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Chemistry

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Also known as: Revcovi, Elapegademase-lvlr, Elapegademase [inn], Unii-9r3d3y0uhs, Elapegademase [usan:inn], 9r3d3y0uhs
Molecular Formula
C10H20N2O5
Molecular Weight
248.28  g/mol
InChI Key
XNGDIOBPVDBNQH-QMMMGPOBSA-N

Elapegademase
Elapegademase is a recombinant form of the enzyme adenosine deaminase (rADA), based on the bovine amino acid sequence and covalently conjugated, with a succinimidyl carbamate linker, to monomethoxypolyethylene glycol (mPEG) (SC-PEG rADA), that can be used as an enzyme replacement agent for the treatment of adenosine deaminase severe combined immune deficiency (ADA-SCID). Upon intramuscular administration, elapegademase, as an exogenous source of ADA, replaces the deficient ADA enzyme and acts in the same manner as the endogenous enzyme. ADA is involved in purine metabolism and mainly catalyzes the irreversible hydrolytic deamination of adenosine or deoxyadenosine to inosine or deoxyinosine, respectively, as well as several naturally occurring methylated adenosine compounds. Elapegademase decreases toxic levels of adenosine and deoxyadenosine nucleotides, increases lymphocyte levels and helps maintain the proper functioning of immune cells. Elevated adenosine levels, as seen in ADA deficiency, induce apoptosis and inhibit the differentiation of thymocytes, resulting in T-lymphopenia. Low levels of deoxyadenosine and adenosine play key roles in the regulation of lymphocyte levels and the proper functioning of immune cells.
1 2D Structure

Elapegademase

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
(2S)-2-amino-6-(2-methoxyethoxycarbonylamino)hexanoic acid
2.1.2 InChI
InChI=1S/C10H20N2O5/c1-16-6-7-17-10(15)12-5-3-2-4-8(11)9(13)14/h8H,2-7,11H2,1H3,(H,12,15)(H,13,14)/t8-/m0/s1
2.1.3 InChI Key
XNGDIOBPVDBNQH-QMMMGPOBSA-N
2.1.4 Canonical SMILES
COCCOC(=O)NCCCCC(C(=O)O)N
2.1.5 Isomeric SMILES
COCCOC(=O)NCCCC[C@@H](C(=O)O)N
2.2 Synonyms
2.2.1 MeSH Synonyms

1. Elapegademase-lvlr

2. Revcovi

2.2.2 Depositor-Supplied Synonyms

1. Revcovi

2. Elapegademase-lvlr

3. Elapegademase [inn]

4. Unii-9r3d3y0uhs

5. Elapegademase [usan:inn]

6. 9r3d3y0uhs

7. Schembl20670726

8. Ezn-2279

9. Q27272923

10. 1709806-75-6

11. Poly(oxy-1,2-ethanediyl), Alpha-carboxy-omega-methoxy-, Amide With Adenosine Deaminase (synthetic)

2.3 Create Date
2016-08-16
3 Chemical and Physical Properties
Molecular Weight 248.28 g/mol
Molecular Formula C10H20N2O5
XLogP3-2.7
Hydrogen Bond Donor Count3
Hydrogen Bond Acceptor Count6
Rotatable Bond Count10
Exact Mass248.13722174 g/mol
Monoisotopic Mass248.13722174 g/mol
Topological Polar Surface Area111 Ų
Heavy Atom Count17
Formal Charge0
Complexity235
Isotope Atom Count0
Defined Atom Stereocenter Count1
Undefined Atom Stereocenter Count0
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count1
4 Drug and Medication Information
4.1 Drug Indication

Elapegademase is approved for the treatment of adenosine deaminase severe combined immune deficiency (ADA-SCID) in pediatric and adult patients. This condition was previously treated by the use of bovine pegamedase as part of an enzyme replacement therapy. ADA-SCID is a genetically inherited disorder that is very rare and characterized by a deficiency in the adenosine deaminase enzyme. The patients suffering from this disease often present with a compromised immune system. This condition is characterized by very low levels of white blood cells and immunoglobulin levels which results in severe and recurring infections.


FDA Label


5 Pharmacology and Biochemistry
5.1 Pharmacology

In clinical trials, elapegademase was shown to increase adenosine deaminase activity while reducing the concentrations of toxic metabolites which are the hallmark of ADA-SCID. As well, it was shown to improve the total lymphocyte count.


5.2 MeSH Pharmacological Classification

Adenosine Deaminase Inhibitors

Drugs that inhibit ADENOSINE DEAMINASE activity. (See all compounds classified as Adenosine Deaminase Inhibitors.)


5.3 ATC Code

L - Antineoplastic and immunomodulating agents

L03 - Immunostimulants

L03A - Immunostimulants

L03AX - Other immunostimulants

L03AX21 - Elapegademase


5.4 Absorption, Distribution and Excretion

Absorption

Elapegademase is administered intramuscularly and the reported Tmax, Cmax and AUC are approximately 60 hours, 240 mmol.h/L and 33000 hr.mmol/L as reported during a week.


Route of Elimination

This pharmacokinetic property has not been fully studied.


Volume of Distribution

This pharmacokinetic property has not been fully studied.


Clearance

This pharmacokinetic property has not been fully studied.


5.5 Metabolism/Metabolites

Metabolism studies have not been performed but it is thought to be degraded by proteases to small peptides and individual amino acids.


5.6 Biological Half-Life

This pharmacokinetic property has not been fully studied.


5.7 Mechanism of Action

The ADA-SCID is caused by the presence of mutations in the ADA gene which is responsible for the synthesis of adenosine deaminase. This enzyme is found throughout the body but it is mainly active in lymphocytes. The normal function of adenosine deaminase is to eliminate deoxyadenosine, created when DNA is degraded, by converting it into deoxyinosine. This degradation process is very important as deoxyadenosine is cytotoxic, especially for lymphocytes. Immature lymphocytes are particularly vulnerable as deoxyadenosine kills them before maturation making them unable to produce their immune function. Therefore, based on the causes of ADA-SCID, elapegademase works by supplementing the levels of adenosine deaminase. Being a recombinant and an _E. coli_-produced molecule, the use of this drug eliminates the need to source the enzyme from animals, as it was previously.


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ABOUT THIS PAGE

Elapegademase Manufacturers

A Elapegademase manufacturer is defined as any person or entity involved in the manufacture, preparation, processing, compounding or propagation of Elapegademase, including repackagers and relabelers. The FDA regulates Elapegademase manufacturers to ensure that their products comply with relevant laws and regulations and are safe and effective to use. Elapegademase API Manufacturers are required to adhere to Good Manufacturing Practices (GMP) to ensure that their products are consistently manufactured to meet established quality criteria.

Elapegademase Suppliers

A Elapegademase supplier is an individual or a company that provides Elapegademase active pharmaceutical ingredient (API) or Elapegademase finished formulations upon request. The Elapegademase suppliers may include Elapegademase API manufacturers, exporters, distributors and traders.

click here to find a list of Elapegademase suppliers with USDMF, JDMF, KDMF, CEP, GMP, COA and API Price related information on PharmaCompass.

Elapegademase JDMF

The Pharmaceuticals and Medical Devices Agency (PMDA) established the Japan Drug Master File (JDMF), also known as the Master File (MF), to permit Japanese and foreign manufacturers of drug substances, intermediates, excipients, raw materials, and packaging materials (‘Products’) to voluntarily register confidential information about the production and management of their products in Japan.

The Elapegademase Drug Master File in Japan (Elapegademase JDMF) empowers Elapegademase API manufacturers to present comprehensive information (e.g., production methods, data, etc.) to the review authority, i.e., PMDA (Pharmaceuticals & Medical Devices Agency).

PMDA reviews the Elapegademase JDMF during the approval evaluation for pharmaceutical products. At the time of Elapegademase JDMF registration, PMDA checks if the format is accurate, if the necessary items have been included (application), and if data has been attached.

click here to find a list of Elapegademase suppliers with JDMF on PharmaCompass.

Elapegademase GMP

Elapegademase Active pharmaceutical ingredient (API) is produced in GMP-certified manufacturing facility.

GMP stands for Good Manufacturing Practices, which is a system used in the pharmaceutical industry to make sure that goods are regularly produced and monitored in accordance with quality standards. The FDA’s current Good Manufacturing Practices requirements are referred to as cGMP or current GMP which indicates that the company follows the most recent GMP specifications. The World Health Organization (WHO) has its own set of GMP guidelines, called the WHO GMP. Different countries can also set their own guidelines for GMP like China (Chinese GMP) or the EU (EU GMP).

PharmaCompass offers a list of Elapegademase GMP manufacturers, exporters & distributors, which can be sorted by USDMF, JDMF, KDMF, CEP (COS), WC, API price, and more, enabling you to easily find the right Elapegademase GMP manufacturer or Elapegademase GMP API supplier for your needs.

Elapegademase CoA

A Elapegademase CoA (Certificate of Analysis) is a formal document that attests to Elapegademase's compliance with Elapegademase specifications and serves as a tool for batch-level quality control.

Elapegademase CoA mostly includes findings from lab analyses of a specific batch. For each Elapegademase CoA document that a company creates, the USFDA specifies specific requirements, such as supplier information, material identification, transportation data, evidence of conformity and signature data.

Elapegademase may be tested according to a variety of international standards, such as European Pharmacopoeia (Elapegademase EP), Elapegademase JP (Japanese Pharmacopeia) and the US Pharmacopoeia (Elapegademase USP).

Inform the supplier about your product requirements, specifying if you need a product with particular monograph like EP (Ph. Eur.), USP, JP, BP, or any other quality. In addition, clarify whether you need hydrochloride (HCl), anhydricum, base, micronisatum or a specific level of purity. To find reputable suppliers, utilize the filters and select those certified by GMP, FDA, or any other certification as per your requirement.
For your convenience, we have listed synonyms and CAS numbers to help you find the best supplier. The use of synonyms and CAS numbers can be helpful in identifying potential suppliers, but it is crucial to note that they might not always indicate the exact same product. It is important to confirm the product details with the supplier before making a purchase to ensure that it meets your requirements.
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