Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Asparaginase
Drug ID BADD_D00175
Description Asparaginase derived from _Escherichia coli_ (L-asparagine amidohydrolase, EC 3.5.1.1) is an enzyme responsible for the metabolism of L-asparagine, by catalyzing L-asparagine into L-aspartic acid and ammonia. It also facilitates the production of oxaloacetate which is needed for general cellular metabolism. Asparaginase from _E. coli_ has clinically shown to exhibit antitumor actions in models of leukaemias [A31996, A31997]. L-asparaginase of _E. coli_ is marketed under several different trade names, including Elspar, for the treatment of acute lymphoblastic leukemia (ALL) as part of a multi-agent chemotherapeutic regimen. It is available as intramuscular or intravenous injections. Therapeutic L-asparaginase from _E. coli_ works by depleting the levels of non-essential amino acid, asparagine, in lymphoblastic leukemic cells thus promoting apoptotic cell death [A31999]. For patients who develop hypersensitivity to _E. coli_-derived formulations of L-asparaginase, the use of PEGylated or non-PEGylated [DB08886] is recommended [A31999].
Indications and Usage Indicated as a component of a multi-agent chemotherapeutic regimen for the treatment of patients with acute lymphoblastic leukemia (ALL) [FDA Label].
Marketing Status approved; investigational
ATC Code L01XX02
DrugBank ID DB00023
KEGG ID D02997
MeSH ID D001215
PubChem ID 5460875
TTD Drug ID Not Available
NDC Product Code Not Available
UNII G4FQ3CKY5R
Synonyms Asparaginase | Asparagine Deaminase | Deaminase, Asparagine | Colaspase | Asparaginase II | Erwinase | Paronal | Crasnitin | Kidrolase | Leunase | Elspar | Asparaginase medac | medac, Asparaginase
Chemical Information
Molecular Formula C4H7N2O3-
CAS Registry Number 9015-68-3
SMILES C(C(C(=O)[O-])N)C(=O)N
Chemical Structure
ADRs Induced by Drug
*The priority for ADR severity classification is based on FAERS assessment, followed by the most severe level in CTCAE rating. If neither is available, it will be displayed as 'Not available'.
**The 'Not Available' level is hidden by default and can be restored by clicking on the legend twice.
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Activated partial thromboplastin time prolonged13.01.02.001--
Anaphylactic reaction10.01.07.001; 24.06.03.006--
Azotaemia20.01.01.001---
Blood fibrinogen decreased13.01.02.003--
Cerebral haemorrhage17.08.01.003; 24.07.04.001---
Cerebral thrombosis17.08.01.006; 24.01.04.003---
Coagulopathy01.01.02.001---
Coma17.02.09.001---
Glucose tolerance impaired05.06.02.001; 14.06.02.001--
Hallucination19.10.04.003--
Hepatic function abnormal09.01.02.001---
Hepatotoxicity09.01.07.009; 12.03.01.008---
Hyperbilirubinaemia01.06.04.003; 09.01.01.003; 14.11.01.010---
Hypercholesterolaemia14.08.01.001---
Hyperglycaemia05.06.02.002; 14.06.02.002--
Hypersensitivity10.01.03.003--
Hypertriglyceridaemia14.08.02.001--
Pancreatitis07.18.01.001--
Protein C decreased13.01.02.009---
Prothrombin time prolonged13.01.02.012---
Seizure17.12.03.001--
Superior sagittal sinus thrombosis17.08.03.001; 24.01.04.004---
Thrombosis24.01.01.006---
Antithrombin III decreased13.01.02.014---
Protein S decreased13.01.02.015---
Transaminases increased13.03.04.036---
Hyperlipidaemia14.08.03.001--
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ADReCS-Target
Drug Name ADR Term Target
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