betaHomo sapiens (human)
positive regulation of transcription by RNA polymerase IIInterferon betaHomo sapiens (human)
defense response to virusInterferon betaHomo sapiens (human)
type I interferon-mediated signaling pathwayInterferon betaHomo sapiens (human)
neuron cellular homeostasisInterferon betaHomo sapiens (human)
cellular response to exogenous dsRNAInterferon betaHomo sapiens (human)
cellular response to virusInterferon betaHomo sapiens (human)
negative regulation of Lewy body formationInterferon betaHomo sapiens (human)
negative regulation of T-helper 2 cell cytokine productionInterferon betaHomo sapiens (human)
positive regulation of apoptotic signaling pathwayInterferon betaHomo sapiens (human)
response to exogenous dsRNAInterferon betaHomo sapiens (human)
B cell differentiationInterferon betaHomo sapiens (human)
natural killer cell activation involved in immune responseInterferon betaHomo sapiens (human)
adaptive immune responseInterferon betaHomo sapiens (human)
T cell activation involved in immune responseInterferon betaHomo sapiens (human)
humoral immune responseInterferon betaHomo sapiens (human)
positive regulation of T cell mediated cytotoxicityHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
adaptive immune responseHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
antigen processing and presentation of endogenous peptide antigen via MHC class I via ER pathway, TAP-independentHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
regulation of T cell anergyHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
defense responseHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
immune responseHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
detection of bacteriumHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
regulation of interleukin-12 productionHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
regulation of interleukin-6 productionHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
protection from natural killer cell mediated cytotoxicityHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
innate immune responseHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
regulation of dendritic cell differentiationHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
antigen processing and presentation of endogenous peptide antigen via MHC class IbHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
negative regulation of cell population proliferationCellular tumor antigen p53Homo sapiens (human)
regulation of cell cycleCellular tumor antigen p53Homo sapiens (human)
regulation of cell cycle G2/M phase transitionCellular tumor antigen p53Homo sapiens (human)
DNA damage responseCellular tumor antigen p53Homo sapiens (human)
ER overload responseCellular tumor antigen p53Homo sapiens (human)
cellular response to glucose starvationCellular tumor antigen p53Homo sapiens (human)
intrinsic apoptotic signaling pathway in response to DNA damage by p53 class mediatorCellular tumor antigen p53Homo sapiens (human)
regulation of apoptotic processCellular tumor antigen p53Homo sapiens (human)
positive regulation of transcription by RNA polymerase IICellular tumor antigen p53Homo sapiens (human)
positive regulation of miRNA transcriptionCellular tumor antigen p53Homo sapiens (human)
negative regulation of transcription by RNA polymerase IICellular tumor antigen p53Homo sapiens (human)
mitophagyCellular tumor antigen p53Homo sapiens (human)
in utero embryonic developmentCellular tumor antigen p53Homo sapiens (human)
somitogenesisCellular tumor antigen p53Homo sapiens (human)
release of cytochrome c from mitochondriaCellular tumor antigen p53Homo sapiens (human)
hematopoietic progenitor cell differentiationCellular tumor antigen p53Homo sapiens (human)
T cell proliferation involved in immune responseCellular tumor antigen p53Homo sapiens (human)
B cell lineage commitmentCellular tumor antigen p53Homo sapiens (human)
T cell lineage commitmentCellular tumor antigen p53Homo sapiens (human)
response to ischemiaCellular tumor antigen p53Homo sapiens (human)
nucleotide-excision repairCellular tumor antigen p53Homo sapiens (human)
double-strand break repairCellular tumor antigen p53Homo sapiens (human)
regulation of DNA-templated transcriptionCellular tumor antigen p53Homo sapiens (human)
regulation of transcription by RNA polymerase IICellular tumor antigen p53Homo sapiens (human)
protein import into nucleusCellular tumor antigen p53Homo sapiens (human)
autophagyCellular tumor antigen p53Homo sapiens (human)
DNA damage responseCellular tumor antigen p53Homo sapiens (human)
DNA damage response, signal transduction by p53 class mediator resulting in cell cycle arrestCellular tumor antigen p53Homo sapiens (human)
DNA damage response, signal transduction by p53 class mediator resulting in transcription of p21 class mediatorCellular tumor antigen p53Homo sapiens (human)
transforming growth factor beta receptor signaling pathwayCellular tumor antigen p53Homo sapiens (human)
Ras protein signal transductionCellular tumor antigen p53Homo sapiens (human)
gastrulationCellular tumor antigen p53Homo sapiens (human)
neuroblast proliferationCellular tumor antigen p53Homo sapiens (human)
negative regulation of neuroblast proliferationCellular tumor antigen p53Homo sapiens (human)
protein localizationCellular tumor antigen p53Homo sapiens (human)
negative regulation of DNA replicationCellular tumor antigen p53Homo sapiens (human)
negative regulation of cell population proliferationCellular tumor antigen p53Homo sapiens (human)
determination of adult lifespanCellular tumor antigen p53Homo sapiens (human)
mRNA transcriptionCellular tumor antigen p53Homo sapiens (human)
rRNA transcriptionCellular tumor antigen p53Homo sapiens (human)
response to salt stressCellular tumor antigen p53Homo sapiens (human)
response to inorganic substanceCellular tumor antigen p53Homo sapiens (human)
response to X-rayCellular tumor antigen p53Homo sapiens (human)
response to gamma radiationCellular tumor antigen p53Homo sapiens (human)
positive regulation of gene expressionCellular tumor antigen p53Homo sapiens (human)
cardiac muscle cell apoptotic processCellular tumor antigen p53Homo sapiens (human)
positive regulation of cardiac muscle cell apoptotic processCellular tumor antigen p53Homo sapiens (human)
glial cell proliferationCellular tumor antigen p53Homo sapiens (human)
viral processCellular tumor antigen p53Homo sapiens (human)
glucose catabolic process to lactate via pyruvateCellular tumor antigen p53Homo sapiens (human)
cerebellum developmentCellular tumor antigen p53Homo sapiens (human)
negative regulation of cell growthCellular tumor antigen p53Homo sapiens (human)
DNA damage response, signal transduction by p53 class mediatorCellular tumor antigen p53Homo sapiens (human)
negative regulation of transforming growth factor beta receptor signaling pathwayCellular tumor antigen p53Homo sapiens (human)
mitotic G1 DNA damage checkpoint signalingCellular tumor antigen p53Homo sapiens (human)
negative regulation of telomere maintenance via telomeraseCellular tumor antigen p53Homo sapiens (human)
T cell differentiation in thymusCellular tumor antigen p53Homo sapiens (human)
tumor necrosis factor-mediated signaling pathwayCellular tumor antigen p53Homo sapiens (human)
regulation of tissue remodelingCellular tumor antigen p53Homo sapiens (human)
cellular response to UVCellular tumor antigen p53Homo sapiens (human)
multicellular organism growthCellular tumor antigen p53Homo sapiens (human)
positive regulation of mitochondrial membrane permeabilityCellular tumor antigen p53Homo sapiens (human)
cellular response to glucose starvationCellular tumor antigen p53Homo sapiens (human)
intrinsic apoptotic signaling pathway in response to DNA damage by p53 class mediatorCellular tumor antigen p53Homo sapiens (human)
positive regulation of apoptotic processCellular tumor antigen p53Homo sapiens (human)
negative regulation of apoptotic processCellular tumor antigen p53Homo sapiens (human)
entrainment of circadian clock by photoperiodCellular tumor antigen p53Homo sapiens (human)
mitochondrial DNA repairCellular tumor antigen p53Homo sapiens (human)
regulation of DNA damage response, signal transduction by p53 class mediatorCellular tumor antigen p53Homo sapiens (human)
positive regulation of neuron apoptotic processCellular tumor antigen p53Homo sapiens (human)
transcription initiation-coupled chromatin remodelingCellular tumor antigen p53Homo sapiens (human)
negative regulation of proteolysisCellular tumor antigen p53Homo sapiens (human)
negative regulation of DNA-templated transcriptionCellular tumor antigen p53Homo sapiens (human)
positive regulation of DNA-templated transcriptionCellular tumor antigen p53Homo sapiens (human)
positive regulation of RNA polymerase II transcription preinitiation complex assemblyCellular tumor antigen p53Homo sapiens (human)
positive regulation of transcription by RNA polymerase IICellular tumor antigen p53Homo sapiens (human)
response to antibioticCellular tumor antigen p53Homo sapiens (human)
fibroblast proliferationCellular tumor antigen p53Homo sapiens (human)
negative regulation of fibroblast proliferationCellular tumor antigen p53Homo sapiens (human)
circadian behaviorCellular tumor antigen p53Homo sapiens (human)
bone marrow developmentCellular tumor antigen p53Homo sapiens (human)
embryonic organ developmentCellular tumor antigen p53Homo sapiens (human)
positive regulation of peptidyl-tyrosine phosphorylationCellular tumor antigen p53Homo sapiens (human)
protein stabilizationCellular tumor antigen p53Homo sapiens (human)
negative regulation of helicase activityCellular tumor antigen p53Homo sapiens (human)
protein tetramerizationCellular tumor antigen p53Homo sapiens (human)
chromosome organizationCellular tumor antigen p53Homo sapiens (human)
neuron apoptotic processCellular tumor antigen p53Homo sapiens (human)
regulation of cell cycleCellular tumor antigen p53Homo sapiens (human)
hematopoietic stem cell differentiationCellular tumor antigen p53Homo sapiens (human)
negative regulation of glial cell proliferationCellular tumor antigen p53Homo sapiens (human)
type II interferon-mediated signaling pathwayCellular tumor antigen p53Homo sapiens (human)
cardiac septum morphogenesisCellular tumor antigen p53Homo sapiens (human)
positive regulation of programmed necrotic cell deathCellular tumor antigen p53Homo sapiens (human)
protein-containing complex assemblyCellular tumor antigen p53Homo sapiens (human)
intrinsic apoptotic signaling pathway in response to endoplasmic reticulum stressCellular tumor antigen p53Homo sapiens (human)
thymocyte apoptotic processCellular tumor antigen p53Homo sapiens (human)
positive regulation of thymocyte apoptotic processCellular tumor antigen p53Homo sapiens (human)
necroptotic processCellular tumor antigen p53Homo sapiens (human)
cellular response to hypoxiaCellular tumor antigen p53Homo sapiens (human)
cellular response to xenobiotic stimulusCellular tumor antigen p53Homo sapiens (human)
cellular response to ionizing radiationCellular tumor antigen p53Homo sapiens (human)
cellular response to gamma radiationCellular tumor antigen p53Homo sapiens (human)
cellular response to UV-CCellular tumor antigen p53Homo sapiens (human)
stem cell proliferationCellular tumor antigen p53Homo sapiens (human)
signal transduction by p53 class mediatorCellular tumor antigen p53Homo sapiens (human)
intrinsic apoptotic signaling pathway by p53 class mediatorCellular tumor antigen p53Homo sapiens (human)
reactive oxygen species metabolic processCellular tumor antigen p53Homo sapiens (human)
cellular response to actinomycin DCellular tumor antigen p53Homo sapiens (human)
positive regulation of release of cytochrome c from mitochondriaCellular tumor antigen p53Homo sapiens (human)
cellular senescenceCellular tumor antigen p53Homo sapiens (human)
replicative senescenceCellular tumor antigen p53Homo sapiens (human)
oxidative stress-induced premature senescenceCellular tumor antigen p53Homo sapiens (human)
intrinsic apoptotic signaling pathwayCellular tumor antigen p53Homo sapiens (human)
oligodendrocyte apoptotic processCellular tumor antigen p53Homo sapiens (human)
positive regulation of execution phase of apoptosisCellular tumor antigen p53Homo sapiens (human)
negative regulation of mitophagyCellular tumor antigen p53Homo sapiens (human)
regulation of mitochondrial membrane permeability involved in apoptotic processCellular tumor antigen p53Homo sapiens (human)
regulation of intrinsic apoptotic signaling pathway by p53 class mediatorCellular tumor antigen p53Homo sapiens (human)
positive regulation of miRNA transcriptionCellular tumor antigen p53Homo sapiens (human)
negative regulation of G1 to G0 transitionCellular tumor antigen p53Homo sapiens (human)
negative regulation of miRNA processingCellular tumor antigen p53Homo sapiens (human)
negative regulation of glucose catabolic process to lactate via pyruvateCellular tumor antigen p53Homo sapiens (human)
negative regulation of pentose-phosphate shuntCellular tumor antigen p53Homo sapiens (human)
intrinsic apoptotic signaling pathway in response to hypoxiaCellular tumor antigen p53Homo sapiens (human)
regulation of fibroblast apoptotic processCellular tumor antigen p53Homo sapiens (human)
negative regulation of reactive oxygen species metabolic processCellular tumor antigen p53Homo sapiens (human)
positive regulation of reactive oxygen species metabolic processCellular tumor antigen p53Homo sapiens (human)
negative regulation of stem cell proliferationCellular tumor antigen p53Homo sapiens (human)
positive regulation of cellular senescenceCellular tumor antigen p53Homo sapiens (human)
positive regulation of intrinsic apoptotic signaling pathwayCellular tumor antigen p53Homo sapiens (human)
negative regulation of low-density lipoprotein receptor activityIntegrin beta-3Homo sapiens (human)
positive regulation of protein phosphorylationIntegrin beta-3Homo sapiens (human)
positive regulation of endothelial cell proliferationIntegrin beta-3Homo sapiens (human)
positive regulation of cell-matrix adhesionIntegrin beta-3Homo sapiens (human)
cell-substrate junction assemblyIntegrin beta-3Homo sapiens (human)
cell adhesionIntegrin beta-3Homo sapiens (human)
cell-matrix adhesionIntegrin beta-3Homo sapiens (human)
integrin-mediated signaling pathwayIntegrin beta-3Homo sapiens (human)
embryo implantationIntegrin beta-3Homo sapiens (human)
blood coagulationIntegrin beta-3Homo sapiens (human)
positive regulation of endothelial cell migrationIntegrin beta-3Homo sapiens (human)
positive regulation of gene expressionIntegrin beta-3Homo sapiens (human)
negative regulation of macrophage derived foam cell differentiationIntegrin beta-3Homo sapiens (human)
positive regulation of fibroblast migrationIntegrin beta-3Homo sapiens (human)
negative regulation of lipid storageIntegrin beta-3Homo sapiens (human)
response to activityIntegrin beta-3Homo sapiens (human)
smooth muscle cell migrationIntegrin beta-3Homo sapiens (human)
positive regulation of smooth muscle cell migrationIntegrin beta-3Homo sapiens (human)
platelet activationIntegrin beta-3Homo sapiens (human)
positive regulation of vascular endothelial growth factor receptor signaling pathwayIntegrin beta-3Homo sapiens (human)
cell-substrate adhesionIntegrin beta-3Homo sapiens (human)
activation of protein kinase activityIntegrin beta-3Homo sapiens (human)
negative regulation of lipid transportIntegrin beta-3Homo sapiens (human)
regulation of protein localizationIntegrin beta-3Homo sapiens (human)
regulation of actin cytoskeleton organizationIntegrin beta-3Homo sapiens (human)
cell adhesion mediated by integrinIntegrin beta-3Homo sapiens (human)
positive regulation of cell adhesion mediated by integrinIntegrin beta-3Homo sapiens (human)
positive regulation of osteoblast proliferationIntegrin beta-3Homo sapiens (human)
heterotypic cell-cell adhesionIntegrin beta-3Homo sapiens (human)
substrate adhesion-dependent cell spreadingIntegrin beta-3Homo sapiens (human)
tube developmentIntegrin beta-3Homo sapiens (human)
wound healing, spreading of epidermal cellsIntegrin beta-3Homo sapiens (human)
cellular response to platelet-derived growth factor stimulusIntegrin beta-3Homo sapiens (human)
apolipoprotein A-I-mediated signaling pathwayIntegrin beta-3Homo sapiens (human)
wound healingIntegrin beta-3Homo sapiens (human)
apoptotic cell clearanceIntegrin beta-3Homo sapiens (human)
regulation of bone resorptionIntegrin beta-3Homo sapiens (human)
positive regulation of angiogenesisIntegrin beta-3Homo sapiens (human)
positive regulation of bone resorptionIntegrin beta-3Homo sapiens (human)
symbiont entry into host cellIntegrin beta-3Homo sapiens (human)
platelet-derived growth factor receptor signaling pathwayIntegrin beta-3Homo sapiens (human)
positive regulation of fibroblast proliferationIntegrin beta-3Homo sapiens (human)
mesodermal cell differentiationIntegrin beta-3Homo sapiens (human)
positive regulation of smooth muscle cell proliferationIntegrin beta-3Homo sapiens (human)
positive regulation of peptidyl-tyrosine phosphorylationIntegrin beta-3Homo sapiens (human)
negative regulation of lipoprotein metabolic processIntegrin beta-3Homo sapiens (human)
negative chemotaxisIntegrin beta-3Homo sapiens (human)
regulation of release of sequestered calcium ion into cytosolIntegrin beta-3Homo sapiens (human)
regulation of serotonin uptakeIntegrin beta-3Homo sapiens (human)
angiogenesis involved in wound healingIntegrin beta-3Homo sapiens (human)
positive regulation of ERK1 and ERK2 cascadeIntegrin beta-3Homo sapiens (human)
platelet aggregationIntegrin beta-3Homo sapiens (human)
cellular response to mechanical stimulusIntegrin beta-3Homo sapiens (human)
cellular response to xenobiotic stimulusIntegrin beta-3Homo sapiens (human)
positive regulation of glomerular mesangial cell proliferationIntegrin beta-3Homo sapiens (human)
blood coagulation, fibrin clot formationIntegrin beta-3Homo sapiens (human)
maintenance of postsynaptic specialization structureIntegrin beta-3Homo sapiens (human)
regulation of postsynaptic neurotransmitter receptor internalizationIntegrin beta-3Homo sapiens (human)
regulation of postsynaptic neurotransmitter receptor diffusion trappingIntegrin beta-3Homo sapiens (human)
positive regulation of substrate adhesion-dependent cell spreadingIntegrin beta-3Homo sapiens (human)
positive regulation of adenylate cyclase-inhibiting opioid receptor signaling pathwayIntegrin beta-3Homo sapiens (human)
regulation of trophoblast cell migrationIntegrin beta-3Homo sapiens (human)
regulation of extracellular matrix organizationIntegrin beta-3Homo sapiens (human)
cellular response to insulin-like growth factor stimulusIntegrin beta-3Homo sapiens (human)
negative regulation of endothelial cell apoptotic processIntegrin beta-3Homo sapiens (human)
positive regulation of T cell migrationIntegrin beta-3Homo sapiens (human)
cell migrationIntegrin beta-3Homo sapiens (human)
positive regulation of leukocyte migrationIntegrin alpha-IIbHomo sapiens (human)
cell-matrix adhesionIntegrin alpha-IIbHomo sapiens (human)
integrin-mediated signaling pathwayIntegrin alpha-IIbHomo sapiens (human)
angiogenesisIntegrin alpha-IIbHomo sapiens (human)
cell-cell adhesionIntegrin alpha-IIbHomo sapiens (human)
cell adhesion mediated by integrinIntegrin alpha-IIbHomo sapiens (human)
pyrimidine nucleotide metabolic processDeoxycytidine kinaseHomo sapiens (human)
CMP biosynthetic processDeoxycytidine kinaseHomo sapiens (human)
dAMP salvageDeoxycytidine kinaseHomo sapiens (human)
nucleoside phosphate biosynthetic processDeoxycytidine kinaseHomo sapiens (human)
adaptive immune responseRap guanine nucleotide exchange factor 4Homo sapiens (human)
G protein-coupled receptor signaling pathwayRap guanine nucleotide exchange factor 4Homo sapiens (human)
adenylate cyclase-activating G protein-coupled receptor signaling pathwayRap guanine nucleotide exchange factor 4Homo sapiens (human)
calcium-ion regulated exocytosisRap guanine nucleotide exchange factor 4Homo sapiens (human)
regulation of exocytosisRap guanine nucleotide exchange factor 4Homo sapiens (human)
insulin secretionRap guanine nucleotide exchange factor 4Homo sapiens (human)
positive regulation of insulin secretionRap guanine nucleotide exchange factor 4Homo sapiens (human)
regulation of synaptic vesicle cycleRap guanine nucleotide exchange factor 4Homo sapiens (human)
Ras protein signal transductionRap guanine nucleotide exchange factor 4Homo sapiens (human)
regulation of insulin secretionRap guanine nucleotide exchange factor 4Homo sapiens (human)
inositol phosphate metabolic processInositol hexakisphosphate kinase 1Homo sapiens (human)
phosphatidylinositol phosphate biosynthetic processInositol hexakisphosphate kinase 1Homo sapiens (human)
negative regulation of cold-induced thermogenesisInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol phosphate biosynthetic processInositol hexakisphosphate kinase 1Homo sapiens (human)
xenobiotic metabolic processCanalicular multispecific organic anion transporter 1Homo sapiens (human)
xenobiotic transmembrane transportCanalicular multispecific organic anion transporter 1Homo sapiens (human)
negative regulation of gene expressionCanalicular multispecific organic anion transporter 1Homo sapiens (human)
bile acid and bile salt transportCanalicular multispecific organic anion transporter 1Homo sapiens (human)
bilirubin transportCanalicular multispecific organic anion transporter 1Homo sapiens (human)
heme catabolic processCanalicular multispecific organic anion transporter 1Homo sapiens (human)
xenobiotic export from cellCanalicular multispecific organic anion transporter 1Homo sapiens (human)
transmembrane transportCanalicular multispecific organic anion transporter 1Homo sapiens (human)
transepithelial transportCanalicular multispecific organic anion transporter 1Homo sapiens (human)
leukotriene transportCanalicular multispecific organic anion transporter 1Homo sapiens (human)
monoatomic anion transmembrane transportCanalicular multispecific organic anion transporter 1Homo sapiens (human)
transport across blood-brain barrierCanalicular multispecific organic anion transporter 1Homo sapiens (human)
xenobiotic transport across blood-brain barrierCanalicular multispecific organic anion transporter 1Homo sapiens (human)
cell population proliferationATPase family AAA domain-containing protein 5Homo sapiens (human)
positive regulation of B cell proliferationATPase family AAA domain-containing protein 5Homo sapiens (human)
nuclear DNA replicationATPase family AAA domain-containing protein 5Homo sapiens (human)
signal transduction in response to DNA damageATPase family AAA domain-containing protein 5Homo sapiens (human)
intrinsic apoptotic signaling pathway in response to DNA damage by p53 class mediatorATPase family AAA domain-containing protein 5Homo sapiens (human)
isotype switchingATPase family AAA domain-containing protein 5Homo sapiens (human)
positive regulation of DNA replicationATPase family AAA domain-containing protein 5Homo sapiens (human)
positive regulation of isotype switching to IgG isotypesATPase family AAA domain-containing protein 5Homo sapiens (human)
DNA clamp unloadingATPase family AAA domain-containing protein 5Homo sapiens (human)
regulation of mitotic cell cycle phase transitionATPase family AAA domain-containing protein 5Homo sapiens (human)
negative regulation of intrinsic apoptotic signaling pathway in response to DNA damage by p53 class mediatorATPase family AAA domain-containing protein 5Homo sapiens (human)
positive regulation of cell cycle G2/M phase transitionATPase family AAA domain-containing protein 5Homo sapiens (human)
negative regulation of receptor internalizationAtaxin-2Homo sapiens (human)
regulation of translationAtaxin-2Homo sapiens (human)
RNA metabolic processAtaxin-2Homo sapiens (human)
P-body assemblyAtaxin-2Homo sapiens (human)
stress granule assemblyAtaxin-2Homo sapiens (human)
RNA transportAtaxin-2Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Molecular Functions (109)

Processvia Protein(s)Taxonomy
magnesium ion bindingcGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
3',5'-cyclic-AMP phosphodiesterase activitycGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
cGMP-stimulated cyclic-nucleotide phosphodiesterase activitycGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
protein bindingcGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
zinc ion bindingcGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
cAMP bindingcGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
cGMP bindingcGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
TPR domain bindingcGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
phosphate ion bindingcGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
protein homodimerization activitycGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
3',5'-cyclic-GMP phosphodiesterase activitycGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
ATP bindingATP-binding cassette sub-family C member 3Homo sapiens (human)
ABC-type xenobiotic transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
glucuronoside transmembrane transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
ABC-type glutathione S-conjugate transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
ABC-type bile acid transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
ATP hydrolysis activityATP-binding cassette sub-family C member 3Homo sapiens (human)
ATPase-coupled transmembrane transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
xenobiotic transmembrane transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
ATPase-coupled inorganic anion transmembrane transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
icosanoid transmembrane transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
ABC-type transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
guanine nucleotide transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
protein bindingMultidrug resistance-associated protein 4Homo sapiens (human)
ATP bindingMultidrug resistance-associated protein 4Homo sapiens (human)
ABC-type xenobiotic transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
prostaglandin transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
urate transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
purine nucleotide transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
ABC-type glutathione S-conjugate transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
ABC-type bile acid transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
efflux transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
15-hydroxyprostaglandin dehydrogenase (NAD+) activityMultidrug resistance-associated protein 4Homo sapiens (human)
ATP hydrolysis activityMultidrug resistance-associated protein 4Homo sapiens (human)
glutathione transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
ATPase-coupled transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
xenobiotic transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
ATPase-coupled inorganic anion transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
ABC-type transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
protein bindingBile salt export pumpHomo sapiens (human)
ATP bindingBile salt export pumpHomo sapiens (human)
ABC-type xenobiotic transporter activityBile salt export pumpHomo sapiens (human)
bile acid transmembrane transporter activityBile salt export pumpHomo sapiens (human)
canalicular bile acid transmembrane transporter activityBile salt export pumpHomo sapiens (human)
carbohydrate transmembrane transporter activityBile salt export pumpHomo sapiens (human)
ABC-type bile acid transporter activityBile salt export pumpHomo sapiens (human)
ATP hydrolysis activityBile salt export pumpHomo sapiens (human)
cytokine activityInterferon betaHomo sapiens (human)
cytokine receptor bindingInterferon betaHomo sapiens (human)
type I interferon receptor bindingInterferon betaHomo sapiens (human)
protein bindingInterferon betaHomo sapiens (human)
chloramphenicol O-acetyltransferase activityInterferon betaHomo sapiens (human)
TAP bindingHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
signaling receptor bindingHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
protein bindingHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
peptide antigen bindingHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
TAP bindingHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
protein-folding chaperone bindingHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
transcription cis-regulatory region bindingCellular tumor antigen p53Homo sapiens (human)
RNA polymerase II cis-regulatory region sequence-specific DNA bindingCellular tumor antigen p53Homo sapiens (human)
DNA-binding transcription factor activity, RNA polymerase II-specificCellular tumor antigen p53Homo sapiens (human)
cis-regulatory region sequence-specific DNA bindingCellular tumor antigen p53Homo sapiens (human)
core promoter sequence-specific DNA bindingCellular tumor antigen p53Homo sapiens (human)
TFIID-class transcription factor complex bindingCellular tumor antigen p53Homo sapiens (human)
DNA-binding transcription repressor activity, RNA polymerase II-specificCellular tumor antigen p53Homo sapiens (human)
DNA-binding transcription activator activity, RNA polymerase II-specificCellular tumor antigen p53Homo sapiens (human)
protease bindingCellular tumor antigen p53Homo sapiens (human)
p53 bindingCellular tumor antigen p53Homo sapiens (human)
DNA bindingCellular tumor antigen p53Homo sapiens (human)
chromatin bindingCellular tumor antigen p53Homo sapiens (human)
DNA-binding transcription factor activityCellular tumor antigen p53Homo sapiens (human)
mRNA 3'-UTR bindingCellular tumor antigen p53Homo sapiens (human)
copper ion bindingCellular tumor antigen p53Homo sapiens (human)
protein bindingCellular tumor antigen p53Homo sapiens (human)
zinc ion bindingCellular tumor antigen p53Homo sapiens (human)
enzyme bindingCellular tumor antigen p53Homo sapiens (human)
receptor tyrosine kinase bindingCellular tumor antigen p53Homo sapiens (human)
ubiquitin protein ligase bindingCellular tumor antigen p53Homo sapiens (human)
histone deacetylase regulator activityCellular tumor antigen p53Homo sapiens (human)
ATP-dependent DNA/DNA annealing activityCellular tumor antigen p53Homo sapiens (human)
identical protein bindingCellular tumor antigen p53Homo sapiens (human)
histone deacetylase bindingCellular tumor antigen p53Homo sapiens (human)
protein heterodimerization activityCellular tumor antigen p53Homo sapiens (human)
protein-folding chaperone bindingCellular tumor antigen p53Homo sapiens (human)
protein phosphatase 2A bindingCellular tumor antigen p53Homo sapiens (human)
RNA polymerase II-specific DNA-binding transcription factor bindingCellular tumor antigen p53Homo sapiens (human)
14-3-3 protein bindingCellular tumor antigen p53Homo sapiens (human)
MDM2/MDM4 family protein bindingCellular tumor antigen p53Homo sapiens (human)
disordered domain specific bindingCellular tumor antigen p53Homo sapiens (human)
general transcription initiation factor bindingCellular tumor antigen p53Homo sapiens (human)
molecular function activator activityCellular tumor antigen p53Homo sapiens (human)
promoter-specific chromatin bindingCellular tumor antigen p53Homo sapiens (human)
fibroblast growth factor bindingIntegrin beta-3Homo sapiens (human)
C-X3-C chemokine bindingIntegrin beta-3Homo sapiens (human)
insulin-like growth factor I bindingIntegrin beta-3Homo sapiens (human)
neuregulin bindingIntegrin beta-3Homo sapiens (human)
virus receptor activityIntegrin beta-3Homo sapiens (human)
fibronectin bindingIntegrin beta-3Homo sapiens (human)
protease bindingIntegrin beta-3Homo sapiens (human)
protein disulfide isomerase activityIntegrin beta-3Homo sapiens (human)
protein kinase C bindingIntegrin beta-3Homo sapiens (human)
platelet-derived growth factor receptor bindingIntegrin beta-3Homo sapiens (human)
integrin bindingIntegrin beta-3Homo sapiens (human)
protein bindingIntegrin beta-3Homo sapiens (human)
coreceptor activityIntegrin beta-3Homo sapiens (human)
enzyme bindingIntegrin beta-3Homo sapiens (human)
identical protein bindingIntegrin beta-3Homo sapiens (human)
vascular endothelial growth factor receptor 2 bindingIntegrin beta-3Homo sapiens (human)
metal ion bindingIntegrin beta-3Homo sapiens (human)
cell adhesion molecule bindingIntegrin beta-3Homo sapiens (human)
extracellular matrix bindingIntegrin beta-3Homo sapiens (human)
fibrinogen bindingIntegrin beta-3Homo sapiens (human)
protein bindingIntegrin alpha-IIbHomo sapiens (human)
identical protein bindingIntegrin alpha-IIbHomo sapiens (human)
metal ion bindingIntegrin alpha-IIbHomo sapiens (human)
extracellular matrix bindingIntegrin alpha-IIbHomo sapiens (human)
molecular adaptor activityIntegrin alpha-IIbHomo sapiens (human)
fibrinogen bindingIntegrin alpha-IIbHomo sapiens (human)
integrin bindingIntegrin alpha-IIbHomo sapiens (human)
deoxyadenosine kinase activityDeoxycytidine kinaseHomo sapiens (human)
deoxycytidine kinase activityDeoxycytidine kinaseHomo sapiens (human)
deoxyguanosine kinase activityDeoxycytidine kinaseHomo sapiens (human)
ATP bindingDeoxycytidine kinaseHomo sapiens (human)
protein homodimerization activityDeoxycytidine kinaseHomo sapiens (human)
cytidine kinase activityDeoxycytidine kinaseHomo sapiens (human)
guanyl-nucleotide exchange factor activityRap guanine nucleotide exchange factor 4Homo sapiens (human)
protein bindingRap guanine nucleotide exchange factor 4Homo sapiens (human)
cAMP bindingRap guanine nucleotide exchange factor 4Homo sapiens (human)
protein-macromolecule adaptor activityRap guanine nucleotide exchange factor 4Homo sapiens (human)
small GTPase bindingRap guanine nucleotide exchange factor 4Homo sapiens (human)
inositol-1,3,4,5,6-pentakisphosphate kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol hexakisphosphate kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol heptakisphosphate kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol hexakisphosphate 5-kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
protein bindingInositol hexakisphosphate kinase 1Homo sapiens (human)
ATP bindingInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol hexakisphosphate 1-kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol hexakisphosphate 3-kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol 5-diphosphate pentakisphosphate 5-kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol diphosphate tetrakisphosphate kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
protein bindingCanalicular multispecific organic anion transporter 1Homo sapiens (human)
ATP bindingCanalicular multispecific organic anion transporter 1Homo sapiens (human)
organic anion transmembrane transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
ABC-type xenobiotic transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
bilirubin transmembrane transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
ABC-type glutathione S-conjugate transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
ATP hydrolysis activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
ATPase-coupled transmembrane transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
xenobiotic transmembrane transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
ATPase-coupled inorganic anion transmembrane transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
ABC-type transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
protein bindingATPase family AAA domain-containing protein 5Homo sapiens (human)
ATP bindingATPase family AAA domain-containing protein 5Homo sapiens (human)
ATP hydrolysis activityATPase family AAA domain-containing protein 5Homo sapiens (human)
DNA clamp unloader activityATPase family AAA domain-containing protein 5Homo sapiens (human)
DNA bindingATPase family AAA domain-containing protein 5Homo sapiens (human)
RNA bindingAtaxin-2Homo sapiens (human)
epidermal growth factor receptor bindingAtaxin-2Homo sapiens (human)
protein bindingAtaxin-2Homo sapiens (human)
mRNA bindingAtaxin-2Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Ceullar Components (77)

Processvia Protein(s)Taxonomy
plasma membranecGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
nucleuscGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
cytoplasmcGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
mitochondrial outer membranecGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
mitochondrial inner membranecGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
endoplasmic reticulumcGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
Golgi apparatuscGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
cytosolcGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
plasma membranecGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
presynaptic membranecGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
perinuclear region of cytoplasmcGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
nucleuscGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
mitochondrial inner membranecGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
perinuclear region of cytoplasmcGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
mitochondrial outer membranecGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
synaptic membranecGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
cytosolcGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
mitochondrial matrixcGMP-dependent 3',5'-cyclic phosphodiesteraseHomo sapiens (human)
plasma membraneATP-binding cassette sub-family C member 3Homo sapiens (human)
basal plasma membraneATP-binding cassette sub-family C member 3Homo sapiens (human)
basolateral plasma membraneATP-binding cassette sub-family C member 3Homo sapiens (human)
membraneATP-binding cassette sub-family C member 3Homo sapiens (human)
nucleolusMultidrug resistance-associated protein 4Homo sapiens (human)
Golgi apparatusMultidrug resistance-associated protein 4Homo sapiens (human)
plasma membraneMultidrug resistance-associated protein 4Homo sapiens (human)
membraneMultidrug resistance-associated protein 4Homo sapiens (human)
basolateral plasma membraneMultidrug resistance-associated protein 4Homo sapiens (human)
apical plasma membraneMultidrug resistance-associated protein 4Homo sapiens (human)
platelet dense granule membraneMultidrug resistance-associated protein 4Homo sapiens (human)
external side of apical plasma membraneMultidrug resistance-associated protein 4Homo sapiens (human)
plasma membraneMultidrug resistance-associated protein 4Homo sapiens (human)
basolateral plasma membraneBile salt export pumpHomo sapiens (human)
Golgi membraneBile salt export pumpHomo sapiens (human)
endosomeBile salt export pumpHomo sapiens (human)
plasma membraneBile salt export pumpHomo sapiens (human)
cell surfaceBile salt export pumpHomo sapiens (human)
apical plasma membraneBile salt export pumpHomo sapiens (human)
intercellular canaliculusBile salt export pumpHomo sapiens (human)
intracellular canaliculusBile salt export pumpHomo sapiens (human)
recycling endosomeBile salt export pumpHomo sapiens (human)
recycling endosome membraneBile salt export pumpHomo sapiens (human)
extracellular exosomeBile salt export pumpHomo sapiens (human)
membraneBile salt export pumpHomo sapiens (human)
extracellular spaceInterferon betaHomo sapiens (human)
extracellular regionInterferon betaHomo sapiens (human)
Golgi membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
endoplasmic reticulumHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
Golgi apparatusHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
plasma membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
cell surfaceHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
ER to Golgi transport vesicle membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
secretory granule membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
phagocytic vesicle membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
early endosome membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
recycling endosome membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
extracellular exosomeHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
lumenal side of endoplasmic reticulum membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
MHC class I protein complexHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
extracellular spaceHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
external side of plasma membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
nuclear bodyCellular tumor antigen p53Homo sapiens (human)
nucleusCellular tumor antigen p53Homo sapiens (human)
nucleoplasmCellular tumor antigen p53Homo sapiens (human)
replication forkCellular tumor antigen p53Homo sapiens (human)
nucleolusCellular tumor antigen p53Homo sapiens (human)
cytoplasmCellular tumor antigen p53Homo sapiens (human)
mitochondrionCellular tumor antigen p53Homo sapiens (human)
mitochondrial matrixCellular tumor antigen p53Homo sapiens (human)
endoplasmic reticulumCellular tumor antigen p53Homo sapiens (human)
centrosomeCellular tumor antigen p53Homo sapiens (human)
cytosolCellular tumor antigen p53Homo sapiens (human)
nuclear matrixCellular tumor antigen p53Homo sapiens (human)
PML bodyCellular tumor antigen p53Homo sapiens (human)
transcription repressor complexCellular tumor antigen p53Homo sapiens (human)
site of double-strand breakCellular tumor antigen p53Homo sapiens (human)
germ cell nucleusCellular tumor antigen p53Homo sapiens (human)
chromatinCellular tumor antigen p53Homo sapiens (human)
transcription regulator complexCellular tumor antigen p53Homo sapiens (human)
protein-containing complexCellular tumor antigen p53Homo sapiens (human)
glutamatergic synapseIntegrin beta-3Homo sapiens (human)
nucleusIntegrin beta-3Homo sapiens (human)
nucleoplasmIntegrin beta-3Homo sapiens (human)
plasma membraneIntegrin beta-3Homo sapiens (human)
cell-cell junctionIntegrin beta-3Homo sapiens (human)
focal adhesionIntegrin beta-3Homo sapiens (human)
external side of plasma membraneIntegrin beta-3Homo sapiens (human)
cell surfaceIntegrin beta-3Homo sapiens (human)
apical plasma membraneIntegrin beta-3Homo sapiens (human)
platelet alpha granule membraneIntegrin beta-3Homo sapiens (human)
lamellipodium membraneIntegrin beta-3Homo sapiens (human)
filopodium membraneIntegrin beta-3Homo sapiens (human)
microvillus membraneIntegrin beta-3Homo sapiens (human)
ruffle membraneIntegrin beta-3Homo sapiens (human)
integrin alphav-beta3 complexIntegrin beta-3Homo sapiens (human)
melanosomeIntegrin beta-3Homo sapiens (human)
synapseIntegrin beta-3Homo sapiens (human)
postsynaptic membraneIntegrin beta-3Homo sapiens (human)
extracellular exosomeIntegrin beta-3Homo sapiens (human)
integrin alphaIIb-beta3 complexIntegrin beta-3Homo sapiens (human)
glycinergic synapseIntegrin beta-3Homo sapiens (human)
integrin complexIntegrin beta-3Homo sapiens (human)
protein-containing complexIntegrin beta-3Homo sapiens (human)
alphav-beta3 integrin-PKCalpha complexIntegrin beta-3Homo sapiens (human)
alphav-beta3 integrin-IGF-1-IGF1R complexIntegrin beta-3Homo sapiens (human)
alphav-beta3 integrin-HMGB1 complexIntegrin beta-3Homo sapiens (human)
receptor complexIntegrin beta-3Homo sapiens (human)
alphav-beta3 integrin-vitronectin complexIntegrin beta-3Homo sapiens (human)
alpha9-beta1 integrin-ADAM8 complexIntegrin beta-3Homo sapiens (human)
focal adhesionIntegrin beta-3Homo sapiens (human)
cell surfaceIntegrin beta-3Homo sapiens (human)
synapseIntegrin beta-3Homo sapiens (human)
plasma membraneIntegrin alpha-IIbHomo sapiens (human)
focal adhesionIntegrin alpha-IIbHomo sapiens (human)
cell surfaceIntegrin alpha-IIbHomo sapiens (human)
platelet alpha granule membraneIntegrin alpha-IIbHomo sapiens (human)
extracellular exosomeIntegrin alpha-IIbHomo sapiens (human)
integrin alphaIIb-beta3 complexIntegrin alpha-IIbHomo sapiens (human)
blood microparticleIntegrin alpha-IIbHomo sapiens (human)
integrin complexIntegrin alpha-IIbHomo sapiens (human)
external side of plasma membraneIntegrin alpha-IIbHomo sapiens (human)
nucleoplasmDeoxycytidine kinaseHomo sapiens (human)
cytosolDeoxycytidine kinaseHomo sapiens (human)
mitochondrionDeoxycytidine kinaseHomo sapiens (human)
cytoplasmDeoxycytidine kinaseHomo sapiens (human)
cytosolRap guanine nucleotide exchange factor 4Homo sapiens (human)
plasma membraneRap guanine nucleotide exchange factor 4Homo sapiens (human)
membraneRap guanine nucleotide exchange factor 4Homo sapiens (human)
hippocampal mossy fiber to CA3 synapseRap guanine nucleotide exchange factor 4Homo sapiens (human)
plasma membraneRap guanine nucleotide exchange factor 4Homo sapiens (human)
fibrillar centerInositol hexakisphosphate kinase 1Homo sapiens (human)
nucleoplasmInositol hexakisphosphate kinase 1Homo sapiens (human)
cytosolInositol hexakisphosphate kinase 1Homo sapiens (human)
nucleusInositol hexakisphosphate kinase 1Homo sapiens (human)
cytoplasmInositol hexakisphosphate kinase 1Homo sapiens (human)
plasma membraneCanalicular multispecific organic anion transporter 1Homo sapiens (human)
cell surfaceCanalicular multispecific organic anion transporter 1Homo sapiens (human)
apical plasma membraneCanalicular multispecific organic anion transporter 1Homo sapiens (human)
intercellular canaliculusCanalicular multispecific organic anion transporter 1Homo sapiens (human)
apical plasma membraneCanalicular multispecific organic anion transporter 1Homo sapiens (human)
Elg1 RFC-like complexATPase family AAA domain-containing protein 5Homo sapiens (human)
nucleusATPase family AAA domain-containing protein 5Homo sapiens (human)
cytoplasmAtaxin-2Homo sapiens (human)
Golgi apparatusAtaxin-2Homo sapiens (human)
trans-Golgi networkAtaxin-2Homo sapiens (human)
cytosolAtaxin-2Homo sapiens (human)
cytoplasmic stress granuleAtaxin-2Homo sapiens (human)
membraneAtaxin-2Homo sapiens (human)
perinuclear region of cytoplasmAtaxin-2Homo sapiens (human)
ribonucleoprotein complexAtaxin-2Homo sapiens (human)
cytoplasmic stress granuleAtaxin-2Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Bioassays (238)

Assay IDTitleYearJournalArticle
AID588460High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, Validation Compound Set2010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID588460High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, Validation Compound Set2006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID588460High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, Validation Compound Set2010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID588461High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, Validation compound set2010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID588461High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, Validation compound set2006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID588461High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, Validation compound set2010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID588459High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, Validation compound set2010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID588459High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, Validation compound set2006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID588459High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, Validation compound set2010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID504810Antagonists of the Thyroid Stimulating Hormone Receptor: HTS campaign2010Endocrinology, Jul, Volume: 151, Issue:7
A small molecule inverse agonist for the human thyroid-stimulating hormone receptor.
AID504812Inverse Agonists of the Thyroid Stimulating Hormone Receptor: HTS campaign2010Endocrinology, Jul, Volume: 151, Issue:7
A small molecule inverse agonist for the human thyroid-stimulating hormone receptor.
AID588501High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, MLPCN compound set2010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID588501High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, MLPCN compound set2006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID588501High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, MLPCN compound set2010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID588497High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, MLPCN compound set2010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID588497High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, MLPCN compound set2006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID588497High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, MLPCN compound set2010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID651635Viability Counterscreen for Primary qHTS for Inhibitors of ATXN expression
AID1745845Primary qHTS for Inhibitors of ATXN expression
AID588499High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, MLPCN compound set2010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID588499High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, MLPCN compound set2006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID588499High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, MLPCN compound set2010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID686947qHTS for small molecule inhibitors of Yes1 kinase: Primary Screen2013Bioorganic & medicinal chemistry letters, Aug-01, Volume: 23, Issue:15
Identification of potent Yes1 kinase inhibitors using a library screening approach.
AID504749qHTS profiling for inhibitors of Plasmodium falciparum proliferation2011Science (New York, N.Y.), Aug-05, Volume: 333, Issue:6043
Chemical genomic profiling for antimalarial therapies, response signatures, and molecular targets.
AID1347092qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for A673 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347129qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Confirmatory screen for SK-N-SH cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347086qHTS for Inhibitors of the Functional Ribonucleoprotein Complex (vRNP) of Lymphocytic Choriomeningitis Arenaviruses (LCMV): LCMV Primary Screen - GLuc reporter signal2020Antiviral research, 01, Volume: 173A cell-based, infectious-free, platform to identify inhibitors of lassa virus ribonucleoprotein (vRNP) activity.
AID1347089qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for TC32 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1508630Primary qHTS for small molecule stabilizers of the endoplasmic reticulum resident proteome: Secreted ER Calcium Modulated Protein (SERCaMP) assay2021Cell reports, 04-27, Volume: 35, Issue:4
A target-agnostic screen identifies approved drugs to stabilize the endoplasmic reticulum-resident proteome.
AID1347116qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Confirmatory screen for SJ-GBM2 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347097qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for Saos-2 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347114qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Confirmatory screen for DAOY cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347115qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Confirmatory screen for NB-EBc1 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1346987P-glycoprotein substrates identified in KB-8-5-11 adenocarcinoma cell line, qHTS therapeutic library screen2019Molecular pharmacology, 11, Volume: 96, Issue:5
A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
AID1347105qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for MG 63 (6-TG R) cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1296008Cytotoxic Profiling of Annotated Libraries Using Quantitative High-Throughput Screening2020SLAS discovery : advancing life sciences R & D, 01, Volume: 25, Issue:1
Cytotoxic Profiling of Annotated and Diverse Chemical Libraries Using Quantitative High-Throughput Screening.
AID1347113qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Confirmatory screen for LAN-5 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347123qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Confirmatory screen for Rh41 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347094qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for BT-37 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347108qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for Rh41 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347095qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for NB-EBc1 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347096qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for U-2 OS cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347082qHTS for Inhibitors of the Functional Ribonucleoprotein Complex (vRNP) of Lassa (LASV) Arenavirus: LASV Primary Screen - GLuc reporter signal2020Antiviral research, 01, Volume: 173A cell-based, infectious-free, platform to identify inhibitors of lassa virus ribonucleoprotein (vRNP) activity.
AID1347127qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Confirmatory screen for Saos-2 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347117qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Confirmatory screen for BT-37 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347110qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Confirmatory screen for A673 cells)2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347122qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Confirmatory screen for U-2 OS cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347126qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Confirmatory screen for Rh30 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347098qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for SK-N-SH cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347091qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for SJ-GBM2 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347125qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Confirmatory screen for Rh18 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347099qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for NB1643 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347124qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Confirmatory screen for RD cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347128qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Confirmatory screen for OHS-50 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347119qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Confirmatory screen for MG 63 (6-TG R) cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347103qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for OHS-50 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347111qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Confirmatory screen for SK-N-MC cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347093qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for SK-N-MC cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347102qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for Rh18 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347107qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for Rh30 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347121qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Confirmatory screen for control Hh wild type fibroblast cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347154Primary screen GU AMC qHTS for Zika virus inhibitors2020Proceedings of the National Academy of Sciences of the United States of America, 12-08, Volume: 117, Issue:49
Therapeutic candidates for the Zika virus identified by a high-throughput screen for Zika protease inhibitors.
AID1347083qHTS for Inhibitors of the Functional Ribonucleoprotein Complex (vRNP) of Lassa (LASV) Arenavirus: Viability assay - alamar blue signal for LASV Primary Screen2020Antiviral research, 01, Volume: 173A cell-based, infectious-free, platform to identify inhibitors of lassa virus ribonucleoprotein (vRNP) activity.
AID1347101qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for BT-12 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347112qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Confirmatory screen for BT-12 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347104qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for RD cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347109qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Confirmatory screen for NB1643 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1346986P-glycoprotein substrates identified in KB-3-1 adenocarcinoma cell line, qHTS therapeutic library screen2019Molecular pharmacology, 11, Volume: 96, Issue:5
A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
AID1347118qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Confirmatory screen for TC32 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347090qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for DAOY cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347100qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for LAN-5 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347106qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for control Hh wild type fibroblast cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID625283Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for elevated liver function tests2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1079947Comments (NB not yet translated). [column 'COMMENTAIRES' in source]
AID588215FDA HLAED, alkaline phosphatase increase2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID445376Cell cycle arrest in human CCRF-CEM assessed as accumulation at G2/M phase at 1 x GIC50 after 24 hrs by flow cytometry2010Journal of medicinal chemistry, Jan-14, Volume: 53, Issue:1
6-(Het)aryl-7-deazapurine ribonucleosides as novel potent cytostatic agents.
AID1174818Cytotoxicity against human HCT116 cells after 72 hrs by SRB assay2015European journal of medicinal chemistry, Jan-07, Volume: 89Synthesis of novel substituted purine derivatives and identification of the cell death mechanism.
AID1079941Liver damage due to vascular disease: peliosis hepatitis, hepatic veno-occlusive disease, Budd-Chiari syndrome. Value is number of references indexed. [column 'VASC' in source]
AID1368376Inhibition of recombinant human PDE2A catalytic domain (580 to 919 residues) expressed in Escherichia coli BL21 (Codonplus) at 1 uM using [3H]cGMP as substrate after 15 mins by liquid scintillation counting method relative to control2018Bioorganic & medicinal chemistry, 01-01, Volume: 26, Issue:1
Discovery of novel purine nucleoside derivatives as phosphodiesterase 2 (PDE2) inhibitors: Structure-based virtual screening, optimization and biological evaluation.
AID1079940Granulomatous liver disease, proven histopathologically. Value is number of references indexed. [column 'GRAN' in source]
AID1236700Antiproliferative activity against human RPMI8226 cells assessed as cell growth inhibition after 48 hrs by MTT assay2015Bioorganic & medicinal chemistry, Jul-01, Volume: 23, Issue:13
Phospholipid derivatives of cladribine and fludarabine: synthesis and biological properties.
AID445468Inhibition of [3H]adenine binding to adenine 1 receptor in rat brain cortical membrane at 100 uM by liquid scintillation counting2009Journal of medicinal chemistry, Oct-08, Volume: 52, Issue:19
Structure-activity relationships of adenine and deazaadenine derivatives as ligands for adenine receptors, a new purinergic receptor family.
AID344449Ratio of Kcat for human deoxycytidine kinase C4S mutant to Km for deoxycytidine kinase C4S mutant in presence of UTP2008Journal of medicinal chemistry, Jul-24, Volume: 51, Issue:14
Elucidation of different binding modes of purine nucleosides to human deoxycytidine kinase.
AID1079943Malignant tumor, proven histopathologically. Value is number of references indexed. [column 'T.MAL' in source]
AID1473741Inhibition of human MRP4 overexpressed in Sf9 cell membrane vesicles assessed as uptake of [3H]-estradiol-17beta-D-glucuronide in presence of ATP and GSH measured after 20 mins by membrane vesicle transport assay2013Toxicological sciences : an official journal of the Society of Toxicology, Nov, Volume: 136, Issue:1
A multifactorial approach to hepatobiliary transporter assessment enables improved therapeutic compound development.
AID1197746Stimulation of human OATP1B3-mediated [3H]CCK-8 at 100 uM after 5 mins relative to control2015European journal of medicinal chemistry, Mar-06, Volume: 92Interaction of human organic anion transporter polypeptides 1B1 and 1B3 with antineoplastic compounds.
AID1197742Stimulation of human OATP1B1-mediated [3H]estrone 3-sulfate at 100 uM after 5 mins relative to control2015European journal of medicinal chemistry, Mar-06, Volume: 92Interaction of human organic anion transporter polypeptides 1B1 and 1B3 with antineoplastic compounds.
AID1474167Liver toxicity in human assessed as induction of drug-induced liver injury by measuring verified drug-induced liver injury concern status2016Drug discovery today, Apr, Volume: 21, Issue:4
DILIrank: the largest reference drug list ranked by the risk for developing drug-induced liver injury in humans.
AID588218FDA HLAED, lactate dehydrogenase (LDH) increase2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID1370963Antiproliferative activity against human HCT116 cells after 72 hrs by SRB assay2018Bioorganic & medicinal chemistry letters, 02-01, Volume: 28, Issue:3
Synthesis of novel 6-substituted amino-9-(β-d-ribofuranosyl)purine analogs and their bioactivities on human epithelial cancer cells.
AID425652Total body clearance in human2009Journal of medicinal chemistry, Aug-13, Volume: 52, Issue:15
Physicochemical determinants of human renal clearance.
AID344447Activity of human deoxycytidine kinase C4S mutant in presence of UTP2008Journal of medicinal chemistry, Jul-24, Volume: 51, Issue:14
Elucidation of different binding modes of purine nucleosides to human deoxycytidine kinase.
AID625281Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for cholelithiasis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID625295Drug Induced Liver Injury Prediction System (DILIps) validation dataset; compound DILI positive/negative as observed in Pfizer data2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID625287Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatomegaly2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID425653Renal clearance in human2009Journal of medicinal chemistry, Aug-13, Volume: 52, Issue:15
Physicochemical determinants of human renal clearance.
AID588216FDA HLAED, serum glutamic oxaloacetic transaminase (SGOT) increase2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID1079933Acute liver toxicity defined via clinical observations and clear clinical-chemistry results: serum ALT or AST activity > 6 N or serum alkaline phosphatases activity > 1.7 N. This category includes cytolytic, choleostatic and mixed liver toxicity. Value is
AID1079946Presence of at least one case with successful reintroduction. [column 'REINT' in source]
AID611460Cytotoxicity against human MDA-MB-231 cells after 3 days by MTT assay2011Journal of medicinal chemistry, Aug-11, Volume: 54, Issue:15
Synthesis and significant cytostatic activity of 7-hetaryl-7-deazaadenosines.
AID1079949Proposed mechanism(s) of liver damage. [column 'MEC' in source]
AID617760Cytotoxicity against human CCRF-CEM cells after 72 hrs by MTT assay2011Bioorganic & medicinal chemistry, Sep-15, Volume: 19, Issue:18
Synthesis and biological evaluation of 2',4'- and 3',4'-bridged nucleoside analogues.
AID1079948Times to onset, minimal and maximal, observed in the indexed observations. [column 'DELAI' in source]
AID1079935Cytolytic liver toxicity, either proven histopathologically or where the ratio of maximal ALT or AST activity above normal to that of Alkaline Phosphatase is > 5 (see ACUTE). Value is number of references indexed. [column 'CYTOL' in source]
AID31885Binding affinity to adenosine A1 receptor in rat brain membranes by measuring displacement of specific [3H]PIA as radioligand.1995Journal of medicinal chemistry, Mar-31, Volume: 38, Issue:7
Search for new purine- and ribose-modified adenosine analogues as selective agonists and antagonists at adenosine receptors.
AID611469Cytotoxicity against rat MAT-LyLu cells after 3 days by MTT assay2011Journal of medicinal chemistry, Aug-11, Volume: 54, Issue:15
Synthesis and significant cytostatic activity of 7-hetaryl-7-deazaadenosines.
AID625286Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatitis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID588214FDA HLAED, liver enzyme composite activity2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID611477Cytotoxicity against human BJ cells after 3 days by MTT assay2011Journal of medicinal chemistry, Aug-11, Volume: 54, Issue:15
Synthesis and significant cytostatic activity of 7-hetaryl-7-deazaadenosines.
AID1473740Inhibition of human MRP3 overexpressed in Sf9 insect cell membrane vesicles assessed as uptake of [3H]-estradiol-17beta-D-glucuronide in presence of ATP and GSH measured after 10 mins by membrane vesicle transport assay2013Toxicological sciences : an official journal of the Society of Toxicology, Nov, Volume: 136, Issue:1
A multifactorial approach to hepatobiliary transporter assessment enables improved therapeutic compound development.
AID611474Cytotoxicity against human SK-MEL-2 cells after 3 days by MTT assay2011Journal of medicinal chemistry, Aug-11, Volume: 54, Issue:15
Synthesis and significant cytostatic activity of 7-hetaryl-7-deazaadenosines.
AID625279Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for bilirubinemia2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID155643Percentage of apoptotic cells in human peripheral blood mononuclear cells after 72 hour incubation at the concentration 1 uM1998Bioorganic & medicinal chemistry letters, Sep-22, Volume: 8, Issue:18
Modulation of apoptosis in human lymphocytes by adenosine analogues.
AID445375Cell cycle arrest in human CCRF-CEM assessed as accumulation at S phase at 5 x GIC50 after 24 hrs by flow cytometry2010Journal of medicinal chemistry, Jan-14, Volume: 53, Issue:1
6-(Het)aryl-7-deazapurine ribonucleosides as novel potent cytostatic agents.
AID540213Half life in human after iv administration2008Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 36, Issue:7
Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
AID611461Cytotoxicity against human SK-N-AS cells after 3 days by MTT assay2011Journal of medicinal chemistry, Aug-11, Volume: 54, Issue:15
Synthesis and significant cytostatic activity of 7-hetaryl-7-deazaadenosines.
AID153257In vitro inhibitory effect was tested for cytostatic activity on the growth of lymphoid neoplasm P388 leukemic cell lines1985Journal of medicinal chemistry, Oct, Volume: 28, Issue:10
Synthesis and biological activity of certain 6-substituted and 2,6-disubstituted 2'-deoxytubercidins prepared via the stereospecific sodium salt glycosylation procedure.
AID1370962Antiproliferative activity against human HuH7 cells after 72 hrs by SRB assay2018Bioorganic & medicinal chemistry letters, 02-01, Volume: 28, Issue:3
Synthesis of novel 6-substituted amino-9-(β-d-ribofuranosyl)purine analogs and their bioactivities on human epithelial cancer cells.
AID1079931Moderate liver toxicity, defined via clinical-chemistry results: ALT or AST serum activity 6 times the normal upper limit (N) or alkaline phosphatase serum activity of 1.7 N. Value is number of references indexed. [column 'BIOL' in source]
AID1236704Antiproliferative activity against human SK-UT-1B cells assessed as cell growth inhibition after 48 hrs by MTT assay2015Bioorganic & medicinal chemistry, Jul-01, Volume: 23, Issue:13
Phospholipid derivatives of cladribine and fludarabine: synthesis and biological properties.
AID588213Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in non-rodents2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID445373Cell cycle arrest in human CCRF-CEM assessed as accumulation at G1 phase at 5 x GIC50 after 24 hrs by flow cytometry2010Journal of medicinal chemistry, Jan-14, Volume: 53, Issue:1
6-(Het)aryl-7-deazapurine ribonucleosides as novel potent cytostatic agents.
AID1079945Animal toxicity known. [column 'TOXIC' in source]
AID1079944Benign tumor, proven histopathologically. Value is number of references indexed. [column 'T.BEN' in source]
AID445384Inhibition of DNA synthesis in human CCRF-CEM assessed as assessed as BrdU incorporation after 24 by flow cytometry2010Journal of medicinal chemistry, Jan-14, Volume: 53, Issue:1
6-(Het)aryl-7-deazapurine ribonucleosides as novel potent cytostatic agents.
AID96710Compound was tested for cytotoxicity against L1210 cell lines1992Journal of medicinal chemistry, Jan-24, Volume: 35, Issue:2
Synthesis and biologic activity of 2'-fluoro-2-halo derivatives of 9-beta-D-arabinofuranosyladenine.
AID155439In vitro antiviral activity was tested against, parainfluenza type 3 (Para 3) virus1985Journal of medicinal chemistry, Oct, Volume: 28, Issue:10
Synthesis and biological activity of certain 6-substituted and 2,6-disubstituted 2'-deoxytubercidins prepared via the stereospecific sodium salt glycosylation procedure.
AID625284Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatic failure2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID611454Cytotoxicity against human BV173 cells after 3 days by MTT assay2011Journal of medicinal chemistry, Aug-11, Volume: 54, Issue:15
Synthesis and significant cytostatic activity of 7-hetaryl-7-deazaadenosines.
AID344446Activity of human deoxycytidine kinase C4S mutant in presence of ATP2008Journal of medicinal chemistry, Jul-24, Volume: 51, Issue:14
Elucidation of different binding modes of purine nucleosides to human deoxycytidine kinase.
AID678994TP_TRANSPORTER: uptake in Xenopus laevis oocytes2000Biochemical pharmacology, Jul-15, Volume: 60, Issue:2
Role of organic cation transporters in the renal secretion of nucleosides.
AID588217FDA HLAED, serum glutamic pyruvic transaminase (SGPT) increase2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID611452Cytotoxicity against human K562 cells after 3 days by MTT assay2011Journal of medicinal chemistry, Aug-11, Volume: 54, Issue:15
Synthesis and significant cytostatic activity of 7-hetaryl-7-deazaadenosines.
AID588219FDA HLAED, gamma-glutamyl transferase (GGT) increase2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID611473Cytotoxicity against human SKOV3 cells after 3 days by MTT assay2011Journal of medicinal chemistry, Aug-11, Volume: 54, Issue:15
Synthesis and significant cytostatic activity of 7-hetaryl-7-deazaadenosines.
AID1474166Liver toxicity in human assessed as induction of drug-induced liver injury by measuring severity class index2016Drug discovery today, Apr, Volume: 21, Issue:4
DILIrank: the largest reference drug list ranked by the risk for developing drug-induced liver injury in humans.
AID342000Antimicrobial activity against Staphylococcus aureus CCM 885 after 20 hrs2007Antimicrobial agents and chemotherapy, Aug, Volume: 51, Issue:8
Deoxyribonucleoside kinases activate nucleoside antibiotics in severely pathogenic bacteria.
AID445377Cell cycle arrest in human CCRF-CEM assessed as accumulation at G2/M phase at 5 x GIC50 after 24 hrs by flow cytometry2010Journal of medicinal chemistry, Jan-14, Volume: 53, Issue:1
6-(Het)aryl-7-deazapurine ribonucleosides as novel potent cytostatic agents.
AID344443Activity of human wild type deoxycytidine kinase in presence of UTP2008Journal of medicinal chemistry, Jul-24, Volume: 51, Issue:14
Elucidation of different binding modes of purine nucleosides to human deoxycytidine kinase.
AID1473738Inhibition of human BSEP overexpressed in Sf9 cell membrane vesicles assessed as uptake of [3H]-taurocholate in presence of ATP measured after 15 to 20 mins by membrane vesicle transport assay2013Toxicological sciences : an official journal of the Society of Toxicology, Nov, Volume: 136, Issue:1
A multifactorial approach to hepatobiliary transporter assessment enables improved therapeutic compound development.
AID44000Compound was tested for cytotoxicity against CCRF-CEM cell lines1992Journal of medicinal chemistry, Jan-24, Volume: 35, Issue:2
Synthesis and biologic activity of 2'-fluoro-2-halo derivatives of 9-beta-D-arabinofuranosyladenine.
AID344442Activity of human wild type deoxycytidine kinase in presence of ATP2008Journal of medicinal chemistry, Jul-24, Volume: 51, Issue:14
Elucidation of different binding modes of purine nucleosides to human deoxycytidine kinase.
AID611462Cytotoxicity against human U87MG cells after 3 days by MTT assay2011Journal of medicinal chemistry, Aug-11, Volume: 54, Issue:15
Synthesis and significant cytostatic activity of 7-hetaryl-7-deazaadenosines.
AID625291Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for liver function tests abnormal2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID33792Binding affinity to adenosine A2A receptor in rat striatal membranes by measuring displacement of specific [3H]-CGS- 21680 as radioligand1995Journal of medicinal chemistry, Mar-31, Volume: 38, Issue:7
Search for new purine- and ribose-modified adenosine analogues as selective agonists and antagonists at adenosine receptors.
AID611453Cytotoxicity against human paclitaxel resistant K562 cells after 3 days by MTT assay2011Journal of medicinal chemistry, Aug-11, Volume: 54, Issue:15
Synthesis and significant cytostatic activity of 7-hetaryl-7-deazaadenosines.
AID1370966Antiproliferative activity against human Mahlavu cells after 72 hrs by SRB assay2018Bioorganic & medicinal chemistry letters, 02-01, Volume: 28, Issue:3
Synthesis of novel 6-substituted amino-9-(β-d-ribofuranosyl)purine analogs and their bioactivities on human epithelial cancer cells.
AID611458Cytotoxicity against human MCF7 cells after 3 days by MTT assay2011Journal of medicinal chemistry, Aug-11, Volume: 54, Issue:15
Synthesis and significant cytostatic activity of 7-hetaryl-7-deazaadenosines.
AID81745Compound was tested for cytotoxicity against HEp-2 cell lines1992Journal of medicinal chemistry, Jan-24, Volume: 35, Issue:2
Synthesis and biologic activity of 2'-fluoro-2-halo derivatives of 9-beta-D-arabinofuranosyladenine.
AID588211Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in humans2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID611475Cytotoxicity against human HPAC cells after 3 days by MTT assay2011Journal of medicinal chemistry, Aug-11, Volume: 54, Issue:15
Synthesis and significant cytostatic activity of 7-hetaryl-7-deazaadenosines.
AID1079942Steatosis, proven histopathologically. Value is number of references indexed. [column 'STEAT' in source]
AID1368375Inhibition of recombinant human PDE2A catalytic domain (580 to 919 residues) expressed in Escherichia coli BL21 (Codonplus) using [3H]cGMP as substrate after 15 mins by liquid scintillation counting method2018Bioorganic & medicinal chemistry, 01-01, Volume: 26, Issue:1
Discovery of novel purine nucleoside derivatives as phosphodiesterase 2 (PDE2) inhibitors: Structure-based virtual screening, optimization and biological evaluation.
AID155645Percentage of apoptotic cells in human peripheral blood mononuclear cells after 72 hour incubation at the concentration 30 uM1998Bioorganic & medicinal chemistry letters, Sep-22, Volume: 8, Issue:18
Modulation of apoptosis in human lymphocytes by adenosine analogues.
AID611459Cytotoxicity against human BT549 cells after 3 days by MTT assay2011Journal of medicinal chemistry, Aug-11, Volume: 54, Issue:15
Synthesis and significant cytostatic activity of 7-hetaryl-7-deazaadenosines.
AID29734Toxic level was evaluated1985Journal of medicinal chemistry, Oct, Volume: 28, Issue:10
Synthesis and biological activity of certain 6-substituted and 2,6-disubstituted 2'-deoxytubercidins prepared via the stereospecific sodium salt glycosylation procedure.
AID341997Antimicrobial activity against Streptococcus sp. 07706-1 after 20 hrs2007Antimicrobial agents and chemotherapy, Aug, Volume: 51, Issue:8
Deoxyribonucleoside kinases activate nucleoside antibiotics in severely pathogenic bacteria.
AID625282Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for cirrhosis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1370964Antiproliferative activity against human MCF7 cells after 72 hrs by SRB assay2018Bioorganic & medicinal chemistry letters, 02-01, Volume: 28, Issue:3
Synthesis of novel 6-substituted amino-9-(β-d-ribofuranosyl)purine analogs and their bioactivities on human epithelial cancer cells.
AID445382Inhibition of DNA synthesis in human CCRF-CEM assessed as assessed as BrdU incorporation at 1 x GIC50 after 24 by flow cytometry2010Journal of medicinal chemistry, Jan-14, Volume: 53, Issue:1
6-(Het)aryl-7-deazapurine ribonucleosides as novel potent cytostatic agents.
AID611463Cytotoxicity against rat C6 cells after 3 days by MTT assay2011Journal of medicinal chemistry, Aug-11, Volume: 54, Issue:15
Synthesis and significant cytostatic activity of 7-hetaryl-7-deazaadenosines.
AID445379Antimitotic activity in human CCRF-CEM cells assessed as decrease in mitotic histone H3 at 5 x GIC502010Journal of medicinal chemistry, Jan-14, Volume: 53, Issue:1
6-(Het)aryl-7-deazapurine ribonucleosides as novel potent cytostatic agents.
AID625290Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for liver fatty2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID611455Cytotoxicity against human CEM-DNR-bulk cells after 3 days by MTT assay2011Journal of medicinal chemistry, Aug-11, Volume: 54, Issue:15
Synthesis and significant cytostatic activity of 7-hetaryl-7-deazaadenosines.
AID1236699Antiproliferative activity against human K562 cells assessed as cell growth inhibition after 48 hrs by MTT assay2015Bioorganic & medicinal chemistry, Jul-01, Volume: 23, Issue:13
Phospholipid derivatives of cladribine and fludarabine: synthesis and biological properties.
AID1079934Highest frequency of acute liver toxicity observed during clinical trials, expressed as a percentage. [column '% AIGUE' in source]
AID1079939Cirrhosis, proven histopathologically. Value is number of references indexed. [column 'CIRRH' in source]
AID1370967Antiproliferative activity against human FOCUS cells after 72 hrs by SRB assay2018Bioorganic & medicinal chemistry letters, 02-01, Volume: 28, Issue:3
Synthesis of novel 6-substituted amino-9-(β-d-ribofuranosyl)purine analogs and their bioactivities on human epithelial cancer cells.
AID155644Percentage of apoptotic cells in human peripheral blood mononuclear cells after 72 hour incubation at the concentration 10 uM1998Bioorganic & medicinal chemistry letters, Sep-22, Volume: 8, Issue:18
Modulation of apoptosis in human lymphocytes by adenosine analogues.
AID611465Cytotoxicity against human HCT116 cells after 3 days by MTT assay2011Journal of medicinal chemistry, Aug-11, Volume: 54, Issue:15
Synthesis and significant cytostatic activity of 7-hetaryl-7-deazaadenosines.
AID33337Binding affinity determined by displacement of specific binding of [125I]N-(4-amino-3-iodophenethyl)-adenosine in membranes of CHO cells stably transfected with the rat adenosine A3 receptor1995Journal of medicinal chemistry, Mar-31, Volume: 38, Issue:7
Search for new purine- and ribose-modified adenosine analogues as selective agonists and antagonists at adenosine receptors.
AID96819In vitro inhibitory effect was tested for cytostatic activity on the growth of murine leukemic L1210 cell lines1985Journal of medicinal chemistry, Oct, Volume: 28, Issue:10
Synthesis and biological activity of certain 6-substituted and 2,6-disubstituted 2'-deoxytubercidins prepared via the stereospecific sodium salt glycosylation procedure.
AID344445Ratio of Kcat for human wild type deoxycytidine kinase to Km for human wild type deoxycytidine kinase in presence of UTP2008Journal of medicinal chemistry, Jul-24, Volume: 51, Issue:14
Elucidation of different binding modes of purine nucleosides to human deoxycytidine kinase.
AID611476Cytotoxicity against mouse P388D1 cells after 3 days by MTT assay2011Journal of medicinal chemistry, Aug-11, Volume: 54, Issue:15
Synthesis and significant cytostatic activity of 7-hetaryl-7-deazaadenosines.
AID344444Ratio of Kcat for human wild type deoxycytidine kinase to Km for human wild type deoxycytidine kinase in presence of ATP2008Journal of medicinal chemistry, Jul-24, Volume: 51, Issue:14
Elucidation of different binding modes of purine nucleosides to human deoxycytidine kinase.
AID617761Cytotoxicity against human Raji cells after 72 hrs by MTT assay2011Bioorganic & medicinal chemistry, Sep-15, Volume: 19, Issue:18
Synthesis and biological evaluation of 2',4'- and 3',4'-bridged nucleoside analogues.
AID1079936Choleostatic liver toxicity, either proven histopathologically or where the ratio of maximal ALT or AST activity above normal to that of Alkaline Phosphatase is < 2 (see ACUTE). Value is number of references indexed. [column 'CHOLE' in source]
AID84599In vitro antiviral activity was tested against, herpes simplex type 2 virus (HSV-2)1985Journal of medicinal chemistry, Oct, Volume: 28, Issue:10
Synthesis and biological activity of certain 6-substituted and 2,6-disubstituted 2'-deoxytubercidins prepared via the stereospecific sodium salt glycosylation procedure.
AID1236702Antiproliferative activity against human MCF7 cells assessed as cell growth inhibition after 48 hrs by MTT assay2015Bioorganic & medicinal chemistry, Jul-01, Volume: 23, Issue:13
Phospholipid derivatives of cladribine and fludarabine: synthesis and biological properties.
AID611471Cytotoxicity against human MES-SA cells after 3 days by MTT assay2011Journal of medicinal chemistry, Aug-11, Volume: 54, Issue:15
Synthesis and significant cytostatic activity of 7-hetaryl-7-deazaadenosines.
AID611468Cytotoxicity against human LNCAP cells after 3 days by MTT assay2011Journal of medicinal chemistry, Aug-11, Volume: 54, Issue:15
Synthesis and significant cytostatic activity of 7-hetaryl-7-deazaadenosines.
AID611467Cytotoxicity against human PC3 cells after 3 days by MTT assay2011Journal of medicinal chemistry, Aug-11, Volume: 54, Issue:15
Synthesis and significant cytostatic activity of 7-hetaryl-7-deazaadenosines.
AID611456Cytotoxicity against mouse L1210 cells after 3 days by MTT assay2011Journal of medicinal chemistry, Aug-11, Volume: 54, Issue:15
Synthesis and significant cytostatic activity of 7-hetaryl-7-deazaadenosines.
AID1236703Antiproliferative activity against human ZR-75-1 cells assessed as cell growth inhibition after 48 hrs by MTT assay2015Bioorganic & medicinal chemistry, Jul-01, Volume: 23, Issue:13
Phospholipid derivatives of cladribine and fludarabine: synthesis and biological properties.
AID344448Ratio of Kcat for human deoxycytidine kinase C4S mutant to Km for deoxycytidine kinase C4S mutant in presence of ATP2008Journal of medicinal chemistry, Jul-24, Volume: 51, Issue:14
Elucidation of different binding modes of purine nucleosides to human deoxycytidine kinase.
AID445383Inhibition of DNA synthesis in human CCRF-CEM assessed as assessed as BrdU incorporation at 5 x GIC50 after 24 by flow cytometry2010Journal of medicinal chemistry, Jan-14, Volume: 53, Issue:1
6-(Het)aryl-7-deazapurine ribonucleosides as novel potent cytostatic agents.
AID445380Inhibition of RNA synthesis in human CCRF-CEM assessed as assessed as BrdU incorporation at 1 x GIC50 after 24 by flow cytometry2010Journal of medicinal chemistry, Jan-14, Volume: 53, Issue:1
6-(Het)aryl-7-deazapurine ribonucleosides as novel potent cytostatic agents.
AID1370965Antiproliferative activity against human HepG2 cells after 72 hrs by SRB assay2018Bioorganic & medicinal chemistry letters, 02-01, Volume: 28, Issue:3
Synthesis of novel 6-substituted amino-9-(β-d-ribofuranosyl)purine analogs and their bioactivities on human epithelial cancer cells.
AID341995Antimicrobial activity against Escherichia coli ATCC 25922 after 20 hrs2007Antimicrobial agents and chemotherapy, Aug, Volume: 51, Issue:8
Deoxyribonucleoside kinases activate nucleoside antibiotics in severely pathogenic bacteria.
AID477295Octanol-water partition coefficient, log P of the compound2010European journal of medicinal chemistry, Apr, Volume: 45, Issue:4
QSPR modeling of octanol/water partition coefficient of antineoplastic agents by balance of correlations.
AID155782Percentage of apoptotic cells in human peripheral blood mononuclear cells after 72 hour incubation at the concentration 60 uM1998Bioorganic & medicinal chemistry letters, Sep-22, Volume: 8, Issue:18
Modulation of apoptosis in human lymphocytes by adenosine analogues.
AID1079938Chronic liver disease either proven histopathologically, or through a chonic elevation of serum amino-transferase activity after 6 months. Value is number of references indexed. [column 'CHRON' in source]
AID1236701Antiproliferative activity against human SKHEP1 cells assessed as cell growth inhibition after 48 hrs by MTT assay2015Bioorganic & medicinal chemistry, Jul-01, Volume: 23, Issue:13
Phospholipid derivatives of cladribine and fludarabine: synthesis and biological properties.
AID588212Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in rodents2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID611472Cytotoxicity against human HeLa cells after 3 days by MTT assay2011Journal of medicinal chemistry, Aug-11, Volume: 54, Issue:15
Synthesis and significant cytostatic activity of 7-hetaryl-7-deazaadenosines.
AID445381Inhibition of RNA synthesis in human CCRF-CEM assessed as assessed as BrdU incorporation at 5 x GIC50 after 24 by flow cytometry2010Journal of medicinal chemistry, Jan-14, Volume: 53, Issue:1
6-(Het)aryl-7-deazapurine ribonucleosides as novel potent cytostatic agents.
AID611466Cytotoxicity against mouse CT26 cells after 3 days by MTT assay2011Journal of medicinal chemistry, Aug-11, Volume: 54, Issue:15
Synthesis and significant cytostatic activity of 7-hetaryl-7-deazaadenosines.
AID625285Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatic necrosis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1473739Inhibition of human MRP2 overexpressed in Sf9 cell membrane vesicles assessed as uptake of [3H]-estradiol-17beta-D-glucuronide in presence of ATP and GSH measured after 20 mins by membrane vesicle transport assay2013Toxicological sciences : an official journal of the Society of Toxicology, Nov, Volume: 136, Issue:1
A multifactorial approach to hepatobiliary transporter assessment enables improved therapeutic compound development.
AID445362Inhibition of RNA synthesis in human CCRF-CEM assessed as assessed as BrdU incorporation after 24 by flow cytometry2010Journal of medicinal chemistry, Jan-14, Volume: 53, Issue:1
6-(Het)aryl-7-deazapurine ribonucleosides as novel potent cytostatic agents.
AID540212Mean residence time in human after iv administration2008Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 36, Issue:7
Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
AID341999Antimicrobial activity against Staphylococcus aureus ATCC 29213 after 20 hrs2007Antimicrobial agents and chemotherapy, Aug, Volume: 51, Issue:8
Deoxyribonucleoside kinases activate nucleoside antibiotics in severely pathogenic bacteria.
AID611457Cytotoxicity against mouse EL4 cells after 3 days by MTT assay2011Journal of medicinal chemistry, Aug-11, Volume: 54, Issue:15
Synthesis and significant cytostatic activity of 7-hetaryl-7-deazaadenosines.
AID588210Human drug-induced liver injury (DILI) modelling dataset from Ekins et al2010Drug metabolism and disposition: the biological fate of chemicals, Dec, Volume: 38, Issue:12
A predictive ligand-based Bayesian model for human drug-induced liver injury.
AID679291TP_TRANSPORTER: uptake in Xenopus laevis oocytes2000Biochemical pharmacology, Jul-15, Volume: 60, Issue:2
Role of organic cation transporters in the renal secretion of nucleosides.
AID1079932Highest frequency of moderate liver toxicity observed during clinical trials, expressed as a percentage. [column '% BIOL' in source]
AID540209Volume of distribution at steady state in human after iv administration2008Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 36, Issue:7
Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
AID108459In vitro antiviral activity was tested against, measles virus1985Journal of medicinal chemistry, Oct, Volume: 28, Issue:10
Synthesis and biological activity of certain 6-substituted and 2,6-disubstituted 2'-deoxytubercidins prepared via the stereospecific sodium salt glycosylation procedure.
AID1236698Antiproliferative activity against human KG1 cells assessed as cell growth inhibition after 48 hrs by MTT assay2015Bioorganic & medicinal chemistry, Jul-01, Volume: 23, Issue:13
Phospholipid derivatives of cladribine and fludarabine: synthesis and biological properties.
AID540210Clearance in human after iv administration2008Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 36, Issue:7
Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
AID341998Antimicrobial activity against Streptococcus sp. 07686-2 after 20 hrs2007Antimicrobial agents and chemotherapy, Aug, Volume: 51, Issue:8
Deoxyribonucleoside kinases activate nucleoside antibiotics in severely pathogenic bacteria.
AID445378Antimitotic activity in human CCRF-CEM cells assessed as decrease in mitotic histone H3 at 1 x GIC502010Journal of medicinal chemistry, Jan-14, Volume: 53, Issue:1
6-(Het)aryl-7-deazapurine ribonucleosides as novel potent cytostatic agents.
AID445374Cell cycle arrest in human CCRF-CEM assessed as accumulation at S phase at 1 x GIC50 after 24 hrs by flow cytometry2010Journal of medicinal chemistry, Jan-14, Volume: 53, Issue:1
6-(Het)aryl-7-deazapurine ribonucleosides as novel potent cytostatic agents.
AID445372Cell cycle arrest in human CCRF-CEM assessed as accumulation at G1 phase at 1 x GIC50 after 24 hrs by flow cytometry2010Journal of medicinal chemistry, Jan-14, Volume: 53, Issue:1
6-(Het)aryl-7-deazapurine ribonucleosides as novel potent cytostatic agents.
AID1236697Antiproliferative activity against human MOLT3 cells assessed as cell growth inhibition after 48 hrs by MTT assay2015Bioorganic & medicinal chemistry, Jul-01, Volume: 23, Issue:13
Phospholipid derivatives of cladribine and fludarabine: synthesis and biological properties.
AID1439437Cytotoxicity against human HuH7 cells assessed as growth inhibition after 72 hrs by SRB assay2017European journal of medicinal chemistry, Mar-31, Volume: 129Synthesis and biological evaluation of novel pyrazolic chalcone derivatives as novel hepatocellular carcinoma therapeutics.
AID445370Cell cycle arrest in human CCRF-CEM assessed as accumulation at subG1 phase at 1 x GIC50 after 24 hrs by flow cytometry2010Journal of medicinal chemistry, Jan-14, Volume: 53, Issue:1
6-(Het)aryl-7-deazapurine ribonucleosides as novel potent cytostatic agents.
AID445371Cell cycle arrest in human CCRF-CEM assessed as accumulation at subG1 phase at 5 x GIC50 after 24 hrs by flow cytometry2010Journal of medicinal chemistry, Jan-14, Volume: 53, Issue:1
6-(Het)aryl-7-deazapurine ribonucleosides as novel potent cytostatic agents.
AID625280Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for cholecystitis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1439439Cytotoxicity against human HCT116 cells assessed as growth inhibition after 72 hrs by SRB assay2017European journal of medicinal chemistry, Mar-31, Volume: 129Synthesis and biological evaluation of novel pyrazolic chalcone derivatives as novel hepatocellular carcinoma therapeutics.
AID611464Cytotoxicity against human HT-29 cells after 3 days by MTT assay2011Journal of medicinal chemistry, Aug-11, Volume: 54, Issue:15
Synthesis and significant cytostatic activity of 7-hetaryl-7-deazaadenosines.
AID540211Fraction unbound in human after iv administration2008Drug metabolism and disposition: the biological fate of chemicals, Jul, Volume: 36, Issue:7
Trend analysis of a database of intravenous pharmacokinetic parameters in humans for 670 drug compounds.
AID625288Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for jaundice2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID217824In vitro antiviral activity was tested against, vaccinia virus (VV)1985Journal of medicinal chemistry, Oct, Volume: 28, Issue:10
Synthesis and biological activity of certain 6-substituted and 2,6-disubstituted 2'-deoxytubercidins prepared via the stereospecific sodium salt glycosylation procedure.
AID588209Literature-mined public compounds from Greene et al multi-species hepatotoxicity modelling dataset2010Chemical research in toxicology, Jul-19, Volume: 23, Issue:7
Developing structure-activity relationships for the prediction of hepatotoxicity.
AID625292Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) combined score2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1174819Cytotoxicity against human T47D cells after 72 hrs by SRB assay2015European journal of medicinal chemistry, Jan-07, Volume: 89Synthesis of novel substituted purine derivatives and identification of the cell death mechanism.
AID342001Antimicrobial activity against Streptococcus pyogenes AP1 after 20 hrs2007Antimicrobial agents and chemotherapy, Aug, Volume: 51, Issue:8
Deoxyribonucleoside kinases activate nucleoside antibiotics in severely pathogenic bacteria.
AID445467Displacement of [3H]adenine from adenine 1 receptor in rat brain cortical membrane by liquid scintillation counting2009Journal of medicinal chemistry, Oct-08, Volume: 52, Issue:19
Structure-activity relationships of adenine and deazaadenine derivatives as ligands for adenine receptors, a new purinergic receptor family.
AID341996Antimicrobial activity against Streptococcus sp. 07941-1 after 20 hrs2007Antimicrobial agents and chemotherapy, Aug, Volume: 51, Issue:8
Deoxyribonucleoside kinases activate nucleoside antibiotics in severely pathogenic bacteria.
AID611470Cytotoxicity against human NCI-H146 cells after 3 days by MTT assay2011Journal of medicinal chemistry, Aug-11, Volume: 54, Issue:15
Synthesis and significant cytostatic activity of 7-hetaryl-7-deazaadenosines.
AID1079937Severe hepatitis, defined as possibly life-threatening liver failure or through clinical observations. Value is number of references indexed. [column 'MASS' in source]
AID625289Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for liver disease2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1439438Cytotoxicity against human MCF7 cells assessed as growth inhibition after 72 hrs by SRB assay2017European journal of medicinal chemistry, Mar-31, Volume: 129Synthesis and biological evaluation of novel pyrazolic chalcone derivatives as novel hepatocellular carcinoma therapeutics.
AID1174817Cytotoxicity against human HuH7 cells after 72 hrs by SRB assay2015European journal of medicinal chemistry, Jan-07, Volume: 89Synthesis of novel substituted purine derivatives and identification of the cell death mechanism.
AID1347411qHTS to identify inhibitors of the type 1 interferon - major histocompatibility complex class I in skeletal muscle: primary screen against the NCATS Mechanism Interrogation Plate v5.0 (MIPE) Libary2020ACS chemical biology, 07-17, Volume: 15, Issue:7
High-Throughput Screening to Identify Inhibitors of the Type I Interferon-Major Histocompatibility Complex Class I Pathway in Skeletal Muscle.
AID1159607Screen for inhibitors of RMI FANCM (MM2) intereaction2016Journal of biomolecular screening, Jul, Volume: 21, Issue:6
A High-Throughput Screening Strategy to Identify Protein-Protein Interaction Inhibitors That Block the Fanconi Anemia DNA Repair Pathway.
AID1224864HCS microscopy assay (F508del-CFTR)2016PloS one, , Volume: 11, Issue:10
Increasing the Endoplasmic Reticulum Pool of the F508del Allele of the Cystic Fibrosis Transmembrane Conductance Regulator Leads to Greater Folding Correction by Small Molecule Therapeutics.
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (1,727)

TimeframeStudies, This Drug (%)All Drugs %
pre-199024 (1.39)18.7374
1990's524 (30.34)18.2507
2000's499 (28.89)29.6817
2010's416 (24.09)24.3611
2020's264 (15.29)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 79.75

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be very strong demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index79.75 (24.57)
Research Supply Index7.62 (2.92)
Research Growth Index6.12 (4.65)
Search Engine Demand Index141.21 (26.88)
Search Engine Supply Index2.00 (0.95)

This Compound (79.75)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials258 (14.42%)5.53%
Reviews334 (18.67%)6.00%
Case Studies325 (18.17%)4.05%
Observational19 (1.06%)0.25%
Other853 (47.68%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (117)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
CLAG-M or FLAG-Ida Chemotherapy Followed Immediately by Related/Unrelated Reduced-Intensity Conditioning (RIC) Allogeneic Hematopoietic Cell Transplantation for Adults With Myeloid Malignancies at High Risk of Relapse: A Phase 1 Study [NCT04375631]Phase 1120 participants (Anticipated)Interventional2020-12-03Recruiting
A Monocenter Prospective Single Arm Study of Cladribine Plus Homoharringtonine and Cytarabine Regimen (CHA) for Induced Therapy in Adults de Novo Acute Myeloid Leukemia (Non-M3) [NCT05906914]Phase 230 participants (Anticipated)Interventional2023-06-29Recruiting
A 2-year Extension Study to Evaluate Long-term Effectiveness of Mavenclad® in Participants Who Have Completed Trial MS700568_0022 (MAGNIFY MS) (Magnify MS Extension) [NCT04783935]Phase 4219 participants (Actual)Interventional2021-03-10Active, not recruiting
Cladribine Combined With G-CSF and Cytarabine as a Salvage Treatment in Refractory/Relapsed Acute Lymphoblastic Leukemia [NCT05578378]Phase 2/Phase 332 participants (Anticipated)Interventional2022-01-01Recruiting
A Prospective Biomarker Study in Active Secondary Progressive Multiple Sclerosis (SPMS)Subjects Treated With Cladribine Tablets [NCT04550455]Phase 430 participants (Anticipated)Interventional2020-09-16Recruiting
Clinical Study of Efficacy and Safety of Chidamide Combined With Cladribine Regimen in Refractory/Relapsed Acute Myeloid Leukemia [NCT05330364]Phase 231 participants (Anticipated)Interventional2021-06-01Recruiting
Phase 1 Study of Cladribine Based Induction Therapy (CLAG) With ATRA (All-Trans Retinoic Acid) and Midostaurin in Relapsed/Refractory AML [NCT01161550]Phase 111 participants (Actual)Interventional2010-11-30Completed
Addition of Sorafenib to G-CSF, Cladribine, Cytarabine and Mitoxantrone (G-CLAM) in Adults With Newly-Diagnosed Acute Myeloid Leukemia (AML) Independent of FLT3-ITD Status: A Phase 1/2 Study [NCT02728050]Phase 1/Phase 284 participants (Actual)Interventional2016-12-01Completed
LCH-IV, International Collaborative Treatment Protocol for Children and Adolescents With Langerhans Cell Histiocytosis [NCT02205762]Phase 2/Phase 31,400 participants (Anticipated)Interventional2016-11-02Recruiting
Phase Ib/II Study of Uproleselan Added to Cladribine Plus Low Dose Cytarabine (LDAC) Induction Followed by Consolidation With Uproleselan Plus Cladribine Plus LDAC in Patients With Treated Secondary AML (TS-AML) [NCT04848974]Phase 1/Phase 237 participants (Anticipated)Interventional2021-06-11Recruiting
Allogeneic Transplantation Using Venetoclax, Timed Sequential Busulfan,Cladribine, and Fludarabine Conditioning in Patients With AML and MDS [NCT02250937]Phase 2116 participants (Anticipated)Interventional2014-10-27Active, not recruiting
CBA Versus FBA Conditioning Followed by Allogeneic HSCT in Treatment of High Risk and Refractory AML [NCT03384212]Phase 3120 participants (Anticipated)Interventional2016-08-01Recruiting
Chidamide Combined With Cladribine/Gemcitabine/Busulfan (ChiCGB) With Autologous Stem-Cell Transplantation in High-risk Hodgkin and Non-Hodgkin Lymphoma [NCT03602131]Phase 230 participants (Anticipated)Interventional2019-01-01Not yet recruiting
Czech Pharmaco-epidemiological Real World Data Study Focused on Effectiveness of Different Disease Modifying Drugs [NCT05762003]17,478 participants (Actual)Observational2019-01-01Completed
Efficacy and Safety of Cladribine Combined With BEAC ( Semustine, Etoposide, Cytarabine, Cyclophosphamide) Pretreatment Regimen in the Treatment of Peripheral T-cell Lymphoma: a Multicenter Clinical Study [NCT04880746]Phase 3266 participants (Anticipated)Interventional2020-10-17Recruiting
Evaluation of the Efficacy of Induction-consolidation Treatment Using a Double Induction in Patients With AML <60 Years Old, Depending on the Percentage of Blasts in the 14 Day, Residual Disease and Leukemic Hematopoietic Cells [NCT02072811]Phase 3400 participants (Anticipated)Interventional2014-02-28Recruiting
A Randomized, Double-blind, 2-Period, 2-Sequence Crossover Phase I Study With a 1 Month run-in Period to Examine the Effect of Cladribine Tablets on the PK of a Monophasic Oral Contraceptive Containing Ethinyl Estradiol and Levonorgestrel (Microgynon®) in [NCT03745144]Phase 124 participants (Actual)Interventional2019-01-17Completed
Venetoclax, Cladribine Plus Low-dose Cytarabine for Relapsed/Refractory Philadelphia Chromosome-negative (Ph-) B-cell Acute Lymphoblastic Leukemia (B-ALL): a Single-arm, Multicenter Study [NCT05657652]36 participants (Anticipated)Interventional2022-10-01Recruiting
Phase I-II Study of Low Dose CdA Combined With Valproic Acid (VPA) in Previously Treated B-cell Chronic Lymphocytic Leukemia (CLL) Patients [NCT01295593]Phase 1/Phase 233 participants (Anticipated)Interventional2010-12-31Recruiting
Cladribine Tablets Level of Response Predictors in Clinical Practice (CLODINA) [NCT05797740]360 participants (Anticipated)Observational2023-08-03Recruiting
Oral CLADribine in Patients That Change From First-line Disease Modifying Treatments for Multiple Sclerosis: a pROspective effectivenesS and Safety Study (CLAD CROSS) [NCT04934800]256 participants (Actual)Observational2019-12-10Active, not recruiting
An Open-label, Cross Over Study, to Assess the Interactions of Pantoprazole (Proton Pump Inhibitor) With Oral Cladribine Administered in Subjects With Multiple Sclerosis [NCT00938366]Phase 118 participants (Actual)Interventional2008-01-31Completed
Phase I/II Trial of Rituximab, Cladribine, and Temsirolimus (RCT) Therapy in Newly Diagnosed Mantle Cell Lymphoma (MCL) [NCT00787969]Phase 174 participants (Anticipated)Interventional2009-04-30Completed
Phase II Study of 2-Chlorodeoxyadenosine (2CDA) Followed by Rituximab in Hairy Cell Leukemia [NCT00412594]Phase 2150 participants (Anticipated)Interventional2004-06-10Recruiting
CBA Versus FBA Conditioning Followed by Haploidentical Allogeneic HSCT in Treatment of High Risk and Refractory AML [NCT03384225]Phase 3120 participants (Anticipated)Interventional2016-08-01Recruiting
A PALG Prospective Multicenter Clinical Trial to Compare the Efficacy of Two Standard Induction Therapies (DA-90 vs DAC) and Two Standard Salvage Regimens (FLAG-IDA vs CLAG-M) in AML Patients ≤ 60 Years Old [NCT03257241]Phase 3582 participants (Anticipated)Interventional2017-07-03Recruiting
Study on the Treatment of Hairy Cell Leukaemia Variant and Relapsing Hairy Cell Leukaemia [NCT02157181]Phase 289 participants (Actual)Interventional2004-06-30Completed
Phase II Study of Cladribine Plus Idarubicin Plus Cytarabine (ARAC) in Patients With AML, HR MDS, or Myeloid Blast Phase of CML [NCT02115295]Phase 2458 participants (Anticipated)Interventional2014-05-19Recruiting
Efficacy and Safety of Cladribine in Combination With G-CSF, Low-dose Cytarabine and Aclarubicin in Patients With Refractory/Relapsed Acute Myeloid Leukemia: a Phase 2 Clinical Trial [NCT03181815]Phase 248 participants (Anticipated)Interventional2016-01-01Recruiting
Venetoclax-Navitoclax With Cladribine-based Salvage Therapy in Patients With Relapsed/Refractory Acute Myeloid Leukemia [NCT06007911]Phase 136 participants (Anticipated)Interventional2024-02-29Not yet recruiting
Phase II Prospective Randomized Control Trial of Cladribine and Low-Dose Cytarabine (LoDAC) Alternating With Decitabine vs. Hypomethylating Agents (HMA) Plus Venetoclax as Frontline Therapy for AML or High-Grade MDS in Patients Unfit for Intensive Inducti [NCT05766514]Phase 298 participants (Anticipated)Interventional2024-03-31Not yet recruiting
A Phase II Study of CLAG Regimen in Combination With Imatinib Mesylate (Gleevec) in Refractory or Relapsed Acute Myeloid Leukemia [NCT00594555]Phase 220 participants (Anticipated)Interventional2007-11-30Withdrawn(stopped due to Principal Investigator resigned position with the University of Cincinnati, closing study at this site will reopen study in new position)
A Phase IIIb, Double-Blind, Placebo-Controlled, Multicenter, Parallel Group, Extension Trial to Evaluate the Safety and Tolerability of Oral Cladribine in Subjects With Relapsing-Remitting Multiple Sclerosis Who Have Completed Trial 25643 (CLARITY) [NCT00641537]Phase 3867 participants (Actual)Interventional2008-02-29Completed
A Phase III, Randomized, Double-blind, Three-arm, Placebo-controlled, Multi-center Study to Evaluate the Safety and Efficacy of Oral Cladribine in Subjects With Relapsing-remitting Multiple Sclerosis (RRMS) [NCT00213135]Phase 31,326 participants (Actual)Interventional2005-04-30Completed
Phase II Study of Vorinostat (SAHA), Cladribine, and Rituximab (SCR) in Mantle Cell Lymphoma, Chronic Lymphocytic Leukemia, and Relapsed B Cell Non-Hodgkin Lymphoma [NCT00764517]Phase 257 participants (Actual)Interventional2008-08-31Completed
A Phase III, Randomized, Double-blind, Placebo-controlled, Multi-center Clinical Trial of Oral Cladribine in Subjects With a First Clinical Event at High Risk of Converting to MS [NCT00725985]Phase 3617 participants (Actual)Interventional2008-12-31Completed
Efficacy and Safety of Cladribine in Combination With G-CSF,Low-dose Cytarabine and Aclarubicin in Newly Diagnosed Unfit Patients With Acute Myeloid Leukemia [NCT04254640]Phase 234 participants (Anticipated)Interventional2021-03-01Not yet recruiting
Primary Treatment of Macroglobulinemic Lymphoma With 2CdA, Cyclophosphamide and Rituximab [NCT00667329]Phase 114 participants (Actual)Interventional1999-07-09Completed
Impact of Treatment Intensity on Survival, Quality of Life, and Resource Utilization in Medically Less Fit Adults With Acute Myeloid Leukemia and Analogous Myeloid Neoplasms: A Randomized Pilot Study [NCT03012672]Phase 250 participants (Actual)Interventional2016-12-30Completed
A Phase II Study of Cladribine and Low Dose Cytarabine in Combination With Venetoclax, Alternating With Azacitidine and Venetoclax, in Patients With Higher-risk Myeloproliferative Chronic Myelomonocytic Leukemia or Higher-risk Myelodysplastic Syndromes Wi [NCT05365035]Phase 260 participants (Anticipated)Interventional2022-09-23Recruiting
A Randomized, Open Label Study to Assess the Effect of Maintenance Treatment With Mabthera (Rituximab) Versus No Treatment, After Induction Treatment With Rituximab, Cladribine and Cyclophosphamide (RCC) on Progression-Free Survival in Previously Untreate [NCT00718549]Phase 3128 participants (Actual)Interventional2009-07-21Completed
A Phase II, Multicenter, Randomized, Double Blind, Placebo Controlled, Safety, Tolerability and Efficacy Study of Add-on Cladribine Tablet Therapy With Interferon-beta (IFN-β) Treatment in Multiple Sclerosis Subjects With Active Disease [NCT00436826]Phase 2172 participants (Actual)Interventional2006-11-30Completed
A Collaborative Trial for the Treatment of Patients With Newly Diagnosed Acute Myeloid Leukemia or Myelodysplasia [NCT00136084]Phase 3238 participants (Actual)Interventional2002-08-31Completed
Cladribine Tablets: Observational Evaluation of Effectiveness and PROs in Suboptimally Controlled Patients Previously Taking Injectable DMDs for RMS (CLICK-MS) [NCT03933215]100 participants (Actual)Observational2019-05-21Active, not recruiting
A Multicenter Randomized Controlled Trial of Best Available Therapy Versus Autologous Hematopoietic Stem Cell Transplant for Treatment-Resistant Relapsing Multiple Sclerosis (ITN077AI) [NCT04047628]Phase 3156 participants (Anticipated)Interventional2019-12-19Recruiting
A Phase II Study of Cladribine, Cytarabine, and Granulocyte-Colony Stimulating Factor With Fractionated Gemtuzumab Ozogamicin (CLAG-GO) for the Treatment of Patients With Persistent, Relapsed or Refractory Acute Myeloid Leukemia [NCT04050280]Phase 239 participants (Anticipated)Interventional2019-11-01Recruiting
Cladribine Tablets: Collaborative Study to Evaluate the Impact On Central Nervous System Biomarkers in Multiple Sclerosis [NCT03963375]Phase 447 participants (Actual)Interventional2019-10-28Active, not recruiting
Subcutaneous Cladribine Plus Pegylated Interpheron Alfa-2a in Advanced Systemic Mastocytosis With D816V and Other Exon 17 KIT Mutations. [NCT01602939]Phase 2/Phase 310 participants (Anticipated)Interventional2012-05-31Recruiting
Determining the Effectiveness of earLy Intensive Versus Escalation Approaches for the Treatment of Relapsing-Remitting Multiple Sclerosis [NCT03535298]Phase 4800 participants (Anticipated)Interventional2019-01-03Recruiting
Multicenter Trial for Treatment Optimization in T-lymphoblastic Lymphoma in Adults and Adolescents Older Than 15 Years (GMALL T-LBL 1/2004) (Amend 1) [NCT00199017]Phase 475 participants (Anticipated)Interventional2004-04-30Completed
Clinical Observation on the Efficacy and Safety of CLAE Regimen (Cladribine + Cytarabine + Etoposide) in the Treatment of Relapsed/Refractory T- Acute Lymphoblastic Leukemia/Lymphoblastic Lymphoma [NCT04679506]50 participants (Anticipated)Observational [Patient Registry]2020-12-31Not yet recruiting
Dose-Finding (Phase 1) Study of Continuous Infusion Cladribine, Cytarabine and Mitoxantrone (CI-CLAM) for Adults With Relapsed/Refractory Acute Myeloid Leukemia or Other High-Grade Myeloid Neoplasms Treated at UW/SCCA [NCT04196010]Phase 113 participants (Actual)Interventional2020-05-08Terminated(stopped due to Terminated due to unfavorable risk-benefit ratio of investigational regimen.)
Four-Arm Randomized Phase II Study of SGI-110: 5 Days, Versus 10 Days, Versus 5 Days + Idarubicin, Versus 5 Days + Cladribine, in Previously Untreated Patients >/= 70 Years With Acute Myeloid Leukemia [NCT02096055]Phase 244 participants (Actual)Interventional2014-04-04Completed
Phase I Clinical Evaluation of Bryostatin 1 in Combination With 2-CdA in Patients With Relapsed CLL [NCT00003174]Phase 180 participants (Anticipated)Interventional1998-05-31Completed
Evaluation of Efficacy and Tolerance of Cladribine in Symptomatic Patients With Pulmonary Langerhans Cell Histiocytosis and Impairment of Lung Function [NCT01473797]Phase 210 participants (Actual)Interventional2011-11-30Active, not recruiting
Chidamide Combined With Cladribine/Gemcitabine/Busulfan (ChiCGB) With Autologous Stem-Cell Transplantation in Relapsed and Refractory Diffuse Large B Cell Lymphoma [NCT03151876]Phase 293 participants (Anticipated)Interventional2017-06-12Recruiting
Cladribine Tablets After Treatment With Natalizumab (CLADRINA) [NCT04178005]Phase 440 participants (Anticipated)Interventional2020-02-19Active, not recruiting
Cladribine Tablets: Observational Evaluation of Effectiveness and PROs in Suboptimally Controlled Patients Previously Taking Oral or Infusion DMDs for RMS (MASTER-2) [NCT03933202]295 participants (Actual)Observational2019-07-22Active, not recruiting
A Pragmatic Trial to Evaluate the Intermediate-term Effects of Early, Aggressive Versus Escalation Therapy in People With Multiple Sclerosis [NCT03500328]900 participants (Anticipated)Interventional2018-05-02Recruiting
A Phase I Study of CLAG Regimen in Combination With Imatinib Mesylate (Gleevec) in Refractory or Relapsed Leukemias [NCT00258271]Phase 118 participants (Anticipated)Interventional2005-03-31Completed
Multicenter Therapy-Optimization Trial AML-BFM 2004 for the Treatment of Acute Myeloid Leukemias in Children and Adolescents [NCT00111345]Phase 2/Phase 3550 participants (Actual)Interventional2004-03-31Active, not recruiting
Phase II Study of Cladribine Plus Low Dose Cytarabine (LDAC) Induction Followed By Consolidation With Cladribine Plus LDAC Alternating With Decitabine in Patients With Untreated Acute Myeloid Leukemia (AML) or High-Risk Myelodysplastic Syndrome (MDS) [NCT01515527]Phase 2160 participants (Anticipated)Interventional2012-02-07Recruiting
Phase II Study of Cladribine, High-dose Cytarabine and Idarubicin in Patients With Relapsed Acute Myeloid Leukemia [NCT00126321]Phase 250 participants (Anticipated)Interventional2004-11-30Recruiting
Phase II Study: 2-Chlorodeoxyadenosine (2-CdA) and Cytarabine (Ara-C) in Idiopathic Hypereosinophilic Syndrome (HES) [NCT00483067]Phase 213 participants (Actual)Interventional1998-03-31Completed
Venetoclax to Improve Outcomes of Fractionated Busulfan Regimen in Patients With High-Risk AML and MDS [NCT04708054]Phase 2100 participants (Anticipated)Interventional2021-10-21Recruiting
Randomized Trial of Cladribine (CdA) With Simultaneous or Delayed Rituximab to Eliminate Hairy Cell Leukemia Minimal Residual Disease [NCT00923013]Phase 2208 participants (Anticipated)Interventional2008-10-20Recruiting
ChariotMS - A National (UK) Phase IIb, Multi-centre, Randomised, Double-blind, Placebo Controlled (1:1) Efficacy Trial With Cost-utility Analysis of Cladribine Tablets (3.5mg/kg Over Two Years) in People With Advanced Multiple Sclerosis. Is Cladribine Sup [NCT04695080]Phase 2/Phase 3200 participants (Anticipated)Interventional2021-06-25Recruiting
Phase II Trial of CLAG-M in Relapsed ALL [NCT01513603]Phase 250 participants (Anticipated)Interventional2012-01-31Recruiting
2-CDA and Rituximab as Remission Induction and Rituximab as In Vivo Purging Prior to Peripheral Stem Cell Mobilization in Patients With Chronic Lymphocytic Leukemia (CLL) - A Prospective Multicenter Phase II Trial [NCT00072007]Phase 243 participants (Actual)Interventional2002-06-30Completed
Effects of Oral Cladribine on Remyelination and Inflammation in Multiple Sclerosis Patients [NCT05902429]Phase 410 participants (Actual)Interventional2021-04-28Active, not recruiting
A PHASE I STUDY OF 2-CHLORODEOXYADENOSINE AND RADIATION FOR THE TREATMENT OF HIGH GRADE GLIOMA (CDX) [NCT00019071]Phase 10 participants Interventional1995-03-31Completed
Cardioprotection With Dexrazoxane in Acute Myeloid Leukemia (AML), High-Risk Myelodysplastic Syndrome (MDS), Myeloid Blast Phase of Chronic Myeloid Leukemia (CML), Ph+ AML, and Myeloid Blast Phase of Myeloproliferative Neoplasms [NCT03589729]Phase 2100 participants (Anticipated)Interventional2018-09-19Recruiting
The Prospective Non-randomized Phase II Clinical Trial of Vemurafenib in Combination With Cytarabine and 2-chlorodeoxyadenosine in Children With Langerhans-cell Hisitocytosis With BRAF V600E Mutation [NCT03585686]Phase 212 participants (Anticipated)Interventional2018-06-26Recruiting
A 2-year Prospective Study to Evaluate the Onset of Action of Mavenclad® in Subjects With Highly Active Relapsing Multiple Sclerosis (MAGNIFY) [NCT03364036]Phase 4270 participants (Actual)Interventional2018-05-28Completed
Phase II Trial of Rituximab and 2-Chlorodeoxyadenosine (2-CDA) in Newly Diagnosed Mantle Cell Lymphoma (MCL) [NCT00053027]Phase 230 participants (Actual)Interventional2003-02-28Completed
Safety and Efficacy of Subcutaneous Cladribine for Nonrelapsing, Secondary Progressive Multiple Sclerosis (CLASP-MS): a Randomized, Placebo-controlled, Double-blind, Phase 2 Study. [NCT05961644]Phase 2/Phase 3188 participants (Anticipated)Interventional2022-10-03Recruiting
"A Feasibility Study of Early Allogeneic Hematopoietic Cell Transplantation for Relapsed or Refractory High-Grade Myeloid Neoplasms" [NCT02756572]Phase 230 participants (Actual)Interventional2016-09-22Completed
Randomized Autologous heMatopoietic Stem Cell Transplantation Versus Alemtuzumab, Cladribine or Ocrelizumab for Patients With Relapsing Remitting Multiple Sclerosis [NCT03477500]Phase 3100 participants (Anticipated)Interventional2018-03-21Recruiting
A Phase I Study of Lintuzumab-Ac225 in Combination With CLAG-M Chemotherapy in Patients With Relapsed/Refractory Acute Myeloid Leukemia [NCT03441048]Phase 126 participants (Actual)Interventional2018-05-22Active, not recruiting
Safety and Efficacy of a Therapy With Cladribine Following a Treatment With Anti CD20 Compounds in Relapsing Multiple Sclerosis Patients: a Pilot Study [NCT04640818]45 participants (Anticipated)Observational2020-12-17Active, not recruiting
A Phase II Study of the Efficacy and Pharmacogenomics of Cladribine-based Salvage Chemotherapy in Patients With Relapse/Refractory and Secondary Acute Myeloid Leukemia (AML) and High Risk Myelodysplastic Syndrome (MDS) [NCT03150004]Phase 290 participants (Anticipated)Interventional2017-06-14Recruiting
Phase 1/2 Study of Concurrent Decitabine in Combination With G-CSF, Cladribine, Cytarabine, and Mitoxantrone (G-CLAM) in Adults With Newly Diagnosed Acute Myeloid Leukemia (AML) or High-Risk Myelodysplastic Syndromes (MDS) [NCT02921061]Phase 1/Phase 228 participants (Actual)Interventional2016-11-17Completed
Norwegian Study of Oral Cladribine and Rituximab in Multiple Sclerosis (NOR-MS) A Prospective Randomized Open-label Blinded Endpoint (PROBE) Multicenter Non-inferiority Study [NCT04121403]Phase 3264 participants (Anticipated)Interventional2019-10-16Recruiting
A Phase 1/2 Trial of G-CSF, Cladribine, Cytarabine, and Dose-Escalated Mitoxantrone (G-CLAM) in Adults With Newly Diagnosed or Relapsed/Refractory Acute Myeloid Leukemia (AML) or High-Risk Myelodysplastic Syndromes (MDS) [NCT02044796]Phase 1/Phase 2199 participants (Actual)Interventional2014-01-23Completed
Phase II Study of Venetoclax Added to Cladribine Plus Low Dose Cytarabine (LDAC) Induction Followed by Consolidation With Cladribine Plus LDAC Alternating With 5-Azacitidine With Venetoclax in Patients With Untreated AML [NCT03586609]Phase 2145 participants (Anticipated)Interventional2018-10-25Recruiting
Bortezomib (VELCADE), Cladribine and Rituximab (VCR) in Mantle Cell Lymphoma: A Phase I/II Study (PSHCI 10-011) [NCT01439750]Phase 113 participants (Actual)Interventional2012-05-31Active, not recruiting
STATURE: A Prospective Observational Study of the relationShip beTween Oral DMT bURden and adhErence in People With MS [NCT04676204]323 participants (Anticipated)Observational2020-09-25Enrolling by invitation
Rituximab-2cda and Prolongation of Therapy With Rituximab Alone in Chronic Lymphocytic Leukaemia and Small Lymphocytic Lymphoma [NCT01446900]Phase 225 participants (Actual)Interventional2011-01-31Terminated(stopped due to low rate in patient accrual)
A Phase 1, Open-Label, Sequential Cross-over, Bioavailability/Bioequivalence Study to Compare the Pharmacokinetics of Oral Cladribine With the Reference Listed Drug, Intravenous Cladribine [NCT06021600]Phase 140 participants (Anticipated)Interventional2023-10-09Recruiting
A Phase II, Open-Label Study of Bortezomib (Velcade), Cladribine and Rituximab (VCR) in Advanced, Newly Diagnosed and Relapsed/Refractory Mantle Cell and Indolent Lymphomas [NCT00980395]Phase 224 participants (Actual)Interventional2009-07-07Completed
Treateament of Newly Diagnosed Acute Monocytic Leukemia in Children: A Prospective Multicenter Study in South China [NCT05313958]Phase 2/Phase 343 participants (Anticipated)Interventional2021-12-01Recruiting
Clinical Study of Bcl-2 Inhibitors Combined With Azacytidine and Chemotherapy in Elderly Patients With Previously Untreated Acute Myeloid Leukemia [NCT05053425]30 participants (Anticipated)Interventional2021-10-20Recruiting
Idarubicin and Cladribine in Recurrent and Refractory Acute Myeloid Leukemia: A POG Phase II Study [NCT00003178]Phase 2120 participants (Actual)Interventional1998-03-31Completed
German Multicenter Phase II Trial to Study Effectivity and Feasibility of Alemtuzumab (MabCampath®) in T-ALL and T-Lymphoblastic Lymphomas With Minimal Residual Disease (MRD), in Refractory Relapse or in Primary Failure [NCT00199030]Phase 28 participants (Actual)Interventional2004-02-29Completed
[NCT00004762]Phase 25 participants Interventional1994-12-31Completed
Therapy Optimisation for the Treatment of Hairy Cell Leukemia [NCT02131753]Phase 2/Phase 3210 participants (Anticipated)Interventional2004-05-31Recruiting
German Multicenter Study for Treatment Optimisation in Acute Lymphoblastic Leukemia in Adults and Adolescents Above 15 Years (Amend 3) (GMALL 07/2003) [NCT00198991]Phase 41,883 participants (Actual)Interventional2003-04-30Completed
ChiCGB Versus BEAM With Autologous Stem-Cell Transplantation in High-risk Hodgkin and Non-Hodgkin Lymphoma - A Prospective, Multi-centered, Randomized Clinical Trial [NCT05466318]Phase 3306 participants (Anticipated)Interventional2022-07-01Recruiting
Assessment of Tolerance and Effectiveness of Total Body Irradiation and Cladribine Before Allogeneic Hematopoietic Cell Transplantation in Patients With Acute Myeloid Leukemia and Myelodysplastic Syndromes [NCT04861207]Phase 240 participants (Anticipated)Interventional2021-06-30Not yet recruiting
"Phase I Study of T Cell Depleted (TCD) Partially Matched Related Donor (PMRD) Hematopoietic Stem Cell Transplantation for High Risk Hematologic Diseases Using Intense Pre and Post Transplant Immunosuppression and Megadose CD34 Veto Cells" [NCT00004904]Phase 10 participants Interventional1999-10-31Completed
Daily Versus Weekly Administration of 2-Chlorodeoxyadenosine (CDA) in Patients With Hairy Cell Leukemia [NCT00003746]Phase 3100 participants (Actual)Interventional1998-09-30Completed
Use of G-CSF Stimulated HLA-Identical Allogeneic Peripheral Blood Stem Cells for Patients With High Risk Acute Myelogenous Leukemia or CML in Blast Crisis [NCT00002833]Phase 253 participants (Actual)Interventional1994-10-31Completed
Acute Myeloid Leukemia Salvage Therapy for Patients in First Relapse or Who Fail to Achieve an Initial Remission or Who Develop AML as a Second Malignant Neoplasm [NCT00002805]Phase 2115 participants (Actual)Interventional1997-08-31Completed
Phase 3 Randomized Trial of DFP-10917 vs Non-Intensive Reinduction (LoDAC, Azacitidine, Decitabine, Venetoclax Combination Regimens) or Intensive Reinduction (High & Intermediate Dose Cytarabine Regimens) for Acute Myelogenous Leukemia Patients in Second, [NCT03926624]Phase 3450 participants (Anticipated)Interventional2019-11-22Recruiting
Phase Ib Trial of Gilteritinib in Combination With Mitoxantrone, Cladribine, Cytarabine and Filgrastim (GM-CLAG) for Relapsed/Refractory FLT3-mutated Acute Myeloid Leukemia [NCT05330377]Phase 10 participants (Actual)Interventional2023-03-31Withdrawn(stopped due to Sponsor withdrew funding)
Efficacy and Safety of Cladribine in Combination With G-CSF, Low-dose Cytarabine and Pegaspargase in Patients With Refractory/Relapsed Acute Lymphoblastic Leukemia: a Phase 2 Clinical Trial [NCT03318419]Phase 250 participants (Anticipated)Interventional2016-01-01Recruiting
Cladribine Dose Escalation in Conditioning Regimen Prior to Allo-HSCT for Refractory Acute Leukemia and Myelodysplastic Syndromes [NCT03235973]Phase 129 participants (Anticipated)Interventional2018-04-28Recruiting
A Phase II Study of CLAG Regimen in Combination With Imatinib Mesylate (Gleevec) in Relapsed or Refractory Acute Myeloid Leukemia [NCT00955916]Phase 238 participants (Actual)Interventional2009-08-31Completed
An Investigator Sponsored Phase I/II Study of CLAG + Selinexor in Relapsed or Refractory Acute Myeloid Leukemia [NCT02416908]Phase 1/Phase 240 participants (Actual)Interventional2015-06-16Completed
A Phase 1 Single-Center Trial Combining Venetoclax With G-CSF, Cladribine, Cytarabine, and Mitoxantrone (CLAG-M) for Patients With AML and High-Grade Myeloid Neoplasms [NCT04797767]Phase 120 participants (Anticipated)Interventional2022-02-04Recruiting
A Single-Center Phase 1/2 Study of Single- or Fractioned-Dose Gemtuzumab Ozogamicin in Combination With G-CSF, Cladribine, Cytarabine, and Mitoxantrone for Previously Untreated Adult Acute Myeloid Leukemia or High-Grade Myeloid Neoplasm [NCT03531918]Phase 1/Phase 266 participants (Actual)Interventional2018-09-14Completed
Clinical Study on the Efficacy and Safety of Auto-HSCT in Adult Patients With Burkitt Lymphoma, Lymphoblastic Lymphoma, and Acute Lymphoblastic Leukemia Who Received TCCA Conditioning Regimen [NCT06060782]Phase 128 participants (Anticipated)Interventional2023-10-01Recruiting
Randomized Phase 2 Trial of CPX-351 (Vyxeos) vs. CLAG-M (Cladribine, Cytarabine, G-CSF, and Mitoxantrone) in Medically Less-Fit Adults With Acute Myeloid Leukemia (AML) or Other High-Grade Myeloid Neoplasm [NCT04195945]Phase 260 participants (Anticipated)Interventional2020-03-11Recruiting
A PHASE II TRIAL OF 2-CDA IN PREVIOUSLY TREATED OR UNTREATED PATIENTS WITH MANTLE CELL LYMPHOMA (MCL) [NCT00002879]Phase 251 participants (Actual)Interventional1996-11-30Completed
A 2-Year Prospective Study to Assess Health-related Quality of Life In Subjects With Highly-Active Relapsing Multiple Sclerosis Treated With Mavenclad® (CLARIFY MS) [NCT03369665]Phase 4485 participants (Actual)Interventional2018-06-20Completed
Epacadostat With Cladribine and Cytarabine (ECC) in Relapsed / Refractory AML Patients Fit for Intensive Chemotherapy; a Phase I Study. [NCT03491579]Phase 10 participants (Actual)Interventional2018-12-31Withdrawn(stopped due to IMP will not be further developed)
A Combination of Cladribine, Idarubicin, Cytarabine (CLIA) and Quizartinib for the Treatment of Patients With Newly Diagnosed or Relapsed/Refractory Acute Myeloid Leukemia (AML) and High-Risk Myelodysplastic Syndrome (MDS)) [NCT04047641]Phase 1/Phase 280 participants (Anticipated)Interventional2019-10-22Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00136084 (7) [back to overview]Proportion of Patients Experienced Toxicity of Cytarabine + Daunomycin + Etoposide (ADE) + GO.
NCT00136084 (7) [back to overview]Relationship of Inhibition of DNA Synthesis and Clinical Response
NCT00136084 (7) [back to overview]To Assess Whether Inhibition of DNA Synthesis is Greater After High-dose Ara-C (HDAC) Than After Low-dose Ara-C (LDAC) Therapy
NCT00136084 (7) [back to overview]To Estimate the Overall Event-free Survival (EFS) of AML Patients Who Undergo Risk-adapted and Genotype-directed Therapy
NCT00136084 (7) [back to overview]Minimal Residual Disease (MRD).
NCT00136084 (7) [back to overview]Proportion of Minimal Residual Disease (MRD)+ Patients Who Become MRD- After One Course of Gemtuzumab Ozogamicin (GO)
NCT00136084 (7) [back to overview]Proportion of MRD Reduction After One Course of Cytarabine + Daunomycin + Etoposide (ADE) + GO
NCT00213135 (4) [back to overview]Time to Disability Progression
NCT00213135 (4) [back to overview]Mean Number of Combined Unique (CU) Lesions, Active Time Constant 2 (T2) Lesions, and Active Time Constant 1 (T1) Gadolinium-Enhanced (Gd+) Lesions Per Participant Per Scan
NCT00213135 (4) [back to overview]Annualized Qualifying Relapse Rate
NCT00213135 (4) [back to overview]Percentage of Relapse-free Participants
NCT00436826 (42) [back to overview]Double Blind Period: Percentage of Participants With no Active T1 Gd-Enhanced Lesions at Week 96
NCT00436826 (42) [back to overview]Double Blind Period: Percentage of Participants Qualifying Relapse-free
NCT00436826 (42) [back to overview]Double Blind Period: Percent Change in Normalized Brain Volume From Baseline to Week 96
NCT00436826 (42) [back to overview]Double Blind Period: Mean Number of T1 Hypointense Lesions Per Participant Per Scan at Week 96
NCT00436826 (42) [back to overview]Double Blind Period: Mean Change From Baseline in Vital Signs- Systolic and Diastolic Blood Pressure
NCT00436826 (42) [back to overview]Double Blind Period: Mean Change in T2 Lesion Volume From Baseline to Week 96
NCT00436826 (42) [back to overview]Double Blind Period: Mean Change in T1 Hypointense Lesion Volume From Baseline to Week 96
NCT00436826 (42) [back to overview]Double Blind Period: Mean Change in New T1 Gd+ Lesions From Baseline to Week 96
NCT00436826 (42) [back to overview]Double Blind Period: Mean Change From Baseline in Vital Signs- Weight
NCT00436826 (42) [back to overview]Double Blind Period: Mean Change From Baseline in Vital Signs- Temperature
NCT00436826 (42) [back to overview]Double Blind Period: Mean Change From Baseline in Vital Signs- Pulse Rate
NCT00436826 (42) [back to overview]Double Blind Period: Mean Change From Baseline in Electrocardiogram (ECG) Parameters- Heart Rate
NCT00436826 (42) [back to overview]Double Blind Period: Maximum Corrected QT Interval (QTc)
NCT00436826 (42) [back to overview]Double Blind Period: Annualized Qualifying Relapse Rate
NCT00436826 (42) [back to overview]Double Blind Period: Mean Changes From Baseline in CD4+ Count, CD8+ Count, and CD19+ to Week 96
NCT00436826 (42) [back to overview]Open Label Extension Period: Mean Change From Baseline in Vital Signs- Temperature
NCT00436826 (42) [back to overview]Open Label Extension Period: Mean Change From Baseline in Vital Signs- Weight
NCT00436826 (42) [back to overview]Double Blind Period and OLE Period: Time to 3-Month Sustained Expanded Disability Status Scale (EDSS) Progression
NCT00436826 (42) [back to overview]Double Blind Period and OLE Period: Time to First Qualifying Relapse
NCT00436826 (42) [back to overview]Double Blind Period: Mean Change From Baseline in Electrocardiogram (ECG) Parameters- PR, RR, QRS and OT Interval
NCT00436826 (42) [back to overview]Double Blind Period: Mean Changes From Baseline in Hemoglobin Level to Week 96
NCT00436826 (42) [back to overview]Double Blind Period: Mean Changes From Baseline in Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) to Week 96
NCT00436826 (42) [back to overview]Double Blind Period: Mean Changes in Lymphocytes, White Blood Cells (WBC), Neutrophils and Platelets Values From Baseline to Week 96
NCT00436826 (42) [back to overview]Double Blind Period: Number of Combined Unique Active (CUA) Lesions, Active Time Constant 2 (T2) Lesions, and Time Constant 1 (T1) Gadolinium Enhanced (Gd+) Lesions Per Participant Per Scan
NCT00436826 (42) [back to overview]Double Blind Period: Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEs
NCT00436826 (42) [back to overview]Double Blind Period: Percentage of Participants With Grade 3 or 4 (Common Terminology Criteria for Adverse Events [CTCAE] v 4.0) Hematological or Liver Toxicity
NCT00436826 (42) [back to overview]Double Blind Period: Time to First Grade 3 or 4 Hematological Toxicity or Liver Toxicity
NCT00436826 (42) [back to overview]Double Blind Period: Time to First Grade 3 or 4 Hematological Toxicity or Liver Toxicity
NCT00436826 (42) [back to overview]Double Blind Period: Time to Recovery From Grade 3 or 4 Hematological Toxicity
NCT00436826 (42) [back to overview]Open Label Extension Period: Mean Change From Baseline in Vital Signs- Pulse Rate
NCT00436826 (42) [back to overview]OLE and Safety Follow-up Period: Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEs
NCT00436826 (42) [back to overview]Open Label Extension Period: Mean Change From Baseline in Electrocardiogram (ECG) Parameters- PR, RR, QRS and OT Interval
NCT00436826 (42) [back to overview]Open Label Extension Period: Mean Change From Baseline in Vital Signs- Systolic and Diastolic Blood Pressure
NCT00436826 (42) [back to overview]Open Label Extension Period: Time to First Grade 3 or 4 Hematological Toxicity or Liver Toxicity
NCT00436826 (42) [back to overview]Open Label Extension Period: Time to First Grade 3 or 4 Hematological Toxicity or Liver Toxicity
NCT00436826 (42) [back to overview]Double Blind Period: Time to Recovery From Grade 3 or 4 Hematological Toxicity
NCT00436826 (42) [back to overview]Open Label Extension Period: Mean Change From Baseline in Electrocardiogram (ECG) Parameters- Heart Rate
NCT00436826 (42) [back to overview]Open Label Extension Period: Maximum Corrected QT Interval (Qtc)
NCT00436826 (42) [back to overview]OLE and Safety Follow-up Period: Percentage of Participants With Treatment Emergent Adverse Events (TEAEs) in Infections and Infestations System Organ Class (SOC)
NCT00436826 (42) [back to overview]Double Blind Period: Percentage of Participants With Treatment Emergent Adverse Events (TEAEs) in Infections and Infestations System Organ Class (SOC)
NCT00436826 (42) [back to overview]Double Blind Period: Percentage of Participants With no Active T2 Lesions at Week 96
NCT00436826 (42) [back to overview]OLE and Safety Follow-up Period: Percentage of Participants With Grade 3 or 4 (Common Terminology Criteria for Adverse Events [CTCAE] v 4.0) Hematological or Liver Toxicity
NCT00641537 (28) [back to overview]Safety Population: Mean Change From Baseline in Aspartate Aminotransferase and Alanine Aminotransferase at Week 120
NCT00641537 (28) [back to overview]Safety Population: Mean Change in Corrected QT (QTc) Interval From Baseline
NCT00641537 (28) [back to overview]Safety Population: Mean Time to Recovery From Grade 3 or 4 Hematological and Liver Toxicity
NCT00641537 (28) [back to overview]Safety Population: Mean Time to Recovery From Grade 3 or 4 Hematological and Liver Toxicity
NCT00641537 (28) [back to overview]Safety Population: Mean Time to Recovery From Grade 3 or 4 Hematological and Liver Toxicity
NCT00641537 (28) [back to overview]Safety Population: Mean Time to Recovery From Grade 3 or 4 Hematological and Liver Toxicity
NCT00641537 (28) [back to overview]Safety Population: Mean Time to Recovery From Grade 3 or 4 Hematological and Liver Toxicity
NCT00641537 (28) [back to overview]Safety Population: Median Time to Recovery From Grade 3 or 4 Hematological and Hepatic Toxicity
NCT00641537 (28) [back to overview]Safety Population: Median Time to Recovery From Grade 3 or 4 Hematological and Hepatic Toxicity
NCT00641537 (28) [back to overview]Safety Population: Median Time to Recovery From Grade 3 or 4 Hematological and Hepatic Toxicity
NCT00641537 (28) [back to overview]Safety Population: Median Time to Recovery From Grade 3 or 4 Hematological and Hepatic Toxicity
NCT00641537 (28) [back to overview]Safety Population: Number of Participants Who Developed Infections (Herpes Viral Infection, Viral Infectious Disorder and Opportunistic Infection), Infection-related Adverse Events and Malignancies
NCT00641537 (28) [back to overview]Safety Population: Percentage of Participants With at Least 1 Common Terminology Criteria for Adverse Events Version 3.0 (CTCAE) Grade 4 Hematologic and Hepatic Toxicity
NCT00641537 (28) [back to overview]Safety Population: Time to First Grade 3 or 4 Hematological Toxicity and Liver Toxicity
NCT00641537 (28) [back to overview]Safety Population: Time to First Grade 3 or 4 Hematological Toxicity and Liver Toxicity
NCT00641537 (28) [back to overview]Safety Population: Time to First Grade 3 or 4 Hematological Toxicity and Liver Toxicity
NCT00641537 (28) [back to overview]Safety Population: Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEs
NCT00641537 (28) [back to overview]Safety Population: Time to First Grade 3 or 4 Hematological Toxicity and Liver Toxicity
NCT00641537 (28) [back to overview]Safety Population: Time to First Grade 3 or 4 Hematological Toxicity and Liver Toxicity
NCT00641537 (28) [back to overview]SAFUP Analysis Set: Number of Participants Who Developed Infections (Herpes Viral Infection, Viral Infectious Disorder and Opportunistic Infection), Infection-related Adverse Events and Malignancies
NCT00641537 (28) [back to overview]SAFUP Analysis Set: Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEs
NCT00641537 (28) [back to overview]Safety Population: Median Time to Recovery From Grade 3 or 4 Hematological and Hepatic Toxicity
NCT00641537 (28) [back to overview]Safety Population: Mean Change From Baseline in Bilirubin at Week 120
NCT00641537 (28) [back to overview]Safety Population: Mean Change From Baseline in Hemoglobin at Week 120
NCT00641537 (28) [back to overview]Safety Population: Mean Time to Nadir of Absolute Lymphocyte Count
NCT00641537 (28) [back to overview]Safety Population: Mean Time to Recovery From Nadir of Absolute Lymphocyte Count to Normal Value
NCT00641537 (28) [back to overview]Safety Population: Median Time to Nadir of Absolute Lymphocyte Count
NCT00641537 (28) [back to overview]Safety Population: Mean Change From Baseline in Absolute Lymphocyte Count, Platelet, Neutrophils and Leukocytes at Week 120
NCT00718549 (11) [back to overview]Percentage of Participants With MRD According to Rawstron Criteria in Participants With CR or PR According to Clinical and Biochemical Factors at Week 29
NCT00718549 (11) [back to overview]Percentage of Participants With MRD According to Rawstron Criteria in Participants With CR or PR According to Clinical and Biochemical Factors at Week 129
NCT00718549 (11) [back to overview]Percentage of Participants With Disease Progression (PD), Relapse, or Death Due to Any Cause Assessed According to the National Cancer Institute (NCI) Revised Guidelines for the Diagnosis and Treatment of Chronic Lymphocytic Leukemia (CLL)
NCT00718549 (11) [back to overview]Progression-Fee Survival (PFS) Assessed According to the NCI Revised Guidelines for the Diagnosis and Treatment of CLL
NCT00718549 (11) [back to overview]Percentage of Participants With CR or PR Assessed According to the NCI Revised Guidelines for the Diagnosis and Treatment of CLL
NCT00718549 (11) [back to overview]Percentage of Participants With CR or PR Assessed According to the NCI Revised Guidelines for the Diagnosis and Treatment of CLL
NCT00718549 (11) [back to overview]Percentage of Participants With CR or PR Assessed According to the NCI Revised Guidelines for the Diagnosis and Treatment of CLL According to Clinical and Biochemical Factors at Week 129
NCT00718549 (11) [back to overview]Percentage of Participants With CR or PR Assessed According to the NCI Revised Guidelines for the Diagnosis and Treatment of CLL According to Clinical and Biochemical Factors at Week 29
NCT00718549 (11) [back to overview]Percentage of Participants With Minimal Residual Disease (MRD) According to Rawstron Criteria in Participants With CR or PR
NCT00718549 (11) [back to overview]Percentage of Participants With Minimal Residual Disease (MRD) According to Rawstron Criteria in Participants With CR or PR
NCT00718549 (11) [back to overview]PFS Assessed According to the NCI Revised Guidelines for the Diagnosis and Treatment of CLL According to Clinical and Biochemical Factors
NCT00725985 (56) [back to overview]ITP: Number of T1 Hypointense Lesions
NCT00725985 (56) [back to overview]ITP: Percent Change From Baseline in Brain Volume
NCT00725985 (56) [back to overview]LTFU (LTFU Analysis Set [No Treatment at LTFU Entry]): Mean Volume of T1 Gd-Enhanced Lesions and Changes From Baseline in Volume of T1 Gd-Enhanced Lesions
NCT00725985 (56) [back to overview]LTFU (LTFU Analysis Set [No Treatment at LTFU Entry]): Mean Volume of T1 Gd-Enhanced Lesions and Changes From Baseline in Volume of T1 Gd-Enhanced Lesions
NCT00725985 (56) [back to overview]LTFU (LTFU Analysis Set [No Treatment at LTFU Entry]): Mean Volume of T2 Lesions and Changes From Baseline in Volume of T2 Lesions
NCT00725985 (56) [back to overview]LTFU (LTFU Analysis Set [No Treatment at LTFU Entry]): Mean Volume of T2 Lesions and Changes From Baseline in Volume of T2 Lesions
NCT00725985 (56) [back to overview]LTFU (LTFU Analysis Set [No Treatment at LTFU Entry]): Number of Combined Unique Active (CUA) Magnetic Resonance Imaging (MRI) Lesions
NCT00725985 (56) [back to overview]LTFU (LTFU Analysis Set [No Treatment at LTFU Entry]): Number of New or Enlarging T2 Lesions
NCT00725985 (56) [back to overview]LTFU (LTFU Analysis Set [No Treatment at LTFU Entry]): Number of New or Enlarging T2 Lesions
NCT00725985 (56) [back to overview]LTFU (LTFU Analysis Set [No Treatment at LTFU Entry]): Number of New or Persisting Gd-enhanced Lesions
NCT00725985 (56) [back to overview]LTFU (LTFU Analysis Set [No Treatment at LTFU Entry]): Number of New or Persisting Gd-enhanced Lesions
NCT00725985 (56) [back to overview]LTFU (LTFU Analysis Set [No Treatment at LTFU Entry]): Number of T1 Hypointense Lesions
NCT00725985 (56) [back to overview]LTFU (LTFU Analysis Set [No Treatment at LTFU Entry]): Number of T1 Hypointense Lesions
NCT00725985 (56) [back to overview]LTFU (LTFU Analysis Set [Treated at LTFU Entry]): Mean Volume of T1 Gd-Enhanced Lesions and Changes From Baseline in Volume of T1 Gd-Enhanced Lesions
NCT00725985 (56) [back to overview]LTFU (LTFU Analysis Set [Treated at LTFU Entry]): Number of Combined Unique Active (CUA) Magnetic Resonance Imaging (MRI) Lesions
NCT00725985 (56) [back to overview]LTFU (LTFU Analysis Set [Treated at LTFU Entry]): Number of New or Enlarging T2 Lesions
NCT00725985 (56) [back to overview]LTFU (LTFU Analysis Set [Treated at LTFU Entry]): Number of New or Persisting Gd-enhanced Lesions
NCT00725985 (56) [back to overview]OLMP: Mean Volume of T1 Gd-Enhanced Lesions and Changes From Baseline in Volume of T1 Gd-Enhanced Lesions
NCT00725985 (56) [back to overview]OLMP: Mean Volume of T2 Lesions and Changes From Baseline in Volume of T2 Lesions
NCT00725985 (56) [back to overview]OLMP: Number of Combined Unique Active (CUA) Magnetic Resonance Imaging (MRI) Lesions
NCT00725985 (56) [back to overview]OLMP: Number of New or Enlarging T2 Lesions
NCT00725985 (56) [back to overview]OLMP: Number of New or Persisting Gd-enhanced Lesions
NCT00725985 (56) [back to overview]OLMP: Number of T1 Hypointense Lesions
NCT00725985 (56) [back to overview]OLMP: Percent Change From Baseline in Brain Volume
NCT00725985 (56) [back to overview]OLMP: Percent Change From Baseline in Brain Volume
NCT00725985 (56) [back to overview]OLMP: Time to 3 Month Confirmed Expanded Disability Status Scale (EDSS) Progression From Randomization Represented by Kaplan-Meier Estimates of Probability of Disability Progression
NCT00725985 (56) [back to overview]ITP: Time to Clinically Definite Multiple Sclerosis (CDMS) Conversion Represented by Kaplan-Meier Estimates of the Cumulative Percentage of Participants With CDMS
NCT00725985 (56) [back to overview]ITP: Change From Baseline in Volume of T1 Gd-Enhanced Lesions
NCT00725985 (56) [back to overview]ITP: Percentage of Participants Converting to Clinically Definite Multiple Sclerosis (CDMS) as Per Poser Criteria
NCT00725985 (56) [back to overview]ITP: Percentage of Participants Converting to McDonald Multiple Sclerosis (MS) (2005)
NCT00725985 (56) [back to overview]ITP: Percentage of Participants With no New or Enlarging T2 Lesions
NCT00725985 (56) [back to overview]ITP: Percentage of Participants With no New or Persisting T1 Gd-Enhanced Lesions
NCT00725985 (56) [back to overview]ITP: Time to Develop Multiple Sclerosis (MS) Conversion According to the Revised McDonald Criteria (2005) Represented by Kaplan-Meier Estimates of the Cumulative Percentage of Participants With McDonald MS
NCT00725985 (56) [back to overview]LTFU (LTFU Analysis Set [No Treatment at LTFU Entry]): Number of Relapses
NCT00725985 (56) [back to overview]LTFU (LTFU Analysis Set [No Treatment at LTFU Entry]): Number of Combined Unique Active (CUA) Magnetic Resonance Imaging (MRI) Lesions
NCT00725985 (56) [back to overview]LTFU (LTFU Analysis Set [No Treatment at LTFU Entry]): Percentage of Participants With no New or Enlarging T2 Lesions
NCT00725985 (56) [back to overview]LTFU (LTFU Analysis Set [No Treatment at LTFU Entry]): Percentage of Participants With no New or Persisting T1 Gd-Enhanced Lesions
NCT00725985 (56) [back to overview]LTFU (LTFU Analysis Set [No Treatment at LTFU Entry]): Time to Conversion to Clinically Definite Multiple Sclerosis (CDMS) According to Poser Criteria
NCT00725985 (56) [back to overview]LTFU (LTFU Analysis Set [No Treatment at LTFU Entry]): Time to Conversion to Multiple Sclerosis (MS) According to the 2005 McDonald Criteria
NCT00725985 (56) [back to overview]LTFU (LTFU Analysis Set [Treated at LTFU Entry]): Mean Volume of T2 Lesions
NCT00725985 (56) [back to overview]LTFU (LTFU Analysis Set [Treated at LTFU Entry]): Number of Relapses
NCT00725985 (56) [back to overview]LTFU (LTFU Analysis Set [Treated at LTFU Entry]): Number of T1 Hypointense Lesions
NCT00725985 (56) [back to overview]LTFU (LTFU Analysis Set [Treated at LTFU Entry]): Percentage of Participants With no New or Enlarging T2 Lesions
NCT00725985 (56) [back to overview]LTFU (LTFU Analysis Set [Treated at LTFU Entry]): Percentage of Participants With no New or Persisting T1 Gd-Enhanced Lesions
NCT00725985 (56) [back to overview]LTFU (LTFU Analysis Set [Treated at LTFU Entry]): Time to Conversion to Clinically Definite Multiple Sclerosis (CDMS) According to Poser Criteria
NCT00725985 (56) [back to overview]OLMP: Annualized Relapse Rate
NCT00725985 (56) [back to overview]OLMP: Number of Relapses
NCT00725985 (56) [back to overview]OLMP: Percentage of Participants With no New or Enlarging T2 Lesions
NCT00725985 (56) [back to overview]OLMP: Percentage of Participants With no New or Persisting T1 Gd-Enhanced Lesions
NCT00725985 (56) [back to overview]OLMP: Percentage of Relapse-Free Participants
NCT00725985 (56) [back to overview]ITP: Changes From Baseline in Volume of T2 Lesions
NCT00725985 (56) [back to overview]ITP: Number of Combined Unique Active (CUA) Lesions, New or Enlarging Time Constant 2 (T2) Lesions, and New or Persisting Time Constant 1 (T1) Gadolinium Enhanced (Gd+) Lesions Per Participant Per Scan
NCT00725985 (56) [back to overview]ITP: Number of Combined Unique Active (CUA) Magnetic Resonance Imaging (MRI) Lesions
NCT00725985 (56) [back to overview]ITP: Number of New or Enlarging T2 Lesions
NCT00725985 (56) [back to overview]ITP: Number of New or Persisting Gd-enhanced Lesions
NCT00725985 (56) [back to overview]ITP: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs
NCT00764517 (5) [back to overview]Toxicities as Assessed Using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
NCT00764517 (5) [back to overview]Tolerability of Treatment
NCT00764517 (5) [back to overview]Progression-free Survival
NCT00764517 (5) [back to overview]Objective Response Rate
NCT00764517 (5) [back to overview]Event-free Survival
NCT00938366 (8) [back to overview]Time to Reach the Maximum Plasma Concentration (Tmax) of Cladribine
NCT00938366 (8) [back to overview]Maximum Plasma Concentration (Cmax) of Cladribine
NCT00938366 (8) [back to overview]Area Under the Plasma Concentration-time Curve From Time Zero to the Last Sampling Time at Which the Concentration is at or Above the Lower Limit of Quantification (AUC0-t) of Cladribine
NCT00938366 (8) [back to overview]Area Under the Plasma Concentration-time Curve From Time Zero to Infinity (AUC0-inf) of Cladribine
NCT00938366 (8) [back to overview]Apparent Volume of Distribution During the Terminal Phase Following Extravascular Administration (Vz/f) of Cladribine
NCT00938366 (8) [back to overview]Apparent Terminal Half-life (t1/2) of Cladribine
NCT00938366 (8) [back to overview]Total Body Clearance From Plasma Following Extravascular Administration (CL/f) of Cladribine
NCT00938366 (8) [back to overview]Percentage of Subjects With Any Treatment Emergent Adverse Events (TEAEs), Serious AEs, AEs Leading to Death, and AEs Leading to Discontinuation
NCT00955916 (3) [back to overview]Overall Response Rate (ORR)
NCT00955916 (3) [back to overview]Median Progression Free Survival (PFS)
NCT00955916 (3) [back to overview]Median Overall Survival (OS)
NCT00980395 (4) [back to overview]Complete Response Rate
NCT00980395 (4) [back to overview]Overall Survival at 2 Years
NCT00980395 (4) [back to overview]Progression-free Survival at 2 Years
NCT00980395 (4) [back to overview]Partial Response
NCT02044796 (4) [back to overview]Number of Participants With Dose Limiting Toxicities of Mitoxantrone (Phase I, Dose Level 4)
NCT02044796 (4) [back to overview]Overall Survival (Phase II)
NCT02044796 (4) [back to overview]Minimal Residual Disease Negative Complete Remission Rate in Patients With Newly Diagnosed Disease (Phase II)
NCT02044796 (4) [back to overview]Remission Rate (Complete Remission and Complete Remission With Incomplete Platelet Count Recovery) of This Regimen in Patients With Relapsed/Refractory Disease (Phase II)
NCT02096055 (5) [back to overview]Leukemia-free Survival
NCT02096055 (5) [back to overview]Remission Duration
NCT02096055 (5) [back to overview]Survival
NCT02096055 (5) [back to overview]Number of Participants With the Most Frequently Reports Grade 3 or 4 Adverse Event.
NCT02096055 (5) [back to overview]Number of Participants With a Complete Response
NCT02416908 (9) [back to overview]Complete Remission Rate (CR + CRi)
NCT02416908 (9) [back to overview]Duration of Remission
NCT02416908 (9) [back to overview]Event-free Survival
NCT02416908 (9) [back to overview]Number of Participants Who Were Able to Undergo Hematopoietic Stem Cell Transplantation
NCT02416908 (9) [back to overview]Overall Survival
NCT02416908 (9) [back to overview]Relapse-free Survival
NCT02416908 (9) [back to overview]Time to Neutrophil Engraftment
NCT02416908 (9) [back to overview]Time to Platelet Engraftment
NCT02416908 (9) [back to overview]Safety and Tolerability of Treatment as Measured by Incidence of Grade 3-4 Adverse Events Occurring in >5% of Participants
NCT02728050 (8) [back to overview]Relapse-free Survival (RFS)
NCT02728050 (8) [back to overview]Phase I and II: Rate of Minimal Residual Disease Negative (MRDneg) Complete Response (CR)
NCT02728050 (8) [back to overview]Phase 1: Maximum Tolerated Dose (MTD)/Recommended Phase 2 Dose (RP2D) of Sorafenib
NCT02728050 (8) [back to overview]Overall Response Rate (ORR)
NCT02728050 (8) [back to overview]Event-free Survival (EFS)
NCT02728050 (8) [back to overview]Number of Participants With Adverse Events
NCT02728050 (8) [back to overview]Overall Survival (OS)
NCT02728050 (8) [back to overview]Phase 1: Maximum Tolerated Dose (MTD)/Recommended Phase 2 Dose (RP2D) of Mitoxantrone
NCT02756572 (19) [back to overview]Factors That Distinguish Patients Who Received Early Transplant From Those Who Did Not - GENDER
NCT02756572 (19) [back to overview]Feasibility of Early Allogeneic Hematopoietic Cell Transplant Assessed by Enrollment and Incidence of Early Transplant
NCT02756572 (19) [back to overview]Feasibility of Early Allogeneic Hematopoietic Cell Transplant Assessed by Relapsed-free Survival 6 Months After Transplant
NCT02756572 (19) [back to overview]Response Assessments After Early Allogeneic Hematopoietic Cell Transplant, Day 28
NCT02756572 (19) [back to overview]Response Assessments After Early Allogeneic Hematopoietic Cell Transplant, Day 84
NCT02756572 (19) [back to overview]Acute Graft Versus Host Disease Among Patients Who Received Early Transplant
NCT02756572 (19) [back to overview]Demonstrate the Feasibility of Collecting Resource Utilization Data for Trial Participants
NCT02756572 (19) [back to overview]Event-free Survival (EFS) Among Patients Who Received Early Transplant
NCT02756572 (19) [back to overview]Event-free Survival (EFS) Among Patients Who Received Early Transplant
NCT02756572 (19) [back to overview]Factors That Distinguish Patients Who Received Early Transplant From Those Who Did Not - AGE
NCT02756572 (19) [back to overview]Factors That Distinguish Patients Who Received Early Transplant From Those Who Did Not - TREATMENT RELATED MORTALITY
NCT02756572 (19) [back to overview]Overall Survival (OS) Among Patients Who Did Not Receive Early Transplant
NCT02756572 (19) [back to overview]Overall Survival (OS) Among Patients Who Did Not Receive Early Transplant
NCT02756572 (19) [back to overview]Overall Survival (OS) Among Patients Who Received Early Transplant.
NCT02756572 (19) [back to overview]Overall Survival (OS) Among Patients Who Received Early Transplant.
NCT02756572 (19) [back to overview]Relapse-free Survival (RFS) Among Patients Who Received Early Transplant
NCT02756572 (19) [back to overview]Relapse-free Survival (RFS) Among Patients Who Received Early Transplant
NCT02756572 (19) [back to overview]Treatment Related Mortality Among Patients Who Received Early Transplant vs Patients Who Did Not Receive Early Transplant
NCT02756572 (19) [back to overview]Demonstrate the Feasibility of Collecting Patient-reported Outcomes for Trial Participants
NCT02921061 (6) [back to overview]Number of Participants With Event-free Survival
NCT02921061 (6) [back to overview]Number of Participants With Minimal Residual Disease Negative (MRDneg) Complete Remission (Phase II)
NCT02921061 (6) [back to overview]Number of Participants With Overall Survival
NCT02921061 (6) [back to overview]Number of Participants With Relapse-free Survival
NCT02921061 (6) [back to overview]Number of Participants Experiencing Dose Limiting Toxicities (DLTs) at the Maximum Tolerated Dose (MTD) for Decitabine When Given Together With G-CLAM Toxicities (DLTs) (Phase I)
NCT02921061 (6) [back to overview]Number of Participants Who Achieved Remission (Complete Remission [CR]/CR With Incomplete Peripheral Blood Count Recovery [CRi])
NCT03364036 (6) [back to overview]Percent Change From Baseline in Counts of Immune Cell Subsets - T Cells at Month 3, 6, 12, 15, 18 and 24
NCT03364036 (6) [back to overview]Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24
NCT03364036 (6) [back to overview]Percent Change From Baseline in Counts of Immune Cell Subsets - NK Cells at Month 3, 6, 12, 15, 18 and 24
NCT03364036 (6) [back to overview]Change From Baseline Period (Period Screening to Baseline) in Counts of Combined Unique Active (CUA) Magnetic Resonance Imaging (MRI) Lesions at Period 3 (Month 3-6)
NCT03364036 (6) [back to overview]Change From Baseline Period (Period Screening to Baseline) in Counts of Combined Unique Active (CUA) Magnetic Resonance Imaging (MRI) Lesions at Period 2 (Month 2-6)
NCT03364036 (6) [back to overview]Change From Baseline Period (Period Screening to Baseline) in Counts of Combined Unique Active (CUA) Magnetic Resonance Imaging (MRI) Lesions at Period 1 (Month 1-6)
NCT03369665 (2) [back to overview]Change From Baseline in Multiple Sclerosis Quality of Life-54 Questionnaire (MSQoL-54) Physical Health Composite Summary and Mental Health Composite Summary Scores at Month 24
NCT03369665 (2) [back to overview]Treatment Global Satisfaction Determined by Treatment Satisfaction Questionnaire Medication Version 1.4 (TSQM v1.4) Scale at Month 6
NCT03531918 (10) [back to overview]Maximum Tolerated Dose (MTD) of Gemtuzumab Ozogamicin (GO) When Added to GCLAM (Phase 1)
NCT03531918 (10) [back to overview]Measurable Residual Disease (MRD) and Remission Rates: Alapasia (MRDneg)
NCT03531918 (10) [back to overview]Measurable Residual Disease (MRD) and Remission Rates: CR/CRi
NCT03531918 (10) [back to overview]Measurable Residual Disease (MRD) and Remission Rates: CRi (MRDneg)
NCT03531918 (10) [back to overview]Measurable Residual Disease (MRD) and Remission Rates: MLFS (MRDneg)
NCT03531918 (10) [back to overview]Overall Survival
NCT03531918 (10) [back to overview]Relapse-free Survival of GO3 Cohort
NCT03531918 (10) [back to overview]Event-free Survival (EFS) Rate (Phase 2)
NCT03531918 (10) [back to overview]Measurable Residual Disease (MRD) Rates and Remission Rates: CR
NCT03531918 (10) [back to overview]30-day All-cause Mortality

Proportion of Patients Experienced Toxicity of Cytarabine + Daunomycin + Etoposide (ADE) + GO.

To estimate proportion of patients experiencing CTC Grade 3 or 4 toxicity during Induction II (Cytarabine + Daunomycin + Etoposide (ADE) + GO), who had no response to first course of induction therapy (NCT00136084)
Timeframe: Induction II

InterventionParticipants (Number)
Experienced Grade 3 or 4 toxicitiesDid not experience Grade 3 or 4 toxicities
Overall273

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Relationship of Inhibition of DNA Synthesis and Clinical Response

Clinical response is defined as MRD (minimal residual disease) measured by flow cytometry at day 22. The MRD at day 22 is classified as positive (with MRD) or negative (no detectable MRD). The relation between inhibition of DNA synthesis and MRD was performed by logistic regression. In the model, logit of probability of MRD positive was regressed on inhibition of DNA synthesis. (NCT00136084)
Timeframe: Measurements were assessed in Induction I chemotherapy

InterventionPercent inhibition of DNA Synthesis (Mean)
Overall66.7

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To Assess Whether Inhibition of DNA Synthesis is Greater After High-dose Ara-C (HDAC) Than After Low-dose Ara-C (LDAC) Therapy

Inhibition of DNA synthesis is defined as the percentage of DNA synthesis rate at 24-hour post-araC treatment over DNA synthesis rate pre-araC treatment. (NCT00136084)
Timeframe: Measurements were assessed in Induction I chemotherapy

InterventionPercent Inhibition of DNA Synthesis (Mean)
Arm 1: (HDAC)60.6
Arm 2:(LDAC)72.8

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To Estimate the Overall Event-free Survival (EFS) of AML Patients Who Undergo Risk-adapted and Genotype-directed Therapy

Overall event-free survival (EFS) was defined as the time from study enrollment to induction failure, relapse, secondary malignancy, death, or study withdrawal for any reason, with event-free patients censored on the date of the last follow-up (NCT00136084)
Timeframe: Five Year

InterventionPercentage of Participants (Number)
Overall62.4

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Minimal Residual Disease (MRD).

Detection of Minimal Residual Disease following one course of chemotherapy where positive MRD was defined as one or more leukemic cell per 1000 mononuclear bone-marrow cells (>=0.1%). (NCT00136084)
Timeframe: Day 22 MRD measurement

,
Interventionparticipants (Number)
MRD PositiveMRD Negative
Arm 1: (HDAC)3168
Arm 2:(LDAC)4363

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Proportion of Minimal Residual Disease (MRD)+ Patients Who Become MRD- After One Course of Gemtuzumab Ozogamicin (GO)

To estimate the proportion of minimal residual disease (MRD)+ patients who become MRD- after one course of gemtuzumab ozogamicin (GO) (NCT00136084)
Timeframe: Consolidation I

InterventionParticipants (Number)
NegativePositive
Overall114

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Proportion of MRD Reduction After One Course of Cytarabine + Daunomycin + Etoposide (ADE) + GO

To estimate proportion of patients with MRD reduction after one course of Induction II (cytarabine + daunomycin + etoposide (ADE) + GO), who had no response to first course of induction therapy. (NCT00136084)
Timeframe: Induction II

InterventionParticipants (Number)
DecreaseIncrease or no change
Overall272

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Time to Disability Progression

Time to disability progression was defined as the time to a sustained increase in EDSS score of at least 1 point if baseline EDSS score between 0.5 and 4.5 inclusively, or at least 1.5 points if the baseline EDSS score was 0, or at least 0.5 point if the baseline EDSS score was at least 5, over a period of at least three months. Expanded disability status scale (EDSS) assesses disability in 8 functional systems. An overall score ranging from 0 (normal) to 10 (death due to MS) was calculated. Tenth Percentile of time to sustained increase in EDSS score was reported using Kaplan-Meier survival curve. (NCT00213135)
Timeframe: Baseline up to Week 96

Interventionmonths (Number)
Cladribine 5.25 mg/kg13.6
Cladribine 3.5 mg/kg13.6
Placebo10.8

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Mean Number of Combined Unique (CU) Lesions, Active Time Constant 2 (T2) Lesions, and Active Time Constant 1 (T1) Gadolinium-Enhanced (Gd+) Lesions Per Participant Per Scan

Mean Number of CU lesions, active T2 lesions, and active T1 Gd+ lesions were measured by using magnetic resonance imaging (MRI) scans. (NCT00213135)
Timeframe: Week 96

,,
Interventionlesions (Least Squares Mean)
CU lesionsActive T1 Gd+ lesionsActive T2 lesions
Cladribine 3.5 mg/kg0.430.120.38
Cladribine 5.25 mg/kg0.380.110.33
Placebo1.720.911.43

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Annualized Qualifying Relapse Rate

A qualifying relapse was defined as an increase of 2 points in at least one functional system of the expanded disability status scale (EDSS) or an increase of 1 point in at least two functional systems (excluding changes in bowel or bladder function or cognition) in the absence of fever, lasting for at least 24 hours and to have been preceded by at least 30 days of clinical stability or improvement. Expanded disability status scale (EDSS) assesses disability in 8 functional systems. An overall score ranging from 0 (normal) to 10 (death due to multiple sclerosis [MS]) was calculated. The annualized relapse rate for each treatment group was calculated as the total number of confirmed relapses divided by the total number of days on study multiplied by 365.25. (NCT00213135)
Timeframe: Week 96

Interventionrelapses per year (Number)
Cladribine 5.25 mg/kg0.15
Cladribine 3.5 mg/kg0.14
Placebo0.33

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Percentage of Relapse-free Participants

A qualifying relapse was defined as an increase of 2 points in at least one functional system of the EDSS or an increase of 1 point in at least two functional systems (excluding changes in bowel or bladder function or cognition) in the absence of fever, lasting for at least 24 hours and to have been preceded by at least 30 days of clinical stability or improvement. Expanded disability status scale (EDSS) assesses disability in 8 functional systems. An overall score ranging from 0 (normal) to 10 (death due to MS) was calculated. (NCT00213135)
Timeframe: Week 96

Interventionpercentage of participants (Number)
Cladribine 5.25 mg/kg78.9
Cladribine 3.5 mg/kg79.7
Placebo60.9

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Double Blind Period: Percentage of Participants With no Active T1 Gd-Enhanced Lesions at Week 96

Percentage of participants with no active T1 Gd-enhanced lesions at week 96 were reported. Active T1 Gd-Enhanced lesions were measured by using magnetic resonance imaging (MRI) scans. (NCT00436826)
Timeframe: Week 96

InterventionPercentage of Participants (Number)
Cladribine 3.5 mg/kg, IFN-beta (DB Period)86.0
Placebo, IFN-beta (DB Period)56.3

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Double Blind Period: Percentage of Participants Qualifying Relapse-free

A qualifying relapse was defined as a 2-grade increase in 1 or more Kurtzke Functional Systems (KFS) or a 1-grade increase in 2 or more KFS, excluding changes in bowel/bladder or cognition, in the absence of fever, lasting for >= 24 hours, and preceded by at least 30 days of clinical stability or improvement. Percentage of participants qualifying relapse-free were reported. (NCT00436826)
Timeframe: Baseline up to Week 96

InterventionPercentage of Participants (Number)
Cladribine 3.5 mg/kg, IFN-beta (DB Period)75.0
Placebo, IFN-beta (DB Period)52.1

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Double Blind Period: Percent Change in Normalized Brain Volume From Baseline to Week 96

Brain volume was measured using magnetic resonance imaging (MRI) scans of the brain. Percent change in normalized brain volume from baseline to week 96 was reported. (NCT00436826)
Timeframe: Baseline, Week 96

InterventionPercent Change (Mean)
Cladribine 3.5 mg/kg, IFN-beta (DB Period)-1.01
Placebo, IFN-beta (DB Period)-1.42

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Double Blind Period: Mean Number of T1 Hypointense Lesions Per Participant Per Scan at Week 96

Mean number of T1 hypointense lesions per participant per scan at 96 weeks were reported. T1 hypointense lesions were measured by using magnetic resonance imaging (MRI) scans. (NCT00436826)
Timeframe: Week 96

InterventionLesions (Mean)
Cladribine 3.5 mg/kg, IFN-beta (DB Period)0.28
Placebo, IFN-beta (DB Period)0.43

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Double Blind Period: Mean Change From Baseline in Vital Signs- Systolic and Diastolic Blood Pressure

Mean change from baseline in vital signs- systolic and diastolic blood pressure was reported. (NCT00436826)
Timeframe: Baseline, Week 96

,
InterventionMillimeter of mercury (mm*hg) (Mean)
Systolic Blood PressureDiastolic Blood Pressure
Cladribine 3.5 mg/kg, IFN-beta (DB Period)-0.6-0.6
Placebo, IFN-beta (DB Period)0.0-2.2

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Double Blind Period: Mean Change in T2 Lesion Volume From Baseline to Week 96

Mean change in T2 lesion volume From baseline to Week 96 were reported. T2 lesions were measured by using magnetic resonance imaging (MRI) scans. (NCT00436826)
Timeframe: Baseline, Week 96

Interventioncubic millimeters (mm^3) (Mean)
Cladribine 3.5 mg/kg, IFN-beta (DB Period)-2007.2
Placebo, IFN-beta (DB Period)-1224.6

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Double Blind Period: Mean Change in T1 Hypointense Lesion Volume From Baseline to Week 96

Mean change in T1 hypointense lesion volume from baseline to week 96 was reported. T1 Hypointense lesions were measured by using magnetic resonance imaging (MRI) scans. (NCT00436826)
Timeframe: Baseline, Week 96

Interventionmillimeter cubic (Mean)
Cladribine 3.5 mg/kg, IFN-beta (DB Period)-481.8
Placebo, IFN-beta (DB Period)-263.0

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Double Blind Period: Mean Change in New T1 Gd+ Lesions From Baseline to Week 96

Mean change in new T1 Gd+ lesions from baseline to week 96 was reported. (NCT00436826)
Timeframe: Baseline, Week 96

InterventionLesions (Mean)
Cladribine 3.5 mg/kg, IFN-beta (DB Period)-1.0
Placebo, IFN-beta (DB Period)-0.3

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Double Blind Period: Mean Change From Baseline in Vital Signs- Weight

Mean change from baseline in vital signs- weight was reported. (NCT00436826)
Timeframe: Baseline, Week 96

InterventionKilogram (Mean)
Cladribine 3.5 mg/kg, IFN-beta (DB Period)-0.6
Placebo, IFN-beta (DB Period)-0.4

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Double Blind Period: Mean Change From Baseline in Vital Signs- Temperature

Mean change from baseline in vital signs- temperature was reported. (NCT00436826)
Timeframe: Baseline, Week 96

InterventionDegree celsius (Mean)
Cladribine 3.5 mg/kg, IFN-beta (DB Period)-0.1
Placebo, IFN-beta (DB Period)-0.1

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Double Blind Period: Mean Change From Baseline in Vital Signs- Pulse Rate

Mean change from baseline in vital signs- Pulse Rate was reported. (NCT00436826)
Timeframe: Baseline, Week 96

Interventionbeats per minutes (Mean)
Cladribine 3.5 mg/kg, IFN-beta (DB Period)1.0
Placebo, IFN-beta (DB Period)0.4

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Double Blind Period: Mean Change From Baseline in Electrocardiogram (ECG) Parameters- Heart Rate

Mean change from baseline in ECG parameters- Heart Rate was reported. (NCT00436826)
Timeframe: Baseline, Week 96

Interventionbeats per minutes (Mean)
Cladribine 3.5 mg/kg, IFN-beta (DB Period)-3.114
Placebo, IFN-beta (DB Period)1.981

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Double Blind Period: Maximum Corrected QT Interval (QTc)

Criteria for potential clinical concern in ECG parameters: Maximum corrected QT interval (QTc) in range of 450 to less than 480 millisecond (msec). (NCT00436826)
Timeframe: Baseline up to Week 96

InterventionMilliseconds (Mean)
Cladribine 3.5 mg/kg, IFN-beta (DB Period)0.4381
Placebo, IFN-beta (DB Period)0.4361

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Double Blind Period: Annualized Qualifying Relapse Rate

A qualifying relapse was defined as a 2-grade increase in at least one, or a 1-grade increase in at least two, Kurtzke Functional Systems excluding bowel/bladder or cognition changes, in the absence of fever lasting more than or equal to 24 hours, and preceded by more than or equal to 30 days of clinical stability or improvement. The annualized relapse rate for each treatment group was the mean of the annualized relapse rates for all the participants in the group, calculated as the total number of confirmed relapses divided by the total number of days on study multiplied by 365.25. (NCT00436826)
Timeframe: Baseline up to Week 96

Interventionrelapses per year (Number)
Cladribine 3.5 mg/kg, IFN-beta (DB Period)0.12
Placebo, IFN-beta (DB Period)0.32

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Double Blind Period: Mean Changes From Baseline in CD4+ Count, CD8+ Count, and CD19+ to Week 96

Mean changes CD4+ Count, CD8+ Count, and CD19+ from baseline to Week 96 were reported. (NCT00436826)
Timeframe: Baseline, Week 96

,
InterventionCells per microliter (Mean)
CD4+CD8+CD19+
Cladribine 3.5 mg/kg, IFN-beta (DB Period)-604.1-137.822.0
Placebo, IFN-beta (DB Period)7.123.930.7

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Open Label Extension Period: Mean Change From Baseline in Vital Signs- Temperature

Mean change from baseline in vital signs- temperature was reported. (NCT00436826)
Timeframe: Baseline, Week 72

InterventionDegree celsius (Mean)
Cladribine 3.5 mg/kg, IFN-beta, Cladribine 3.5 mg/kg (OL Ext)-0.3

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Open Label Extension Period: Mean Change From Baseline in Vital Signs- Weight

Mean change from baseline in vital signs- weight was reported. (NCT00436826)
Timeframe: Baseline, Week 72

InterventionKilogram (Mean)
Cladribine 3.5 mg/kg, IFN-beta, Cladribine 3.5 mg/kg (OL Ext)-9.4

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Double Blind Period and OLE Period: Time to 3-Month Sustained Expanded Disability Status Scale (EDSS) Progression

EDSS progression is based on a standardized neurological exam and focuses on symptoms that commonly occur in Multiple Sclerosis (MS). Overall scores ranges from 0.0 (normal) to 10.0 (death due to MS). A sustained progression on EDSS score was defined as an EDSS progression confirmed into two consecutive assessment. Time to sustained disability progression was analyzed using a Cox proportional hazards model. 10th and 20th percentiles estimated from Kaplan-Meier survival curve. Due to the small number of events, estimates from Kaplan-Meier survival curves could only be derived for lower percentiles. The median (50th percentile) could not be estimated if less than 50% of the participants had an event during the time of the study. Accordingly, lower percentiles are presented according to the number of events observed. (NCT00436826)
Timeframe: Baseline up to Week 96

,,,
InterventionDays (Number)
10th percentile20th percentile
Cladribine 3.5 mg/kg, IFN-beta (DB Period)244NA
Cladribine 3.5 mg/kg, IFN-beta, Cladribine 3.5 mg/kg (OL Ext)87246
Placebo, IFN-beta (DB Period)4840
Placebo, IFN-beta, Cladribine 3.5 mg/kg (OL Ext)850

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Double Blind Period and OLE Period: Time to First Qualifying Relapse

A qualifying relapse was defined as a 2-grade increase in at least one, or a 1-grade increase in at least two, Kurtzke Functional Systems excluding bowel/bladder or cognition changes, in the absence of fever lasting more than or equal to 24 hours, and preceded by more than or equal to 30 days of clinical stability or improvement. Time to first qualifying relapse were analyzed using a Cox proportional hazards model. 10th and 20th percentiles estimated from Kaplan-Meier survival curve. Due to the small number of events, estimates from Kaplan-Meier survival curves could only be derived for lower percentiles. The median (50th percentile) could not be estimated if less than 50% of the participants had an event during the time of the study. Accordingly, lower percentiles are presented according to the number of events observed. (NCT00436826)
Timeframe: Baseline up to Week 96

,,,
InterventionDays (Number)
10th percentile20th percentile
Cladribine 3.5 mg/kg, IFN-beta (DB Period)239NA
Cladribine 3.5 mg/kg, IFN-beta, Cladribine 3.5 mg/kg (OL Ext)2550
Placebo, IFN-beta (DB Period)252481
Placebo, IFN-beta, Cladribine 3.5 mg/kg (OL Ext)1550

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Double Blind Period: Mean Change From Baseline in Electrocardiogram (ECG) Parameters- PR, RR, QRS and OT Interval

Mean change from baseline in ECG parameters- PR, RR, QRS and OT interval was reported. (NCT00436826)
Timeframe: Baseline, Week 96

,
Interventionmilliseconds (Mean)
PR IntervalRR IntervalQRS IntervalQT Interval
Cladribine 3.5 mg/kg, IFN-beta (DB Period)0.00010.03610.00280.0135
Placebo, IFN-beta (DB Period)0.0033-0.02720.00430.0037

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Double Blind Period: Mean Changes From Baseline in Hemoglobin Level to Week 96

Mean changes in hemoglobin level from baseline to week 96 was reported. (NCT00436826)
Timeframe: Baseline, Week 96

Interventiongram per liter (g/L) (Mean)
Cladribine 3.5 mg/kg, IFN-beta (DB Period)-2.9
Placebo, IFN-beta (DB Period)-2.5

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Double Blind Period: Mean Changes From Baseline in Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) to Week 96

Mean changes in ALT and AST from baseline to week 96 were reported. (NCT00436826)
Timeframe: Baseline, Week 96

,
InterventionUnits per liter (Mean)
ALTAST
Cladribine 3.5 mg/kg, IFN-beta (DB Period)-3.0-1.7
Placebo, IFN-beta (DB Period)1.31.1

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Double Blind Period: Mean Changes in Lymphocytes, White Blood Cells (WBC), Neutrophils and Platelets Values From Baseline to Week 96

Mean changes in lymphocytes, WBC, neutrophils and platelets from baseline to week 96 were reported. (NCT00436826)
Timeframe: Baseline, Week 96

,
Intervention10^9 cells per liter (Mean)
LymphocytesPlateletWBCNeutrophils
Cladribine 3.5 mg/kg, IFN-beta (DB Period)-0.8-29.8-1.5-0.7
Placebo, IFN-beta (DB Period)0.0-12.4-0.4-0.4

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Double Blind Period: Number of Combined Unique Active (CUA) Lesions, Active Time Constant 2 (T2) Lesions, and Time Constant 1 (T1) Gadolinium Enhanced (Gd+) Lesions Per Participant Per Scan

Number of CUA lesions, active T2 lesions, and T1 Gd+ lesions were measured by using magnetic resonance imaging (MRI) scans. (NCT00436826)
Timeframe: Week 96

,
InterventionLesions (Mean)
T1 Gd+ lesionsCUA lesionsT2 lesions
Cladribine 3.5 mg/kg, IFN-beta (DB Period)0.060.550.53
Placebo, IFN-beta (DB Period)0.341.121.04

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Double Blind Period: Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEs

An AE was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or diseases that emerges or worsens relative to baseline during a clinical study with an Investigational Medicinal Product (IMP), regardless of causal relationship and even if no IMP has been administered. SAE: Any AE that resulted in death; was life threatening; resulted in persistent/significant disability/incapacity; resulted in/prolonged an existing in-patient hospitalization; was a congenital anomaly/birth defect; or was a medically important condition. An AE was considered as 'treatment emergent' if it occurred after the first drug administration of each period or if it was present prior to drug administration but exacerbated after the drug administration. TEAEs included both Serious TEAEs and non-serious TEAEs. (NCT00436826)
Timeframe: Baseline up to Week 96

,
InterventionParticipants (Count of Participants)
Participants with TEAEsParticipants with Serious TEAEs
Cladribine 3.5 mg/kg, IFN-beta (DB Period)11912
Placebo, IFN-beta (DB Period)365

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Double Blind Period: Percentage of Participants With Grade 3 or 4 (Common Terminology Criteria for Adverse Events [CTCAE] v 4.0) Hematological or Liver Toxicity

Percentage of participants with Grade 3 or 4 CTCAE v 4.0 toxicity on the following hematology and liver function parameters were reported: lymphocytes, cluster of differentiation 4 (CD4) cell, neutrophils, white blood cells, hemoglobin, Alanine transaminase (ALT), Aspartate transaminase (AST), Platelets and Bilirubin. According to CTCAE v 4.0: Grade 1=mild, Grade 2=moderate, Grade 3=severe, Grade 4=life threatening or disabling and Grade 5=Death. (NCT00436826)
Timeframe: Baseline up to Week 96

,
InterventionPercentage of participants (Number)
Grade 3 or 4 Lymphocyte toxicityGrade 3 or 4 Hemoglobin toxicityGrade 3 or 4 White Blood Cell toxicityGrade 3 or 4 Neutrophil toxicityGrade 3 or 4 CD4+ toxicityGrade 3 or 4 AST toxicityGrade 3 or 4 ALT toxicityGrade 3 or 4 Platelet toxicityGrade 3 or 4 Bilirubin toxicity
Cladribine 3.5 mg/kg, IFN-beta (DB Period)63.712.4210.4812.1050.810.810.810.000.00
Placebo, IFN-beta (DB Period)2.080.000.002.082.080.002.080.000.00

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Double Blind Period: Time to First Grade 3 or 4 Hematological Toxicity or Liver Toxicity

Time to first Grade 3 or 4 hematological toxicity or liver toxicity (lymphocytes, cluster of differentiation 4 (CD4) cell, neutrophils, white blood cells, hemoglobin, Alanine transaminase (ALT), Aspartate transaminase (AST), Platelets and Bilirubin) were estimated using the Kaplan-Meier method. According to CTCAE v 4.0: Grade 1=mild, Grade 2=moderate, Grade 3=severe, Grade 4=life threatening or disabling and Grade 5=Death. 10th and 20th percentiles estimated from Kaplan-Meier survival curve. Due to the small number of events, estimates from Kaplan-Meier survival curves could only be derived for lower percentiles. The median (50th percentile) could not be estimated if less than 50% of the participants had an event during the time of the study. Accordingly, lower percentiles are presented according to the number of events observed. (NCT00436826)
Timeframe: Baseline up to Week 96

InterventionMonths (Number)
10th percentile: Lymphocytes toxicity20th percentile: Lymphocytes toxicity10th percentile:Hemoglobin toxicity20th percentile:Hemoglobin toxicity10th percentile: White Blood Cell toxicity20th percentile: White Blood Cell toxicity10th percentile: Neutrophil toxicity20th percentile: Neutrophil toxicity10th percentile: CD4+ count toxicity20th percentile: CD4+ count toxicity10th percentile: AST toxicity20th percentile: AST toxicity10th percentile: ALT toxicity20th percentile: ALT toxicity
Cladribine 3.5 mg/kg, IFN-beta (DB Period)1.612.00NANA17.74NA12.55NA1.872.99NANANANA

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Double Blind Period: Time to First Grade 3 or 4 Hematological Toxicity or Liver Toxicity

Time to first Grade 3 or 4 hematological toxicity or liver toxicity (lymphocytes, cluster of differentiation 4 (CD4) cell, neutrophils, white blood cells, hemoglobin, Alanine transaminase (ALT), Aspartate transaminase (AST), Platelets and Bilirubin) were estimated using the Kaplan-Meier method. According to CTCAE v 4.0: Grade 1=mild, Grade 2=moderate, Grade 3=severe, Grade 4=life threatening or disabling and Grade 5=Death. 10th and 20th percentiles estimated from Kaplan-Meier survival curve. Due to the small number of events, estimates from Kaplan-Meier survival curves could only be derived for lower percentiles. The median (50th percentile) could not be estimated if less than 50% of the participants had an event during the time of the study. Accordingly, lower percentiles are presented according to the number of events observed. (NCT00436826)
Timeframe: Baseline up to Week 96

InterventionMonths (Number)
10th percentile: Lymphocytes toxicity20th percentile: Lymphocytes toxicity10th percentile: Neutrophil toxicity20th percentile: Neutrophil toxicity10th percentile: CD4+ count toxicity20th percentile: CD4+ count toxicity10th percentile: ALT toxicity20th percentile: ALT toxicity
Placebo, IFN-beta (DB Period)NANANANANANANANA

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Double Blind Period: Time to Recovery From Grade 3 or 4 Hematological Toxicity

"Time to recovery from grade 3 or 4 hematological were reported: lymphocytes, platelets, neutrophils, white blood cells and hemoglobin. According to CTCAE v 4.0: Grade 1=mild, Grade 2=moderate, Grade 3=severe, Grade 4=life threatening or disabling and Grade 5=Death. Recovery as Recovery from a Grade 3 or 4 toxicity is defined as a return to a Grade 0 or 1." (NCT00436826)
Timeframe: Baseline up to Week 96

InterventionDays (Mean)
NeutrophilLymphocyte
Placebo, IFN-beta (DB Period)56.7528.00

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Open Label Extension Period: Mean Change From Baseline in Vital Signs- Pulse Rate

Mean change from baseline in vital signs- Pulse Rate was reported. (NCT00436826)
Timeframe: Baseline, Week 72

Interventionbeats per minutes (Mean)
Cladribine 3.5 mg/kg, IFN-beta, Cladribine 3.5 mg/kg (OL Ext)4.7

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OLE and Safety Follow-up Period: Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEs

An AE was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or diseases that emerges or worsens relative to baseline during a clinical study with an Investigational Medicinal Product (IMP), regardless of causal relationship and even if no IMP has been administered. SAE: Any AE that resulted in death; was life threatening; resulted in persistent/significant disability/incapacity; resulted in/prolonged an existing in-patient hospitalization; was a congenital anomaly/birth defect; or was a medically important condition. An AE was considered as 'treatment emergent' if it occurred after the first drug administration of each period or if it was present prior to drug administration but exacerbated after the drug administration. TEAEs included both Serious TEAEs and non-serious TEAEs. (NCT00436826)
Timeframe: Baseline (OLEP) up to Week 96

,,,
InterventionParticipants (Count of Participants)
Participants with TEAEsParticipants with Serious TEAEs
Cladribine 3.5 mg/kg, IFN-beta (Safety Follow up)221
Cladribine 3.5 mg/kg, IFN-beta, Cladribine 3.5 mg/kg (OL Ext)370
Placebo, IFN-beta (Safety Follow up)00
Placebo, IFN-beta, Cladribine 3.5 mg/kg (OL Ext)191

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Open Label Extension Period: Mean Change From Baseline in Electrocardiogram (ECG) Parameters- PR, RR, QRS and OT Interval

Mean change from baseline in ECG parameters- PR, RR, QRS and OT interval was reported. (NCT00436826)
Timeframe: Baseline, Week 72

Interventionmilliseconds (Mean)
PR IntervalRR IntervalQRS IntervalQT Interval
Cladribine 3.5 mg/kg, IFN-beta, Cladribine 3.5 mg/kg (OL Ext)-0.00440.0643-0.00260.0109

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Open Label Extension Period: Mean Change From Baseline in Vital Signs- Systolic and Diastolic Blood Pressure

Mean change from baseline in vital signs- systolic and diastolic blood pressure was reported. (NCT00436826)
Timeframe: Baseline, Week 72

InterventionMillimeter of mercury (mm*hg) (Mean)
Systolic Blood PressureDiastolic Blood Pressure
Cladribine 3.5 mg/kg, IFN-beta, Cladribine 3.5 mg/kg (OL Ext)0.3-1.7

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Open Label Extension Period: Time to First Grade 3 or 4 Hematological Toxicity or Liver Toxicity

Time to first Grade 3 or 4 hematological toxicity or liver toxicity (lymphocytes, cluster of differentiation 4 (CD4+) cell, neutrophils, white blood cells, hemoglobin, Alanine transaminase (ALT), Aspartate transaminase (AST), Platelets and Bilirubin) were estimated using the Kaplan-Meier method. According to CTCAE v 4.0: Grade 1=mild, Grade 2=moderate, Grade 3=severe, Grade 4=life threatening or disabling and Grade 5=Death. 10th and 20th percentiles estimated from Kaplan-Meier survival curve. Due to the small number of events, estimates from Kaplan-Meier survival curves could only be derived for lower percentiles. The median (50th percentile) could not be estimated if less than 50% of the participants had an event during the time of the study. Accordingly, lower percentiles are presented according to the number of events observed. (NCT00436826)
Timeframe: Baseline up to Week 96

InterventionMonths (Number)
10th percentile: Lymphocytes toxicity20th percentile: Lymphocytes toxicity10th percentile: White Blood Cell toxicity20th percentile: White Blood Cell toxicity10th percentile: Neutrophil toxicity20th percentile: Neutrophil toxicity10th percentile: CD4+ count toxicity20th percentile: CD4+ count toxicity10th percentile: ALT toxicity20th percentile: ALT toxicity
Placebo, IFN-beta, Cladribine 3.5 mg/kg (OL Ext)0.362.23NANA0.92NA2.967.00NANA

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Open Label Extension Period: Time to First Grade 3 or 4 Hematological Toxicity or Liver Toxicity

Time to first Grade 3 or 4 hematological toxicity or liver toxicity (lymphocytes, cluster of differentiation 4 (CD4+) cell, neutrophils, white blood cells, hemoglobin, Alanine transaminase (ALT), Aspartate transaminase (AST), Platelets and Bilirubin) were estimated using the Kaplan-Meier method. According to CTCAE v 4.0: Grade 1=mild, Grade 2=moderate, Grade 3=severe, Grade 4=life threatening or disabling and Grade 5=Death. 10th and 20th percentiles estimated from Kaplan-Meier survival curve. Due to the small number of events, estimates from Kaplan-Meier survival curves could only be derived for lower percentiles. The median (50th percentile) could not be estimated if less than 50% of the participants had an event during the time of the study. Accordingly, lower percentiles are presented according to the number of events observed. (NCT00436826)
Timeframe: Baseline up to Week 96

InterventionMonths (Number)
10th percentile: Lymphocytes toxicity20th percentile: Lymphocytes toxicity10th percentile: White Blood Cell toxicity20th percentile: White Blood Cell toxicity10th percentile: Neutrophil toxicity20th percentile: Neutrophil toxicity10th percentile: CD4+ count toxicity20th percentile: CD4+ count toxicity
Cladribine 3.5 mg/kg, IFN-beta, Cladribine 3.5 mg/kg (OL Ext)0.301.64NANANANA0.920.99

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Double Blind Period: Time to Recovery From Grade 3 or 4 Hematological Toxicity

"Time to recovery from grade 3 or 4 hematological were reported: lymphocytes, platelets, neutrophils, white blood cells and hemoglobin. According to CTCAE v 4.0: Grade 1=mild, Grade 2=moderate, Grade 3=severe, Grade 4=life threatening or disabling and Grade 5=Death. Recovery as Recovery from a Grade 3 or 4 toxicity is defined as a return to a Grade 0 or 1." (NCT00436826)
Timeframe: Baseline up to Week 96

InterventionDays (Mean)
HemoglobinWhite Blood CellNeutrophilLymphocyte
Cladribine 3.5 mg/kg, IFN-beta (DB Period)19.5031.2741.17142.53

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Open Label Extension Period: Mean Change From Baseline in Electrocardiogram (ECG) Parameters- Heart Rate

Mean change from baseline in ECG parameters- Heart Rate was reported. (NCT00436826)
Timeframe: Baseline, Week 72

Interventionbeats per minutes (Mean)
Cladribine 3.5 mg/kg, IFN-beta, Cladribine 3.5 mg/kg (OL Ext)-4.889

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Open Label Extension Period: Maximum Corrected QT Interval (Qtc)

Criteria for potential clinical concern in ECG parameters: Maximum corrected QT interval (QTc) in range of 450 to less than 480 millisecond (msec). (NCT00436826)
Timeframe: Baseline up to Week 96

InterventionMilliseconds (Mean)
Cladribine 3.5 mg/kg, IFN-beta, Cladribine 3.5 mg/kg (OL Ext)0.4370
Placebo, IFN-beta, Cladribine 3.5 mg/kg (OL Ext)0.4317

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OLE and Safety Follow-up Period: Percentage of Participants With Treatment Emergent Adverse Events (TEAEs) in Infections and Infestations System Organ Class (SOC)

An Adverse event (AE) was defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease associated with the use of study drug, whether or not considered related to the study drug or worsening of pre-existing medical condition, whether or not related to study drug. A serious adverse event (SAE) was an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. An AE was considered as 'treatment emergent' if it occurred after the first drug administration of each period or if it was present prior to drug administration but exacerbated after the drug administration.TEAEs were entered in infections and infestations SOC as per medical dictionary for regulatory activities (MedDRA) version 11.0 (NCT00436826)
Timeframe: Baseline (OLEP) up to Week 96

InterventionPercentage of participants (Number)
Cladribine 3.5 mg/kg, IFN-beta, Cladribine 3.5 mg/kg (OL Ext)38.3
Placebo, IFN-beta, Cladribine 3.5 mg/kg (OL Ext)21.4
Cladribine 3.5 mg/kg, IFN-beta (Safety Follow up)11.5
Placebo, IFN-beta (Safety Follow up)0

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Double Blind Period: Percentage of Participants With Treatment Emergent Adverse Events (TEAEs) in Infections and Infestations System Organ Class (SOC)

An Adverse event (AE) was defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease associated with the use of study drug, whether or not considered related to the study drug or worsening of pre-existing medical condition, whether or not related to study drug. A serious adverse event (SAE) was an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. An AE was considered as 'treatment emergent' if it occurred after the first drug administration of each period or if it was present prior to drug administration but exacerbated after the drug administration.TEAEs were entered in infections and infestations SOC as per medical dictionary for regulatory activities (MedDRA) version 11.0 (NCT00436826)
Timeframe: Baseline up to Week 96

InterventionPercentage of participants (Number)
Cladribine 3.5 mg/kg, IFN-beta (DB Period)61.3
Placebo, IFN-beta (DB Period)54.2

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Double Blind Period: Percentage of Participants With no Active T2 Lesions at Week 96

Percentage of participants with no active T2 lesions at week 96 were reported. Active T2 lesions were measured by using magnetic resonance imaging (MRI) scans. (NCT00436826)
Timeframe: Week 96

InterventionPercentage of Participants (Number)
Cladribine 3.5 mg/kg, IFN-beta (DB Period)56.2
Placebo, IFN-beta (DB Period)29.2

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OLE and Safety Follow-up Period: Percentage of Participants With Grade 3 or 4 (Common Terminology Criteria for Adverse Events [CTCAE] v 4.0) Hematological or Liver Toxicity

Percentage of participants with Grade 3 or 4 CTCAE v 4.0 toxicity on the following hematology and liver function parameters were reported: lymphocytes, cluster of differentiation 4 (CD4) cell, neutrophils, white blood cells, hemoglobin, Alanine transaminase (ALT), Aspartate transaminase (AST), Platelets and Bilirubin. According to CTCAE v 4.0: Grade 1=mild, Grade 2=moderate, Grade 3=severe, Grade 4=life threatening or disabling and Grade 5=Death. (NCT00436826)
Timeframe: Baseline (OLEP) up to Week 96

,,,
InterventionPercentage of participants (Number)
Grade 3 or 4 Lymphocyte toxicityGrade 3 or 4 Hemoglobin toxicityGrade 3 or 4 White Blood Cell toxicityGrade 3 or 4 Neutrophil toxicityGrade 3 or 4 CD4+ toxicityGrade 3 or 4 AST toxicityGrade 3 or 4 ALT toxicityGrade 3 or 4 Platelet toxicityGrade 3 or 4 Bilirubin toxicity
Cladribine 3.5 mg/kg, IFN-beta (Safety Follow up)3.92.00.000.0014.00.000.000.000.00
Cladribine 3.5 mg/kg, IFN-beta, Cladribine 3.5 mg/kg (OL Ext)48.90.004.36.466.00.000.000.000.00
Placebo, IFN-beta (Safety Follow up)0.000.000.000.000.000.000.000.000.00
Placebo, IFN-beta, Cladribine 3.5 mg/kg (OL Ext)28.60.003.614.321.40.003.60.000.00

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Safety Population: Mean Change From Baseline in Aspartate Aminotransferase and Alanine Aminotransferase at Week 120

Mean change from baseline in aspartate aminotransferase and alanine aminotransferase at week 120 were reported. (NCT00641537)
Timeframe: Baseline, Week 120

,,,,
InterventionUnits per litre (U/L) (Mean)
Aspartate AminotransferaseAlanine Aminotransferase
Cladribine High Dose/Placebo (HLPP)-1.1-1.0
Cladribine High/Low Dose (HLLL)0.70.7
Cladribine Low/Low Dose (LLLL)2.24.3
Cladribine Low/Placebo (LLPP)0.72.2
Placebo/Cladribine Low Dose (PPLL)0.51.4

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Safety Population: Mean Change in Corrected QT (QTc) Interval From Baseline

The QT interval is a measure of the time between the start of the Q wave and the end of the T wave. Corrected QT (QTc) is the QT interval corrected for heart rate and RR, which is the interval between two R waves. Mean change in corrected QT (QTc) interval from baseline was reported. (NCT00641537)
Timeframe: Baseline, Week 5, 48, 52 and 96

,,,,
Interventionmilliseconds (Mean)
Week 5Week 48Week 52Week 96
Cladribine High Dose/Placebo (HLPP)7.47.422.3-4.5
Cladribine High/Low Dose (HLLL)4.311.35.21.6
Cladribine Low/Low Dose (LLLL)4.59.38.4-12.5
Cladribine Low/Placebo (LLPP)7.016.914.95.8
Placebo/Cladribine Low Dose (PPLL)0.77.2-1.2-6.2

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Safety Population: Mean Time to Recovery From Grade 3 or 4 Hematological and Liver Toxicity

Hematologic and hepatic toxicity was assessed using Common Terminology Criteria for Adverse Events (CTCAE). Hematologic and hepatic function included absolute lymphocyte count (ALC), hemoglobin level, white blood cell (WBC) count, absolute neutrophil count (ANC), platelets, alanine transaminase (ALT), aspartate transaminase (AST) and bilirubin. According to CTCAE v3.0: Grade 1=mild, Grade 2=moderate, Grade 3=severe, Grade 4=life threatening or disabling and Grade 5=Death. Time to recovery from grade 3 or 4 hematological or liver toxicity were reported: lymphocytes, platelets, neutrophils, white blood cells, hemoglobin, Alanine transaminase (ALT), Aspartate transaminase (AST) and Platelets. Recovery from a Grade 3 or 4 toxicity is defined as a return to a Grade 0 or 1. (NCT00641537)
Timeframe: Baseline up to Week 120

InterventionDays (Mean)
LymphocyteAbsolute Neutrophil CountAlanine TransaminaseAspartate Transaminase
Cladribine Low/Placebo (LLPP)41.049.072.572.5

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Safety Population: Mean Time to Recovery From Grade 3 or 4 Hematological and Liver Toxicity

Hematologic and hepatic toxicity was assessed using Common Terminology Criteria for Adverse Events (CTCAE). Hematologic and hepatic function included absolute lymphocyte count (ALC), hemoglobin level, white blood cell (WBC) count, absolute neutrophil count (ANC), platelets, alanine transaminase (ALT), aspartate transaminase (AST) and bilirubin. According to CTCAE v3.0: Grade 1=mild, Grade 2=moderate, Grade 3=severe, Grade 4=life threatening or disabling and Grade 5=Death. Time to recovery from grade 3 or 4 hematological or liver toxicity were reported: lymphocytes, platelets, neutrophils, white blood cells, hemoglobin, Alanine transaminase (ALT), Aspartate transaminase (AST) and Platelets. Recovery from a Grade 3 or 4 toxicity is defined as a return to a Grade 0 or 1. (NCT00641537)
Timeframe: Baseline up to Week 120

InterventionDays (Mean)
LymphocyteHemoglobinWhite Blood Cell CountAbsolute Neutrophil Count
Cladribine High Dose/Placebo (HLPP)34.999.029.057.0

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Safety Population: Mean Time to Recovery From Grade 3 or 4 Hematological and Liver Toxicity

Hematologic and hepatic toxicity was assessed using Common Terminology Criteria for Adverse Events (CTCAE). Hematologic and hepatic function included absolute lymphocyte count (ALC), hemoglobin level, white blood cell (WBC) count, absolute neutrophil count (ANC), platelets, alanine transaminase (ALT), aspartate transaminase (AST) and bilirubin. According to CTCAE v3.0: Grade 1=mild, Grade 2=moderate, Grade 3=severe, Grade 4=life threatening or disabling and Grade 5=Death. Time to recovery from grade 3 or 4 hematological or liver toxicity were reported: lymphocytes, platelets, neutrophils, white blood cells, hemoglobin, Alanine transaminase (ALT), Aspartate transaminase (AST) and Platelets. Recovery from a Grade 3 or 4 toxicity is defined as a return to a Grade 0 or 1. (NCT00641537)
Timeframe: Baseline up to Week 120

InterventionDays (Mean)
LymphocyteHemoglobinWhite Blood Cell CountAbsolute Neutrophil CountAspartate Transaminase
Cladribine Low/Low Dose (LLLL)256.764.079.335.384.0

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Safety Population: Mean Time to Recovery From Grade 3 or 4 Hematological and Liver Toxicity

Hematologic and hepatic toxicity was assessed using Common Terminology Criteria for Adverse Events (CTCAE). Hematologic and hepatic function included absolute lymphocyte count (ALC), hemoglobin level, white blood cell (WBC) count, absolute neutrophil count (ANC), platelets, alanine transaminase (ALT), aspartate transaminase (AST) and bilirubin. According to CTCAE v3.0: Grade 1=mild, Grade 2=moderate, Grade 3=severe, Grade 4=life threatening or disabling and Grade 5=Death. Time to recovery from grade 3 or 4 hematological or liver toxicity were reported: lymphocytes, platelets, neutrophils, white blood cells, hemoglobin, Alanine transaminase (ALT), Aspartate transaminase (AST) and Platelets. Recovery from a Grade 3 or 4 toxicity is defined as a return to a Grade 0 or 1. (NCT00641537)
Timeframe: Baseline up to Week 120

InterventionDays (Mean)
LymphocyteHemoglobinWhite Blood Cell CountAbsolute Neutrophil CountAlanine TransaminaseAspartate Transaminase
Placebo/Cladribine Low Dose (PPLL)160.2173.571.561.023.755.0

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Safety Population: Mean Time to Recovery From Grade 3 or 4 Hematological and Liver Toxicity

Hematologic and hepatic toxicity was assessed using Common Terminology Criteria for Adverse Events (CTCAE). Hematologic and hepatic function included absolute lymphocyte count (ALC), hemoglobin level, white blood cell (WBC) count, absolute neutrophil count (ANC), platelets, alanine transaminase (ALT), aspartate transaminase (AST) and bilirubin. According to CTCAE v3.0: Grade 1=mild, Grade 2=moderate, Grade 3=severe, Grade 4=life threatening or disabling and Grade 5=Death. Time to recovery from grade 3 or 4 hematological or liver toxicity were reported: lymphocytes, platelets, neutrophils, white blood cells, hemoglobin, Alanine transaminase (ALT), Aspartate transaminase (AST) and Platelets. Recovery from a Grade 3 or 4 toxicity is defined as a return to a Grade 0 or 1. (NCT00641537)
Timeframe: Baseline up to Week 120

InterventionDays (Mean)
LymphocyteHemoglobinWhite Blood Cell CountAbsolute Neutrophil CountPlateletsAlanine TransaminaseAspartate Transaminase
Cladribine High/Low Dose (HLLL)241.857.0132.046.8197.073.018.0

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Safety Population: Median Time to Recovery From Grade 3 or 4 Hematological and Hepatic Toxicity

Hematologic and hepatic toxicity was assessed using Common Terminology Criteria for Adverse Events (CTCAE). Hematologic and hepatic function included absolute lymphocyte count (ALC), hemoglobin level, white blood cell (WBC) count, absolute neutrophil count (ANC), platelets, alanine transaminase (ALT), aspartate transaminase (AST) and bilirubin. According to CTCAE version 3.0: Grade 1=mild, Grade 2=moderate, Grade 3=severe, Grade 4=life threatening or disabling and Grade 5=Death. Time to recovery from grade 3 or 4 hematological or liver toxicity were reported: lymphocytes, platelets, neutrophils, white blood cells, hemoglobin, Alanine transaminase (ALT), Aspartate transaminase (AST), Platelets and Bilirubin. Recovery from a Grade 3 or 4 toxicity is defined as a return to a Grade 0 or 1. (NCT00641537)
Timeframe: Baseline up to Week 120

InterventionDays (Median)
LymphocyteHemoglobinWhite Blood Cell CountAbsolute Neutrophil Count
Cladribine High Dose/Placebo (HLPP)31.599.029.057.0

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Safety Population: Median Time to Recovery From Grade 3 or 4 Hematological and Hepatic Toxicity

Hematologic and hepatic toxicity was assessed using Common Terminology Criteria for Adverse Events (CTCAE). Hematologic and hepatic function included absolute lymphocyte count (ALC), hemoglobin level, white blood cell (WBC) count, absolute neutrophil count (ANC), platelets, alanine transaminase (ALT), aspartate transaminase (AST) and bilirubin. According to CTCAE version 3.0: Grade 1=mild, Grade 2=moderate, Grade 3=severe, Grade 4=life threatening or disabling and Grade 5=Death. Time to recovery from grade 3 or 4 hematological or liver toxicity were reported: lymphocytes, platelets, neutrophils, white blood cells, hemoglobin, Alanine transaminase (ALT), Aspartate transaminase (AST), Platelets and Bilirubin. Recovery from a Grade 3 or 4 toxicity is defined as a return to a Grade 0 or 1. (NCT00641537)
Timeframe: Baseline up to Week 120

InterventionDays (Median)
LymphocyteHemoglobinWhite Blood Cell CountAbsolute Neutrophil CountAspartate Transaminase (AST)
Cladribine Low/Low Dose (LLLL)212.064.030.023.884.0

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Safety Population: Median Time to Recovery From Grade 3 or 4 Hematological and Hepatic Toxicity

Hematologic and hepatic toxicity was assessed using Common Terminology Criteria for Adverse Events (CTCAE). Hematologic and hepatic function included absolute lymphocyte count (ALC), hemoglobin level, white blood cell (WBC) count, absolute neutrophil count (ANC), platelets, alanine transaminase (ALT), aspartate transaminase (AST) and bilirubin. According to CTCAE version 3.0: Grade 1=mild, Grade 2=moderate, Grade 3=severe, Grade 4=life threatening or disabling and Grade 5=Death. Time to recovery from grade 3 or 4 hematological or liver toxicity were reported: lymphocytes, platelets, neutrophils, white blood cells, hemoglobin, Alanine transaminase (ALT), Aspartate transaminase (AST), Platelets and Bilirubin. Recovery from a Grade 3 or 4 toxicity is defined as a return to a Grade 0 or 1. (NCT00641537)
Timeframe: Baseline up to Week 120

InterventionDays (Median)
LymphocyteHemoglobinWhite Blood Cell CountAbsolute Neutrophil CountAlanine Transaminase (ALT)Aspartate Transaminase (AST)
Placebo/Cladribine Low Dose (PPLL)111.3173.579.037.515.055.0

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Safety Population: Median Time to Recovery From Grade 3 or 4 Hematological and Hepatic Toxicity

Hematologic and hepatic toxicity was assessed using Common Terminology Criteria for Adverse Events (CTCAE). Hematologic and hepatic function included absolute lymphocyte count (ALC), hemoglobin level, white blood cell (WBC) count, absolute neutrophil count (ANC), platelets, alanine transaminase (ALT), aspartate transaminase (AST) and bilirubin. According to CTCAE version 3.0: Grade 1=mild, Grade 2=moderate, Grade 3=severe, Grade 4=life threatening or disabling and Grade 5=Death. Time to recovery from grade 3 or 4 hematological or liver toxicity were reported: lymphocytes, platelets, neutrophils, white blood cells, hemoglobin, Alanine transaminase (ALT), Aspartate transaminase (AST), Platelets and Bilirubin. Recovery from a Grade 3 or 4 toxicity is defined as a return to a Grade 0 or 1. (NCT00641537)
Timeframe: Baseline up to Week 120

InterventionDays (Median)
LymphocyteHemoglobinWhite Blood Cell CountAbsolute Neutrophil CountPlateletsAlanine Transaminase (ALT)Aspartate Transaminase (AST)
Cladribine High/Low Dose (HLLL)168.057.042.534.0197.073.018.0

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Safety Population: Percentage of Participants With at Least 1 Common Terminology Criteria for Adverse Events Version 3.0 (CTCAE) Grade 4 Hematologic and Hepatic Toxicity

Hematologic and hepatic toxicity was assessed using Common Terminology Criteria for Adverse Events v 3.0 (CTCAE). Hematologic and hepatic function included absolute lymphocyte count (ALC), hemoglobin level, white blood cell (WBC) count, absolute neutrophil count (ANC), platelets, alanine transaminase (ALT), aspartate transaminase (AST) and bilirubin. According to CTCAE v3.0: Grade 1=mild, Grade 2=moderate, Grade 3=severe, Grade 4=life threatening or disabling and Grade 5=Death. (NCT00641537)
Timeframe: Baseline up to Week 120

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Interventionpercentage of participants (Number)
Lymphocyte toxicityHemoglobin ToxicityWhite Blood Cell ToxicityAbsolute Neutrophil Count ToxicityPlatelets ToxicityAlanine Transaminase ToxicityAsparateTransaminase ToxicityBilirubin Toxicity
Cladribine High Dose/Placebo (HLPP)0.00.00.02.20.00.00.00.0
Cladribine High/Low Dose (HLLL)3.20.00.00.00.00.00.00.0
Cladribine Low/Low Dose (LLLL)2.70.00.50.50.50.00.00.0
Cladribine Low/Placebo (LLPP)0.00.00.00.00.00.00.00.0
Placebo/Cladribine Low Dose (PPLL)0.40.00.00.40.00.00.00.0

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Safety Population: Time to First Grade 3 or 4 Hematological Toxicity and Liver Toxicity

Hematologic and hepatic toxicity was assessed using Common Terminology Criteria for Adverse Events version 3.0 (CTCAE). Hematologic and hepatic function included absolute lymphocyte count (ALC), hemoglobin level, white blood cell (WBC) count, absolute neutrophil count (ANC), platelets, alanine transaminase (ALT), aspartate transaminase (AST) and bilirubin. Time to first CTCAE Grade 3 or 4 hematological or liver toxicity was analyzed by treatment group using Kaplan-Meier plots of probability of surviving toxicity-free and point estimates of percentiles. According to CTCAE version 3.0: Grade 1=mild, Grade 2=moderate, Grade 3=severe, Grade 4=life threatening or disabling and Grade 5=Death. 10th, 20th, 25th, 50th and 75th percentiles were estimated from Kaplan-Meier survival curve. (NCT00641537)
Timeframe: Baseline up to Week 120

InterventionDays (Number)
10th percentile: Lymphocytes Count20th percentile: Lymphocytes Count25th percentile: Lymphocytes Count50th percentile: Lymphocytes Count75th percentile: Lymphocytes Count10th percentile: ANC20th percentile: ANC25th percentile: ANC50th percentile: ANC75th percentile: ANC10th percentile: ALT20th percentile: ALT25th percentile: ALT50th percentile: ALT75th percentile: ALT10th percentile: AST20th percentile: AST25th percentile: AST50th percentile: AST75th percentile: AST
Cladribine Low/Placebo (LLPP)NANANANANANANANANANANANANANANANANANANANA

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Safety Population: Time to First Grade 3 or 4 Hematological Toxicity and Liver Toxicity

Hematologic and hepatic toxicity was assessed using Common Terminology Criteria for Adverse Events version 3.0 (CTCAE). Hematologic and hepatic function included absolute lymphocyte count (ALC), hemoglobin level, white blood cell (WBC) count, absolute neutrophil count (ANC), platelets, alanine transaminase (ALT), aspartate transaminase (AST) and bilirubin. Time to first CTCAE Grade 3 or 4 hematological or liver toxicity was analyzed by treatment group using Kaplan-Meier plots of probability of surviving toxicity-free and point estimates of percentiles. According to CTCAE version 3.0: Grade 1=mild, Grade 2=moderate, Grade 3=severe, Grade 4=life threatening or disabling and Grade 5=Death. 10th, 20th, 25th, 50th and 75th percentiles were estimated from Kaplan-Meier survival curve. (NCT00641537)
Timeframe: Baseline up to Week 120

InterventionDays (Number)
10th percentile: Lymphocytes Count20th percentile: Lymphocytes Count25th percentile: Lymphocytes Count50th percentile: Lymphocytes Count75th percentile: Lymphocytes Count10th percentile: Hemoglobin20th percentile: Hemoglobin25th percentile: Hemoglobin50th percentile: Hemoglobin75th percentile: Hemoglobin10th percentile: WBC20th percentile: WBC25th percentile: WBC50th percentile: WBC75th percentile: WBC10th percentile: ANC20th percentile: ANC25th percentile: ANC50th percentile: ANC75th percentile: ANC
Cladribine High Dose/Placebo (HLPP)NANANANANANANANANANANANANANANANANANANANA

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Safety Population: Time to First Grade 3 or 4 Hematological Toxicity and Liver Toxicity

Hematologic and hepatic toxicity was assessed using Common Terminology Criteria for Adverse Events version 3.0 (CTCAE). Hematologic and hepatic function included absolute lymphocyte count (ALC), hemoglobin level, white blood cell (WBC) count, absolute neutrophil count (ANC), platelets, alanine transaminase (ALT), aspartate transaminase (AST) and bilirubin. Time to first CTCAE Grade 3 or 4 hematological or liver toxicity was analyzed by treatment group using Kaplan-Meier plots of probability of surviving toxicity-free and point estimates of percentiles. According to CTCAE version 3.0: Grade 1=mild, Grade 2=moderate, Grade 3=severe, Grade 4=life threatening or disabling and Grade 5=Death. 10th, 20th, 25th, 50th and 75th percentiles were estimated from Kaplan-Meier survival curve. (NCT00641537)
Timeframe: Baseline up to Week 120

InterventionDays (Number)
10th percentile: Lymphocytes Count20th percentile: Lymphocytes Count25th percentile: Lymphocytes Count50th percentile: Lymphocytes Count75th percentile: Lymphocytes Count10th percentile: Hemoglobin20th percentile: Hemoglobin25th percentile: Hemoglobin50th percentile: Hemoglobin75th percentile: Hemoglobin10th percentile: WBC20th percentile: WBC25th percentile: WBC50th percentile: WBC75th percentile: WBC10th percentile: ANC20th percentile: ANC25th percentile: ANC50th percentile: ANC75th percentile: ANC10th percentile: ALT20th percentile: ALT25th percentile: ALT50th percentile: ALT75th percentile: ALT10th percentile: AST20th percentile: AST25th percentile: AST50th percentile: AST75th percentile: AST
Placebo/Cladribine Low Dose (PPLL)362412583NANANANANANANANANANANANANANANANANANANANANANANANANANANA

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Safety Population: Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEs

An adverse event (AE) was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or diseases that emerges or worsens relative to baseline during a clinical study with an Investigational Medicinal Product (IMP), regardless of causal relationship and even if no IMP has been administered. Serious AE (SAE): Any AE that resulted in death; was life threatening; resulted in persistent/significant disability/incapacity; resulted in/prolonged an existing in-patient hospitalization; was a congenital anomaly/birth defect; or was a medically important condition. The term TEAE is defined as AEs starting or worsening after the first intake of the study drug. Number of participants with TEAEs included participants with both non-serious TEAEs and serious TEAEs. (NCT00641537)
Timeframe: Baseline up to Week 120

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InterventionParticipants (Count of Participants)
TEAEsSerious TEAEs
Cladribine High Dose/Placebo (HLPP)718
Cladribine High/Low Dose (HLLL)14923
Cladribine Low/Low Dose (LLLL)14925
Cladribine Low/Placebo (LLPP)7416
Placebo/Cladribine Low Dose (PPLL)19422

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Safety Population: Time to First Grade 3 or 4 Hematological Toxicity and Liver Toxicity

Hematologic and hepatic toxicity was assessed using Common Terminology Criteria for Adverse Events version 3.0 (CTCAE). Hematologic and hepatic function included absolute lymphocyte count (ALC), hemoglobin level, white blood cell (WBC) count, absolute neutrophil count (ANC), platelets, alanine transaminase (ALT), aspartate transaminase (AST) and bilirubin. Time to first CTCAE Grade 3 or 4 hematological or liver toxicity was analyzed by treatment group using Kaplan-Meier plots of probability of surviving toxicity-free and point estimates of percentiles. According to CTCAE version 3.0: Grade 1=mild, Grade 2=moderate, Grade 3=severe, Grade 4=life threatening or disabling and Grade 5=Death. 10th, 20th, 25th, 50th and 75th percentiles were estimated from Kaplan-Meier survival curve. (NCT00641537)
Timeframe: Baseline up to Week 120

InterventionDays (Number)
10th percentile: Lymphocytes Count20th percentile: Lymphocytes Count25th percentile: Lymphocytes Count50th percentile: Lymphocytes Count75th percentile: Lymphocytes Count10th percentile: Hemoglobin20th percentile: Hemoglobin25th percentile: Hemoglobin50th percentile: Hemoglobin75th percentile: Hemoglobin10th percentile: WBC20th percentile: WBC25th percentile: WBC50th percentile: WBC75th percentile: WBC10th percentile: ANC20th percentile: ANC25th percentile: ANC50th percentile: ANC75th percentile: ANC10th percentile: Platelets20th percentile: Platelets25th percentile: Platelets50th percentile: Platelets75th percentile: Platelets10th percentile: AST20th percentile: AST25th percentile: AST50th percentile: AST75th percentile: AST
Cladribine Low/Low Dose (LLLL)1458108NANANANANANANANANANANANANANANANANANANANANANANANANANANA

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Safety Population: Time to First Grade 3 or 4 Hematological Toxicity and Liver Toxicity

Hematologic and hepatic toxicity was assessed using Common Terminology Criteria for Adverse Events version 3.0 (CTCAE). Hematologic and hepatic function included absolute lymphocyte count (ALC), hemoglobin level, white blood cell (WBC) count, absolute neutrophil count (ANC), platelets, alanine transaminase (ALT), aspartate transaminase (AST) and bilirubin. Time to first CTCAE Grade 3 or 4 hematological or liver toxicity was analyzed by treatment group using Kaplan-Meier plots of probability of surviving toxicity-free and point estimates of percentiles. According to CTCAE version 3.0: Grade 1=mild, Grade 2=moderate, Grade 3=severe, Grade 4=life threatening or disabling and Grade 5=Death. 10th, 20th, 25th, 50th and 75th percentiles were estimated from Kaplan-Meier survival curve. (NCT00641537)
Timeframe: Baseline up to Week 120

InterventionDays (Number)
10th percentile: Lymphocytes Count20th percentile: Lymphocytes Count25th percentile: Lymphocytes Count50th percentile: Lymphocytes Count75th percentile: Lymphocytes Count10th percentile: Hemoglobin20th percentile: Hemoglobin25th percentile: Hemoglobin50th percentile: Hemoglobin75th percentile: Hemoglobin10th percentile: WBC20th percentile: WBC25th percentile: WBC50th percentile: WBC75th percentile: WBC10th percentile: ANC20th percentile: ANC25th percentile: ANC50th percentile: ANC75th percentile: ANC10th percentile: Platelets20th percentile: Platelets25th percentile: Platelets50th percentile: Platelets75th percentile: Platelets10th percentile: ALT20th percentile: ALT25th percentile: ALT50th percentile: ALT75th percentile: ALT10th percentile: AST20th percentile: AST25th percentile: AST50th percentile: AST75th percentile: AST
Cladribine High/Low Dose (HLLL)81534449NANANANANANANANANANANANANANANANANANANANANANANANANANANANANANANA

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SAFUP Analysis Set: Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEs

An AE was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or diseases that emerges or worsens relative to baseline during a clinical study with an Investigational Medicinal Product (IMP), regardless of causal relationship and even if no IMP has been administered. SAE: Any AE that resulted in death; was life threatening; resulted in persistent/significant disability/incapacity; resulted in/prolonged an existing in-patient hospitalization; was a congenital anomaly/birth defect; or was a medically important condition. The term TEAE is defined as AEs starting or worsening after the first intake of the study drug. Number of participants with TEAEs included participants with both non-serious TEAEs and serious TEAEs. (NCT00641537)
Timeframe: Baseline up to Week 120

,,
InterventionParticipants (Count of Participants)
TEAEsSerious TEAEs
Cladribine 3.5 mg/kg/No Treatment131
Cladribine 5.25 mg/kg/No Treatment183
Placebo/No Treatment162

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Safety Population: Median Time to Recovery From Grade 3 or 4 Hematological and Hepatic Toxicity

Hematologic and hepatic toxicity was assessed using Common Terminology Criteria for Adverse Events (CTCAE). Hematologic and hepatic function included absolute lymphocyte count (ALC), hemoglobin level, white blood cell (WBC) count, absolute neutrophil count (ANC), platelets, alanine transaminase (ALT), aspartate transaminase (AST) and bilirubin. According to CTCAE version 3.0: Grade 1=mild, Grade 2=moderate, Grade 3=severe, Grade 4=life threatening or disabling and Grade 5=Death. Time to recovery from grade 3 or 4 hematological or liver toxicity were reported: lymphocytes, platelets, neutrophils, white blood cells, hemoglobin, Alanine transaminase (ALT), Aspartate transaminase (AST), Platelets and Bilirubin. Recovery from a Grade 3 or 4 toxicity is defined as a return to a Grade 0 or 1. (NCT00641537)
Timeframe: Baseline up to Week 120

InterventionDays (Median)
LymphocyteAbsolute Neutrophil CountAlanine Transaminase (ALT)Aspartate Transaminase (AST)
Cladribine Low/Placebo (LLPP)22.043.072.572.5

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Safety Population: Mean Change From Baseline in Bilirubin at Week 120

Mean Change From Baseline in Bilirubin at week 120 was reported. (NCT00641537)
Timeframe: Baseline, Week 120

Interventionmicromoles per liter (mcmol/L) (Mean)
Cladribine Low/Placebo (LLPP)0.1
Cladribine High Dose/Placebo (HLPP)0.0
Cladribine Low/Low Dose (LLLL)-0.8
Cladribine High/Low Dose (HLLL)-0.8
Placebo/Cladribine Low Dose (PPLL)-0.4

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Safety Population: Mean Change From Baseline in Hemoglobin at Week 120

Mean change from baseline in hemoglobin at Week 120 was reported. (NCT00641537)
Timeframe: Baseline, Week 120

Interventiongrams per deciliter (g/dL) (Mean)
Cladribine Low/Placebo (LLPP)0.2
Cladribine High Dose/Placebo (HLPP)0.2
Cladribine Low/Low Dose (LLLL)-0.1
Cladribine High/Low Dose (HLLL)0.1
Placebo/Cladribine Low Dose (PPLL)-0.1

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Safety Population: Mean Time to Nadir of Absolute Lymphocyte Count

Mean time to nadir of absolute lymphocyte count was reported. (NCT00641537)
Timeframe: Baseline up to Week 120

InterventionDays (Mean)
Cladribine Low/Placebo (LLPP)292.0
Cladribine High Dose/Placebo (HLPP)193.6
Cladribine Low/Low Dose (LLLL)276.7
Cladribine High/Low Dose (HLLL)241.1
Placebo/Cladribine Low Dose (PPLL)362.9

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Safety Population: Mean Time to Recovery From Nadir of Absolute Lymphocyte Count to Normal Value

Mean time to recovery from nadir of absolute lymphocyte count to normal was reported. Recovery from Nadir is defined as a return to baseline value. Normal absolute lymphocyte count is 1.02 x 10^3 cells/microliter. (NCT00641537)
Timeframe: Baseline up to Week 120

InterventionDays (Mean)
Cladribine Low/Placebo (LLPP)79.0
Cladribine High Dose/Placebo (HLPP)72.7
Cladribine Low/Low Dose (LLLL)237.5
Cladribine High/Low Dose (HLLL)245.3
Placebo/Cladribine Low Dose (PPLL)187.8

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Safety Population: Median Time to Nadir of Absolute Lymphocyte Count

Median time to nadir of absolute lymphocyte count was reported. (NCT00641537)
Timeframe: Baseline up to Week 120

InterventionDays (Median)
Cladribine Low/Placebo (LLPP)162.0
Cladribine High Dose/Placebo (HLPP)93.0
Cladribine Low/Low Dose (LLLL)365.0
Cladribine High/Low Dose (HLLL)162.0
Placebo/Cladribine Low Dose (PPLL)380.0

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Safety Population: Mean Change From Baseline in Absolute Lymphocyte Count, Platelet, Neutrophils and Leukocytes at Week 120

Mean change from baseline in absolute lymphocyte count, platelet, neutrophils and leukocytes at week 120 were reported. (NCT00641537)
Timeframe: Baseline, Week 120

,,,,
Intervention10^9 cells per liter (Mean)
Lymphocyte CountPlateletLeukocytesNeutrophils
Cladribine High Dose/Placebo (HLPP)0.3-11.90.50.1
Cladribine High/Low Dose (HLLL)0.0-9.7-0.1-0.2
Cladribine Low/Low Dose (LLLL)0.0-20.6-0.2-0.2
Cladribine Low/Placebo (LLPP)0.3-7.70.80.4
Placebo/Cladribine Low Dose (PPLL)-0.6-34.0-0.9-0.3

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Percentage of Participants With MRD According to Rawstron Criteria in Participants With CR or PR According to Clinical and Biochemical Factors at Week 29

MRD: the presence of tumor cells in bone marrow, using 4-color flow cytometry of CD19/CD5/CD20/CD79b. MRD was assessed in participants who achieved CR or PR. CR (>/=2 months after last treatment): no Ly/ hepatomegaly/ splenomegaly/constitutional symptoms; neutrophils >1500/mcL, PL >100,000/mcL, Hb >11.0 g/dL, BM sample must be normocellular for age with lymphocytes <30% of nucleated cells. PR: a reduction in Ly; a reduction of >/=50% from pre-treatment state in the lymphocytes count, and in enlargement of the spleen or liver; any one of the following: neutrophils >1500/mcL, PL >100,000/mcL (or 50% improvement from baseline), Hb >11.0 g/dL (or 50% improvement from baseline). Rai Stage: staging for CLL, based on lymphocyte, red blood cell and platelet counts and size of lymph nodes, spleen, and liver. Rai Stage I or II are intermediate risk CLL and Rai Stage III or IV are high risk CLL. This outcome measure assessed relationship between clinical markers and MRD after study treatment. (NCT00718549)
Timeframe: 8 weeks after the last dose of rituximab during induction treatment (Week 29)

Interventionpercentage of participants (Number)
Age <60 yearsAge >/=60 yearsSex: FemaleSex: MaleRai Stage: I or IIRai Stage: III or IVBeta-2-Microglobulin >/= Median ValueBeta-2-Microglobulin ZAP-70 Expression: NegativeZAP-70 Expression: PositiveCD38 Expression: NegativeCD38 Expression: PositiveCytogenetic abnormality 17p: NoCytogenetic abnormality 17p: YesCytogenetic abnormality 13q: NoCytogenetic abnormality 13q: YesCytogenetic abnormality 11q: NoCytogenetic abnormality 11q: YesCytogenetic abnormality 12q: NoCytogenetic abnormality 12q: Yes
All Randomized Participants87.879.287.582.980.4100.093.177.182.6100.083.395.583.6100.084.281.883.384.280.575.0

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Percentage of Participants With MRD According to Rawstron Criteria in Participants With CR or PR According to Clinical and Biochemical Factors at Week 129

MRD: the presence of tumor cells in bone marrow, using 4-color flow cytometry of CD19/CD5/CD20/CD79b. MRD was assessed in participants who achieved CR or PR. CR (>/=2 months after last treatment): no Ly/ hepatomegaly/ splenomegaly/constitutional symptoms; neutrophils >1500/mcL, PL >100,000/mcL, Hb >11.0 g/dL, BM sample must be normocellular for age with lymphocytes <30% of nucleated cells. PR: a reduction in Ly; a reduction of >/=50% from pre-treatment state in the lymphocytes count, and in enlargement of the spleen or liver; any one of the following: neutrophils >1500/mcL, PL >100,000/mcL (or 50% improvement from baseline), Hb >11.0 g/dL (or 50% improvement from baseline). Rai Stage: staging for CLL, based on lymphocyte, red blood cell and platelet counts and size of lymph nodes, spleen, and liver. Rai Stage I or II are intermediate risk CLL and Rai Stage III or IV are high risk CLL. This outcome measure assessed relationship between clinical markers and MRD after study treatment. (NCT00718549)
Timeframe: 12 weeks after the end of maintenance treatment or observation phase (Week 129)

Interventionpercentage of participants (Number)
Age <60 yearsAge >/=60 yearsSex: FemaleSex: MaleRai Stage: I or IIRai Stage: III or IVBeta-2-Microglobulin >/= Median ValueBeta-2-Microglobulin ZAP-70 Expression: NegativeZAP-70 Expression: PositiveCD38 Expression: NegativeCD38 Expression: PositiveCytogenetic abnormality 17p: NoCytogenetic abnormality 17p: YesCytogenetic abnormality 13q: NoCytogenetic abnormality 13q: YesCytogenetic abnormality 11q: NoCytogenetic abnormality 11q: YesCytogenetic abnormality 12q: NoCytogenetic abnormality 12q: Yes
All Randomized Participants72.283.371.476.575.075.088.971.466.7100.060.077.876.20.075.066.766.775.066.766.7

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Percentage of Participants With Disease Progression (PD), Relapse, or Death Due to Any Cause Assessed According to the National Cancer Institute (NCI) Revised Guidelines for the Diagnosis and Treatment of Chronic Lymphocytic Leukemia (CLL)

PD occurred if any of the following events was observed: appearance of any new lesion, such as enlarged lymph nodes (greater than [>]1.5 centimeters [cm]), splenomegaly, hepatomegaly, or other organ infiltrates; an increase of greater than or equal to (>/=) 50 percent (%) in greatest determined diameter of any previous site; an increase in the previously noted enlargement of the liver or spleen by >/=50%; an increase in the number of blood lymphocytes by >/=50% with B-lymphocytes >/=5000 per microliter (/mcL); transformation to a more aggressive histology; occurrence of cytopenia (neutropenia, anemia, or thrombocytopenia) attributable to CLL. (NCT00718549)
Timeframe: From randomization to PD, Relapse, or death due to any cause (overall approximately 5 years)

Interventionpercentage of participants (Number)
Maintenance Arm: Rituximab27.3
Observation Arm: No Intervention54.5
All Randomized Participants40.9

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Progression-Fee Survival (PFS) Assessed According to the NCI Revised Guidelines for the Diagnosis and Treatment of CLL

PFS was defined as the time from date of randomization to date of PD, relapse, or death due to any cause. Participants alive with no evidence of PD or relapse were censored at date of last clinical examination. PD occurred if any of the following events was observed: appearance of any new lesion, such as enlarged lymph nodes (>1.5 cm), splenomegaly, hepatomegaly, or other organ infiltrates; an increase of >/=50% in greatest determined diameter of any previous site; an increase in the previously noted enlargement of the liver or spleen by >/=50%; an increase in the number of blood lymphocytes by >/=50% with B-lymphocytes >/=5000/mcL; transformation to a more aggressive histology; occurrence of cytopenia (neutropenia, anemia, or thrombocytopenia) attributable to CLL. (NCT00718549)
Timeframe: From randomization to PD, relapse, or death due to any cause (overall approximately 5 years)

Interventionyears (Median)
Maintenance Arm: RituximabNA
Observation Arm: No Intervention2.1
All Randomized Participants3.1

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Percentage of Participants With CR or PR Assessed According to the NCI Revised Guidelines for the Diagnosis and Treatment of CLL

CR was achieved if participants met all of the following criteria >/= 2 months after last treatment: no lymphadenopathy (Ly)/ hepatomegaly/ splenomegaly/constitutional symptoms; neutrophils >1500/mcL, platelets (PL) >100,000/mcL, hemoglobin (Hb) >11.0 grams per deciliter (g/dL), bone marrow (BM) sample must be normocellular for age with lymphocytes <30% of nucleated cells. PR: a reduction in Ly (decrease in lymph node size by >/=50% compared to pre-treatment state, no increase in any lymph node, no new enlarged lymph node); a reduction of >/=50% from pre-treatment state in the lymphocytes count, and in enlargement of the spleen or liver; any one of the following: neutrophils >1500/mcL, PL >100,000/mcL (or 50% improvement from baseline), Hb >11.0 g/dL (or 50% improvement from baseline). (NCT00718549)
Timeframe: 8 weeks after the last dose of rituximab during induction treatment (Week 29) and 12 weeks after the end of maintenance treatment or observation phase (Week 129)

,
Interventionpercentage of participants (Number)
Week 129
Maintenance Arm: Rituximab90.5
Observation Arm: No Intervention72.2

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Percentage of Participants With CR or PR Assessed According to the NCI Revised Guidelines for the Diagnosis and Treatment of CLL

CR was achieved if participants met all of the following criteria >/= 2 months after last treatment: no lymphadenopathy (Ly)/ hepatomegaly/ splenomegaly/constitutional symptoms; neutrophils >1500/mcL, platelets (PL) >100,000/mcL, hemoglobin (Hb) >11.0 grams per deciliter (g/dL), bone marrow (BM) sample must be normocellular for age with lymphocytes <30% of nucleated cells. PR: a reduction in Ly (decrease in lymph node size by >/=50% compared to pre-treatment state, no increase in any lymph node, no new enlarged lymph node); a reduction of >/=50% from pre-treatment state in the lymphocytes count, and in enlargement of the spleen or liver; any one of the following: neutrophils >1500/mcL, PL >100,000/mcL (or 50% improvement from baseline), Hb >11.0 g/dL (or 50% improvement from baseline). (NCT00718549)
Timeframe: 8 weeks after the last dose of rituximab during induction treatment (Week 29) and 12 weeks after the end of maintenance treatment or observation phase (Week 129)

Interventionpercentage of participants (Number)
Week 29Week 129
Overall Population73.282.1

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Percentage of Participants With CR or PR Assessed According to the NCI Revised Guidelines for the Diagnosis and Treatment of CLL According to Clinical and Biochemical Factors at Week 129

CR was achieved if participants met all of the following criteria >/=2 months after last treatment: no Ly/ hepatomegaly/ splenomegaly/constitutional symptoms; neutrophils >1500/mcL, PL >100,000/mcL, Hb >11.0 g/dL, BM sample must be normocellular for age with lymphocytes <30% of nucleated cells. PR: a reduction in Ly; a reduction of >/=50% from pre-treatment state in the lymphocytes count, and in enlargement of the spleen or liver; any one of the following: neutrophils >1500/mcL, PL >100,000/mcL (or 50% improvement from baseline), Hb >11.0 g/dL (or 50% improvement from baseline). Rai Stage: staging for CLL, based on lymphocyte, red blood cell and platelet counts and size of lymph nodes, spleen, and liver. Rai Stage I or II are intermediate risk CLL and Rai Stage III or IV are high risk CLL. This outcome measure assessed the relationship between clinical markers and clinical outcome (response) after study treatment. (NCT00718549)
Timeframe: 12 weeks after the end of maintenance treatment or observation phase (Week 129)

Interventionpercentage of participants (Number)
Age <60 yearsAge >/=60 yearsSex: FemaleSex: MaleRai Stage: I or IIRai Stage: III or IVBeta-2-Microglobulin >/= Median ValueBeta-2-Microglobulin ZAP-70 Expression: NegativeZAP-70 Expression: PositiveCD38 Expression: NegativeCD38 Expression: PositiveCytogenetic abnormality 17p: NoCytogenetic abnormality 17p: YesCytogenetic abnormality 13q: NoCytogenetic abnormality 13q: YesCytogenetic abnormality 11q: NoCytogenetic abnormality 11q: YesCytogenetic abnormality 12q: NoCytogenetic abnormality 12q: Yes
All Randomized Participants80.884.685.780.080.687.576.984.083.383.377.875.086.750.090.076.584.280.076.2100.0

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Percentage of Participants With CR or PR Assessed According to the NCI Revised Guidelines for the Diagnosis and Treatment of CLL According to Clinical and Biochemical Factors at Week 29

CR was achieved if participants met all of the following criteria >/= 2 months after last treatment: no Ly/ hepatomegaly/ splenomegaly/constitutional symptoms; neutrophils >1500/mcL, PL >100,000/mcL, Hb >11.0 g/dL, BM sample must be normocellular for age with lymphocytes <30% of nucleated cells. PR: a reduction in Ly; a reduction of >/=50% from pre-treatment state in the lymphocytes count, and in enlargement of the spleen or liver; any one of the following: neutrophils >1500/mcL, PL >100,000/mcL (or 50% improvement from baseline), Hb >11.0 g/dL (or 50% improvement from baseline). Rai Stage: staging for CLL, based on lymphocyte, red blood cell and platelet counts and size of lymph nodes, spleen, and liver. Rai Stage I or II are intermediate risk CLL and Rai Stage III or IV are high risk CLL. This outcome measure assessed the relationship between clinical markers and clinical outcome (response) after study treatment. (NCT00718549)
Timeframe: 8 weeks after the last dose of rituximab during induction treatment (Week 29)

Interventionpercentage of participants (Number)
Age <60 yearsAge >/=60 yearsSex: FemaleSex: MaleRai Stage: I or IIRai Stage: III or IVBeta-2-Microglobulin >/= Median ValueBeta-2-Microglobulin ZAP-70 Expression: NegativeZAP-70 Expression: PositiveCD38 Expression: NegativeCD38 Expression: PositiveCytogenetic abnormality 17p: NoCytogenetic abnormality 17p: YesCytogenetic abnormality 13q: NoCytogenetic abnormality 13q: YesCytogenetic abnormality 11q: NoCytogenetic abnormality 11q: YesCytogenetic abnormality 12q: NoCytogenetic abnormality 12q: Yes
Overall Population73.373.080.669.777.561.564.683.067.194.773.171.472.871.462.976.169.579.267.666.7

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Percentage of Participants With Minimal Residual Disease (MRD) According to Rawstron Criteria in Participants With CR or PR

MRD was defined by the presence of tumor cells in bone marrow, using 4-color flow cytometry of cluster of differentiation (CD)19/CD5/CD20/CD79b. MRD was assessed in participants who achieved CR or PR. CR: if participants met all of the following criteria >/=2 months after last treatment: no Ly/ hepatomegaly/ splenomegaly/constitutional symptoms; neutrophils >1500/mcL, PL >100,000/mcL, Hb >11.0 g/dL, BM sample must be normocellular for age with lymphocytes <30% of nucleated cells. PR: a reduction in Ly; a reduction of >/=50% from pre-treatment state in the lymphocytes count, and in enlargement of the spleen or liver; any one of the following: neutrophils >1500/mcL, PL >100,000/mcL (or 50% improvement from baseline), Hb >11.0 g/dL (or 50% improvement from baseline). (NCT00718549)
Timeframe: 8 weeks after the last dose of rituximab during induction treatment (Week 29) and 12 weeks after the end of maintenance treatment or observation phase (Week 129)

,
Interventionpercentage of participants (Number)
Week 129
Maintenance Arm: Rituximab28.6
Observation Arm: No Intervention20.0

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Percentage of Participants With Minimal Residual Disease (MRD) According to Rawstron Criteria in Participants With CR or PR

MRD was defined by the presence of tumor cells in bone marrow, using 4-color flow cytometry of cluster of differentiation (CD)19/CD5/CD20/CD79b. MRD was assessed in participants who achieved CR or PR. CR: if participants met all of the following criteria >/=2 months after last treatment: no Ly/ hepatomegaly/ splenomegaly/constitutional symptoms; neutrophils >1500/mcL, PL >100,000/mcL, Hb >11.0 g/dL, BM sample must be normocellular for age with lymphocytes <30% of nucleated cells. PR: a reduction in Ly; a reduction of >/=50% from pre-treatment state in the lymphocytes count, and in enlargement of the spleen or liver; any one of the following: neutrophils >1500/mcL, PL >100,000/mcL (or 50% improvement from baseline), Hb >11.0 g/dL (or 50% improvement from baseline). (NCT00718549)
Timeframe: 8 weeks after the last dose of rituximab during induction treatment (Week 29) and 12 weeks after the end of maintenance treatment or observation phase (Week 129)

Interventionpercentage of participants (Number)
Week 29Week 129
All Randomized Participants15.425.0

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PFS Assessed According to the NCI Revised Guidelines for the Diagnosis and Treatment of CLL According to Clinical and Biochemical Factors

PFS: time from date of randomization to date of PD, relapse, or death from any cause. Participants alive with no evidence of PD or relapse were censored at date of last clinical examination. PD: appearance of any new lesion, such as enlarged lymph nodes (>1.5 cm), splenomegaly, hepatomegaly, or other organ infiltrates; an increase of >/=50% in greatest determined diameter of any previous site; an increase in previously noted enlargement of liver or spleen by >/=50%; an increase in number of blood lymphocytes by >/=50% with B-lymphocytes >/=5000/mcL; transformation to a more aggressive histology; or occurrence of cytopenia attributable to CLL. Rai Stage: staging for CLL, based on lymphocyte, red blood cell and platelet counts and size of lymph nodes, spleen, and liver. Rai Stage I or II are intermediate risk CLL and Rai Stage III or IV are high risk CLL. This outcome measure assessed relationship between clinical markers and clinical outcome (PFS) after study treatment. (NCT00718549)
Timeframe: From randomization to PD, relapse, or death due to any cause (overall approximately 5 years)

Interventionyears (Median)
Age <60 yearsAge >/=60 yearsSex: FemaleSex: MaleRai Stage: I or IIRai Stage: III or IVBeta-2-Microglobulin >/= Median ValueBeta-2-Microglobulin Zeta-Associated Protein (ZAP)-70: NegativeZAP-70 Expression: PositiveCD38 Expression: NegativeCD38 Expression: PositiveCytogenetic abnormality 17p: NoCytogenetic abnormality 17p: YesCytogenetic abnormality 13q: NoCytogenetic abnormality 13q: YesCytogenetic abnormality 11q: NoCytogenetic abnormality 11q: YesCytogenetic abnormality 12q: NoCytogenetic abnormality 12q: Yes
All Randomized Participants3.04.04.03.03.13.01.9NA3.0NA2.12.83.11.93.53.03.52.82.23.1

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ITP: Number of T1 Hypointense Lesions

Number of T1 Hypointense lesions were measured by using magnetic resonance imaging (MRI) scans. (NCT00725985)
Timeframe: ITP: Baseline, Week 48 and 96

,,
InterventionLesions (Mean)
BaselineWeek 48Week 96
Cladribine 3.5 mg/kg (ITP)7.36.953.82
Cladribine 5.25 mg/kg (ITP)8.08.395.35
Placebo (ITP)7.07.075.06

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ITP: Percent Change From Baseline in Brain Volume

Brain volume was measured by using magnetic resonance imaging (MRI) scans. Percent change from baseline in brain volume at Week 48 and 96 was reported. (NCT00725985)
Timeframe: ITP: Baseline, Week 48 and 96

,,
InterventionPercent change (Mean)
Week 48Week 96
Cladribine 3.5 mg/kg (ITP)-0.48-0.72
Cladribine 5.25 mg/kg (ITP)-0.47-0.59
Placebo (ITP)-0.33-0.75

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LTFU (LTFU Analysis Set [No Treatment at LTFU Entry]): Mean Volume of T1 Gd-Enhanced Lesions and Changes From Baseline in Volume of T1 Gd-Enhanced Lesions

Volume of T1 Gd-Enhanced lesions was measured by using magnetic resonance imaging (MRI) scans. (NCT00725985)
Timeframe: LTFU: Baseline, Week 13, 24, 36 and 48

,
Interventionmm^3 (Mean)
BaselineWeek 13Week 24Week 36Change at Week 13Change at Week 24Change at Week 36
Cladribine 3.5 mg/kg, Rebif (LTFU)4.457.340.000.000.38-2.48-5.31
Placebo, Rebif (LTFU)27.7917.4357.2257.22-17.95-20.60-31.48

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LTFU (LTFU Analysis Set [No Treatment at LTFU Entry]): Mean Volume of T1 Gd-Enhanced Lesions and Changes From Baseline in Volume of T1 Gd-Enhanced Lesions

Volume of T1 Gd-Enhanced lesions was measured by using magnetic resonance imaging (MRI) scans. (NCT00725985)
Timeframe: LTFU: Baseline, Week 13, 24, 36 and 48

Interventionmm^3 (Mean)
BaselineWeek 13Week 24Week 36Week 48Change at Week 13Change at Week 24Change at Week 36Change at Week 48
Cladribine 5.25 mg/kg, Rebif (LTFU)0.000.000.000.000.000.000.000.000.00

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LTFU (LTFU Analysis Set [No Treatment at LTFU Entry]): Mean Volume of T2 Lesions and Changes From Baseline in Volume of T2 Lesions

Volume of T2 lesions was measured by using magnetic resonance imaging (MRI) scans. (NCT00725985)
Timeframe: Baseline, Week 48

,
Interventionmm^3 (Mean)
Baseline
Cladribine 3.5 mg/kg, Rebif (LTFU)962.26
Placebo, Rebif (LTFU)1407.75

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LTFU (LTFU Analysis Set [No Treatment at LTFU Entry]): Mean Volume of T2 Lesions and Changes From Baseline in Volume of T2 Lesions

Volume of T2 lesions was measured by using magnetic resonance imaging (MRI) scans. (NCT00725985)
Timeframe: Baseline, Week 48

Interventionmm^3 (Mean)
BaselineWeek 48Change at Week 48
Cladribine 5.25 mg/kg, Rebif (LTFU)1402.080.00-969.90

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LTFU (LTFU Analysis Set [No Treatment at LTFU Entry]): Number of Combined Unique Active (CUA) Magnetic Resonance Imaging (MRI) Lesions

Number of CUA lesions were measured by using magnetic resonance imaging (MRI) scans. (NCT00725985)
Timeframe: LTFU: Baseline, Week 13, 24, 36 and 48

,
InterventionLesions (Mean)
BaselineWeek 13Week 24Week 36
Cladribine 3.5 mg/kg, Rebif (LTFU)0.030.040.130.00
Placebo, Rebif (LTFU)0.140.180.000.33

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LTFU (LTFU Analysis Set [No Treatment at LTFU Entry]): Number of New or Enlarging T2 Lesions

Number of new or enlarging T2 lesions were measured by using magnetic resonance imaging (MRI) scans. (NCT00725985)
Timeframe: LTFU: Baseline, Week 13, 24, 36 and 48

,
InterventionLesions (Mean)
BaselineWeek 13Week 24Week 36
Cladribine 3.5 mg/kg, Rebif (LTFU)0.030.040.130.00
Placebo, Rebif (LTFU)0.070.180.000.33

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LTFU (LTFU Analysis Set [No Treatment at LTFU Entry]): Number of New or Enlarging T2 Lesions

Number of new or enlarging T2 lesions were measured by using magnetic resonance imaging (MRI) scans. (NCT00725985)
Timeframe: LTFU: Baseline, Week 13, 24, 36 and 48

InterventionLesions (Mean)
BaselineWeek 13Week 24Week 36Week 48
Cladribine 5.25 mg/kg, Rebif (LTFU)0.000.000.000.000.00

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LTFU (LTFU Analysis Set [No Treatment at LTFU Entry]): Number of New or Persisting Gd-enhanced Lesions

Number of new or persisting Gd-Enhanced lesions were measured by using magnetic resonance imaging (MRI) scans. (NCT00725985)
Timeframe: LTFU: Baseline, Week 13, 24, 36 and 48

,
InterventionLesions (Mean)
BaselineWeek 13Week 24Week 36
Cladribine 3.5 mg/kg, Rebif (LTFU)0.060.070.000.00
Placebo, Rebif (LTFU)0.140.090.200.17

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LTFU (LTFU Analysis Set [No Treatment at LTFU Entry]): Number of New or Persisting Gd-enhanced Lesions

Number of new or persisting Gd-Enhanced lesions were measured by using magnetic resonance imaging (MRI) scans. (NCT00725985)
Timeframe: LTFU: Baseline, Week 13, 24, 36 and 48

InterventionLesions (Mean)
BaselineWeek 13Week 24Week 36Week 48
Cladribine 5.25 mg/kg, Rebif (LTFU)0.000.000.000.000.00

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LTFU (LTFU Analysis Set [No Treatment at LTFU Entry]): Number of T1 Hypointense Lesions

Number of T1 Hypointense lesions were measured by using magnetic resonance imaging (MRI) scans. (NCT00725985)
Timeframe: LTFU: Baseline, Week 48

,
InterventionLesions (Mean)
Baseline
Cladribine 3.5 mg/kg, Rebif (LTFU)3.53
Placebo, Rebif (LTFU)2.93

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LTFU (LTFU Analysis Set [No Treatment at LTFU Entry]): Number of T1 Hypointense Lesions

Number of T1 Hypointense lesions were measured by using magnetic resonance imaging (MRI) scans. (NCT00725985)
Timeframe: LTFU: Baseline, Week 48

InterventionLesions (Mean)
BaselineWeek 48
Cladribine 5.25 mg/kg, Rebif (LTFU)5.744.50

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LTFU (LTFU Analysis Set [Treated at LTFU Entry]): Mean Volume of T1 Gd-Enhanced Lesions and Changes From Baseline in Volume of T1 Gd-Enhanced Lesions

Volume of T1 Gd-Enhanced lesions was measured by using magnetic resonance imaging (MRI) scans. (NCT00725985)
Timeframe: LTFU: Baseline, Week 13, 24 and 36

,,
Interventionmm^3 (Mean)
BaselineWeek 13Week 24Week 36Change at Week 13Change at Week 24Change at Week 36
Cladribine 3.5 mg/kg, Rebif, Cladribine 3.5 mg/kg (LTFU)0.000.000.000.000.000.000.00
Cladribine 5.25 mg/kg, Rebif, Cladribine 3.5 mg/kg (LTFU)0.000.000.000.000.000.000.00
Placebo, Rebif, Cladribine 3.5 mg/kg (LTFU)79.4320.5625.230.00-63.83-32.25-58.93

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LTFU (LTFU Analysis Set [Treated at LTFU Entry]): Number of Combined Unique Active (CUA) Magnetic Resonance Imaging (MRI) Lesions

Number of CUA MRI lesions were measured by using magnetic resonance imaging (MRI) scans. (NCT00725985)
Timeframe: LTFU: Baseline, Week 13, 24 and 36

,,
InterventionLesions (Mean)
BaselineWeek 13Week 24Week 36
Cladribine 3.5 mg/kg, Rebif, Cladribine 3.5 mg/kg (LTFU)0.000.000.250.00
Cladribine 5.25 mg/kg, Rebif, Cladribine 3.5 mg/kg (LTFU)0.000.000.000.00
Placebo, Rebif, Cladribine 3.5 mg/kg (LTFU)1.242.190.180.10

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LTFU (LTFU Analysis Set [Treated at LTFU Entry]): Number of New or Enlarging T2 Lesions

Number of new or enlarging T2 Lesions were measured by using magnetic resonance imaging (MRI) scans. (NCT00725985)
Timeframe: LTFU: Baseline, Week 13, 24 and 36

,,
InterventionLesions (Mean)
BaselineWeek 13Week 24Week 36
Cladribine 3.5 mg/kg, Rebif, Cladribine 3.5 mg/kg (LTFU)0.000.250.000.00
Cladribine 5.25 mg/kg, Rebif, Cladribine 3.5 mg/kg (LTFU)0.000.000.000.00
Placebo, Rebif, Cladribine 3.5 mg/kg (LTFU)0.712.060.000.10

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LTFU (LTFU Analysis Set [Treated at LTFU Entry]): Number of New or Persisting Gd-enhanced Lesions

Number of new or persisting Gd-Enhanced lesions were measured by using magnetic resonance imaging (MRI) scans. (NCT00725985)
Timeframe: LTFU: Baseline, Week 13, 24 and 36

,,
InterventionLesions (Mean)
BaselineWeek 13Week 24Week 36
Cladribine 3.5 mg/kg, Rebif, Cladribine 3.5 mg/kg (LTFU)0.000.000.000.00
Cladribine 5.25 mg/kg, Rebif, Cladribine 3.5 mg/kg (LTFU)0.000.000.000.00
Placebo, Rebif, Cladribine 3.5 mg/kg (LTFU)0.710.130.180.00

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OLMP: Mean Volume of T1 Gd-Enhanced Lesions and Changes From Baseline in Volume of T1 Gd-Enhanced Lesions

Volume of T1 Gd-Enhanced lesions was measured by using magnetic resonance imaging (MRI) scans. (NCT00725985)
Timeframe: OLMP: Baseline, Week 24, 48, 72 and 96

,,
Interventionmm^3 (Mean)
BaselineWeek 24Week 48Week 72Week 96Change at Week 24Change at Week 48Change at Week 72Change at Week 96
Cladribine 3.5 mg/kg, Rebif (OLMP)113.643.480.0056.860.00-120.04-146.62-155.91-391.93
Cladribine 5.25 mg/kg, Rebif (OLMP)91.067.715.22219.52330.20-87.30-106.8226.00275.83
Placebo, Rebif (OLMP)136.619.1439.0025.8522.51-134.67-116.06-192.24-247.76

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OLMP: Mean Volume of T2 Lesions and Changes From Baseline in Volume of T2 Lesions

Volume of T2 lesions was measured by using magnetic resonance imaging (MRI) scans. (NCT00725985)
Timeframe: OLMP: Baseline, Week 48 and 96

,,
Interventionmm^3 (Mean)
BaselineWeek 48Week 96Change at Week 48Change at Week 96
Cladribine 3.5 mg/kg, Rebif (OLMP)630.70458.130.00-20.200.00
Cladribine 5.25 mg/kg, Rebif (OLMP)398.88767.662606.15523.272245.18
Placebo, Rebif (OLMP)1019.30508.97647.17-77.67255.39

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OLMP: Number of Combined Unique Active (CUA) Magnetic Resonance Imaging (MRI) Lesions

Number of combined unique active (CUA) lesions were measured by using magnetic resonance imaging (MRI) scans. (NCT00725985)
Timeframe: OLMP: Baseline, Week 24, 48, 72 and 96

,,
InterventionLesions (Mean)
BaselineWeek 24Week 48Week 72Week 96
Cladribine 3.5 mg/kg, Rebif (OLMP)2.170.480.380.380.67
Cladribine 5.25 mg/kg, Rebif (OLMP)0.630.420.392.453.33
Placebo, Rebif (OLMP)3.230.790.611.300.53

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OLMP: Number of New or Enlarging T2 Lesions

Number of new or enlarging T2 lesions were measured by using magnetic resonance imaging (MRI) scans. (NCT00725985)
Timeframe: OLMP: Baseline, Week 24, 48, 72 and 96

,,
InterventionLesions (Mean)
BaselineWeek 24Week 48Week 72Week 96
Cladribine 3.5 mg/kg, Rebif (OLMP)1.540.430.380.250.67
Cladribine 5.25 mg/kg, Rebif (OLMP)0.290.260.320.952.00
Placebo, Rebif (OLMP)2.130.680.410.970.47

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OLMP: Number of New or Persisting Gd-enhanced Lesions

Number of new or persisting Gd-Enhanced lesions were measured by using magnetic resonance imaging (MRI) scans. (NCT00725985)
Timeframe: OLMP: Baseline, Week 24, 48, 72 and 96

,,
InterventionLesions (Mean)
BaselineWeek 24Week 48Week 72Week 96
Cladribine 3.5 mg/kg, Rebif (OLMP)0.880.050.000.130.00
Cladribine 5.25 mg/kg, Rebif (OLMP)1.380.170.071.501.58
Placebo, Rebif (OLMP)1.270.110.200.330.07

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OLMP: Number of T1 Hypointense Lesions

Number of T1 Hypointense lesions were measured by using magnetic resonance imaging (MRI) scans. (NCT00725985)
Timeframe: OLMP: Baseline, Week 48 and 96

,,
InterventionLesions (Mean)
BaselineWeek 48Week 96
Cladribine 3.5 mg/kg, Rebif (OLMP)2.321.000.00
Cladribine 5.25 mg/kg, Rebif (OLMP)0.923.790.50
Placebo, Rebif (OLMP)1.450.741.47

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OLMP: Percent Change From Baseline in Brain Volume

Brain volume was measured by using magnetic resonance imaging (MRI) scans. Percent change from baseline in brain volume at Week 48 and 96 was reported. (NCT00725985)
Timeframe: OLMP: Baseline, Week 48 and 96

InterventionPercent change (Mean)
Week 48
Cladribine 3.5 mg/kg, Rebif (OLMP)-1.60

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OLMP: Percent Change From Baseline in Brain Volume

Brain volume was measured by using magnetic resonance imaging (MRI) scans. Percent change from baseline in brain volume at Week 48 and 96 was reported. (NCT00725985)
Timeframe: OLMP: Baseline, Week 48 and 96

,
InterventionPercent change (Mean)
Week 48Week 96
Cladribine 5.25 mg/kg, Rebif (OLMP)-0.410.06
Placebo, Rebif (OLMP)-0.56-1.31

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OLMP: Time to 3 Month Confirmed Expanded Disability Status Scale (EDSS) Progression From Randomization Represented by Kaplan-Meier Estimates of Probability of Disability Progression

EDSS progression is based on a standardized neurological exam and focuses on symptoms that commonly occur in Multiple Sclerosis (MS). Overall scores ranges from 0.0 (normal) to 10.0 (death due to MS). A sustained progression on EDSS score was defined as an EDSS progression confirmed into two consecutive assessment. Probability of disability progression at different time points was estimated using Kaplan-Meier method on the time to disability progression defined as the time from randomization to first EDSS increase. (NCT00725985)
Timeframe: OLMP: Day 1, 90, 180, 270, 360, 450, 540, 630, 720 and 810

,,
InterventionProbability of Disability Progression (Number)
Day 1Day 90Day 180Day 270Day 360Day 450Day 540Day 630Day 720
Cladribine 3.5 mg/kg, Rebif (OLMP)0.00000.00000.04170.04170.04170.04170.04170.04170.0417
Cladribine 5.25 mg/kg, Rebif (OLMP)0.00000.00000.04170.04170.04170.04170.04170.04170.0417
Placebo, Rebif (OLMP)0.00000.00000.05270.05270.05270.07640.10940.10940.1094

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ITP: Time to Clinically Definite Multiple Sclerosis (CDMS) Conversion Represented by Kaplan-Meier Estimates of the Cumulative Percentage of Participants With CDMS

CDMS according to the Poser criteria is defined as the occurrence of a second attack or a sustained increase in the expanded disability status scale (EDSS) Score. EDSS assesses disability in 8 functional systems. An overall score ranging from 0 (normal) to 10 (death due to Multiple Sclerosis [MS]) was calculated. Sustained EDSS progression was defined as an increase in the EDSS score of greater than or equal to (>=) 1 point if baseline EDSS was between >= 1.0 and less than or equal to (=<) 4.5; or >= 1.5 points if baseline EDSS was 0, or >= 0.5 if baseline EDSS >= 5.0 over a period of at least 3 months. Kaplan-Meier estimates were provided for of the cumulative (cum.) percentage (%) of participants with CDMS over time. The probability of patients remaining event-free over time (from randomization) in each of the three treatment groups was displayed in the form of survival curves estimated using the non-parametric Kaplan-Meier method. (NCT00725985)
Timeframe: ITP: Baseline up to Week 96

InterventionCum. % of participants with CDMS (Number)
Cladribine 5.25 mg/kg (ITP)15.8
Cladribine 3.5 mg/kg (ITP)14.0
Placebo (ITP)37.8

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ITP: Change From Baseline in Volume of T1 Gd-Enhanced Lesions

Change in volume of T1 Gd-Enhanced lesions was measured by using magnetic resonance imaging (MRI) scans. (NCT00725985)
Timeframe: ITP: Baseline, Week 96

Interventioncubic millimeters (mm^3) (Mean)
Cladribine 5.25 mg/kg (ITP)-73.97
Cladribine 3.5 mg/kg (ITP)-126.64
Placebo (ITP)48.63

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ITP: Percentage of Participants Converting to Clinically Definite Multiple Sclerosis (CDMS) as Per Poser Criteria

Clinically definite multiple sclerosis (CDMS) according to the Poser criteria is defined as the occurrence of a second attack or a sustained increase in the expanded disability status scale (EDSS) Score. EDSS assesses disability in 8 functional systems. An overall score ranging from 0 (normal) to 10 (death due to MS) was calculated. Sustained EDSS progression was defined as an increase in the EDSS score of greater than or equal to (>=) 1 point if baseline EDSS was between >= 1.0 and less than or equal to (=<) 4.5; or >= 1.5 points if baseline EDSS was 0, or >= 0.5 if baseline EDSS >= 5.0 over a period of at least 3 months. The percentage of participants who converted to CDMS are reported here. (NCT00725985)
Timeframe: ITP: Baseline up to week 96

InterventionPercentage of participants (Number)
Cladribine 5.25 mg/kg (ITP)28.8
Cladribine 3.5 mg/kg (ITP)23.1
Placebo (ITP)56.3

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ITP: Percentage of Participants Converting to McDonald Multiple Sclerosis (MS) (2005)

Percentage of participants converting to mcDonald multiple sclerosis (2005) were reported. (NCT00725985)
Timeframe: ITP: Baseline up to week 96

InterventionPercentage of participants (Number)
Cladribine 5.25 mg/kg (ITP)70.7
Cladribine 3.5 mg/kg (ITP)71.6
Placebo (ITP)91.8

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ITP: Percentage of Participants With no New or Enlarging T2 Lesions

T2 lesions were measured by using magnetic resonance imaging (MRI) scans. Percentage of participants with no new or enlarging T2 lesions were reported. (NCT00725985)
Timeframe: ITP: Baseline up to Week 96

InterventionPercentage of Participants (Number)
Cladribine 5.25 mg/kg (ITP)32.9
Cladribine 3.5 mg/kg (ITP)35.1
Placebo (ITP)19.0

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ITP: Percentage of Participants With no New or Persisting T1 Gd-Enhanced Lesions

T1 Gd-enhanced lesions were measured by using magnetic resonance imaging (MRI) scans. Percentage of participants with no new or persisting T1 Gd-enhanced lesions were reported. (NCT00725985)
Timeframe: ITP: Baseline up to Week 96

InterventionPercentage of Participants (Number)
Cladribine 5.25 mg/kg (ITP)67.0
Cladribine 3.5 mg/kg (ITP)57.1
Placebo (ITP)21.6

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ITP: Time to Develop Multiple Sclerosis (MS) Conversion According to the Revised McDonald Criteria (2005) Represented by Kaplan-Meier Estimates of the Cumulative Percentage of Participants With McDonald MS

The McDonald criteria use dissemination in time and space established by magnetic resonance imaging (MRI) findings to provide a clinical diagnosis for MS. Dissemination in time is established by a new time constant 2 (T2) or gadolinium enhanced (Gd+) lesion found on a repeat MRI. Dissemination in space is established by the presence of any 3 of the following: 1 Gd+ lesion or 9 T2 bright lesions if there is no enhancement; greater than or equal to 1 infratentorial lesion; greater than or equal to 1 juxtacortical lesion; greater than or equal to 3 periventricular lesions. Kaplan-Meier estimates were provided for the cum. percentage (%) of participants with McDonald MS over time. (NCT00725985)
Timeframe: ITP: Baseline up to Week 96

InterventionCum. % of participants with McDonald MS (Number)
Cladribine 5.25 mg/kg (ITP)51.36
Cladribine 3.5 mg/kg (ITP)56.05
Placebo (ITP)87.14

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LTFU (LTFU Analysis Set [No Treatment at LTFU Entry]): Number of Relapses

Relapse was defined as new, worsening or recurrent neurological symptoms attributed to multiple sclerosis that last for at least 24 hours without fever or infection, or adverse reaction to prescribed medication, preceded by a stable or improving neurological status of at least 30 days. (NCT00725985)
Timeframe: Baseline up to Week 48

InterventionRelapses (Mean)
Cladribine 5.25 mg/kg, Rebif (LTFU)0.03
Cladribine 3.5 mg/kg, Rebif (LTFU)0.03
Placebo, Rebif (LTFU)0.00

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LTFU (LTFU Analysis Set [No Treatment at LTFU Entry]): Number of Combined Unique Active (CUA) Magnetic Resonance Imaging (MRI) Lesions

Number of CUA lesions were measured by using magnetic resonance imaging (MRI) scans. (NCT00725985)
Timeframe: LTFU: Baseline, Week 13, 24, 36 and 48

InterventionLesions (Mean)
BaselineWeek 13Week 24Week 36Week 48
Cladribine 5.25 mg/kg, Rebif (LTFU)0.000.000.000.000.00

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LTFU (LTFU Analysis Set [No Treatment at LTFU Entry]): Percentage of Participants With no New or Enlarging T2 Lesions

Enlarging T2 lesions were measured by using magnetic resonance imaging (MRI) scans. Percentage of participants with no New or Enlarging T2 lesions were reported. (NCT00725985)
Timeframe: LTFU: Baseline up to Week 48

InterventionPercentage of participants (Number)
Cladribine 5.25 mg/kg, Rebif (LTFU)0
Cladribine 3.5 mg/kg, Rebif (LTFU)0
Placebo, Rebif (LTFU)0

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LTFU (LTFU Analysis Set [No Treatment at LTFU Entry]): Percentage of Participants With no New or Persisting T1 Gd-Enhanced Lesions

T1 Gd-enhanced lesions were measured by using magnetic resonance imaging (MRI) scans. Percentage of participants with no new or persisting T1 Gd-enhanced lesions were reported. (NCT00725985)
Timeframe: Baseline up to Week 48

InterventionPercentage of participants (Number)
Cladribine 5.25 mg/kg, Rebif (LTFU)0
Cladribine 3.5 mg/kg, Rebif (LTFU)0
Placebo, Rebif (LTFU)0

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LTFU (LTFU Analysis Set [No Treatment at LTFU Entry]): Time to Conversion to Clinically Definite Multiple Sclerosis (CDMS) According to Poser Criteria

CDMS according to the Poser criteria is defined as the occurrence of a second attack or a sustained increase in the expanded disability status scale (EDSS) Score. EDSS assesses disability in 8 functional systems. An overall score ranging from 0 (normal) to 10 (death due to MS) was calculated. Sustained EDSS progression was defined as an increase in the EDSS score of greater than or equal to (>=) 1 point if baseline EDSS was between >= 1.0 and less than or equal to (=<) 4.5; or >= 1.5 points if baseline EDSS was 0, or >= 0.5 if baseline EDSS >= 5.0 over a period of at least 3 months. (NCT00725985)
Timeframe: Time from Randomization up to 1217 days

InterventionDays (Number)
Cladribine 5.25 mg/kg, Rebif (LTFU)773

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LTFU (LTFU Analysis Set [No Treatment at LTFU Entry]): Time to Conversion to Multiple Sclerosis (MS) According to the 2005 McDonald Criteria

The McDonald criteria use dissemination in time and space established by magnetic resonance imaging (MRI) findings to provide a clinical diagnosis for MS. Dissemination in time is established by a new time constant 2 (T2) or gadolinium enhanced (Gd+) lesion found on a repeat MRI. (NCT00725985)
Timeframe: Time from Randomization up to 1217 days

InterventionDays (Number)
Cladribine 5.25 mg/kg, Rebif (LTFU)773

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LTFU (LTFU Analysis Set [Treated at LTFU Entry]): Mean Volume of T2 Lesions

Volume of T2 lesions was measured by using magnetic resonance imaging (MRI) scans. (NCT00725985)
Timeframe: LTFU: Baseline (Day 1)

Interventionmm^3 (Mean)
Cladribine 5.25 mg/kg, Rebif, Cladribine 3.5 mg/kg (LTFU)1217.53
Cladribine 3.5 mg/kg, Rebif, Cladribine 3.5 mg/kg (LTFU)587.79
Placebo, Rebif, Cladribine 3.5 mg/kg (LTFU)702.30

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LTFU (LTFU Analysis Set [Treated at LTFU Entry]): Number of Relapses

Relapse was defined as new, worsening or recurrent neurological symptoms attributed to multiple sclerosis that last for at least 24 hours without fever or infection, or adverse reaction to prescribed medication, preceded by a stable or improving neurological status of at least 30 days. (NCT00725985)
Timeframe: Baseline up to Week 48

InterventionRelapses (Mean)
Cladribine 5.25 mg/kg, Rebif, Cladribine 3.5 mg/kg (LTFU)0.00
Cladribine 3.5 mg/kg, Rebif, Cladribine 3.5 mg/kg (LTFU)0.00
Placebo, Rebif, Cladribine 3.5 mg/kg (LTFU)0.06

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LTFU (LTFU Analysis Set [Treated at LTFU Entry]): Number of T1 Hypointense Lesions

Number of T1 Hypointense lesions were measured by using magnetic resonance imaging (MRI) scans. (NCT00725985)
Timeframe: LTFU: Baseline (Day 1)

InterventionLesions (Mean)
Cladribine 5.25 mg/kg, Rebif, Cladribine 3.5 mg/kg (LTFU)4.44
Cladribine 3.5 mg/kg, Rebif, Cladribine 3.5 mg/kg (LTFU)1.22
Placebo, Rebif, Cladribine 3.5 mg/kg (LTFU)2.24

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LTFU (LTFU Analysis Set [Treated at LTFU Entry]): Percentage of Participants With no New or Enlarging T2 Lesions

Enlarging T2 Lesions were measured by using magnetic resonance imaging (MRI) scans. Percentage of participants with no New or Enlarging T2 Lesions were reported. (NCT00725985)
Timeframe: Baseline up to Week 48

InterventionPercentage of Participants (Number)
Cladribine 5.25 mg/kg, Rebif, Cladribine 3.5 mg/kg (LTFU)0
Cladribine 3.5 mg/kg, Rebif, Cladribine 3.5 mg/kg (LTFU)0
Placebo, Rebif, Cladribine 3.5 mg/kg (LTFU)0

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LTFU (LTFU Analysis Set [Treated at LTFU Entry]): Percentage of Participants With no New or Persisting T1 Gd-Enhanced Lesions

T1 Gd-enhanced lesions were measured by using magnetic resonance imaging (MRI) scans. Percentage of participants with no new or persisting T1 Gd-enhanced lesions were reported. (NCT00725985)
Timeframe: LTFU: Baseline up to Week 48

InterventionPercentage of Participants (Number)
Cladribine 5.25 mg/kg, Rebif, Cladribine 3.5 mg/kg (LTFU)0
Cladribine 3.5 mg/kg, Rebif, Cladribine 3.5 mg/kg (LTFU)0
Placebo, Rebif, Cladribine 3.5 mg/kg (LTFU)0

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LTFU (LTFU Analysis Set [Treated at LTFU Entry]): Time to Conversion to Clinically Definite Multiple Sclerosis (CDMS) According to Poser Criteria

CDMS according to the Poser criteria is defined as the occurrence of a second attack or a sustained increase in the expanded disability status scale (EDSS) Score. EDSS assesses disability in 8 functional systems. An overall score ranging from 0 (normal) to 10 (death due to MS) was calculated. Sustained EDSS progression was defined as an increase in the EDSS score of greater than or equal to (>=) 1 point if baseline EDSS was between >= 1.0 and less than or equal to (=<) 4.5; or >= 1.5 points if baseline EDSS was 0, or >= 0.5 if baseline EDSS >= 5.0 over a period of at least 3 months. (NCT00725985)
Timeframe: Time from Randomization up to 1217 days

InterventionDays (Number)
Placebo, Rebif (LTFU)767

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OLMP: Annualized Relapse Rate

The annualized relapse rate for each treatment group was the mean of the annualized relapse rates for all the participants in the group, calculated as the total number of confirmed relapses divided by the total number of days on study multiplied by 365.25. Where, Relapse was defined as new, worsening or recurrent neurological symptoms attributed to multiple sclerosis that last for at least 24 hours without fever or infection, or adverse reaction to prescribed medication, preceded by a stable or improving neurological status of at least 30 days. (NCT00725985)
Timeframe: Baseline up to Week 96

Interventionrelapses per year (Number)
Cladribine 5.25 mg/kg (ITP)0.24
Cladribine 3.5 mg/kg (ITP)0.14
Placebo (ITP)0.42

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OLMP: Number of Relapses

Relapse was defined as new, worsening or recurrent neurological symptoms attributed to multiple sclerosis that last for at least 24 hours without fever or infection, or adverse reaction to prescribed medication, preceded by a stable or improving neurological status of at least 30 days. (NCT00725985)
Timeframe: Baseline up to Week 96

InterventionRelapses (Mean)
Cladribine 5.25 mg/kg (ITP)0.33
Cladribine 3.5 mg/kg (ITP)0.16
Placebo (ITP)0.55

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OLMP: Percentage of Participants With no New or Enlarging T2 Lesions

T2 Gd-enhanced lesions were measured by using magnetic resonance imaging (MRI) scans. Percentage of participants with no new or enlarging T2 Lesions were reported. (NCT00725985)
Timeframe: OLMP: Baseline up to 96

InterventionPercentage of participants (Number)
Cladribine 5.25 mg/kg, Rebif (OLMP)18.2
Cladribine 3.5 mg/kg, Rebif (OLMP)16.7
Placebo, Rebif (OLMP)13.5

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OLMP: Percentage of Participants With no New or Persisting T1 Gd-Enhanced Lesions

T1 Gd-enhanced lesions were measured by using magnetic resonance imaging (MRI) scans. Percentage of participants with no new or persisting T1 Gd-enhanced lesions were reported. (NCT00725985)
Timeframe: OLMP: Baseline up to Week 96

InterventionPercentage of participants (Number)
Cladribine 5.25 mg/kg, Rebif (OLMP)25.0
Cladribine 3.5 mg/kg, Rebif (OLMP)50.0
Placebo, Rebif (OLMP)35.3

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OLMP: Percentage of Relapse-Free Participants

Relapse was defined as new, worsening or recurrent neurological symptoms attributed to multiple sclerosis that last for at least 24 hours without fever or infection, or adverse reaction to prescribed medication, preceded by a stable or improving neurological status of at least 30 days. Percentage of relapse-free participants were reported. (NCT00725985)
Timeframe: Baseline up to Week 96

InterventionPercentage of participants (Number)
Cladribine 5.25 mg/kg (ITP)40.0
Cladribine 3.5 mg/kg (ITP)20.0
Placebo (ITP)30.8

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ITP: Changes From Baseline in Volume of T2 Lesions

Change in volume of T2 lesions from baseline was measured by using magnetic resonance imaging (MRI) scans. (NCT00725985)
Timeframe: ITP: Baseline, Week 48 and 96

,,
Interventionmm^3 (Mean)
BaselineChange at Week 48Change at Week 96
Cladribine 3.5 mg/kg (ITP)3435.22-828.97-1605.63
Cladribine 5.25 mg/kg (ITP)3825.73-654.20-1237.44
Placebo (ITP)3436.69-29.57-886.39

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ITP: Number of Combined Unique Active (CUA) Lesions, New or Enlarging Time Constant 2 (T2) Lesions, and New or Persisting Time Constant 1 (T1) Gadolinium Enhanced (Gd+) Lesions Per Participant Per Scan

Number of CUA lesions, new or enlarging T2 lesions, and new or persisting T1 Gd+ lesions were measured by using magnetic resonance imaging (MRI) scans. (NCT00725985)
Timeframe: ITP: Baseline up to Week 96

,,
InterventionLesions (Mean)
CUA lesionsNew or persisting T1 Gd+ lesionsNew or enlarging T2 lesions
Cladribine 3.5 mg/kg (ITP)0.650.290.40
Cladribine 5.25 mg/kg (ITP)1.200.610.62
Placebo (ITP)2.130.971.17

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ITP: Number of Combined Unique Active (CUA) Magnetic Resonance Imaging (MRI) Lesions

Number of CUA lesions were measured by using magnetic resonance imaging (MRI) scans. (NCT00725985)
Timeframe: ITP: Week 13, 24, 36, 48, 60, 72, 84 and 96

,,
InterventionLesions (Mean)
Week 13Week 24Week 36Week 48Week 60Week 72Week 84Week 96
Cladribine 3.5 mg/kg (ITP)1.560.290.250.560.420.220.550.23
Cladribine 5.25 mg/kg (ITP)2.370.260.160.090.230.080.110.11
Placebo (ITP)2.411.911.841.891.441.661.140.99

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ITP: Number of New or Enlarging T2 Lesions

Number of new or enlarging T2 lesions were measured by using magnetic resonance imaging (MRI) scans. (NCT00725985)
Timeframe: ITP: Week 13, 24, 36, 48, 60, 72, 84 and 96

,,
InterventionLesions (Mean)
Week 13Week 24Week 36Week 48Week 60Week 72Week 84Week 96
Cladribine 3.5 mg/kg (ITP)1.250.200.120.320.250.100.280.10
Cladribine 5.25 mg/kg (ITP)1.560.240.090.070.130.030.090.04
Placebo (ITP)1.431.011.141.040.710.830.610.38

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ITP: Number of New or Persisting Gd-enhanced Lesions

Number of new or persisting Gd-enhanced lesions were measured by using magnetic resonance imaging (MRI) scans. (NCT00725985)
Timeframe: ITP: Week 13, 24, 36, 48, 60, 72, 84 and 96

,,
InterventionLesions (Mean)
Week 13Week 24Week 36Week 48Week 60Week 72Week 84Week 96
Cladribine 3.5 mg/kg (ITP)0.370.130.140.270.220.160.320.18
Cladribine 5.25 mg/kg (ITP)0.860.030.080.020.100.050.020.07
Placebo (ITP)1.000.920.740.870.740.900.600.64

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ITP: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs

An AE was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or diseases that emerges or worsens relative to baseline during a clinical study with an Investigational Medicinal Product (IMP), regardless of causal relationship and even if no IMP has been administered. SAE: Any AE that resulted in death; was life threatening; resulted in persistent/significant disability/incapacity; resulted in/prolonged an existing in-patient hospitalization; was a congenital anomaly/birth defect; or was a medically important condition. The term TEAE is defined as AEs starting or worsening after the first intake of the study drug. TEAEs include both Serious TEAEs and non-serious TEAEs. Number of Participants with TEAEs and serious TEAEs were reported. (NCT00725985)
Timeframe: ITP: Baseline up to Week 96

,,
InterventionParticipants (Count of Participants)
TEAEsSerious TEAEs
Cladribine 3.5 mg/kg (ITP)16823
Cladribine 5.25 mg/kg (ITP)16512
Placebo (ITP)16222

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Toxicities as Assessed Using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0

Toxicity is determined percentage of patients that experienced an adverse event (AE) grade 3 or higher during the time frame, assessed using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.0. Grade refers to the severity of the AE increasing from Grade 1 to 5. Generally, Grade 1 = Mild; Grade 2 = Moderate; Grade 3 = Severe or medically significant but not immediately life-threatening; Grade 4 = Life-threatening consequences; Grade 5 = Death related to AE. (NCT00764517)
Timeframe: 6 months

Interventionpercentage of participants (Number)
Previously Untreated90
Relapsed83

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Tolerability of Treatment

Tolerability is determined to be the percentage of patients who completed the full duration of treatment (all 6 cycles) regardless of adverse event status. % tolerability shows the rate of patients that tolerated the treatment for the full duration. (NCT00764517)
Timeframe: 6 months

Interventionpercentage of participants (Number)
Previously Untreated62
Relapsed22

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Progression-free Survival

"Time from treatment start until disease progression or death.~Estimated using the Kaplan-Meier method. A logrank test will be used to compare progression-free survival between Group I and Group II. A p-value less that 0.05 will be considered statistically significant." (NCT00764517)
Timeframe: Up to 5 years

InterventionMonths (Median)
Previously UntreatedNA
Relapsed19.5

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Objective Response Rate

ORR defined as the percentage of patients who achieved a complete response (CR) or a partial response (PR). Assessed per the revised Cheson criteria. Response definitions per revised International Working Group Response Criteria. 95% confidence interval will be provided. Definitions: Complete response (CR) = disappearance of all evidence of disease; Partial response (PR) = regression of measurable disease and no new sites. (NCT00764517)
Timeframe: 2 years

Interventionpercentage of participants (Number)
Previously Untreated97
Relapsed39

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Event-free Survival

"Time from treatment start until disease progression, death, or discontinuation of treatment for adverse event (toxicity)~Estimated using the Kaplan-Meier method. A logrank test will be used to compare progression-free survival between Group I and Group II. A p-value less that 0.05 will be considered statistically significant." (NCT00764517)
Timeframe: Up to 5 years

InterventionMonths (Median)
Previously Untreated39.0
Relapsed19.5

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Time to Reach the Maximum Plasma Concentration (Tmax) of Cladribine

The tmax was defined as time taken by the drug cladribine to reach Cmax. (NCT00938366)
Timeframe: Pre-dose (within 30 minutes prior to dosing) and at 0.5,1, 3, 6, 8, 12,16, 24, 36, 48 Hour post-dose

Interventionhour (Median)
Cladribine0.5
Cladribine + Pantoprazole0.6

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Maximum Plasma Concentration (Cmax) of Cladribine

The maximum or peak plasma concentration observed after the administration of cladribine. (NCT00938366)
Timeframe: Pre-dose (within 30 minutes prior to dosing) and at 0.5,1, 3, 6, 8, 12,16, 24, 36, 48 Hour post-dose

Interventionnanogram/milliliter (Geometric Mean)
Cladribine20.7
Cladribine + Pantoprazole20.3

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Area Under the Plasma Concentration-time Curve From Time Zero to the Last Sampling Time at Which the Concentration is at or Above the Lower Limit of Quantification (AUC0-t) of Cladribine

The AUC (0-t) was defined as the area under the plasma concentration versus time curve from time zero (pre-dose) to time of last quantifiable concentration (0-t). (NCT00938366)
Timeframe: Pre-dose (within 30 minutes prior to dosing) and at 0.5,1, 3, 6, 8, 12,16, 24, 36, 48 Hour post-dose

Interventionhour*nanogram/milliliter (Geometric Mean)
Cladribine71.5
Cladribine + Pantoprazole71.3

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Area Under the Plasma Concentration-time Curve From Time Zero to Infinity (AUC0-inf) of Cladribine

The AUC(0-inf) was estimated by determining the total area under the curve of the concentration versus time curve extrapolated to infinity. (NCT00938366)
Timeframe: Pre-dose (within 30 minutes prior to dosing) and at 0.5,1, 3, 6, 8, 12,16, 24, 36, 48 Hour post-dose

Interventionhour*nanogram/milliliter (Geometric Mean)
Cladribine74.6
Cladribine + Pantoprazole75.0

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Apparent Volume of Distribution During the Terminal Phase Following Extravascular Administration (Vz/f) of Cladribine

Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug. Apparent volume of distribution after oral dose (Vz/F) is influenced by the fraction absorbed. (NCT00938366)
Timeframe: Pre-dose (within 30 minutes prior to dosing) and at 0.5,1, 3, 6, 8, 12,16, 24, 36, 48 Hour post-dose

Interventionliter (Geometric Mean)
Cladribine2709
Cladribine + Pantoprazole2875

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Apparent Terminal Half-life (t1/2) of Cladribine

The apparent terminal half-life was defined as the time required for the plasma concentration of drug cladribine to decrease 50 percent (%) in the final stage of its elimination. (NCT00938366)
Timeframe: Pre-dose (within 30 minutes prior to dosing) and at 0.5,1, 3, 6, 8, 12,16, 24, 36, 48 Hour post-dose

Interventionhour (Geometric Mean)
Cladribine14.0
Cladribine + Pantoprazole14.9

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Total Body Clearance From Plasma Following Extravascular Administration (CL/f) of Cladribine

Clearance of a drug was a measure of the rate at which cladribine is metabolized or eliminated by normal biological processes. Clearance obtained after oral dose was influenced by the fraction of the dose absorbed. (NCT00938366)
Timeframe: Pre-dose (within 30 minutes prior to dosing) and at 0.5,1, 3, 6, 8, 12,16, 24, 36, 48 Hour post-dose

Interventionliter/hour (Geometric Mean)
Cladribine134.0
Cladribine + Pantoprazole133.3

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Percentage of Subjects With Any Treatment Emergent Adverse Events (TEAEs), Serious AEs, AEs Leading to Death, and AEs Leading to Discontinuation

An AE was any untoward medical occurrence in a subject who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 1 year, that were absent before treatment or that worsened relative to pre treatment state. AEs Leading to Death and AEs Leading to Discontinuation were also presented in the outcome measure. (NCT00938366)
Timeframe: Up to 1 year

,
Interventionpercentage of subjects (Number)
TEAEsSAEsAEs Leading to DeathAEs Leading to Discontinuation
Cladribine11.10.00.00.0
Cladribine + Pantoprazole0.00.00.00.0

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Overall Response Rate (ORR)

Overall Response Rate: Morphologic Complete Remission (CR) + Morphologic Complete Remission with incomplete blood count recovery (CRi) for evaluable participants. CR - Bone Marrow: < 5% blasts without Auer rods with at least 20% cellularity with maturation of all cell lines, No presence of unique phenotype by flow cytometry identical to what was found in the pretreatment specimen, No persistent dysplasia; Peripheral: normal blood counts, absolute neutrophil count (ANC) > 1.0 k/μl and platelets > 100 k/μl ANC > 1.0 k/μl and platelets > 100 k/μl (Peripheral blood counts documenting recovery can be utilized within 4 weeks of the bone marrow); No evidence of extramedullary leukemia. CRi - All CR criteria are met except for residual Neutropenia <1.0 x 10^9/L platelets < 100 k/μl. (NCT00955916)
Timeframe: 8 weeks per participant

Interventionpercentage of participants (Number)
CLAG Regimen With Gleevec®37

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Median Progression Free Survival (PFS)

Progression Free Survival is defined as the duration of time from start of treatment to time of progression. Leukemia related failure (progressive disease): Failure to induce bone marrow hypoplasia after 2 cycles or regrowth of leukemic blasts ≥ 20%. (NCT00955916)
Timeframe: Up to 3 years

Interventionmonths (Median)
CLAG Regimen With Gleevec®11.1

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Median Overall Survival (OS)

Overall Survival is defined as the time from randomization until death from any cause. (NCT00955916)
Timeframe: Up to 3 years

Interventionmonths (Median)
CLAG Regimen With Gleevec®4.9

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Complete Response Rate

(NCT00980395)
Timeframe: Two years

InterventionParticipants (Count of Participants)
VCR (Velcade, Cladribine and Rituximab)8

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Overall Survival at 2 Years

(NCT00980395)
Timeframe: 2 years

InterventionParticipants (Count of Participants)
VCR (Velcade, Cladribine and Rituximab)18

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Progression-free Survival at 2 Years

PFS was calculated from the first dose of study drug to the first documentation of disease progression, death regardless of cause, or change in therapy due to disease progression, whichever occurred first. If disease progression did not occur by the end of treatment, patients were evaluated every 3 months until progression with physical examination, laboratory studies, and conventional computed tomographic imaging, up to a maximum of 2 years. The Kaplan-Meier product-limit method will be used to estimate progression-free survival in the presence of censoring. (NCT00980395)
Timeframe: 2 years

InterventionParticipants (Count of Participants)
VCR (Velcade, Cladribine and Rituximab)15

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Partial Response

(NCT00980395)
Timeframe: Two years

InterventionParticipants (Count of Participants)
VCR (Velcade, Cladribine and Rituximab)14

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Number of Participants With Dose Limiting Toxicities of Mitoxantrone (Phase I, Dose Level 4)

Defined as the highest dose studied in which the incidence of dose-limiting toxicity is < 33%, graded according to NCI Common Terminology Criteria for Adverse Events version 4.0 (NCT02044796)
Timeframe: Up to day 45 after start of induction chemotherapy

InterventionParticipants (Count of Participants)
Newly Diagnosed Group1
Relapsed/Refractory Group2

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Overall Survival (Phase II)

Number of subjects that have survived (NCT02044796)
Timeframe: From date of randomization until the date of death from any cause, assessed up to 12 months

InterventionParticipants (Number)
Phase 2 Newly Diagnosed Group 18 mg/m^266
Phase 2 Relapsed/Refractory Group 16 mg/m^213

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Minimal Residual Disease Negative Complete Remission Rate in Patients With Newly Diagnosed Disease (Phase II)

Remission Rate defined as Recist Category of Complete Resposne (CR) Disappearance of all non-target lesions and normalization of tumor marker level. All lymph nodes must be non-pathological in size(<10 mm short axis). (NCT02044796)
Timeframe: Up to day 45 after start of second course of induction chemotherapy

InterventionParticipants (Count of Participants)
Newly Diagnosed Group95
Relapsed/Refractory22

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Remission Rate (Complete Remission and Complete Remission With Incomplete Platelet Count Recovery) of This Regimen in Patients With Relapsed/Refractory Disease (Phase II)

(NCT02044796)
Timeframe: Up to 5 years

InterventionParticipants (Count of Participants)
Phase 2 Relapsed/Refractory Group 16 mg/m^224

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Leukemia-free Survival

Survival time will be estimated using the Kaplan-Meier method. The two-sided log-rank test will be used to assess the differences of time to events between groups. Time from date of treatment start until the date of first objective documentation of disease-relapse. (NCT02096055)
Timeframe: Up to 4 years, 3 months

InterventionMonths (Median)
Arm I (Guadecitabine) x 5 Days4.2
Arm II (CLOSED) (Guadecitabine) x 10 Days10.0
Arm III (Guadecitabine, Idarubicin)7.4
Arm IV (CLOSED) (Guadecitabine, Cladribine)4.3

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Remission Duration

The date of Complete Response to the date of loss of response or last follow-up. (NCT02096055)
Timeframe: Up to 4 years, 3 months

InterventionMonths (Median)
Arm I (Guadecitabine) x 5 Days7.4
Arm II (CLOSED) (Guadecitabine) x 10 Days14.2
Arm III (Guadecitabine, Idarubicin)5.3

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Survival

Survival time will be estimated using the Kaplan-Meier method. The two-sided log-rank test will be used to assess the differences of time to events between groups. (NCT02096055)
Timeframe: Up to 4 years, 3 months

InterventionMonths (Median)
Arm I (Guadecitabine) x 5 Days13.1
Arm II (CLOSED) (Guadecitabine) x 10 Days13.0
Arm III (Guadecitabine, Idarubicin)15.4
Arm IV (CLOSED) (Guadecitabine, Cladribine)11.9

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Number of Participants With the Most Frequently Reports Grade 3 or 4 Adverse Event.

The most frequently reported adverse events will be determined by the Principal Investigator. The number of participants who experienced the most frequent grade 3 or 4 adverse events will be reported. (NCT02096055)
Timeframe: Up to 4 years, 3 months

,,,
InterventionParticipants (Count of Participants)
Infection/SepsisFebrile NeutropeniaFatigue
Arm I (Guadecitabine) x 5 Days450
Arm II (CLOSED) (Guadecitabine) x 10 Days820
Arm III (Guadecitabine, Idarubicin)843
Arm IV (CLOSED) (Guadecitabine, Cladribine)990

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Number of Participants With a Complete Response

Complete Response = Complete Remission (CR) + Complete Remission without blood count recovery (CRi) - CR: Neutrophil count >/= 1.0 x 10^9/L and platelet count >/= 100 x 10^9/L, and normal bone marrow differential (NCT02096055)
Timeframe: Up to 4 years, 3 months

InterventionParticipants (Count of Participants)
Arm I (Guadecitabine) x 5 Days5
Arm II (CLOSED) (Guadecitabine) x 10 Days5
Arm III (Guadecitabine, Idarubicin)10
Arm IV (CLOSED) (Guadecitabine, Cladribine)0

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Complete Remission Rate (CR + CRi)

"Morphologic complete remission (CR): neutrophil count > 1.0 x 109 /L, platelet count ≥ 100 x 109/L, < 5% bone marrow blasts by morphologic review, no Auer rods, no evidence of extramedullary disease. (No requirements for marrow cellularity, hemoglobin concentration).~Morphologic complete remission with incomplete blood count recovery (CRi): same as CR but ANC may be <1000/mcl or platelet count <100,000/mcl~Participants in the phase I portion of the study, treated at the MTD will count towards the phase II accrual goal for evaluation of the primary endpoint." (NCT02416908)
Timeframe: Median follow-up of 34 days

InterventionParticipants (Count of Participants)
Phase I Schedule A and Phase II18

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Duration of Remission

-Duration of remission (DOR): Defined as the interval from the date complete remission is documented to the date of recurrence. (NCT02416908)
Timeframe: Up to 2 years

Interventionmonths (Median)
Phase I Schedule A and Phase II9.1

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Event-free Survival

Event-free survival (EFS): Defined as the interval from the date of first dose of study drug to date of treatment failure including progressive disease, recurrence, or discontinuation for any reason (including toxicity, patient preference, initiation of new treatment without documented progression, or death due to any cause). (NCT02416908)
Timeframe: Up to 2 years (median follow-up of 307 days)

Interventionmonths (Median)
Phase I Schedule A and Phase II6.1

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Number of Participants Who Were Able to Undergo Hematopoietic Stem Cell Transplantation

Allogeneic stem cell transplant utilization: the number of patients proceeding to allogeneic transplant within 2 months following end of study without any additional salvage therapy following study treatment. (NCT02416908)
Timeframe: Up to 2 years (median follow-up of 307 days)

InterventionParticipants (Count of Participants)
Phase I Schedule A and Phase II24

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Overall Survival

Overall survival (OS): Defined as the date of first dose of study drug to the date of death from any cause. OS will be evaluated at 3 month intervals for at least 12 months and up to a maximum of 2 years. (NCT02416908)
Timeframe: Up to 2 years (median follow-up of 307 days)

Interventionmonths (Median)
Phase I Schedule A and Phase II7.8

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Relapse-free Survival

Relapse-free survival (RFS): For patients achieving a complete remission, defined as the interval from the date of first documentation of a leukemia free state to date of recurrence or death due to any cause. (NCT02416908)
Timeframe: Median follow-up of 307 days

Interventiondays (Median)
Phase I Schedule A and Phase II152

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Time to Neutrophil Engraftment

-Time to neutrophil engraftment: Defined as the date of the first dose of study drug to the date that the absolute neutrophil count is >1,000/mm3 (NCT02416908)
Timeframe: Up to 2 years

Interventiondays (Median)
Phase I Schedule A and Phase II28

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Time to Platelet Engraftment

-Time to platelet engraftment: Defined as the date of the first dose of study drug to the date that the platelet count is >100,000/mm^3 in the absence of platelet transfusions. (NCT02416908)
Timeframe: 56 days

Interventiondays (Median)
Phase I Schedule A and Phase II38

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Safety and Tolerability of Treatment as Measured by Incidence of Grade 3-4 Adverse Events Occurring in >5% of Participants

-All adverse events will be classified using the descriptions and grading scales found in the revised NCI Common Terminology Criteria for Adverse Events (CTCAE) v4.0 (NCT02416908)
Timeframe: From start of treatment until 30 days following last day of study treatment or until the start of a subsequent treatment for AML, whichever came first (41 days)

InterventionParticipants (Count of Participants)
Lymphocyte count decreasedWhite blood cell decreasedHypophosphatemiaPlatelet count decreasedNeutrophil count decreasedHyponatremiaAnemiaHyperglycemiaSkin infectionFebrile neutropeniaSepsisHypokalemiaLung infectionAlanine aminotransferase increasedOral thrushHypoxiaHypertensionDiarrheaNauseaEdema limbsCatheter-related infectionHematuriaRespiratory failure
Phase I Schedule A and Phase II32282622211814111088875444333333

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Relapse-free Survival (RFS)

12-month relapse free survival (RFS) (NCT02728050)
Timeframe: 12 months

Interventionpercentage of participants (Number)
CLAGM+Sorafenib Phase 282

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Phase I and II: Rate of Minimal Residual Disease Negative (MRDneg) Complete Response (CR)

We will determine if the addition of sorafenib to CLAG-M improves the rate of MRDneg CR compared to our institution's historical control of CLAG-M alone in adults with newly-diagnosed AML/high-risk MDS. (NCT02728050)
Timeframe: 56 days (2 cycles of induction chemotherapy)

InterventionParticipants (Count of Participants)
Phase 1, Dose Level 13
Phase 1, Dose Level 26
Phase 1, Dose Level 38
Phase 1, Dose Level 44
Phase 1, Dose Level 59
Phase 1, Dose Level 67
Phase 2, Dose Level 631

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Phase 1: Maximum Tolerated Dose (MTD)/Recommended Phase 2 Dose (RP2D) of Sorafenib

MTD/RP2D will be defined as the highest dose studied in which the incidence of dose-limiting toxicity (DLT) is < 33% assuming at least 6 patients have been treated at this dose. DLTs were defined as: 1) grade ≥3 non-hematologic toxicity lasting >48 hours leading to >7-day delay of the next cycle; 2) grade ≥4 non-hematologic toxicity if no recovery to grade ≤2 in 14 days (both excluding febrile neutropenia/ infection); 3) Absolute neutrophil count <500/ µL or platelet count <50,000/µL for >49 days after CLAGM+S without marrow evidence of AML. Doses were escalated up to dose level six if <2/6 patients out of each cohort of 6 had a DLT (some cohorts were expanded to 12 patients while awaiting completion of DLT monitoring period). The dose level at which dose escalation was stopped was the recommended phase 2 dose (RP2D). (NCT02728050)
Timeframe: First 28 days of treatment

Interventionmg BID (Number)
CLAGM+Sorafenib Phase 1400

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Overall Response Rate (ORR)

ORR, defined as CR+CRi, rates of patients treated with CLAG-M with sorafenib. (NCT02728050)
Timeframe: Up to 5 years

InterventionParticipants (Count of Participants)
Phase 1, Dose Level 16
Phase 1, Dose Level 26
Phase 1, Dose Level 38
Phase 1, Dose Level 45
Phase 1, Dose Level 59
Phase 1, Dose Level 67
Phase 2, Dose Level 634

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Event-free Survival (EFS)

12-month event free survival (NCT02728050)
Timeframe: 12 months

Interventionpercentage of participants (Number)
CLAGM+Sorafenib Phase 281

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Number of Participants With Adverse Events

Will be assessed using National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0. (NCT02728050)
Timeframe: Up to 5 years

InterventionParticipants (Count of Participants)
Phase 1, Dose Level 16
Phase 1, Dose Level 26
Phase 1, Dose Level 311
Phase 1, Dose Level 48
Phase 1, Dose Level 59
Phase 1, Dose Level 67
Phase 2, Dose Level 632

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Overall Survival (OS)

12-month overall survival (NCT02728050)
Timeframe: 12 months

Interventionpercentage of participants (Number)
CLAGM+Sorafenib Phase 286

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Phase 1: Maximum Tolerated Dose (MTD)/Recommended Phase 2 Dose (RP2D) of Mitoxantrone

MTD/RP2D will be defined as the highest dose studied in which the incidence of dose-limiting toxicity (DLT) is < 33% assuming at least 6 patients have been treated at this dose. DLTs were defined as: 1) grade ≥3 non-hematologic toxicity lasting >48 hours leading to >7-day delay of the next cycle; 2) grade ≥4 non-hematologic toxicity if no recovery to grade ≤2 in 14 days (both excluding febrile neutropenia/ infection); 3) Absolute neutrophil count <500/ µL or platelet count <50,000/µL for >49 days after CLAGM+S without marrow evidence of AML. Doses were escalated up to dose level six if <2/6 patients out of each cohort of 6 had a DLT (some cohorts were expanded to 12 patients while awaiting completion of DLT monitoring period). The dose level at which dose escalation was stopped was the recommended phase 2 dose (RP2D). (NCT02728050)
Timeframe: First 28 days of treatment

Interventionmg/m^2 (Number)
CLAGM+Sorafenib Phase 118

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Factors That Distinguish Patients Who Received Early Transplant From Those Who Did Not - GENDER

Patients who receive early transplant will be compared to those that don't using the Fisher's exact test for the categorical variables of gender. (NCT02756572)
Timeframe: From time of subject's study enrollment to time of subject's feasibility success assessment (i.e. when subject received transplant within 60 days or when it was determined subject would not proceed with transplant on study)

,
InterventionParticipants (Count of Participants)
FemaleMale
Did Not Receive Allogeneic HCT on Study1011
Received Allogeneic HCT on Study81

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Feasibility of Early Allogeneic Hematopoietic Cell Transplant Assessed by Enrollment and Incidence of Early Transplant

Success will be defined as enrollment of at least 30 patients with transplants occurring in 15 of these 30 (50%) within 60 days of enrollment or start of induction chemotherapy with G-CLAM, whichever is earlier. (NCT02756572)
Timeframe: Up to 60 days after start of chemotherapy

InterventionParticipants (Count of Participants)
Received allogeneic HCT on study within 60 days (feasibility success)Did not receive allogeneic HCT on study within 60 days (feasibility failure)
Treatment (Chemotherapy, HCT)921

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Feasibility of Early Allogeneic Hematopoietic Cell Transplant Assessed by Relapsed-free Survival 6 Months After Transplant

Success will be defined as observing a 40% of higher 6-month relapse-free survival among patients who received early transplant on study. (NCT02756572)
Timeframe: 6 months after early allogeneic HCT on study

InterventionParticipants (Count of Participants)
No relapse within 6 months post-HCT (feasibility success)Relapse within 6 months post-HCT (feasibility failure)
Received Early Allogeneic HCT on Study62

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Response Assessments After Early Allogeneic Hematopoietic Cell Transplant, Day 28

"Complete Remission (CR), defined as <5% blasts in bone marrow with hematologic recovery (ANC>1000/ul and platelets >100,000/ml).~CRi, defined as complete remission with insufficient hematologic recovery (ANC<1000/ul or platelets<100,000/ul).~CRp, defined as complete remission but platelets <100,000/ul. Minimal residual disease (MRD), defined as any detectable disease by flow cytometry, cytogenetics, FISH or PCR in a patient otherwise fulfilling remission criteria.~Morphologic leukemia-free state (MLFS), defined as <5% blasts in bone marrow with no hematologic recovery.~Relapse, defined as >5% blasts in bone marrow, flow cytometry, or manual differential; OR treatment for active relapsed disease." (NCT02756572)
Timeframe: Approximately 28 days after early allogeneic HCT

InterventionParticipants (Count of Participants)
CR with MRDCR without MRDCRi with MRDCRi without MRDMLFS with MRDMLFS without MRDRelapse
Received Allogeneic HCT on Study0701000

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Response Assessments After Early Allogeneic Hematopoietic Cell Transplant, Day 84

"Complete Remission (CR), defined as <5% blasts in bone marrow with hematologic recovery (ANC>1000/ul and platelets >100,000/ml).~CRi, defined as complete remission with insufficient hematologic recovery (ANC<1000/ul or platelets<100,000/ul).~CRp, defined as complete remission but platelets <100,000/ul. Minimal residual disease (MRD), defined as any detectable disease by flow cytometry, cytogenetics, FISH or PCR in a patient otherwise fulfilling remission criteria.~Morphologic leukemia-free state (MLFS), defined as <5% blasts in bone marrow with no hematologic recovery.~Relapse, defined as >5% blasts in bone marrow, flow cytometry, or manual differential; OR treatment for active relapsed disease." (NCT02756572)
Timeframe: Approximately 84 days after early allogeneic HCT

InterventionParticipants (Count of Participants)
CR with MRDCR without MRDCRi with MRDCRi without MRDMLFS with MRDMLFS without MRDRelapse
Received Allogeneic HCT on Study0402002

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Acute Graft Versus Host Disease Among Patients Who Received Early Transplant

Acute graft versus host disease (graded II, III, or IV) among patients who received early allogeneic HCT on study. (NCT02756572)
Timeframe: At day 100

InterventionParticipants (Count of Participants)
Received Allogeneic HCT on Study0

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Demonstrate the Feasibility of Collecting Resource Utilization Data for Trial Participants

The amount of days of hospitalization (the major driver of costs within the first year) will be collected for resource utilization. (NCT02756572)
Timeframe: Within the first year of induction chemotherapy on study

Interventiondays (Median)
Treatment (Chemotherapy, HCT)49

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Event-free Survival (EFS) Among Patients Who Received Early Transplant

Event-free survival among patients who received early allogeneic HCT on study as estimated with the Kaplan-Meier method. Events included death, relapse, and grade 3-4 acute graft vs host disease. (NCT02756572)
Timeframe: Up to 100 days post-transplant

InterventionPercentage of participants (Number)
Received Allogeneic HCT on Study91

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Event-free Survival (EFS) Among Patients Who Received Early Transplant

Event-free survival among patients who received early allogeneic HCT on study as estimated with the Kaplan-Meier method. Events included death, relapse, and grade 3-4 acute graft vs host disease. (NCT02756572)
Timeframe: Up to 6 months post-transplant

InterventionPercentage of participants (Number)
Received Allogeneic HCT on Study82

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Factors That Distinguish Patients Who Received Early Transplant From Those Who Did Not - AGE

Patients who receive early transplant will be compared to those that don't using the Wilcoxon rank sum test for the quantitative variable of age. (NCT02756572)
Timeframe: From time of subject's study enrollment to time of subject's feasibility success assessment (i.e. when subject received transplant within 60 days or when it was determined subject would not proceed with transplant on study)

Interventionyears (Median)
Received Allogeneic HCT on Study55
Did Not Receive Allogeneic HCT on Study57

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Overall Survival (OS) Among Patients Who Did Not Receive Early Transplant

Overall survival among patients who did not receive early allogeneic HCT on study as estimated with the Kaplan-Meier method. (NCT02756572)
Timeframe: Up to 100 days after induction day 1

InterventionPercentage of participants (Number)
Did Not Receive Allogeneic HCT on Study75

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Overall Survival (OS) Among Patients Who Did Not Receive Early Transplant

Overall survival among patients who did not receive early allogeneic HCT on study as estimated with the Kaplan-Meier method. (NCT02756572)
Timeframe: Up to 6 months after induction day 1

InterventionPercentage of participants (Number)
Did Not Receive Allogeneic HCT on Study62

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Overall Survival (OS) Among Patients Who Received Early Transplant.

Overall survival among patients who received early allogeneic HCT on study as estimated with the Kaplan-Meier method. (NCT02756572)
Timeframe: Up to 100 days post-transplant

InterventionPercentage of participants (Number)
Received Allogeneic HCT on Study91

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Overall Survival (OS) Among Patients Who Received Early Transplant.

Overall survival among patients who received early allogeneic HCT on study as estimated with the Kaplan-Meier method. (NCT02756572)
Timeframe: Up to 6 months post-transplant

InterventionPercentage of participants (Number)
Received Allogeneic HCT on Study82

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Relapse-free Survival (RFS) Among Patients Who Received Early Transplant

Relapse-free survival among patients who received early allogeneic HCT on study as estimated with the Kaplan-Meier method. (NCT02756572)
Timeframe: Up to 100 days post-transplant

InterventionPercentage of participants (Number)
Received Allogeneic HCT on Study91

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Relapse-free Survival (RFS) Among Patients Who Received Early Transplant

Relapse-free survival among patients who received early allogeneic HCT on study as estimated with the Kaplan-Meier method. (NCT02756572)
Timeframe: Up to 6 months post-transplant

InterventionPercentage of participants (Number)
Received Allogeneic HCT on Study82

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Demonstrate the Feasibility of Collecting Patient-reported Outcomes for Trial Participants

The amount of returned patient-reported outcome questionnaires will be summarized for each collection timepoint using percent collection from surviving patients for PRO timepoints. (NCT02756572)
Timeframe: Up to 12 months post-HCT

InterventionParticipants (Count of Participants)
Enrollment PROs returnedPost G-CLAM PROs returnedPre-HCT PROs returned6 months post-HCT PROs returned12 months post-HCT PROs returned
Treatment (Chemotherapy, HCT)2723843

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Number of Participants With Event-free Survival

(NCT02921061)
Timeframe: Up to 1 year

Interventionparticipants (Number)
Treatment (Decitabine 20 mg/m2 and G-CLAM)8

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Number of Participants With Minimal Residual Disease Negative (MRDneg) Complete Remission (Phase II)

Compared to historical controls of filgrastim, cladribine, cytarabine, and mitoxantrone hydrochloride (G-CLAM) alone. A Simon Minimax two-stage design will be used. (NCT02921061)
Timeframe: Up to 1 year

Interventionparticipants (Number)
Treatment (Decitabine 20 mg/m2 and G-CLAM)13

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Number of Participants With Overall Survival

(NCT02921061)
Timeframe: Up to 1 year

Interventionparticipants (Number)
Treatment (Decitabine 20 mg/m2 and G-CLAM)9

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Number of Participants With Relapse-free Survival

(NCT02921061)
Timeframe: Up to 1 year

Interventionparticipants (Number)
Treatment (Decitabine 20 mg/m2 and G-CLAM)8

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Number of Participants Experiencing Dose Limiting Toxicities (DLTs) at the Maximum Tolerated Dose (MTD) for Decitabine When Given Together With G-CLAM Toxicities (DLTs) (Phase I)

"Evaluated according to National Cancer Institute Common Terminology Criteria for Adverse Events version 4.0. MTD is defined as the highest dose studied in which the incidence of DLT is < 33%. Each participant was monitored for DLTs in the first 20 days of treatment. DLTs monitored included~any grade 3 non-hematologic toxicity lasting more than 48 hours that resulted in more than a 7 day delay of the subsequent treatment cycle (except for febrile neutropenia or infection)~any grade 4 or greater non-hematologic toxicity (except febrile neutropenia and infection unless a direct consequence of a treatment-related toxicity, and except constitutional symptoms if they recovered to grade 2 or less within 14 days)~lack of recovery of the absolute neutrophil count to 500/microliter or greater and lack of self-sustained platelet count of at least 50,000/microliter by treatment day +49 with no evidence of residual leukemia" (NCT02921061)
Timeframe: Up to 49 days

InterventionParticipants (Count of Participants)
Treatment (Decitabine 20 mg/m2 and G-CLAM)3

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Number of Participants Who Achieved Remission (Complete Remission [CR]/CR With Incomplete Peripheral Blood Count Recovery [CRi])

(NCT02921061)
Timeframe: Up to 1 year

Interventionparticipants (Number)
Treatment (Decitabine 20 mg/m2 and G-CLAM)13

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Percent Change From Baseline in Counts of Immune Cell Subsets - T Cells at Month 3, 6, 12, 15, 18 and 24

T cell population counts are: Total CD4 T cells (TBNK panel), CD4 Th1 cells (T cell panel), CD4 Th17 T cells (T cell panel), CD4 Regulatory T cells (T cell panel), and Total CD8 T cells (TBNK panel). (NCT03364036)
Timeframe: Baseline, Month 3, 6, 12, 15, 18 and 24

InterventionPercent change (Median)
Total CD4 T cells (TBNK panel), Month 3Total CD4 T cells (TBNK panel), Month 6Total CD4 T cells (TBNK panel), Month 12Total CD4 T cells (TBNK panel), Month 15Total CD4 T cells (TBNK panel), Month 18Total CD4 T cells (TBNK panel), Month 24CD4 Th1 cells (T cell panel), Month 3CD4 Th1 cells (T cell panel), Month 6CD4 Th1 cells (T cell panel), Month 12CD4 Th1 cells (T cell panel), Month 15CD4 Th1 cells (T cell panel), Month 18CD4 Th1 cells (T cell panel), Month 24CD4 Th17 T cells (T cell panel), Month 3CD4 Th17 T cells (T cell panel), Month 6CD4 Th17 T cells (T cell panel), Month 12CD4 Th17 T cells (T cell panel), Month 15CD4 Th17 T cells (T cell panel), Month 18CD4 Th17 T cells (T cell panel), Month 24CD4 Regulatory T cells (T cell panel), Month 3CD4 Regulatory T cells (T cell panel), Month 6CD4 Regulatory T cells (T cell panel), Month 12CD4 Regulatory T cells (T cell panel), Month 15CD4 Regulatory T cells (T cell panel), Month 18CD4 Regulatory T cells (T cell panel), Month 24Total CD8 T cells (TBNK panel), Month 3Total CD8 T cells (TBNK panel), Month 6Total CD8 T cells (TBNK panel), Month 12Total CD8 T cells (TBNK panel), Month 15Total CD8 T cells (TBNK panel), Month 18Total CD8 T cells (TBNK panel), Month 24
Experimental: Mavenclad®-48.60-47.18-40.16-69.04-66.98-57.51-44.35-43.20-35.55-63.68-63.01-52.86-33.09-30.26-18.39-44.57-42.77-31.74-25.98-29.84-25.60-48.40-48.73-40.30-42.33-39.42-36.28-57.08-54.44-45.93

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Percent Change From Baseline in Counts of Immune Cell Subsets - B Cells at Month 3, 6, 12, 15, 18 and 24

B cell population counts are: CD19 B cells (TBNK panel), CD20 B cells (B cell panel), Memory B cells (B cell panel), Activated B cells (B cell panel), Total plasma cells (B cell panel), Short-lived plasma cells (B cell panel), Naïve B cells (B cell panel), Transitional B cells (B cell panel), and Regulatory B cells (B cell panel). (NCT03364036)
Timeframe: Baseline, Month 3, 6, 12, 15, 18 and 24

InterventionPercent change (Median)
CD19 B cells (TBNK panel), Month 3CD19 B cells (TBNK panel), Month 6CD19 B cells (TBNK panel), Month 12CD19 B cells (TBNK panel), Month 15CD19 B cells (TBNK panel), Month 18CD19 B cells (TBNK panel), Month 24CD20 B cells (B cell panel), Month 3CD20 B cells (B cell panel), Month 6CD20 B cells (B cell panel), Month 12CD20 B cells (B cell panel), Month 15CD20 B cells (B cell panel), Month 18CD20 B cells (B cell panel), Month 24Memory B cells (B cell panel), Month 3Memory B cells (B cell panel), Month 6Memory B cells (B cell panel), Month 12Memory B cells (B cell panel), Month 15Memory B cells (B cell panel), Month 18Memory B cells (B cell panel), Month 24Activated B cells (B cell panel), Month 3Activated B cells (B cell panel), Month 6Activated B cells (B cell panel), Month 12Activated B cells (B cell panel), Month 15Activated B cells (B cell panel), Month 18Activated B cells (B cell panel), Month 24Total plasma cells (B cell panel), Month 3Total plasma cells (B cell panel), Month 6Total plasma cells (B cell panel), Month 12Total plasma cells (B cell panel), Month 15Total plasma cells (B cell panel), Month 18Total plasma cells (B cell panel), Month 24Short-lived plasma cells (B cell panel), Month 3Short-lived plasma cells (B cell panel), Month 6Short-lived plasma cells (B cell panel), Month 12Short-lived plasma cells (B cell panel), Month 15Short-lived plasma cells (B cell panel), Month 18Short-lived plasma cells (B cell panel), Month 24Naïve B cells (B cell panel), Month 3Naïve B cells (B cell panel), Month 6Naïve B cells (B cell panel), Month 12Naïve B cells (B cell panel), Month 15Naïve B cells (B cell panel), Month 18Naïve B cells (B cell panel), Month 24Transitional B cells (B cell panel), Month 3Transitional B cells (B cell panel), Month 6Transitional B cells (B cell panel), Month 12Transitional B cells (B cell panel), Month 15Transitional B cells (B cell panel), Month 18Transitional B cells (B cell panel), Month 24Regulatory B cells (B cell panel), Month 3Regulatory B cells (B cell panel), Month 6Regulatory B cells (B cell panel), Month 12Regulatory B cells (B cell panel), Month 15Regulatory B cells (B cell panel), Month 18Regulatory B cells (B cell panel), Month 24
Experimental: Mavenclad®-80.14-60.60-26.88-77.24-55.30-27.65-80.50-60.32-24.56-77.11-54.21-24.77-92.69-91.56-86.90-96.47-94.67-89.29-74.02-60.91-28.82-73.02-51.87-15.95-66.62-59.00-54.75-78.02-72.39-62.47-68.18-56.55-56.70-82.96-79.54-70.10-75.87-45.871.63-69.17-39.7310.85-4.0614.8211.9228.6911.276.30110.7392.9530.6491.5733.831.62

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Percent Change From Baseline in Counts of Immune Cell Subsets - NK Cells at Month 3, 6, 12, 15, 18 and 24

NK cell population counts are: CD16+ CD56+ NK Cells, CD16+ NK Cells, NK p46 cells, CD16lowCD56bright, and CD16brightCD56dim. (NCT03364036)
Timeframe: Baseline, Month 3, 6, 12, 15, 18 and 24.

InterventionPercent change (Median)
CD16+ CD56- NK cells, Month 3CD16+ CD56- NK cells, Month 6CD16+ CD56- NK cells, Month 12CD16+ CD56- NK cells, Month 15CD16+ CD56- NK cells, Month 18CD16+ CD56- NK cells, Month 24CD16+ NK cells, Month 3CD16+ NK cells, Month 6CD16+ NK cells, Month 12CD16+ NK cells, Month 15CD16+ NK cells, Month 18CD16+ NK cells, Month 24NK p46 cells, Month 3NK p46 cells, Month 6NK p46 cells, Month 12NK p46 cells, Month 15NK p46 cells, Month 18NK p46 cells, Month 24CD16low CD56bright, Month 3CD16low CD56bright, Month 6CD16low CD56bright, Month 12CD16low CD56bright, Month 15CD16low CD56bright, Month 18CD16low CD56bright, Month 24CD16bright CD56dim, Month 3CD16bright CD56dim, Month 6CD16bright CD56dim, Month 12CD16bright CD56dim, Month 15CD16bright CD56dim, Month 18CD16bright CD56dim, Month 24
Experimental: Mavenclad®3.08-8.889.4427.707.89-21.64-32.50-21.78-8.10-28.56-21.47-13.76-20.85-22.3829.4928.4271.7377.70-8.943.722.564.7730.1317.21-36.13-25.61-11.05-35.05-24.99-12.94

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Change From Baseline Period (Period Screening to Baseline) in Counts of Combined Unique Active (CUA) Magnetic Resonance Imaging (MRI) Lesions at Period 3 (Month 3-6)

CUA lesions were measured by using MRI scans. (NCT03364036)
Timeframe: Baseline period (the period screening to Baseline), Period 3 (Month 3-6)

Interventionlesions (Mean)
Experimental: Mavenclad®-1.499

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Change From Baseline Period (Period Screening to Baseline) in Counts of Combined Unique Active (CUA) Magnetic Resonance Imaging (MRI) Lesions at Period 2 (Month 2-6)

CUA lesions were measured by using MRI scans. (NCT03364036)
Timeframe: Baseline period (the period screening to Baseline), Period 2 (Month 2-6)

Interventionlesions (Mean)
Experimental: Mavenclad®-1.521

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Change From Baseline Period (Period Screening to Baseline) in Counts of Combined Unique Active (CUA) Magnetic Resonance Imaging (MRI) Lesions at Period 1 (Month 1-6)

CUA lesions were measured by using MRI scans. (NCT03364036)
Timeframe: Baseline period (the period screening to Baseline), Period 1 (Month 1-6)

Interventionlesions (Mean)
Experimental: Mavenclad®-1.211

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Change From Baseline in Multiple Sclerosis Quality of Life-54 Questionnaire (MSQoL-54) Physical Health Composite Summary and Mental Health Composite Summary Scores at Month 24

The MSQOL-54 was a multidimensional health-related QOL measure that combines both generic and MS-specific items into a single instrument. This 54-item instrument generates 12 sub-scales along with two summary scores, and two additional single-item measures. Sub-scales are: physical function, role limitations-physical, role limitations-emotional, pain, emotional well-being, energy, health perceptions, social function, cognitive function, health distress, overall quality of life, and sexual function. The two summary scores physical health and mental health are derived from a weighted combination of scale scores. Each composite summary score has a range from 0-100 where higher scores indicate better QOL. A positive change from baseline indicates improvement. (NCT03369665)
Timeframe: Baseline, Month 24

InterventionScore on a Scale (Least Squares Mean)
Physical health composite summaryMental health composite summary
Mavenclad®4.864.80

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Treatment Global Satisfaction Determined by Treatment Satisfaction Questionnaire Medication Version 1.4 (TSQM v1.4) Scale at Month 6

TSQM version 1.4 was a global satisfaction scale used to assess the overall level of participant's satisfaction or dissatisfaction with their medications. It comprises of 14 items assessing the following 4 domains: effectiveness (questions: 1-3), side effects (questions: 4-8), convenience (questions: 9-11), global satisfaction (questions:12-14). Global Satisfaction- Question 12 scored as 1 (not at all confident) to 5 (extremely confident); question 13 scored as 1 (not at all certain) to 5 (extremely certain); and question 14 scored as 1 (extremely dissatisfied) to 7 (extremely satisfied). The scores of the domain were added together and an algorithm was used to create a score of 0 to 100. Higher scores indicated greater satisfaction. (NCT03369665)
Timeframe: At Month 6

InterventionScore on a Scale (Least Squares Mean)
Mavenclad®72.02

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Maximum Tolerated Dose (MTD) of Gemtuzumab Ozogamicin (GO) When Added to GCLAM (Phase 1)

Defined as the highest dose studied in which the incidence of Dose Limiting Toxicity (DLT) is ≤33% (≤4 of 12 patients experiencing DLT), defined as any Grade 3 non-hematologic toxicity lasting >48 hours that results in >7-day delay of the subsequent treatment cycle, with the exception of febrile neutropenia or infection or toxicities secondary to febrile neutropenia or infection, or any Grade ≥4 non-hematologic toxicity except febrile neutropenia/infection (or toxicities secondary to febrile neutropenia or infection) unless felt to be a direct consequence of treatment-related toxicity (e.g. intestinal infection following mucosal barrier breakdown), and with the exception of constitutional symptoms if recovery to Grade ≤2 within 14 days. The National Cancer Institute Common Terminology Criteria for Adverse Events v5.0 will be used. (NCT03531918)
Timeframe: At time of count recovery, second cycle of treatment, response assessment or removal from protocol (at approximately 1 month).

InterventionParticipants (Count of Participants)
GO1 Dose Level Phase 1NA
GO3 Dose Level Includes Phase 1 and Phase 2NA

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Measurable Residual Disease (MRD) and Remission Rates: Alapasia (MRDneg)

"Will be estimated and 95% confidence intervals will be calculated. Regression models (logistic regression for binary endpoints, Cox regression for time-to-event endpoints [Cox models for the hazard of the subdistribution for events with competing risks]) will be used to compare outcomes with patients who have received GCLAM without GO at our institution, controlling for measured prognostic factors.~o Aplasia rate is defined in this protocol as frequency of patients without blood count recovery after chemotherapy and bone marrow examination showing hypocellularity not meeting cellularity criteria for morphologic leukemia free state (MLFS). MRD negative (MRDneg) status is defined as negative for leukemic markers by multiparameter flow cytometry.~Aplasia was defined as absence of tumoral cells but cellularity not meeting criteria for MLFS.~Statistical significance tests were not performed." (NCT03531918)
Timeframe: 90 days

InterventionParticipants (Count of Participants)
GO1 Dose Level Phase 10
GO3 Dose Level Includes Phase 1 and Phase 22

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Measurable Residual Disease (MRD) and Remission Rates: CR/CRi

"Will be estimated and 95% confidence intervals will be calculated. Regression models (logistic regression for binary endpoints, Cox regression for time-to-event endpoints [Cox models for the hazard of the subdistribution for events with competing risks]) will be used to compare outcomes with patients who have received GCLAM without GO at our institution, controlling for measured prognostic factors.~Complete response (CR) + complete response with incomplete hematologic recovery (CRi) rate is defined as the frequency of patients achieving CR or CRi per the European LeukemiaNet 2017 criteria as defined above. MRD negative (MRDneg) status is defined as negative for leukemic markers by multiparameter flow cytometry.~Aplasia was defined as absence of tumoral cells but cellularity not meeting criteria for MLFS.~Statistical significance tests were not performed." (NCT03531918)
Timeframe: 90 days

InterventionParticipants (Count of Participants)
GO1 Dose Level Phase 15
GO3 Dose Level Includes Phase 1 and Phase 252

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Measurable Residual Disease (MRD) and Remission Rates: CRi (MRDneg)

"Will be estimated and 95% confidence intervals will be calculated. Regression models (logistic regression for binary endpoints, Cox regression for time-to-event endpoints [Cox models for the hazard of the subdistribution for events with competing risks]) will be used to compare outcomes with patients who have received GCLAM without GO at our institution, controlling for measured prognostic factors.~Complete response with incomplete hematologic recovery (CRi) rate is defined as the frequency of patients achieving CRi, which is defined by the European LeukemiaNet 2017 guidelines as all CR criteria except for residual neutropenia (ANC <1.0 x 109/L [1000/mL]) or thrombocytopenia (platelet count <100 x 109/L [100,000/mL]). MRD negative (MRDneg) status is defined as negative for leukemic markers by multiparameter flow cytometry.~Aplasia was defined as absence of tumoral cells but cellularity not meeting criteria for MLFS.~Statistical significance tests were not performed." (NCT03531918)
Timeframe: 90 days

InterventionParticipants (Count of Participants)
GO1 Dose Level Phase 11
GO3 Dose Level Includes Phase 1 and Phase 27

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Measurable Residual Disease (MRD) and Remission Rates: MLFS (MRDneg)

"Will be estimated and 95% confidence intervals will be calculated. Regression models (logistic regression for binary endpoints, Cox regression for time-to-event endpoints [Cox models for the hazard of the subdistribution for events with competing risks]) will be used to compare outcomes with patients who have received GCLAM without GO at our institution, controlling for measured prognostic factors.~Morphologic leukemia free state (MLFS) rate is defined as the frequency of patients achieving MLFS, which is defined by the European LeukemiaNet guidelines as bone marrow blasts <5%; absence of blasts with Auer rods; absence of extramedullary disease; no hematologic recovery required. At least 200 cells should be enumerated or cellularity should be at least 10%. MRD negative (MRDneg) status is defined as negative for leukemic markers by multiparameter flow cytometry.~Aplasia was defined as absence of tumoral cells but cellularity not meeting criteria for MLFS.~Statistical significance" (NCT03531918)
Timeframe: 90 days

InterventionParticipants (Count of Participants)
GO1 Dose Level Phase 10
GO3 Dose Level Includes Phase 1 and Phase 22

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Overall Survival

OS was calculated for all participants and measured from initial trial therapy to death from any cause. Patients last known ot be alive were censored at date of last contact. Will be estimated using the Kaplan-Meier method. Regression models (logistic regression for binary endpoints, Cox regression for time-to-event endpoints [Cox models for the hazard of the subdistribution for events with competing risks]) will be used to compare outcomes with patients who have received GCLAM without GO at our institution, controlling for measured prognostic factors. (NCT03531918)
Timeframe: 3 years and 1 month

Interventionpercentage of participants (Number)
GO3 Dose Level60

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Relapse-free Survival of GO3 Cohort

RFS was calculated for participants who achieved a complete remission (with or without count recovery; CR or CRi) and measured from the date remission to the first of relapse from CR/CRi or death from any cause. Patients last known to be alive in CR /CRi were censored at date of last contact. Will be estimated using the Kaplan-Meier method. Time to relapse will be estimated using non-parametric estimates of the cumulative incidence curve with death analyzed as a competing event. Regression models (logistic regression for binary endpoints, Cox regression for time-to-event endpoints [Cox models for the hazard of the subdistribution for events with competing risks]) will be used to compare outcomes with patients who have received GCLAM without GO at our institution, controlling for measured prognostic factors. (NCT03531918)
Timeframe: Up to 5 years. 2-year RFS reported.

Interventionpercentage of participants (Number)
GO3 Dose Level Includes Phase 1 and Phase 251

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Event-free Survival (EFS) Rate (Phase 2)

A two-stage design will be used to evaluate the EFS. Patients treated at the maximum tolerated dose (MTD) from the phase 1 portion of the trial will be used in the phase 2 analysis. If censoring occurs, secondary analyses analyzing 6-month or 1-year EFS accounting for censoring will be done, including estimating 6-month or 1-year EFS using the Kaplan-Meier method. The first stage of the two-stage phase 2 design will evaluate 30 patients. If 20 or more of the first 30 patients are alive without event at 6-months after study registration, an additional 30 patients will be enrolled. If 46 or more of the 60 patients treated at the MTD are alive and without event at 6-months after study registration, the study will consider the regimen of interest for further investigation. Patients last known to be alive in CR were censored at date of last contact. (NCT03531918)
Timeframe: From the start of study treatment, assessed at 6 months and 1 year

Interventionpercent of participants (Number)
Event-free Survival (6 months)Event-free survival (12 months)
GO3 Dose Level Includes Phase 1 and Phase 27358

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Measurable Residual Disease (MRD) Rates and Remission Rates: CR

"Will be estimated and 95% confidence intervals will be calculated. Regression models (logistic regression for binary endpoints, Cox regression for time-to-event endpoints [Cox models for the hazard of the subdistribution for events with competing risks]) will be used to compare outcomes with patients who have received GCLAM without GO at our institution, controlling for measured prognostic factors.~Complete response (CR) rate is defined as the frequency of patients achieving CR, which is defined by the European LeukemiaNet 2017 guidelines as bone marrow blasts <5%; absence of circulating blasts and blasts with Auer rods; absence of extramedullary disease; ANC ≥1.0 x 109/L (1000/mL); platelet count ≥100 x 109/L. (100 000/mL). MRD negative (MRDneg) status is defined as negative for leukemic markers by multiparameter flow cytometry.~Aplasia was defined as absence of tumoral cells but cellularity not meeting criteria for MLFS.~Statistical significance tests were not performed." (NCT03531918)
Timeframe: 90 days

,
InterventionParticipants (Count of Participants)
MRDnegMRDpos
GO1 Dose Level Phase 140
GO3 Dose Level Includes Phase 1 and Phase 2387

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30-day All-cause Mortality

"As a summary of adverse events (captured on trial using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 5.0), 30-day all cause mortality is reported as a percent of patients treated at the MTD/RP2D.~Will be estimated and 95% confidence intervals will be calculated. Regression models (logistic regression for binary endpoints, Cox regression for time-to-event endpoints [Cox models for the hazard of the subdistribution for events with competing risks]) will be used to compare outcomes with patients who have received GCLAM without GO at our institution, controlling for measured prognostic factors." (NCT03531918)
Timeframe: Up to 5 years. 30-day all-cause mortality is reported

Interventionproportion died on/before day 30 (Number)
GO3 Dose Level Includes Phase 1 and Phase 2.03

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