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Cladribine

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1134:) may be reported following treatment. In clinical trials, lymphocyte levels above Grade 0 (≥1000 cells/mm) and Grade 1 (<1000–800 cells/mm) were maintained in most patients, with levels continuing to improve after the 2-year dosing period. Less than 1% of patients developed Grade 4 lymphopenia (<200 cells/mm). It is important that patients with lymphocyte counts below 500 cells/mm should be actively monitored for signs suggestive of infection and that anti-infective treatments are given to at-risk patients. 645: 622: 919:
cells. This helps to explain which B cells are more vulnerable to cladribine-mediated apoptosis. DCK is the rate-limiting enzyme for conversion of the cladribine prodrug into its active triphosphate form, leading to the selective depletion of dividing and non-dividing T and B lymphocytes. In contrast, the DCK:5'-NT ratio is relatively low in other cell types, thus sparing numerous non-hematologic cells.
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cladribine tablets (3.5 mg/kg) in the CLARITY study had a 58% reduction in annualized relapse rate and 47% of patients showed no evidence of disease activity at 2 years. Clinical improvements can be observed at Week 24 of treatment, and benefits may be sustained up to 4 years, beyond the 2-year dosing period and recovery of total lymphocytes.
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multiple sclerosis due to his sister having the disease, initiated a very productive collaboration. Ortho-Clinical, a subsidiary of Johnson & Johnson, filed a new drug application for cladribine for multiple sclerosis in 1997 but withdrew it in the late 1990s after discussion with the FDA proved that more clinical data would be needed.
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has been reported in patients with hairy cell leukemia treated with parenteral cladribine. However, in up to 10 years of follow-up of patients receiving cladribine tablets for multiple sclerosis, no cases of progressive multifocal leukoencephalopathy have been observed; baseline MRI must be performed
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and recognised that because the lack of adenosine deaminase led to the destruction of B cell lymphocytes, a drug designed to inhibit adenosine deaminase might be useful in lymphomas. Carson then synthesised cladribine, and through clinical research at Scripps starting in the 1980s, Beutler tested it
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with minimal impact on innate immune cells. Although the exact mechanism by which cladribine exerts its therapeutic effect is not fully elucidated, it is proposed to have a transient effect on B and T lymphocyte depletion, interrupting the cascade of immune events central to multiple sclerosis. As a
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Cladribine tablets are administered as 2 courses separated by 1 year (a maximum of 20 days of treatment). The recommended cumulative dose is 3.5 mg/kg weight over 2 years, administered as 1 treatment course of 1.75 mg/kg per year. Each treatment course consists of 2 treatment weeks, one at
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Despite the initial reduction in lymphocyte counts following treatment, studies showed the overall risk of infection in patients receiving cladribine tablets was comparable to those who received placebo, except for herpes zoster infection. Due to this increased risk, it is recommended that patients
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Based on the supporting data from the completed clinical trials that confirmed no increased risk of cancer, Merck announced it would again seek regulatory approval. In 2016, the EMA accepted its application for review. On 22 June 2017, the EMA's Committee for Medicinal Products for Human Use (CHMP)
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Accumulation of cladribine into cells is dependent on the ratio of DCK and 5'-NT. This ratio differs between cell types, with high levels in T and B lymphocytes, making them particularly susceptible to cell death. The cells with the highest ratios are B cells, especially germinal centre and naĂŻve B
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Further analyses of a subgroup of patients in the CLARITY study who had very active multiple sclerosis showed a 67% reduction in relapse rates and an 82% reduction in disability progression in those treated with cladribine tablets. Similarly, clinical improvements were seen in lesion burden on MRI
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with cladribine tablets, patients who are antibody-negative for varicella zoster virus are recommended to be vaccinated before starting treatment. Treatment should not be initiated within 4 to 6 weeks of receiving a live or attenuated live vaccine because of a risk of active infection. Vaccination
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In multiple sclerosis, cladribine's effectiveness may be due to depletion of B cells, in particular memory B cells. In the pivotal phase 3 clinical trial of oral cladribine in multiple sclerosis, CLARITY, cladribine selectively depleted 80% of peripheral B cells, compared to only 40–45% of CD4+ T
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Following EMA approval of cladribine tablets for the treatment of adult patients with highly active relapsing-remitting multiple sclerosis in 2017, as of July 2020, cladribine tablets have gained marketing authorisation in over 75 countries. In 2019, cladribine tablets were approved by the FDA for
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Although cladribine is selective for B cells, the long-term suppression of memory B cells, which may contribute to its effect in multiple sclerosis, is not explained by gene or protein expression. Instead, cladribine appears to deplete the entire B cell department, but while naĂŻve B cells rapidly
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As a purine analogue, cladribine is taken up into rapidly proliferating cells, including B and T lymphocytes, to be incorporated into DNA synthesis. Chemically, it mimics nucleoside adenosine; however, unlike adenosine, cladribine has a chlorine molecule at position 2, which renders it partially
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Cladribine is used as a first- and second-line treatment for symptomatic hairy cell leukemia and for B-cell chronic lymphocytic leukaemia, and is administered by intravenous or subcutaneous infusion. Some investigators have used the parenteral formulation orally to treat patients with hairy cell
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As per the EU label, cladribine tablets are indicated for the treatment of adult patients with highly active relapsing multiple sclerosis as defined by clinical or imaging features: (i) patients with a relapse in the previous year and at least one T1 Gd+ lesion or 9 or more T2 lesions, while on
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The ratio of benefit to harm was not clear to regulators, and further studies were requested to address concerns related to severe lymphopenia and cancer cases observed during pivotal trials. Clinical studies of multiple sclerosis were still ongoing at the time of the rejections, and Merck KGaA
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In the mid-1990s, Beutler, in collaboration with Jack Sipe, a neurologist at Scripps Institute, ran several clinical trials exploring the utility of cladribine in multiple sclerosis, based on the drug's immunosuppressive effects. Sipe's insight into multiple sclerosis, and Beutler's interest in
843:(5’-NT), which breaks down and inactivates the compound. This ratio differs between cell types, with high levels in T and B lymphocytes, resulting in selective targeting of these cells. In contrast, DCK:5'NT is relatively low in other cell types, thus sparing numerous non-haematological cells. 1096:
Clinical trial results have shown that cladribine tablets can be an effective treatment for highly active, relapsing forms of multiple sclerosis, with significant clinical benefits in relapse rate, disability progression, and radiological measures. Compared with placebo, patients who received
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Another family of enzymes, the 5'-nucleotidase (5'-NT) family, is also capable of dephosphorylating cladribine, making it inactive. The most important subtypes of this group appear to be cytosolic 5'-NT, c-5NCT1A and c-NT1B, which are cytosolically active and specific for purine analogues.
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In clinical trials, malignancies were observed more frequently in patients treated with cladribine tablets compared with patients who received placebo. Compared with a matched reference population from the Global Cancer Observatory database, cladribine tablets had no increased risk of
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Cladribine is taken up by specific nucleoside transporter proteins. Once inside a cell, cladribine undergoes phosphorylation by the enzyme deoxycytidine kinase (DCK) to produce mononucleotide 2-chlorodeoxyadenosine 5’monophosphate (2-CdAMP), which is subsequently phosphorylated to the
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Giovannoni G, Cook S, Rammohan K, Rieckmann P, Sørensen PS, Vermersch P, et al. (April 2011). "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".
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Furthermore, treatment with cladribine tablets has been shown to significantly reduce the rate of brain atrophy in patients with highly active relapsing-remitting multiple sclerosis. This reduction correlated with a reduced risk in disability progression in a retrospective analysis.
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and alternatively, immune reconstitution therapy. Classified as the latter, cladribine tablets are administered intermittently as a short treatment course without continuous immunosuppression. In contrast to maintenance therapies, clinical efficacy extends beyond the dosing period.
835:(DCK) to produce mononucleotide 2-chlorodeoxyadenosine 5’monophosphate (2-CdAMP), which is subsequently phosphorylated to the triphosphorylated active compound 2-chlorodeoxyadenosine 5’triphosphate (2-CdATP). Activated cladribine is incorporated into cellular DNA, which triggers 1108:
Studies evaluating the treatment effects of cladribine tablets across a spectrum of baseline demographics and disease characteristics showed that the relative risk of relapse was significantly reduced compared with placebo, irrespective of previous treatment experience.
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the beginning of the first month and one at the beginning of the second month of the respective treatment year. Each treatment week consists of 4 or 5 days on which a patient receives 10 mg or 20 mg (1 or 2 tablets) as a single daily dose based on body weight.
951:, so Beutler's lab synthesised and packaged it and supplied it to the hospital pharmacy; the laboratory also developed a test to monitor blood levels. This was the first treatment that led to prolonged remission of hairy cell leukemia, which was previously untreatable. 3081: 1051:
Cladribine tablets were later approved in Europe, in August 2017, for highly active relapsing-remitting multiple sclerosis, and has since been approved by the FDA for the treatment of relapsing-remitting and secondary progressive multiple sclerosis in the US.
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committed to completing them. A meta-analysis of data from clinical trials comparing the risk of cancer and other disease-modifying therapies showed that cladribine tablets did not increase the risk of cancer at the doses used in the initial clinical trials.
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In clinical trials, higher cumulative doses of cladribine tablets did not result in further improvement in efficacy nor did additional courses after the 2-year treatment period, but was associated with a higher incidence of Grade 3 and Grade 4 lymphopenia.
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Rammohan K, Giovannoni G, Comi G, Cook S, Rieckmann P, Soelberg Sørensen P, et al. (January 2012). "Cladribine tablets for relapsing-remitting multiple sclerosis: Efficacy across patient subgroups from the phase III CLARITY study".
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are screened for varicella zoster virus and antibody-negative patients are vaccinated prior to receiving treatment. In an analysis of post-approval data, as of 2020, no new infection safety signals were observed in over 18,000 patients.
831:, which causes it to accumulate in targeted cells and interfere with the cell's ability to process DNA. Cladribine is taken up by cells via transporter proteins. Once inside a cell, cladribine undergoes phosphorylation by the enzyme 902:
Activated cladribine is incorporated into the DNA synthesis pathway, where it disrupts DNA repair and synthesis, resulting in an accumulation of DNA strand breaks This is followed by the activation of transcription factor
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The use of cladribine tablets is contraindicated in pregnant women, and women of childbearing potential must use effective contraception to prevent pregnancy during treatment and 6 months after receiving the last dose.
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Giovannoni G (2017). "Effect of cladribine tablets on relapse rates and the proportions qualified relapse-free in patients with multiple sclerosis: analysis of the CLARITY and CLARITY extension studies".
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Approximately 10 hours after both intravenous infusion and subcutaneous bolus injection ranging from 5.6 to 7.6 hours and 18.4 to 19.7 hours after oral administration, indicative of different elimination
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move from lymphoid organs, the memory B cell pool repopulates slowly from the bone marrow. Both hairy cell leukemia and B-cell chronic lymphocytic leukaemia are types of B cell blood cancers.
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as intravenous infusion and found it was especially useful to treat hairy cell leukemia. No pharmaceutical companies were interested in selling the drug because hairy cell leukemia was an
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Comi G, Cook SD, Giovannoni G, Rammohan K, Rieckmann P, Sørensen PS, et al. (April 2013). "MRI outcomes with cladribine tablets for multiple sclerosis in the CLARITY study".
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from mitochondria and eventual programmed cell death (apoptosis). This process occurs over approximately 2 months, with a peak level of cell depletion 4–8 weeks after treatment.
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Beutler E, Piro LD, Saven A, Kay AC, McMillan R, Longmire R, et al. (1991). "2-Chlorodeoxyadenosine (2-CdA): A Potent Chemotherapeutic and Immunosuppressive Nucleoside".
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cells and 15‒30% CD8+ T cells. More recently, cladribine has been shown to induce long term, selective suppression of certain subtypes of B cells, especially memory B cells.
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Ivax acquired the rights for oral administration of cladribine to treat multiple sclerosis from Scripps in 2000, and partnered with Serono in 2002. Ivax was acquired by
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with live or attenuated live vaccines should also be avoided during and after treatment, but can be considered when lymphocyte counts have recovered to ≥1000 cells/mm.
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disease, in adult patients who have had an inadequate response to, or are unable to tolerate, an alternate drug indicated for the treatment of multiple sclerosis.
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leukemia. About 37–51% of oral cladribine is bioavailable orally. It is used, often in combination with other cytotoxic agents, to treat various kinds of
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Schippling S (2018). "CLARITY: An analysis of severity and frequency of relapses in patients with RRMS treated with cladribine tablets or placebo".
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another disease-modifying therapies or (ii) patients with two or more relapses in the previous year, whether on disease-modifying treatment or not.
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resistant to breakdown by adenosine deaminase. This causes it to accumulate in cells and interfere with the targeted cell's ability to process DNA.
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in 2009, which was rejected in 2010, and an appeal was denied in 2011. Likewise Merck KGaA's new drug application with the FDA rejected in 2011.
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adopted a positive opinion, recommending the granting of a marketing authorisation for the treatment of relapsing forms of multiple sclerosis.
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The combination of cytarabine and cladribine is the current standard for second-line therapy of refractory cases with vital organ dysfunction.
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The selection and use of essential medicines 2023: web annex A: World Health Organization model list of essential medicines: 23rd list (2023)
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Before initiating treatment with cladribine tablets, blood tests, MRI and infection screening must be performed. Due to an increased risk of
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The subcutaneous formulation was developed in Switzerland in the early 1990s and it was commercialised by Lipomed GmbH in the 2000s.
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analyses of clinical trial data showed that 89% of patients remained free from disability progression two years after treatment.
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Giovannoni G (June 2018). "Disease-modifying treatments for early and advanced multiple sclerosis: a new treatment paradigm".
2532:"Merck Receives European Medicines Agency Acceptance for Review of Marketing Authorization Application for Cladribine Tablets" 5466: 4468: 4358: 3833: 3745: 2176: 1166: 1036:
was developed by Ivax and Serono, and then Merck KGaA conducted clinical trials. Merck KGaA submitted an application to the
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InChI=1S/C10H12ClN5O3/c11-10-14-8(12)7-9(15-10)16(3-13-7)6-1-4(18)5(2-17)19-6/h3-6,17-18H,1-2H2,(H2,12,14,15)/t4-,5+,6+/m0/s1
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Leist TP, Weissert R (2011). "Cladribine: mode of action and implications for treatment of multiple sclerosis".
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Following completion of the two treatment courses, no further treatment or additional monitoring is required.
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to bring intravenous cladribine to market, and by December of that year, Johnson & Johnson had filed a
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Giovannoni G, Comi G, Cook S, Rammohan K, Rieckmann P, Soelberg Sørensen P, et al. (February 2010).
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Giovannoni G, Soelberg Sorensen P, Cook S, Rammohan K, Rieckmann P, Comi G, et al. (October 2018).
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Two main approaches to multiple sclerosis treatment maintenance therapy are used – immunomodulation and
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De Stefano N, Giorgio A, Battaglini M, De Leucio A, Hicking C, Dangond F, et al. (February 2018).
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After oral administration, 25% (±21%) of dose is excreted unchanged in urine and 3.8% as a metabolite.
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Giovannoni G, Soelberg Sorensen P, Cook S, Rammohan KW, Rieckmann P, Comi G, et al. (May 2019).
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Johnston JB (June 2011). "Mechanism of action of pentostatin and cladribine in hairy cell leukemia".
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Cladribine may cause foetal harm when administered to a pregnant woman and is listed by the FDA as
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Giovannoni G, Rammohan K, Cook S, Soelberg-Sørensen P, Vermersch P, Keller B, et al. (2018).
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Rammohan K, Coyle PK, Sylvester E, Galazka A, Dangond F, Grosso M, et al. (December 2020).
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Comi G, Cook S, Giovannoni G, Rieckmann P, Sørensen PS, Vermersch P, et al. (April 2019).
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Pakpoor J, Disanto G, Altmann DR, Pavitt S, Turner BP, Marta M, et al. (December 2015).
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Hasanali ZS, Saroya BS, Stuart A, Shimko S, Evans J, Vinod Shah M, et al. (June 2015).
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Cook S, Leist T, Comi G, Montalban X, Giovannoni G, Nolting A, et al. (April 2019).
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Ceronie B, Jacobs BM, Baker D, Dubuisson N, Mao Z, Ammoscato F, et al. (May 2018).
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Baker D, Herrod SS, Alvarez-Gonzalez C, Zalewski L, Albor C, Schmierer K (July 2017).
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Baker D, Herrod SS, Alvarez-Gonzalez C, Zalewski L, Albor C, Schmierer K (July 2017).
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triphosphorylated active compound, 2-chlorodeoxyadenosine 5’triphosphate (2-CdATP).
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Jamroz-Wiśniewska A, Bełtowski J, Wójcicka G, Bartosik-Psujek H, Rejdak K (2020).
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Injectable cladribine suppresses the body's ability to make new lymphocytes,
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Liliemark J (February 1997). "The clinical pharmacokinetics of cladribine".
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Intravenous and subcutaneous bolus injection: 15-18% is excreted unchanged
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Cladribine is a purine analogue that selectively targets and suppresses
490: 6681: 4597: 4498: 4312: 4173: 3508: 1476:"Leustat Injection. - Summary of Product Characteristics (SPC) - (eMC)" 436: 41: 2047:
Baker D, Marta M, Pryce G, Giovannoni G, Schmierer K (February 2017).
1755: 1738: 6996: 6827: 4237: 4104: 4073: 3483: 1607:"Update on the biology and treatment options for hairy cell leukemia" 1002: 581: 355: 2687:"Both cladribine and alemtuzumab may effect MS via B-cell depletion" 2098:"Both cladribine and alemtuzumab may effect MS via B-cell depletion" 17: 993:
and about 30% developed infections and some of those progressed to
875:
the treatment of relapsing forms of multiple sclerosis, to include
550: 6695: 6548: 805:, is used for the treatment of adults with highly active forms of 716: 707: 561: 328: 216: 6667: 6615: 6576: 6562: 6116: 5990: 3528: 1355:. St Leonards, Australia: Orphan Australia Pty. Ltd. 10 May 2010 541: 297: 269: 5851: 4119: 3972: 3968: 3439: 282: 113: 6524: 1388: 1386: 1384: 1382: 1380: 1378: 1376: 1374: 1372: 1370: 1220: 904: 2734: 2732: 2730: 2595:"Pulsed immune reconstitution therapy in multiple sclerosis" 886:; safety and efficacy in children has not been established. 877:
relapsing-remitting disease and active secondary progressive
606: 407:
5-(6-Amino-2-chloro-purin-9-yl)-2-(hydroxymethyl)oxolan-3-ol
1395:"Cladribine to Treat Relapsing Forms of Multiple Sclerosis" 1346:"PRODUCT INFORMATION LITAK© 2 mg/mL solution for injection" 245: 145: 3892:
Megalencephalic leukoencephalopathy with subcortical cysts
1121:
Safety profile of cladribine tablets in multiple sclerosis
2855: 2853: 67:
2-Chlorodeoxyadenosine; 2-Chloro-2'-deoxyadenosine; 2-CdA
258: 848:
World Health Organization's List of Essential Medicines
776: 2322:"Teva to Acquire Ivax, Another Maker of Generic Drugs" 2270:"A potential new MS treatment's long and winding road" 7289: 3602:
Lesional demyelinations of the central nervous system
1557: 1555: 1553: 1551: 1549: 1547: 954:
In February 1991, Scripps began a collaboration with
1092:
Efficacy of cladribine tablets in multiple sclerosis
1029:
acquired control of Serono's drug business in 2006.
7056: 6984: 6957: 6842: 6485: 6187: 6178: 6169: 6162: 6115: 6097: 6088: 6042: 5973: 5903: 5894: 5505: 5456: 5236: 5229: 5165: 5119: 5052: 5009: 4846: 4831: 4711: 4681: 4606: 4591: 4562: 4458: 4378: 4321: 4304: 4293: 4229: 4182: 4163: 4092: 4006: 3935: 3905: 3847: 3799: 3761: 3754: 3728: 3622: 3542: 3474: 2388: 2386: 2384: 2288:"Ivax to Develop Cladribine for Multiple Sclerosis" 2169:"Ortho Biotech's Leustatin For Hairy Cell Leukemia" 1161:Cladribine has been studied as part of a multidrug 973:
Safety profile of cladribine in hairy cell leukemia
705: 692: 656: 651: 632: 600: 580: 560: 540: 520: 500: 480: 469: 460: 435: 415: 390: 380: 366: 345: 335: 317: 309: 235: 230: 182: 159: 133: 103: 89: 71: 63: 53: 48: 2691:Neurology: Neuroimmunology & Neuroinflammation 3791:Chronic inflammatory demyelinating polyneuropathy 2437:"Merck KGaA Throws in Towel on Cladribine for MS" 2303:"Serono Purchases Rights To Experimental MS Drug" 2230:"Litak: Background Information on the Procedure" 1882: 1880: 1779: 1777: 997:; about 40% of people taking the drug had fewer 820:and B-cell leukaemia. Chemically, it mimics the 449: 3887:Leukoencephalopathy with vanishing white matter 2147:"Biographical Memoir: Ernest Beutler 1928–2008" 424: 2599:Therapeutic Advances in Neurological Disorders 2307:Dow Jones Newswires in the Wall Street Journal 2188: 2186: 966:, and was approved in Europe later that year. 793:, among others, is a medication used to treat 7352:World Health Organization essential medicines 5863: 4131: 3984: 3451: 2274:News & Views - Scripps Research Institute 1979: 1977: 1975: 816:implicated in the underlying pathogenesis of 8: 3293: 3291: 3289: 2988: 2986: 1605:Jain P, Pemmaraju N, Ravandi F (June 2014). 1525: 1523: 1521: 122: 32: 2394:"Withdrawal Assessment Report for Movectro" 2263: 2261: 1519: 1517: 1515: 1513: 1511: 1509: 1507: 1505: 1503: 1501: 1125:Cladribine tablets target the cells of the 991:dangerously low levels of white blood cells 6184: 6175: 6166: 6094: 5900: 5870: 5856: 5848: 5233: 4843: 4603: 4318: 4301: 4179: 4138: 4124: 4116: 3991: 3977: 3969: 3758: 3458: 3444: 3436: 2430: 2428: 2194:"Litak EMA package: Scientific Discussion" 1142:Progressive multifocal leukoencephalopathy 643: 620: 509: 3839:Experimental autoimmune encephalomyelitis 3401: 3315: 3255: 3142: 3010: 2819: 2756: 2710: 2618: 2475: 2121: 2072: 2009: 1860: 1850: 1839:Oxidative Medicine and Cellular Longevity 1809: 1754: 1666: 1630: 1418: 1130:result, a reduction in lymphocyte count ( 529: 7342:Drugs developed by Johnson & Johnson 3943:List of multiple sclerosis organizations 3304:Multiple Sclerosis and Related Disorders 3183:Multiple Sclerosis and Related Disorders 2999:Multiple Sclerosis and Related Disorders 1684: 1682: 1680: 1678: 801:. Cladribine, sold under the brand name 7296: 1178: 1153:in long-term real-world evidence data. 756: 736: 616: 489: 404: 95: 3948:List of people with multiple sclerosis 3824:Neuromyelitis optica spectrum disorder 3771:Neuromyelitis optica spectrum disorder 3417: 3339: 3271: 3208: 3158: 3095: 3034: 2953: 2896: 2835: 2780: 2491: 2025: 1957: 1005:; and about 10% of people had too few 807:relapsing-remitting multiple sclerosis 634: 341:25% (range 5-50%); up to 20% (orally) 31: 1661:. Geneva: World Health Organization. 1611:Current Treatment Options in Oncology 1470: 1468: 1443:"European Medicines Agency - - Litak" 1340: 1338: 1336: 1334: 1032:An oral formulation of the drug with 797:(leukemic reticuloendotheliosis) and 589: 569: 81: 7: 3923:Mitochondrial DNA depletion syndrome 3809:Acute disseminated encephalomyelitis 2340:"Teva Completes Acquisition of Ivax" 210: 195: 4407:ribonucleotide reductase inhibitors 2808:The New England Journal of Medicine 1449:. 17 September 2018. Archived from 799:B-cell chronic lymphocytic leukemia 549: 440: 4573:Ribonucleotide reductase inhibitor 4529:Ribonucleotide reductase inhibitor 3424:: CS1 maint: overridden setting ( 3346:: CS1 maint: overridden setting ( 3278:: CS1 maint: overridden setting ( 3215:: CS1 maint: overridden setting ( 3165:: CS1 maint: overridden setting ( 3102:: CS1 maint: overridden setting ( 3041:: CS1 maint: overridden setting ( 2960:: CS1 maint: overridden setting ( 2903:: CS1 maint: overridden setting ( 2842:: CS1 maint: overridden setting ( 2787:: CS1 maint: overridden setting ( 2593:Sorensen PS, Sellebjerg F (2019). 2498:: CS1 maint: overridden setting ( 2032:: CS1 maint: overridden setting ( 1964:: CS1 maint: overridden setting ( 1690:"Cladribine- cladribine injection" 25: 4332:Dihydrofolate reductase inhibitor 358:; 15-18% is excreted unchanged. 7299: 3953:Multiple sclerosis drug pipeline 3829:Diffuse myelinoclastic sclerosis 3819:Marburg acute multiple sclerosis 3776:Diffuse myelinoclastic sclerosis 3630:Management of multiple sclerosis 3597:Radiologically isolated syndrome 3577:Expanded Disability Status Scale 1309:10.2165/00003088-199732020-00003 677: 674: 668: 40: 3550:Diagnosis of multiple sclerosis 2576:"Cladribine approved in Europe" 1274:European Medicines Agency (EMA) 1167:T-cell prolymphocytic leukaemia 1145:prior to initiating treatment. 764:Key:PTOAARAWEBMLNO-KVQBGUIXSA-N 739:Clc1nc(c2ncn(c2n1)3O((O)C3)CO)N 4469:Thymidylate synthase inhibitor 4359:Thymidylate synthase inhibitor 3834:Tumefactive multiple sclerosis 3746:Research in multiple sclerosis 3466:Demyelinating diseases of the 3382:Science Translational Medicine 2371:"Merck KGaA to acquire Serono" 1743:British Journal of Haematology 944:adenosine deaminase deficiency 931:History in hairy cell leukemia 683: 662: 1: 4389:Adenosine deaminase inhibitor 4230:Block microtubule disassembly 3361:Giovannoni G (2020). "A965". 2875:10.1016/S1474-4422(11)70023-0 2420:Procedure No. EMEA/H/C/001197 2301:Sargent C (31 October 2002). 1393:Giovannoni G (October 2017). 1013:History in multiple sclerosis 869:Langerhans cell histiocytosis 5935:dihydroorotate dehydrogenase 4044:Human chorionic gonadotropin 3913:Central pontine myelinolysis 3882:Pelizaeus–Merzbacher disease 3877:Metachromatic leukodystrophy 3572:Clinically isolated syndrome 3543:Investigations and diagnosis 3394:10.1126/scitranslmed.aaa5079 2703:10.1212/NXI.0000000000000360 2656:10.1097/WCO.0000000000000561 2644:Current Opinion in Neurology 2468:10.1212/nxi.0000000000000158 2154:National Academy of Sciences 2114:10.1212/NXI.0000000000000360 1901:10.3109/10428194.2011.570394 1576:10.1097/WNF.0b013e318204cd90 789:, sold under the brand name 59:Leustatin, Mavenclad, others 5914:purine synthesis inhibitors 3918:Marchiafava–Bignami disease 3317:10.1016/j.msard.2018.11.021 3195:10.1016/j.msard.2011.08.006 3012:10.1016/j.msard.2019.01.038 2369:Staff (21 September 2006). 2290:. Reuters. 4 December 2000. 2065:10.1016/j.ebiom.2017.01.042 7368: 2401:Europeans Medicines Agency 2237:Europeans Medicines Agency 2201:Europeans Medicines Agency 1802:10.1007/s40265-020-01422-9 1671:. WHO/MHP/HPS/EML/2023.02. 1564:Clinical Neuropharmacology 1105:scans in this population. 652:Chemical and physical data 6099:IL-1 receptor antagonists 5808: 5689:Omacetaxine mepesuccinate 5569:Ciltacabtagene autoleucel 5559:Brexucabtagene autoleucel 4039:Gonadotropin preparations 3814:Balo concentric sclerosis 2932:10.1007/s00415-012-6775-0 2002:10.1007/s00415-018-8830-y 1944:10.3109/10428199109068099 1720:Histiocytosis Association 1716:"Erdheim-Chester Disease" 1655:World Health Organization 1623:10.1007/s11864-014-0285-5 1538:European Medicines Agency 1411:10.1007/s13311-017-0573-4 1297:Clinical Pharmacokinetics 1056:Use in multiple sclerosis 1038:European Medicines Agency 772: 747: 727: 395: 39: 7347:Drugs developed by Merck 6972:Anti-lymphocyte globulin 5741:Talimogene laherparepvec 5674:Nadofaragene firadenovec 5644:Lisocabtagene maraleucel 4593:Topoisomerase inhibitors 4512:DNA polymerase inhibitor 3248:10.1177/1352458517690269 3135:10.1177/1352458518771875 2758:10.1177/1352458517727603 2611:10.1177/1756286419836913 2435:Gever J (22 June 2011). 2320:Bayot J (26 July 2005). 1242:"Neurological therapies" 6967:Anti-thymocyte globulin 5879:Immunosuppressive drugs 5544:Axicabtagene ciloleucel 4148:chemotherapeutic agents 1932:Leukemia & Lymphoma 1889:Leukemia & Lymphoma 865:Erdheim–Chester disease 6772:Interleukin-6 receptor 6198:Complement component 5 5726:Sitimagene ceradenovec 5624:Idecabtagene vicleucel 5189:Methyl aminolevulinate 3755:Demyelinating diseases 3468:central nervous system 3080:: 1204. Archived from 2403:. 2011. Archived from 2346:. 2006. Archived from 2239:. 2004. Archived from 2203:. 2004. Archived from 2167:Staff (8 March 1993). 1353:TGA eBusiness Services 1127:adaptive immune system 5200:Porphyrin derivatives 4896:Melphalan flufenamide 4543:Hypomethylating agent 4152:antineoplastic agents 2863:The Lancet. Neurology 2821:10.1056/NEJMoa0902533 1737:Aricò M (June 2016). 956:Johnson & Johnson 5529:Asparagine depleters 5458:Receptor antagonists 5372:+abiraterone acetate 3857:Adrenoleukodystrophy 3781:MOG antibody disease 3583:Serological and CSF 3534:Uhthoff's phenomenon 2920:Journal of Neurology 2605:: 1756286419836913. 2555:www.prnewswire.co.uk 2210:on 24 September 2015 2145:Lichtman MA (2012). 1990:Journal of Neurology 1852:10.1155/2020/1654754 1480:www.medicines.org.uk 1163:chemotherapy regimen 1001:and became severely 979:natural killer cells 960:new drug application 884:pregnancy category D 833:deoxycytidine kinase 5579:Denileukin diftitox 5479:Retinoid X receptor 5179:Aminolevulinic acid 5001:Triethylenemelamine 4833:Crosslinking of DNA 4564:Deoxyribonucleotide 4503:+gimeracil/oteracil 4059:Luteinizing hormone 3685:Monomethyl fumarate 2580:Merck Press Release 2350:on 18 December 2019 1531:"Mavenclad EU SmPC" 1165:for drug-resistant 890:Mechanism of action 829:adenosine deaminase 795:hairy cell leukemia 278:(Prescription only) 254:(Prescription only) 36: 27:Pharmaceutical drug 7327:Purine antagonists 7129:Diroximel fumarate 6802:IL-2 receptor/CD25 6230:Certolizumab pegol 5883:Immunosuppressants 5835:Never to phase III 4637:Etirinotecan pegol 4049:Interferon beta-1a 3786:Multiple sclerosis 3670:Interferon beta-1b 3665:Interferon beta-1a 3660:Glatiramer acetate 3650:Diroximel fumarate 3623:Approved treatment 3476:Signs and symptoms 3236:Multiple Sclerosis 3123:Multiple Sclerosis 2745:Multiple Sclerosis 2344:Teva Press Release 2179:on 3 October 2017. 1895:(Suppl 2): 43–45. 1696:. 31 December 2019 1193:. 28 February 2020 818:multiple sclerosis 221:multiple sclerosis 7287: 7286: 7134:Efgartigimod alfa 7124:Dimethyl fumarate 7052: 7051: 6980: 6979: 6953: 6952: 6158: 6157: 6084: 6083: 5925:Mycophenolic acid 5845: 5844: 5804: 5803: 5761:Tigilanol tiglate 5238:Enzyme inhibitors 5161: 5160: 5157: 5156: 4857:Nitrogen mustards 4827: 4826: 4587: 4586: 4289: 4288: 4113: 4112: 3966: 3965: 3931: 3930: 3862:Alexander disease 3645:Dimethyl fumarate 3587:Oligoclonal bands 3555:McDonald criteria 3388:(293): 293ra102. 2751:(12): 1594–1604. 2582:. 25 August 2017. 2410:on 21 August 2016 2375:First Word Pharma 2268:Sauter E, Ono M. 2246:on 21 August 2016 1796:(18): 1901–1928. 1756:10.1111/bjh.13955 1486:on 3 October 2017 1447:www.ema.europa.eu 1399:Neurotherapeutics 1066:immunosuppression 907:, the release of 784: 783: 718:Interactive image 602:CompTox Dashboard 301: 286: 273: 261: 249: 149: 116: 16:(Redirected from 7359: 7304: 7303: 7302: 7295: 6930:Telimomab aritox 6833:Zolimomab aritox 6654:CD62L/L-selectin 6392:Immunoglobulin E 6185: 6176: 6167: 6095: 5901: 5872: 5865: 5858: 5849: 5766:Tisagenlecleucel 5523:Arsenic trioxide 5234: 5167:Photosensitizers 4958:Alkyl sulfonates 4872:Cyclophosphamide 4844: 4783:Anthracenediones 4604: 4578:Hydroxycarbamide 4319: 4302: 4180: 4140: 4133: 4126: 4117: 3993: 3986: 3979: 3970: 3759: 3729:Other treatments 3607:Dawson's fingers 3460: 3453: 3446: 3437: 3430: 3429: 3423: 3415: 3405: 3373: 3367: 3366: 3358: 3352: 3351: 3345: 3337: 3319: 3295: 3284: 3283: 3277: 3269: 3259: 3227: 3221: 3220: 3214: 3206: 3177: 3171: 3170: 3164: 3156: 3146: 3114: 3108: 3107: 3101: 3093: 3091: 3089: 3069: 3063: 3062: 3053: 3047: 3046: 3040: 3032: 3014: 2990: 2981: 2980: 2972: 2966: 2965: 2959: 2951: 2926:(4): 1136–1146. 2915: 2909: 2908: 2902: 2894: 2857: 2848: 2847: 2841: 2833: 2823: 2799: 2793: 2792: 2786: 2778: 2760: 2736: 2725: 2724: 2714: 2682: 2676: 2675: 2639: 2633: 2632: 2622: 2590: 2584: 2583: 2572: 2566: 2565: 2563: 2561: 2546: 2540: 2539: 2528: 2522: 2521: 2510: 2504: 2503: 2497: 2489: 2479: 2447: 2441: 2440: 2432: 2423: 2422: 2417: 2415: 2409: 2398: 2390: 2379: 2378: 2366: 2360: 2359: 2357: 2355: 2336: 2330: 2329: 2317: 2311: 2310: 2298: 2292: 2291: 2284: 2278: 2277: 2265: 2256: 2255: 2253: 2251: 2245: 2234: 2226: 2220: 2219: 2217: 2215: 2209: 2198: 2190: 2181: 2180: 2175:. Archived from 2164: 2158: 2157: 2151: 2142: 2136: 2135: 2125: 2093: 2087: 2086: 2076: 2044: 2038: 2037: 2031: 2023: 2013: 1996:(5): 1199–1209. 1981: 1970: 1969: 1963: 1955: 1927: 1921: 1920: 1884: 1875: 1874: 1864: 1854: 1830: 1824: 1823: 1813: 1781: 1772: 1771: 1758: 1734: 1728: 1727: 1722:. Archived from 1712: 1706: 1705: 1703: 1701: 1686: 1673: 1672: 1670: 1651: 1645: 1644: 1634: 1602: 1596: 1595: 1559: 1542: 1541: 1540:. February 2021. 1535: 1527: 1496: 1495: 1493: 1491: 1482:. Archived from 1472: 1463: 1462: 1460: 1458: 1453:on 3 August 2018 1439: 1433: 1432: 1422: 1390: 1365: 1364: 1362: 1360: 1350: 1342: 1329: 1328: 1292: 1286: 1285: 1283: 1281: 1276:. 22 August 2017 1270:"Mavenclad EPAR" 1266: 1260: 1259: 1257: 1255: 1238: 1232: 1231: 1229: 1227: 1217:nctr-crs.fda.gov 1209: 1203: 1202: 1200: 1198: 1183: 987:myelosuppression 940:Dennis A. Carson 780: 779: 720: 700: 685: 679: 676: 670: 664: 647: 636: 625: 624: 610: 608: 593: 573: 553: 533: 513: 493: 473: 453: 443: 442: 428: 371: 299: 296: 291: 284: 281: 271: 268: 260: 257: 247: 244: 214: 199: 147: 144: 126: 115: 112: 99: 85: 44: 37: 35: 21: 7367: 7366: 7362: 7361: 7360: 7358: 7357: 7356: 7337:Organochlorides 7312: 7311: 7310: 7300: 7298: 7290: 7288: 7283: 7229:Rozanolixizumab 7114:Deucravacitinib 7048: 6976: 6949: 6838: 6487: 6481: 6189: 6154: 6111: 6090: 6080: 6038: 5978: 5969: 5905:Antimetabolites 5896: 5890: 5876: 5846: 5841: 5840: 5825:Clinical trials 5800: 5506:Other/ungrouped 5501: 5452: 5225: 5205:Porfimer sodium 5153: 5115: 5048: 5005: 4835: 4823: 4707: 4677: 4595: 4583: 4558: 4454: 4374: 4310: 4308:antimetabolites 4306: 4305:DNA precursors/ 4297: 4295:DNA replication 4285: 4225: 4195:Vinca alkaloids 4171: 4159: 4144: 4114: 4109: 4088: 4002: 3997: 3967: 3962: 3958:Pathophysiology 3927: 3901: 3897:CAMFAK syndrome 3867:Canavan disease 3843: 3795: 3750: 3724: 3618: 3538: 3470: 3464: 3434: 3433: 3416: 3375: 3374: 3370: 3363:Actrims-Ectrims 3360: 3359: 3355: 3338: 3297: 3296: 3287: 3270: 3229: 3228: 3224: 3207: 3179: 3178: 3174: 3157: 3116: 3115: 3111: 3094: 3087: 3085: 3084:on 17 July 2021 3071: 3070: 3066: 3055: 3054: 3050: 3033: 2992: 2991: 2984: 2974: 2973: 2969: 2952: 2917: 2916: 2912: 2895: 2859: 2858: 2851: 2834: 2801: 2800: 2796: 2779: 2738: 2737: 2728: 2684: 2683: 2679: 2641: 2640: 2636: 2592: 2591: 2587: 2574: 2573: 2569: 2559: 2557: 2548: 2547: 2543: 2538:. 18 July 2016. 2530: 2529: 2525: 2512: 2511: 2507: 2490: 2449: 2448: 2444: 2434: 2433: 2426: 2413: 2411: 2407: 2396: 2392: 2391: 2382: 2368: 2367: 2363: 2353: 2351: 2338: 2337: 2333: 2319: 2318: 2314: 2300: 2299: 2295: 2286: 2285: 2281: 2267: 2266: 2259: 2249: 2247: 2243: 2232: 2228: 2227: 2223: 2213: 2211: 2207: 2196: 2192: 2191: 2184: 2166: 2165: 2161: 2149: 2144: 2143: 2139: 2095: 2094: 2090: 2046: 2045: 2041: 2024: 1983: 1982: 1973: 1956: 1929: 1928: 1924: 1886: 1885: 1878: 1832: 1831: 1827: 1783: 1782: 1775: 1736: 1735: 1731: 1726:on 6 June 2019. 1714: 1713: 1709: 1699: 1697: 1688: 1687: 1676: 1653: 1652: 1648: 1604: 1603: 1599: 1561: 1560: 1545: 1533: 1529: 1528: 1499: 1489: 1487: 1474: 1473: 1466: 1456: 1454: 1441: 1440: 1436: 1392: 1391: 1368: 1358: 1356: 1348: 1344: 1343: 1332: 1294: 1293: 1289: 1279: 1277: 1268: 1267: 1263: 1253: 1251: 1240: 1239: 1235: 1225: 1223: 1211: 1210: 1206: 1196: 1194: 1185: 1184: 1180: 1175: 1159: 1123: 1094: 1058: 1015: 999:red blood cells 975: 933: 892: 856: 841:5'-nucleotidase 775: 773: 768: 765: 760: 755: 754: 743: 740: 735: 734: 723: 698: 688: 682: 673: 667: 628: 604: 596: 576: 556: 536: 516: 496: 476: 456: 439: 431: 411: 408: 403: 402: 369: 337:Protein binding 319:Bioavailability 311:Pharmacokinetic 305: 289: 226: 205: 162: 155: 136: 129: 28: 23: 22: 15: 12: 11: 5: 7365: 7363: 7355: 7354: 7349: 7344: 7339: 7334: 7329: 7324: 7314: 7313: 7309: 7308: 7285: 7284: 7282: 7281: 7276: 7271: 7266: 7261: 7256: 7251: 7246: 7241: 7236: 7231: 7226: 7221: 7216: 7211: 7206: 7201: 7196: 7191: 7186: 7181: 7176: 7171: 7166: 7161: 7156: 7151: 7146: 7141: 7138:+hyaluronidase 7131: 7126: 7121: 7119:Deuruxolitinib 7116: 7111: 7106: 7101: 7096: 7091: 7086: 7081: 7076: 7071: 7066: 7060: 7058: 7054: 7053: 7050: 7049: 7047: 7046: 7041: 7036: 7031: 7030: 7029: 7024: 7012: 7011: 7010: 7005: 6992: 6990: 6982: 6981: 6978: 6977: 6975: 6974: 6969: 6963: 6961: 6955: 6954: 6951: 6950: 6948: 6947: 6942: 6937: 6932: 6927: 6922: 6917: 6912: 6907: 6902: 6897: 6892: 6887: 6882: 6877: 6872: 6867: 6862: 6857: 6852: 6846: 6844: 6840: 6839: 6837: 6836: 6823: 6822: 6821: 6820: 6815: 6810: 6797: 6796: 6795: 6794: 6782: 6781: 6780: 6768: 6767: 6766: 6761: 6749: 6748: 6747: 6742: 6737: 6725: 6724: 6723: 6712: 6711: 6710: 6709: 6704: 6692: 6691: 6690: 6678: 6677: 6676: 6664: 6663: 6662: 6650: 6649: 6648: 6643: 6631: 6630: 6629: 6624: 6612: 6611: 6610: 6605: 6600: 6595: 6592:+hyaluronidase 6585: 6573: 6572: 6571: 6559: 6558: 6557: 6545: 6544: 6543: 6538: 6533: 6521: 6520: 6519: 6514: 6509: 6504: 6491: 6489: 6483: 6482: 6480: 6479: 6478: 6477: 6464: 6463: 6462: 6461: 6456: 6435: 6434: 6433: 6432: 6419: 6418: 6417: 6416: 6403: 6402: 6401: 6400: 6387: 6386: 6385: 6384: 6371: 6370: 6369: 6368: 6363: 6358: 6353: 6348: 6343: 6338: 6333: 6328: 6323: 6318: 6313: 6308: 6303: 6298: 6293: 6288: 6283: 6278: 6273: 6268: 6263: 6250: 6249: 6248: 6247: 6242: 6237: 6232: 6227: 6222: 6209: 6208: 6207: 6206: 6193: 6191: 6182: 6173: 6164: 6160: 6159: 6156: 6155: 6153: 6152: 6147: 6142: 6137: 6132: 6127: 6121: 6119: 6113: 6112: 6110: 6109: 6103: 6101: 6092: 6086: 6085: 6082: 6081: 6079: 6078: 6077: 6076: 6068:PDE4 inhibitor 6064: 6059: 6054: 6048: 6046: 6040: 6039: 6037: 6036: 6031: 6025: 6024: 6023: 6022: 6017: 6012: 6007: 5986: 5984: 5971: 5970: 5968: 5967: 5966: 5965: 5952: 5951: 5950: 5949: 5944: 5930: 5929: 5928: 5927: 5922: 5909: 5907: 5898: 5892: 5891: 5877: 5875: 5874: 5867: 5860: 5852: 5843: 5842: 5839: 5838: 5837: 5836: 5833: 5822: 5816: 5810: 5809: 5806: 5805: 5802: 5801: 5799: 5798: 5793: 5788: 5783: 5778: 5773: 5768: 5763: 5758: 5753: 5748: 5743: 5738: 5733: 5728: 5723: 5718: 5712: 5701: 5696: 5691: 5686: 5681: 5676: 5671: 5666: 5661: 5656: 5651: 5646: 5641: 5636: 5631: 5626: 5621: 5616: 5611: 5606: 5601: 5596: 5591: 5586: 5581: 5576: 5571: 5566: 5561: 5556: 5551: 5546: 5541: 5525: 5520: 5515: 5509: 5507: 5503: 5502: 5500: 5499: 5487: 5475: 5462: 5460: 5454: 5453: 5451: 5450: 5444: 5439: 5434: 5429: 5417: 5411: 5406: 5401: 5396: 5385: 5379: 5374: 5366: 5359:PARP inhibitor 5355: 5343: 5331: 5319: 5318: 5317: 5312: 5307: 5302: 5290: 5284: 5279: 5274: 5269: 5255: 5242: 5240: 5231: 5227: 5226: 5224: 5223: 5217: 5212: 5207: 5196: 5191: 5186: 5181: 5175: 5173: 5163: 5162: 5159: 5158: 5155: 5154: 5152: 5151: 5145: 5140: 5135: 5125: 5123: 5117: 5116: 5114: 5113: 5107: 5102: 5091: 5086: 5081: 5076: 5064: 5058: 5056: 5050: 5049: 5047: 5046: 5041: 5036: 5031: 5026: 5021: 5015: 5013: 5011:Platinum-based 5007: 5006: 5004: 5003: 4998: 4993: 4988: 4976: 4975: 4969: 4953: 4952: 4947: 4942: 4937: 4927: 4922: 4910: 4909: 4904: 4899: 4889: 4884: 4878: 4869: 4864: 4852: 4850: 4841: 4829: 4828: 4825: 4824: 4822: 4821: 4816: 4811: 4806: 4801: 4795: 4790: 4779: 4773: 4768: 4763: 4758: 4753: 4748: 4738: 4733: 4726:Anthracyclines 4721: 4719: 4709: 4708: 4706: 4705: 4699: 4687: 4685: 4679: 4678: 4676: 4675: 4669: 4664: 4659: 4654: 4649: 4644: 4639: 4634: 4629: 4624: 4612: 4610: 4601: 4589: 4588: 4585: 4584: 4582: 4581: 4568: 4566: 4560: 4559: 4557: 4556: 4550: 4538: 4537: 4524: 4523: 4507: 4506: 4496: 4491: 4486: 4481: 4476: 4464: 4462: 4456: 4455: 4453: 4452: 4446: 4444:Mercaptopurine 4435: 4430: 4425: 4419: 4414: 4398: 4397: 4384: 4382: 4376: 4375: 4373: 4372: 4366: 4355: 4349: 4344: 4339: 4327: 4325: 4316: 4299: 4291: 4290: 4287: 4286: 4284: 4283: 4271: 4265: 4260: 4255: 4250: 4245: 4233: 4231: 4227: 4226: 4224: 4223: 4217: 4212: 4207: 4202: 4190: 4188: 4177: 4161: 4160: 4146:Intracellular 4145: 4143: 4142: 4135: 4128: 4120: 4111: 4110: 4108: 4107: 4102: 4096: 4094: 4090: 4089: 4087: 4086: 4084:Tegafur/uracil 4081: 4076: 4071: 4066: 4061: 4056: 4051: 4046: 4041: 4036: 4031: 4026: 4021: 4016: 4010: 4008: 4004: 4003: 3998: 3996: 3995: 3988: 3981: 3973: 3964: 3963: 3961: 3960: 3955: 3950: 3945: 3939: 3937: 3933: 3932: 3929: 3928: 3926: 3925: 3920: 3915: 3909: 3907: 3903: 3902: 3900: 3899: 3894: 3889: 3884: 3879: 3874: 3872:Krabbe disease 3869: 3864: 3859: 3853: 3851: 3845: 3844: 3842: 3841: 3836: 3831: 3826: 3821: 3816: 3811: 3805: 3803: 3797: 3796: 3794: 3793: 3788: 3783: 3778: 3773: 3767: 3765: 3756: 3752: 3751: 3749: 3748: 3743: 3742: 3741: 3732: 3730: 3726: 3725: 3723: 3722: 3717: 3712: 3707: 3702: 3699:+hyaluronidase 3692: 3687: 3682: 3677: 3672: 3667: 3662: 3657: 3652: 3647: 3642: 3637: 3632: 3626: 3624: 3620: 3619: 3617: 3616: 3611: 3610: 3609: 3604: 3599: 3591: 3590: 3589: 3581: 3580: 3579: 3574: 3565: 3564: 3562:Poser criteria 3559: 3558: 3557: 3546: 3544: 3540: 3539: 3537: 3536: 3531: 3526: 3524:Optic neuritis 3521: 3516: 3511: 3506: 3501: 3496: 3491: 3486: 3480: 3478: 3472: 3471: 3465: 3463: 3462: 3455: 3448: 3440: 3432: 3431: 3368: 3353: 3285: 3242:(2): 222–226. 3222: 3172: 3129:(6): 819–827. 3109: 3064: 3048: 2982: 2967: 2910: 2869:(4): 329–337. 2849: 2814:(5): 416–426. 2794: 2726: 2677: 2650:(3): 233–243. 2634: 2585: 2567: 2541: 2523: 2518:Fierce Biotech 2505: 2442: 2424: 2380: 2361: 2331: 2326:New York Times 2312: 2293: 2279: 2257: 2221: 2182: 2173:The Pink Sheet 2159: 2137: 2088: 2039: 1971: 1922: 1876: 1825: 1773: 1749:(5): 663–670. 1729: 1707: 1674: 1646: 1617:(2): 187–209. 1597: 1543: 1497: 1464: 1434: 1405:(4): 874–887. 1366: 1330: 1303:(2): 120–131. 1287: 1261: 1233: 1204: 1177: 1176: 1174: 1171: 1158: 1155: 1122: 1119: 1093: 1090: 1057: 1054: 1014: 1011: 974: 971: 949:orphan disease 936:Ernest Beutler 932: 929: 891: 888: 855: 852: 825:deoxyadenosine 782: 781: 770: 769: 767: 766: 763: 761: 758: 750: 749: 748: 745: 744: 742: 741: 738: 730: 729: 728: 725: 724: 722: 721: 713: 711: 703: 702: 696: 690: 689: 686: 680: 671: 665: 660: 654: 653: 649: 648: 638: 630: 629: 627: 626: 613: 611: 598: 597: 595: 594: 586: 584: 578: 577: 575: 574: 566: 564: 558: 557: 555: 554: 546: 544: 538: 537: 535: 534: 526: 524: 518: 517: 515: 514: 506: 504: 498: 497: 495: 494: 486: 484: 478: 477: 475: 474: 466: 464: 458: 457: 455: 454: 446: 444: 433: 432: 430: 429: 421: 419: 413: 412: 410: 409: 406: 398: 397: 396: 393: 392: 388: 387: 384: 378: 377: 373: 364: 363: 349: 343: 342: 339: 333: 332: 327:); 37 to 51% ( 321: 315: 314: 307: 306: 304: 303: 294: 279: 266: 255: 241: 239: 233: 232: 228: 227: 225: 224: 188: 186: 180: 179: 165: 163:administration 157: 156: 154: 153: 151: 141: 139: 131: 130: 128: 127: 109: 107: 101: 100: 93: 87: 86: 79: 69: 68: 65: 61: 60: 57: 51: 50: 46: 45: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 7364: 7353: 7350: 7348: 7345: 7343: 7340: 7338: 7335: 7333: 7330: 7328: 7325: 7323: 7320: 7319: 7317: 7307: 7297: 7293: 7280: 7277: 7275: 7272: 7270: 7269:Tildrakizumab 7267: 7265: 7262: 7260: 7257: 7255: 7252: 7250: 7247: 7245: 7242: 7240: 7237: 7235: 7232: 7230: 7227: 7225: 7222: 7220: 7217: 7215: 7212: 7210: 7207: 7205: 7202: 7200: 7199:Pegcetacoplan 7197: 7195: 7192: 7190: 7187: 7185: 7182: 7180: 7177: 7175: 7172: 7170: 7167: 7165: 7162: 7160: 7157: 7155: 7152: 7150: 7147: 7145: 7142: 7139: 7135: 7132: 7130: 7127: 7125: 7122: 7120: 7117: 7115: 7112: 7110: 7109:Darvadstrocel 7107: 7105: 7102: 7100: 7097: 7095: 7092: 7090: 7087: 7085: 7082: 7080: 7077: 7075: 7072: 7070: 7067: 7065: 7062: 7061: 7059: 7055: 7045: 7042: 7040: 7037: 7035: 7032: 7028: 7025: 7023: 7020: 7019: 7018: 7017: 7016:TNF inhibitor 7013: 7009: 7006: 7004: 7001: 7000: 6999: 6998: 6994: 6993: 6991: 6988: 6983: 6973: 6970: 6968: 6965: 6964: 6962: 6960: 6956: 6946: 6943: 6941: 6938: 6936: 6933: 6931: 6928: 6926: 6923: 6921: 6918: 6916: 6913: 6911: 6908: 6906: 6903: 6901: 6898: 6896: 6893: 6891: 6888: 6886: 6883: 6881: 6878: 6876: 6873: 6871: 6868: 6866: 6863: 6861: 6858: 6856: 6853: 6851: 6848: 6847: 6845: 6841: 6834: 6830: 6829: 6825: 6824: 6819: 6816: 6814: 6811: 6809: 6806: 6805: 6804: 6803: 6799: 6798: 6793: 6790: 6789: 6788: 6787: 6783: 6779: 6776: 6775: 6774: 6773: 6769: 6765: 6762: 6760: 6757: 6756: 6755: 6754: 6750: 6746: 6743: 6741: 6738: 6736: 6733: 6732: 6731: 6730: 6726: 6722: 6719: 6718: 6717: 6714: 6713: 6708: 6705: 6703: 6700: 6699: 6698: 6697: 6693: 6689: 6686: 6685: 6684: 6683: 6682:CD147/Basigin 6679: 6675: 6672: 6671: 6670: 6669: 6665: 6661: 6658: 6657: 6656: 6655: 6651: 6647: 6644: 6642: 6639: 6638: 6637: 6636: 6632: 6628: 6625: 6623: 6620: 6619: 6618: 6617: 6613: 6609: 6606: 6604: 6601: 6599: 6596: 6593: 6589: 6586: 6584: 6581: 6580: 6579: 6578: 6574: 6570: 6567: 6566: 6565: 6564: 6560: 6556: 6553: 6552: 6551: 6550: 6546: 6542: 6539: 6537: 6534: 6532: 6529: 6528: 6527: 6526: 6522: 6518: 6515: 6513: 6510: 6508: 6505: 6503: 6502:Muromonab-CD3 6500: 6499: 6498: 6497: 6493: 6492: 6490: 6484: 6476: 6473: 6472: 6471: 6470: 6466: 6465: 6460: 6457: 6455: 6452: 6451: 6450: 6449: 6445: 6441: 6437: 6436: 6431: 6428: 6427: 6426: 6425: 6421: 6420: 6415: 6412: 6411: 6410: 6409: 6405: 6404: 6399: 6396: 6395: 6394: 6393: 6389: 6388: 6383: 6380: 6379: 6378: 6377: 6376:Interleukin 5 6373: 6372: 6367: 6364: 6362: 6359: 6357: 6356:Tildrakizumab 6354: 6352: 6349: 6347: 6344: 6342: 6339: 6337: 6334: 6332: 6329: 6327: 6324: 6322: 6319: 6317: 6314: 6312: 6309: 6307: 6304: 6302: 6299: 6297: 6294: 6292: 6289: 6287: 6284: 6282: 6279: 6277: 6274: 6272: 6269: 6267: 6264: 6262: 6259: 6258: 6257: 6256: 6252: 6251: 6246: 6243: 6241: 6238: 6236: 6233: 6231: 6228: 6226: 6223: 6221: 6218: 6217: 6216: 6215: 6211: 6210: 6205: 6202: 6201: 6200: 6199: 6195: 6194: 6192: 6190:(noncellular) 6186: 6183: 6181: 6177: 6174: 6172: 6168: 6165: 6163:Extracellular 6161: 6151: 6148: 6146: 6143: 6141: 6138: 6136: 6133: 6131: 6130:Ridaforolimus 6128: 6126: 6123: 6122: 6120: 6118: 6114: 6108: 6105: 6104: 6102: 6100: 6096: 6093: 6089:Intracellular 6087: 6075: 6072: 6071: 6070: 6069: 6065: 6063: 6060: 6058: 6055: 6053: 6050: 6049: 6047: 6045: 6041: 6035: 6032: 6030: 6027: 6026: 6021: 6018: 6016: 6013: 6011: 6008: 6006: 6003: 6002: 6001: 6000: 5996: 5992: 5988: 5987: 5985: 5982: 5976: 5972: 5964: 5961: 5960: 5959: 5958: 5954: 5953: 5948: 5947:Teriflunomide 5945: 5943: 5940: 5939: 5937: 5936: 5932: 5931: 5926: 5923: 5921: 5918: 5917: 5916: 5915: 5911: 5910: 5908: 5906: 5902: 5899: 5895:Intracellular 5893: 5888: 5884: 5880: 5873: 5868: 5866: 5861: 5859: 5854: 5853: 5850: 5834: 5832: 5829: 5828: 5826: 5823: 5820: 5817: 5815: 5812: 5811: 5807: 5797: 5794: 5792: 5789: 5787: 5784: 5782: 5779: 5777: 5774: 5772: 5769: 5767: 5764: 5762: 5759: 5757: 5754: 5752: 5749: 5747: 5744: 5742: 5739: 5737: 5734: 5732: 5729: 5727: 5724: 5722: 5719: 5716: 5713: 5711: 5707: 5706: 5702: 5700: 5699:Tabelecleucel 5697: 5695: 5692: 5690: 5687: 5685: 5682: 5680: 5677: 5675: 5672: 5670: 5667: 5665: 5662: 5660: 5659:Lurbinectedin 5657: 5655: 5652: 5650: 5647: 5645: 5642: 5640: 5637: 5635: 5632: 5630: 5627: 5625: 5622: 5620: 5617: 5615: 5612: 5610: 5607: 5605: 5602: 5600: 5597: 5595: 5592: 5590: 5587: 5585: 5582: 5580: 5577: 5575: 5572: 5570: 5567: 5565: 5562: 5560: 5557: 5555: 5552: 5550: 5547: 5545: 5542: 5539: 5535: 5531: 5530: 5526: 5524: 5521: 5519: 5516: 5514: 5511: 5510: 5508: 5504: 5497: 5493: 5492: 5488: 5485: 5481: 5480: 5476: 5473: 5469: 5468: 5464: 5463: 5461: 5459: 5455: 5448: 5445: 5443: 5440: 5438: 5435: 5433: 5430: 5428: 5424: 5422: 5418: 5415: 5412: 5410: 5407: 5405: 5402: 5400: 5397: 5395: 5391: 5390: 5386: 5383: 5380: 5378: 5375: 5373: 5370: 5367: 5365: 5361: 5360: 5356: 5353: 5349: 5348: 5344: 5341: 5337: 5336: 5332: 5329: 5325: 5324: 5320: 5316: 5313: 5311: 5308: 5306: 5303: 5301: 5298: 5297: 5296: 5295: 5291: 5288: 5285: 5283: 5280: 5278: 5275: 5273: 5270: 5268: 5264: 5263: 5260: 5256: 5253: 5249: 5248: 5244: 5243: 5241: 5239: 5235: 5232: 5228: 5221: 5218: 5216: 5213: 5211: 5208: 5206: 5202: 5201: 5197: 5195: 5192: 5190: 5187: 5185: 5182: 5180: 5177: 5176: 5174: 5172: 5168: 5164: 5149: 5146: 5144: 5141: 5139: 5136: 5134: 5130: 5127: 5126: 5124: 5122: 5121:Intercalation 5118: 5111: 5108: 5106: 5103: 5101: 5097: 5096: 5092: 5090: 5087: 5085: 5082: 5080: 5077: 5074: 5070: 5069: 5065: 5063: 5060: 5059: 5057: 5055: 5051: 5045: 5042: 5040: 5037: 5035: 5032: 5030: 5029:Dicycloplatin 5027: 5025: 5022: 5020: 5017: 5016: 5014: 5012: 5008: 5002: 4999: 4997: 4994: 4992: 4989: 4987: 4984: 4982: 4978: 4977: 4973: 4970: 4968: 4964: 4961: 4959: 4955: 4954: 4951: 4948: 4946: 4943: 4941: 4938: 4935: 4931: 4928: 4926: 4923: 4921: 4918: 4916: 4912: 4911: 4908: 4905: 4903: 4902:Prednimustine 4900: 4897: 4893: 4890: 4888: 4885: 4882: 4879: 4877: 4873: 4870: 4868: 4865: 4863: 4860: 4858: 4854: 4853: 4851: 4849: 4845: 4842: 4839: 4834: 4830: 4820: 4817: 4815: 4812: 4810: 4807: 4805: 4802: 4799: 4796: 4794: 4791: 4789: 4785: 4784: 4780: 4777: 4774: 4772: 4769: 4767: 4764: 4762: 4759: 4757: 4754: 4752: 4749: 4746: 4742: 4739: 4737: 4734: 4732: 4728: 4727: 4723: 4722: 4720: 4718: 4717:Intercalation 4714: 4710: 4703: 4700: 4698: 4694: 4693: 4689: 4688: 4686: 4684: 4680: 4673: 4670: 4668: 4665: 4663: 4660: 4658: 4655: 4653: 4650: 4648: 4645: 4643: 4640: 4638: 4635: 4633: 4630: 4628: 4625: 4623: 4619: 4618: 4614: 4613: 4611: 4609: 4605: 4602: 4599: 4594: 4590: 4579: 4575: 4574: 4570: 4569: 4567: 4565: 4561: 4554: 4551: 4549: 4545: 4544: 4540: 4539: 4535: 4531: 4530: 4526: 4525: 4521: 4520:+daunorubicin 4518: 4514: 4513: 4509: 4508: 4504: 4500: 4497: 4495: 4492: 4490: 4487: 4485: 4484:Doxifluridine 4482: 4480: 4477: 4475: 4471: 4470: 4466: 4465: 4463: 4461: 4457: 4450: 4447: 4445: 4441: 4440: 4436: 4434: 4433:Rabacfosadine 4431: 4429: 4426: 4423: 4420: 4418: 4415: 4413: 4409: 4408: 4404: 4400: 4399: 4395: 4391: 4390: 4386: 4385: 4383: 4381: 4377: 4370: 4367: 4365: 4361: 4360: 4356: 4353: 4350: 4348: 4345: 4343: 4340: 4338: 4334: 4333: 4329: 4328: 4326: 4324: 4320: 4317: 4314: 4309: 4303: 4300: 4296: 4292: 4281: 4277: 4276: 4272: 4269: 4266: 4264: 4261: 4259: 4256: 4254: 4251: 4249: 4246: 4244: 4240: 4239: 4235: 4234: 4232: 4228: 4221: 4218: 4216: 4213: 4211: 4208: 4206: 4203: 4201: 4197: 4196: 4192: 4191: 4189: 4186: 4181: 4178: 4175: 4170: 4166: 4162: 4157: 4153: 4149: 4141: 4136: 4134: 4129: 4127: 4122: 4121: 4118: 4106: 4103: 4101: 4098: 4097: 4095: 4091: 4085: 4082: 4080: 4077: 4075: 4072: 4070: 4067: 4065: 4062: 4060: 4057: 4055: 4054:Levothyroxine 4052: 4050: 4047: 4045: 4042: 4040: 4037: 4035: 4032: 4030: 4027: 4025: 4022: 4020: 4017: 4015: 4012: 4011: 4009: 4005: 4001: 3994: 3989: 3987: 3982: 3980: 3975: 3974: 3971: 3959: 3956: 3954: 3951: 3949: 3946: 3944: 3941: 3940: 3938: 3934: 3924: 3921: 3919: 3916: 3914: 3911: 3910: 3908: 3904: 3898: 3895: 3893: 3890: 3888: 3885: 3883: 3880: 3878: 3875: 3873: 3870: 3868: 3865: 3863: 3860: 3858: 3855: 3854: 3852: 3850: 3846: 3840: 3837: 3835: 3832: 3830: 3827: 3825: 3822: 3820: 3817: 3815: 3812: 3810: 3807: 3806: 3804: 3802: 3798: 3792: 3789: 3787: 3784: 3782: 3779: 3777: 3774: 3772: 3769: 3768: 3766: 3764: 3760: 3757: 3753: 3747: 3744: 3740: 3737: 3736: 3734: 3733: 3731: 3727: 3721: 3720:Teriflunomide 3718: 3716: 3713: 3711: 3708: 3706: 3703: 3700: 3696: 3693: 3691: 3688: 3686: 3683: 3681: 3678: 3676: 3673: 3671: 3668: 3666: 3663: 3661: 3658: 3656: 3653: 3651: 3648: 3646: 3643: 3641: 3638: 3636: 3633: 3631: 3628: 3627: 3625: 3621: 3615: 3612: 3608: 3605: 3603: 3600: 3598: 3595: 3594: 3593:Radiological 3592: 3588: 3585: 3584: 3582: 3578: 3575: 3573: 3570: 3569: 3567: 3566: 3563: 3560: 3556: 3553: 3552: 3551: 3548: 3547: 3545: 3541: 3535: 3532: 3530: 3527: 3525: 3522: 3520: 3517: 3515: 3512: 3510: 3507: 3505: 3502: 3500: 3497: 3495: 3492: 3490: 3487: 3485: 3482: 3481: 3479: 3477: 3473: 3469: 3461: 3456: 3454: 3449: 3447: 3442: 3441: 3438: 3427: 3421: 3413: 3409: 3404: 3399: 3395: 3391: 3387: 3383: 3379: 3372: 3369: 3364: 3357: 3354: 3349: 3343: 3335: 3331: 3327: 3323: 3318: 3313: 3309: 3305: 3301: 3294: 3292: 3290: 3286: 3281: 3275: 3267: 3263: 3258: 3253: 3249: 3245: 3241: 3237: 3233: 3226: 3223: 3218: 3212: 3204: 3200: 3196: 3192: 3188: 3184: 3176: 3173: 3168: 3162: 3154: 3150: 3145: 3140: 3136: 3132: 3128: 3124: 3120: 3113: 3110: 3105: 3099: 3083: 3079: 3075: 3068: 3065: 3060: 3052: 3049: 3044: 3038: 3030: 3026: 3022: 3018: 3013: 3008: 3004: 3000: 2996: 2989: 2987: 2983: 2978: 2971: 2968: 2963: 2957: 2949: 2945: 2941: 2937: 2933: 2929: 2925: 2921: 2914: 2911: 2906: 2900: 2892: 2888: 2884: 2880: 2876: 2872: 2868: 2864: 2856: 2854: 2850: 2845: 2839: 2831: 2827: 2822: 2817: 2813: 2809: 2805: 2798: 2795: 2790: 2784: 2776: 2772: 2768: 2764: 2759: 2754: 2750: 2746: 2742: 2735: 2733: 2731: 2727: 2722: 2718: 2713: 2708: 2704: 2700: 2696: 2692: 2688: 2681: 2678: 2673: 2669: 2665: 2661: 2657: 2653: 2649: 2645: 2638: 2635: 2630: 2626: 2621: 2616: 2612: 2608: 2604: 2600: 2596: 2589: 2586: 2581: 2577: 2571: 2568: 2556: 2552: 2545: 2542: 2537: 2533: 2527: 2524: 2519: 2515: 2509: 2506: 2501: 2495: 2487: 2483: 2478: 2473: 2469: 2465: 2461: 2457: 2453: 2446: 2443: 2438: 2431: 2429: 2425: 2421: 2406: 2402: 2395: 2389: 2387: 2385: 2381: 2376: 2372: 2365: 2362: 2349: 2345: 2341: 2335: 2332: 2327: 2323: 2316: 2313: 2308: 2304: 2297: 2294: 2289: 2283: 2280: 2275: 2271: 2264: 2262: 2258: 2242: 2238: 2231: 2225: 2222: 2206: 2202: 2195: 2189: 2187: 2183: 2178: 2174: 2170: 2163: 2160: 2155: 2148: 2141: 2138: 2133: 2129: 2124: 2119: 2115: 2111: 2107: 2103: 2099: 2092: 2089: 2084: 2080: 2075: 2070: 2066: 2062: 2058: 2054: 2050: 2043: 2040: 2035: 2029: 2021: 2017: 2012: 2007: 2003: 1999: 1995: 1991: 1987: 1980: 1978: 1976: 1972: 1967: 1961: 1953: 1949: 1945: 1941: 1937: 1933: 1926: 1923: 1918: 1914: 1910: 1906: 1902: 1898: 1894: 1890: 1883: 1881: 1877: 1872: 1868: 1863: 1858: 1853: 1848: 1844: 1840: 1836: 1829: 1826: 1821: 1817: 1812: 1807: 1803: 1799: 1795: 1791: 1787: 1780: 1778: 1774: 1770: 1766: 1762: 1757: 1752: 1748: 1744: 1740: 1733: 1730: 1725: 1721: 1717: 1711: 1708: 1695: 1691: 1685: 1683: 1681: 1679: 1675: 1669: 1664: 1660: 1656: 1650: 1647: 1642: 1638: 1633: 1628: 1624: 1620: 1616: 1612: 1608: 1601: 1598: 1593: 1589: 1585: 1581: 1577: 1573: 1569: 1565: 1558: 1556: 1554: 1552: 1550: 1548: 1544: 1539: 1532: 1526: 1524: 1522: 1520: 1518: 1516: 1514: 1512: 1510: 1508: 1506: 1504: 1502: 1498: 1485: 1481: 1477: 1471: 1469: 1465: 1452: 1448: 1444: 1438: 1435: 1430: 1426: 1421: 1416: 1412: 1408: 1404: 1400: 1396: 1389: 1387: 1385: 1383: 1381: 1379: 1377: 1375: 1373: 1371: 1367: 1354: 1347: 1341: 1339: 1337: 1335: 1331: 1326: 1322: 1318: 1314: 1310: 1306: 1302: 1298: 1291: 1288: 1275: 1271: 1265: 1262: 1249: 1248: 1247:Health Canada 1243: 1237: 1234: 1222: 1218: 1214: 1208: 1205: 1192: 1188: 1182: 1179: 1172: 1170: 1168: 1164: 1156: 1154: 1152: 1146: 1143: 1139: 1135: 1133: 1128: 1120: 1118: 1114: 1110: 1106: 1102: 1100: 1091: 1089: 1085: 1082: 1079: 1078:herpes zoster 1074: 1070: 1067: 1062: 1055: 1053: 1049: 1045: 1041: 1039: 1035: 1030: 1028: 1025:in 2006, and 1024: 1019: 1012: 1010: 1008: 1004: 1000: 996: 992: 988: 984: 980: 972: 970: 967: 965: 961: 957: 952: 950: 945: 941: 937: 930: 928: 924: 920: 916: 912: 910: 906: 900: 896: 889: 887: 885: 880: 878: 872: 870: 866: 862: 861:histiocytosis 853: 851: 849: 846:It is on the 844: 842: 838: 834: 830: 826: 823: 819: 815: 810: 808: 804: 800: 796: 792: 788: 778: 771: 762: 757: 753: 746: 737: 733: 726: 719: 715: 714: 712: 709: 704: 697: 695: 691: 661: 659: 655: 650: 646: 642: 639: 637: 635:ECHA InfoCard 631: 623: 619: 618:DTXSID8022828 615: 614: 612: 603: 599: 592: 588: 587: 585: 583: 579: 572: 568: 567: 565: 563: 559: 552: 548: 547: 545: 543: 539: 532: 528: 527: 525: 523: 519: 512: 508: 507: 505: 503: 499: 492: 488: 487: 485: 483: 479: 472: 468: 467: 465: 463: 459: 452: 448: 447: 445: 438: 434: 427: 423: 422: 420: 418: 414: 405: 401: 394: 389: 385: 383: 379: 374: 372: 365: 361: 357: 354: 353:intracellular 350: 348: 344: 340: 338: 334: 330: 326: 322: 320: 316: 312: 308: 302: Rx-only 295: 292: 280: 277: 267: 265: 256: 253: 243: 242: 240: 238: 234: 229: 222: 218: 213: 208: 203: 198: 193: 190: 189: 187: 185: 181: 177: 173: 169: 166: 164: 158: 152: 143: 142: 140: 138: 132: 125: 120: 111: 110: 108: 106: 102: 98: 94: 92: 88: 84: 80: 78: 74: 70: 66: 62: 58: 56: 52: 49:Clinical data 47: 43: 38: 30: 19: 7322:Orphan drugs 7279:Upadacitinib 7239:Satralizumab 7224:Ritlecitinib 7219:Risankizumab 7014: 6995: 6935:Teprotumumab 6885:Inebilizumab 6880:Fontolizumab 6860:Atorolimumab 6828:T-lymphocyte 6826: 6800: 6784: 6770: 6751: 6740:Lerdelimumab 6735:Bertilimumab 6727: 6715: 6694: 6680: 6666: 6652: 6633: 6614: 6598:Pascolizumab 6583:Obinutuzumab 6575: 6561: 6547: 6531:Clenoliximab 6523: 6507:Otelixizumab 6494: 6467: 6454:Lebrikizumab 6438: 6422: 6406: 6390: 6374: 6331:Satralizumab 6321:Risankizumab 6253: 6212: 6196: 6188:Serum target 6140:Temsirolimus 6066: 6057:Pomalidomide 6052:Lenalidomide 6010:Pimecrolimus 5989: 5963:Methotrexate 5955: 5933: 5920:Azathioprine 5912: 5897:(initiation) 5746:Tazemetostat 5710:Alitretinoin 5703: 5614:Estramustine 5594:Elsamitrucin 5584:Eflornithine 5538:Pegaspargase 5534:Asparaginase 5527: 5496:Testolactone 5489: 5477: 5465: 5419: 5404:Panobinostat 5387: 5357: 5345: 5333: 5321: 5292: 5257: 5245: 5198: 5194:Padeliporfin 5133:Dactinomycin 5129:Streptomyces 5110:Temozolomide 5105:Mitozolomide 5093: 5084:Mitobronitol 5073:Procarbazine 5066: 5054:Nonclassical 4979: 4956: 4950:Streptozocin 4915:Nitrosoureas 4913: 4887:Chlorambucil 4881:Trofosfamide 4867:Chlormethine 4862:Bendamustine 4855: 4793:Mitoxantrone 4788:Losoxantrone 4781: 4741:Daunorubicin 4724: 4690: 4627:Camptothecin 4615: 4571: 4541: 4527: 4510: 4494:Fluorouracil 4474:Capecitabine 4467: 4437: 4411: 4401: 4387: 4357: 4352:Pralatrexate 4342:Methotrexate 4330: 4273: 4236: 4193: 4069:Mitoxantrone 4028: 4000:Merck Serono 3801:Inflammatory 3680:Mitoxantrone 3639: 3514:Incontinence 3420:cite journal 3385: 3381: 3371: 3362: 3356: 3342:cite journal 3307: 3303: 3274:cite journal 3239: 3235: 3225: 3211:cite journal 3189:(1): 49–54. 3186: 3182: 3175: 3161:cite journal 3126: 3122: 3112: 3098:cite journal 3086:. Retrieved 3082:the original 3077: 3067: 3058: 3051: 3037:cite journal 3002: 2998: 2976: 2970: 2956:cite journal 2923: 2919: 2913: 2899:cite journal 2866: 2862: 2838:cite journal 2811: 2807: 2797: 2783:cite journal 2748: 2744: 2694: 2690: 2680: 2647: 2643: 2637: 2602: 2598: 2588: 2579: 2570: 2558:. Retrieved 2554: 2544: 2536:PR News Wire 2535: 2526: 2517: 2508: 2494:cite journal 2459: 2455: 2445: 2419: 2412:. Retrieved 2405:the original 2400: 2374: 2364: 2352:. Retrieved 2348:the original 2343: 2334: 2325: 2315: 2306: 2296: 2282: 2273: 2248:. Retrieved 2241:the original 2236: 2224: 2212:. Retrieved 2205:the original 2200: 2177:the original 2172: 2162: 2153: 2140: 2105: 2101: 2091: 2056: 2053:eBioMedicine 2052: 2042: 2028:cite journal 1993: 1989: 1960:cite journal 1935: 1931: 1925: 1892: 1888: 1842: 1838: 1828: 1793: 1789: 1768: 1746: 1742: 1732: 1724:the original 1719: 1710: 1698:. Retrieved 1693: 1668:10665/371090 1658: 1649: 1614: 1610: 1600: 1570:(1): 28–35. 1567: 1563: 1537: 1488:. Retrieved 1484:the original 1479: 1455:. Retrieved 1451:the original 1446: 1437: 1402: 1398: 1357:. Retrieved 1352: 1300: 1296: 1290: 1278:. Retrieved 1273: 1264: 1252:. Retrieved 1250:. 9 May 2018 1245: 1236: 1224:. Retrieved 1216: 1207: 1195:. Retrieved 1190: 1187:"Cladribine" 1181: 1160: 1147: 1140: 1136: 1124: 1115: 1111: 1107: 1103: 1098: 1095: 1086: 1083: 1075: 1071: 1063: 1059: 1050: 1046: 1042: 1034:cyclodextrin 1031: 1020: 1016: 995:septic shock 976: 968: 953: 942:had studied 934: 925: 921: 917: 913: 909:cytochrome c 901: 897: 893: 881: 873: 863:, including 857: 854:Medical uses 845: 811: 802: 790: 786: 785: 774:   571:CHEBI:567361 368:Elimination 359: 237:Legal status 231:Legal status 172:subcutaneous 105:License data 29: 7274:Tofacitinib 7214:Ravulizumab 7204:Pirfenidone 7194:Peficitinib 7094:Canakinumab 7084:Briakinumab 7074:Bimekizumab 7069:Baricitinib 7034:Aflibercept 6945:Vepalimomab 6940:Vapaliximab 6915:Rovelizumab 6905:Pexelizumab 6895:Morolimumab 6870:Cedelizumab 6855:Anifrolumab 6850:Alemtuzumab 6808:Basiliximab 6778:Tocilizumab 6764:Vedolizumab 6759:Natalizumab 6745:Metelimumab 6688:Gavilimomab 6646:Toralizumab 6641:Teneliximab 6627:Lumiliximab 6622:Gomiliximab 6608:Ublituximab 6588:Ocrelizumab 6541:Zanolimumab 6517:Visilizumab 6475:Secukinumab 6459:Ustekinumab 6430:Elsilimomab 6414:Faralimomab 6382:Mepolizumab 6366:Ustekinumab 6361:Tocilizumab 6336:Secukinumab 6286:Canakinumab 6276:Briakinumab 6271:Bimekizumab 6266:Basiliximab 6255:Interleukin 6245:Nerelimomab 6150:Zotarolimus 6091:(reception) 6062:Thalidomide 6020:Voclosporin 6005:Ciclosporin 5999:Calcineurin 5995:Cyclophilin 5942:Leflunomide 5938:inhibitors 5821:from market 5791:Vorasidenib 5771:Trabectedin 5756:Tiazofurine 5751:Tebentafusp 5736:Tagraxofusp 5694:Plitidepsin 5664:Mitoguazone 5604:Epacadostat 5574:Demecolcine 5518:Aflibercept 5491:Sex steroid 5364:Fuzuloparib 5305:Carfilzomib 5277:Palbociclib 5267:Abemaciclib 5220:Verteporfin 5184:Efaproxiral 5100:Dacarbazine 5062:Altretamine 5044:Satraplatin 5039:Oxaliplatin 5019:Carboplatin 4996:Triaziquone 4967:Mannosulfan 4945:Ranimustine 4925:Fotemustine 4766:Pirarubicin 4751:Doxorubicin 4745:+cytarabine 4731:Aclarubicin 4692:Podophyllum 4617:Camptotheca 4548:Azacitidine 4534:Gemcitabine 4489:Floxuridine 4422:Fludarabine 4417:Clofarabine 4403:Halogenated 4394:Pentostatin 4369:Raltitrexed 4337:Aminopterin 4280:Ixabepilone 4275:Epothilones 4243:Cabazitaxel 4220:Vinorelbine 4205:Vincristine 4200:Vinblastine 4185:microtubule 4100:Merck Group 3695:Ocrelizumab 3690:Natalizumab 3635:Alemtuzumab 3310:: 157–167. 3005:: 168–174. 2697:(4): e360. 2462:(6): e158. 2108:(4): e360. 1845:: 1654754. 1359:27 November 1132:lymphopenia 983:neutrophils 964:orphan drug 814:lymphocytes 701: g·mol 641:100.164.726 391:Identifiers 351:Mostly via 168:Intravenous 91:MedlinePlus 64:Other names 55:Trade names 7316:Categories 7264:Sutimlimab 7259:Spesolimab 7244:Siltuximab 7184:Olokizumab 7174:Ixekizumab 7169:Itacitinib 7159:Guselkumab 7154:Fingolimod 7149:Filgotinib 7099:Crovalimab 7089:Brodalumab 7079:Blisibimod 7044:Rilonacept 7027:Opinercept 7022:Etanercept 7008:Belatacept 6959:Polyclonal 6920:Siplizumab 6910:Reslizumab 6900:Ofatumumab 6890:Maslimomab 6875:Emapalumab 6818:Inolimomab 6813:Daclizumab 6792:Odulimomab 6707:Ruplizumab 6702:Frexalimab 6660:Aselizumab 6555:Efalizumab 6512:Teplizumab 6408:Interferon 6398:Omalizumab 6351:Spesolimab 6341:Siltuximab 6316:Rilonacept 6311:Olokizumab 6301:Ixekizumab 6296:Guselkumab 6291:Daclizumab 6281:Brodalumab 6240:Infliximab 6225:Afelimomab 6220:Adalimumab 6204:Eculizumab 6180:Monoclonal 6171:Antibodies 6145:Umirolimus 6125:Everolimus 6074:Apremilast 6034:Gusperimus 6015:Tacrolimus 5983:inhibitors 5975:Macrolides 5957:antifolate 5786:Verdinexor 5781:Venetoclax 5684:Oblimersen 5679:Navitoclax 5654:Lucanthone 5649:Lonidamine 5639:Lifileucel 5634:Ivosidenib 5629:Imetelstat 5599:Enasidenib 5589:Elesclomol 5554:Bexarotene 5549:Belzutifan 5484:Bexarotene 5472:Atrasentan 5447:Umbralisib 5442:Idelalisib 5432:Copanlisib 5414:Vorinostat 5409:Romidepsin 5399:Entinostat 5394:Belinostat 5352:Masoprocol 5340:Tiazofurin 5328:Anagrelide 5300:Bortezomib 5287:Seliciclib 5282:Ribociclib 5262:inhibitors 5252:Tipifarnib 5215:Temoporfin 5210:Talaporfin 5148:Plicamycin 5143:Mitomycins 5089:Pipobroman 5068:Hydrazines 5034:Nedaplatin 4986:Carboquone 4981:Aziridines 4972:Treosulfan 4920:Carmustine 4907:Uramustine 4876:Ifosfamide 4848:Alkylating 4809:Bisantrene 4798:Pixantrone 4771:Valrubicin 4761:Idarubicin 4756:Epirubicin 4702:Teniposide 4657:Lurtotecan 4652:Irinotecan 4553:Decitabine 4517:Cytarabine 4460:Pyrimidine 4449:Tioguanine 4439:Thiopurine 4428:Nelarabine 4412:Cladribine 4364:Pemetrexed 4347:Pemetrexed 4323:Folic acid 4263:Paclitaxel 4215:Vinflunine 4034:Efalizumab 4029:Cladribine 4019:Bisoprolol 3849:Hereditary 3763:Autoimmune 3739:Daclizumab 3675:Laquinimod 3655:Fingolimod 3640:Cladribine 3614:Frexalimab 3499:Dysarthria 3489:Depression 1938:(1): 1–8. 1226:22 October 1173:References 1151:malignancy 1027:Merck KGaA 822:nucleoside 787:Cladribine 706:3D model ( 694:Molar mass 591:ChEMBL1619 531:47M74X9YT5 502:ChemSpider 462:IUPHAR/BPS 417:CAS Number 400:IUPAC name 347:Metabolism 202:parenteral 174:(liquid), 124:Cladribine 34:Cladribine 7254:Sirukumab 7249:Siponimod 7234:Sarilumab 7209:Ponesimod 7179:Netakimab 7164:Iptacopan 7144:Etrasimod 7104:Danicopan 7039:Alefacept 7003:Abatacept 6925:Talizumab 6865:Begelomab 6721:Belimumab 6674:Galiximab 6603:Rituximab 6569:Erlizumab 6536:Keliximab 6346:Sirukumab 6326:Sarilumab 6306:Netakimab 6235:Golimumab 6135:Sirolimus 5831:Phase III 5819:Withdrawn 5796:Vosaroxin 5776:Veliparib 5731:Sotorasib 5721:Selinexor 5715:Tretinoin 5705:Retinoids 5619:Glasdegib 5564:Celecoxib 5513:Adagrasib 5437:Duvelisib 5427:Alpelisib 5382:Rucaparib 5369:Niraparib 5310:Oprozomib 5272:Alvocidib 5138:Bleomycin 5095:Triazenes 5079:Etoglucid 5024:Cisplatin 4940:Nimustine 4934:Semustine 4930:Lomustine 4892:Melphalan 4819:Menogaril 4814:Crisnatol 4804:Amsacrine 4776:Zorubicin 4736:Amrubicin 4697:Etoposide 4672:Topotecan 4667:Silatecan 4662:Rubitecan 4647:Gimatecan 4632:Cositecan 4622:Belotecan 4298:inhibitor 4268:Tesetaxel 4258:Ortataxel 4253:Larotaxel 4248:Docetaxel 4210:Vindesine 4064:Metformin 4024:Cetuximab 3715:Siponimod 3710:Ponesimod 3568:Clinical 3519:Nystagmus 3504:Dysphagia 2560:22 August 2456:Neurology 2414:21 August 2354:21 August 2250:21 August 2214:21 August 2102:Neurology 2059:: 41–50. 1917:207508023 1490:19 August 1280:26 August 1191:Drugs.com 1007:platelets 837:apoptosis 803:Mavenclad 791:Leustatin 426:4291-63-8 382:Excretion 370:half-life 161:Routes of 135:Pregnancy 83:Monograph 77:Drugs.com 7306:Medicine 7189:Ozanimod 7064:Avacopan 7057:Unsorted 6843:Unsorted 6753:Integrin 6486:Cellular 6261:Anakinra 6107:Anakinra 6029:Abetimus 5881: / 5669:Mitotane 5609:Eribulin 5377:Olaparib 5315:Ixazomib 4991:Thiotepa 4963:Busulfan 4642:Exatecan 4479:Carmofur 4187:assembly 4150: / 4079:Serostim 4014:Avelumab 4007:Products 3705:Ozanimod 3494:Diplopia 3412:26109102 3334:81873347 3326:30885374 3266:28140753 3203:25876451 3153:29716436 3029:83461539 3021:30885375 2940:23263473 2891:20149620 2883:21397565 2830:20089960 2767:28870107 2721:28626781 2664:29634596 2629:30944586 2486:26468472 2132:28626781 2083:28161400 2020:29550884 1952:27463204 1909:21463108 1871:32256946 1820:33247831 1765:26913480 1694:DailyMed 1657:(2023). 1641:24652320 1592:43201228 1584:21242742 1429:29168160 1325:32926069 1254:13 April 1157:Research 1099:Post-hoc 985:(called 777:(verify) 482:DrugBank 200:) ( 184:ATC code 178:(tablet) 176:by mouth 137:category 119:DailyMed 7332:Purines 6985:-cept ( 4598:S phase 4499:Tegafur 4313:S phase 4238:Taxanes 4174:M phase 4093:Related 3735:Former 3509:Fatigue 3403:4807901 3365:: A965. 3257:5818021 3144:6460686 3088:14 July 3078:Ectrims 3061:: 0542. 2977:Ectrims 2948:8934723 2775:1910070 2712:5459792 2672:4736668 2620:6440030 2549:Merck. 2477:4592538 2123:5459792 2074:5474520 2011:5937883 1862:7103043 1811:7708385 1700:4 March 1632:4198068 1420:5722776 1317:9068927 1197:4 March 1003:anaemic 658:Formula 491:DB00242 437:PubChem 386:Urinary 376:phases. 356:kinases 293:Rx-only 290:WARNING 262:: 209: ( 207:L04AA40 194: ( 192:L01BB04 150: D 121::  97:a693015 7292:Portal 6997:CTLA-4 6987:Fusion 6488:target 6469:IL-17A 6446:, and 5979:other 5814:WHO-EM 5423:(Pi3K) 4380:Purine 4183:Block 4105:Serono 4074:Saizen 3484:Ataxia 3410:  3400:  3332:  3324:  3264:  3254:  3201:  3151:  3141:  3027:  3019:  2979:: 549. 2946:  2938:  2889:  2881:  2828:  2773:  2765:  2719:  2709:  2670:  2662:  2627:  2617:  2484:  2474:  2130:  2120:  2081:  2071:  2018:  2008:  1950:  1915:  1907:  1869:  1859:  1818:  1808:  1763:  1639:  1629:  1590:  1582:  1457:1 July 1427:  1417:  1323:  1315:  981:, and 732:SMILES 699:285.69 582:ChEMBL 551:D01370 329:orally 323:100% ( 287: 274: 264:â„ž-only 250: 117:  6786:LFA-1 6696:CD154 6549:CD11a 6448:IL-23 6444:IL-13 6440:IL-12 6044:IMiDs 5335:IMPDI 5230:Other 3936:Other 3906:Other 3330:S2CID 3025:S2CID 2944:S2CID 2887:S2CID 2771:S2CID 2668:S2CID 2408:(PDF) 2397:(PDF) 2244:(PDF) 2233:(PDF) 2208:(PDF) 2197:(PDF) 2150:(PDF) 1913:S2CID 1790:Drugs 1588:S2CID 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