Etanercept

Highest phase reached
Drug type
First approval year

First approval year
Listing at source
Listed
Highest phase reached

Drug type
Drug name
Etanercept

  • benepali
  • Benepali
  • enbrel
  • Enbrel
  • erelzi
  • Erelzi
  • lifmior
  • Lifmior
  • nepexto
  • Nepexto

  • 1 235 tumor necrosis factor receptor human fusion protein with 236 467 immunoglobulin g1 human gamma 1 chain fc fragment dimer
  • 1-235-TUMOR NECROSIS FACTOR RECEPTOR (HUMAN) FUSION PROTEIN WITH 236-467-IMMUNOGLOBULIN G1 (HUMAN .GAMMA.1-CHAIN FC FRAGMENT), DIMER
  • 25mg etanercept
  • 50 mg etanercept
  • 50 mg Etanercept
  • 50mg etanercept
  • Benepali
  • chs 0214
  • Chs-0214
  • CHS-0214
  • davictrel
  • Davictrel
  • dwp 422
  • Dwp-422
  • Enbrel
  • Enbrel (Etanercept 25mg)
  • Enbrel (etanercept)
  • Enbrel (Etanercept)
  • ENBREL [PURPLE BOOK CDER]
  • enbrel purple book cder
  • Enbrel®
  • ENBREL®
  • Enbrel® (Etanercept)
  • enia 11
  • Enia-11

And 107 more, listed on the interactive page.

ATC classification codes
  • L04AB01
Sources for recorded values
CAS registry numbers
  • 185243-69-0
ChEMBL ID
CHEMBL1201572
FDA ingredient codes (UNII)
  • OP401G7OJC

  • 214555
  • 2462511

Applicant
IMMUNEX
Approval date
2 Nov 1998
Application number
BLA103795

Status
Authorised
Status date
2 Feb 2000
Authorisation date
2 Feb 2000
Approved indications
Rheumatoid arthritis Enbrel in combination with methotrexate is indicated for the treatment of moderate to severe active rheumatoid arthritis in adults when the response to disease-modifying antirheumatic drugs, including methotrexate (unless contraindicated), has been inadequate. Enbrel can be given as monotherapy in case of intolerance to methotrexate or when continued treatment with methotrexate is inappropriate. Enbrel is also indicated in the treatment of severe, active and progressive rheumatoid arthritis in adults not previously treated with methotrexate. Enbrel, alone or in combination with methotrexate, has been shown to reduce the rate of progression of joint damage as measured by X-ray and to improve physical function. Juvenile idiopathic arthritis Treatment of polyarthritis (rheumatoid-factor-positive or -negative) and extended oligoarthritis in children and adolescents from the age of two years who have had an inadequate response to, or who have proved intolerant of, methotrexate. Treatment of psoriatic arthritis in adolescents from the age of 12 years who have had an inadequate response to, or who have proved intolerant of, methotrexate. Treatment of enthesitis-related arthritis in adolescents from the age of 12 years who have had an inadequate response to, or who have proved intolerant of, conventional therapy. Enbrel has not been studied in children aged less than two years. Psoriatic arthritis Treatment of active and progressive psoriatic arthritis in adults when the response to previous disease-modifying antirheumatic drug therapy has been inadequate. Enbrel has been shown to improve physical function in patients with psoriatic arthritis, and to reduce the rate of progression of peripheral joint damage as measured by X-ray in patients with polyarticular symmetrical subtypes of the disease. Axial spondyloarthritis Ankylosing spondylitis (AS) Treatment of adults with severe active ankylosing spondylitis who have had an inadequate response to conventional therapy. Non-radiographic axial spondyloarthritis Treatment of adults with severe non-radiographic axial spondyloarthritis with objective signs of inflammation as indicated by elevated C-reactive protein (CRP) and/or magnetic resonance imaging (MRI) evidence, who have had an inadequate response to nonsteroidal anti-inflammatory drugs (NSAIDs). Plaque psoriasis Treatment of adults with moderate to severe plaque psoriasis who failed to respond to, or who have a contraindication to, or are intolerant to other systemic therapy, including ciclosporin, methotrexate or psoralen and ultraviolet-A light (PUVA). Paediatric plaque psoriasis Treatment of chronic severe plaque psoriasis in children and adolescents from the age of six years who are inadequately controlled by, or are intolerant to, other systemic therapies or phototherapies.
Product number
EMEA/H/C/000262
Authorisation holder
Pfizer Europe MA EEIG
Priority medicines scheme
No
Generic
No
Biosimilar
No
Generic medicines
0
Biosimilar medicines
4
Advanced therapy
No
Conditional approval
No
Additional monitoring
No
Accelerated assessment
No
Exceptional circumstances
No

Therapeutic areas

  • Arthritis, Juvenile Rheumatoid
  • Arthritis, Psoriatic
  • Arthritis, Rheumatoid
  • Psoriasis
  • Spondylitis, Ankylosing
European medicines record

Patents
0
Designations
4
Earliest recorded loss of exclusivity
27 May 2006
First in class
No
Fast track
Yes
Breakthrough designation
No
Orphan designation
No
Priority review
Yes
Orphan exclusivity
No
Accelerated approval
No
Availability
Prescription only
Boxed warning
Yes

Pharmacology name
etanercept
Type
Peptide
Drug name stem
-cept
Approval recorded by Guide to Pharmacology
Yes

Administration routes

  • Parenteral

  • Action
    Inhibition
    Action type
    Inhibitor
    Target
    tumour necrosis factor shed form
    Gene symbol
    tumour necrosis factor shed form
    Primary target
    Yes
  • Mechanism
    TNF-alpha inhibitor
    Action type
    Inhibitor
    Target
    Tumor necrosis factor
    Protein identifier
    P01375

Open Targets mechanisms

  • Mechanism
    TNF-alpha inhibitor
    Action type
    Inhibitor
    Target
    Tumor necrosis factor

  • Condition
    Leukemia, Lymphocytic, Chronic, B-Cell
    Highest recorded phase
    1
    Condition identifier
    EFO:0000095
    Subject identifier
    D015451
  • Condition
    Metabolic Syndrome
    Highest recorded phase
    2
    Condition identifier
    EFO:0000195
    Subject identifier
    D024821
  • Condition
    Myelodysplastic Syndromes
    Highest recorded phase
    1
    Condition identifier
    EFO:0000198
    Subject identifier
    D009190
  • Condition
    Pulmonary Disease, Chronic Obstructive
    Highest recorded phase
    2
    Condition identifier
    EFO:0000341
    Subject identifier
    D029424
  • Condition
    Dermatomyositis
    Highest recorded phase
    2
    Condition identifier
    EFO:0000398
    Subject identifier
    D003882
  • Condition
    Immune System Diseases
    Highest recorded phase
    4
    Condition identifier
    EFO:0000540
    Subject identifier
    D007154
  • Condition
    Leukemia
    Highest recorded phase
    2
    Condition identifier
    EFO:0000565
    Subject identifier
    D007938
  • Condition
    Neoplasms
    Highest recorded phase
    1
    Condition identifier
    EFO:0000616
    Subject identifier
    D009369
  • Condition
    Psoriasis
    Highest recorded phase
    4
    Condition identifier
    EFO:0000676
    Subject identifier
    D011565
  • Condition
    Arthritis, Rheumatoid
    Highest recorded phase
    4
    Condition identifier
    EFO:0000685
    Subject identifier
    D001172
  • Condition
    Sjogren's Syndrome
    Highest recorded phase
    2
    Condition identifier
    EFO:0000699
    Subject identifier
    D012859
  • Condition
    Spondylarthropathies
    Highest recorded phase
    4
    Condition identifier
    EFO:0000706
    Subject identifier
    D025242
  • Condition
    Subarachnoid Hemorrhage
    Highest recorded phase
    1
    Condition identifier
    EFO:0000713
    Subject identifier
    D013345
  • Condition
    HIV Infections
    Highest recorded phase
    1
    Condition identifier
    EFO:0000764
    Subject identifier
    D015658
  • Condition
    Arthritis, Juvenile
    Highest recorded phase
    4
    Condition identifier
    EFO:0002609
    Subject identifier
    D001171
  • Condition
    Reperfusion Injury
    Highest recorded phase
    2
    Condition identifier
    EFO:0002687
    Subject identifier
    D015427
  • Condition
    Pneumonia
    Highest recorded phase
    3
    Condition identifier
    EFO:0003106
    Subject identifier
    D011014
  • Condition
    Arthritis, Psoriatic
    Highest recorded phase
    4
    Condition identifier
    EFO:0003778
    Subject identifier
    D015535
  • Condition
    Lupus Erythematosus, Cutaneous
    Highest recorded phase
    2
    Condition identifier
    EFO:0003834
    Subject identifier
    D008178
  • Condition
    Renal Insufficiency, Chronic
    Highest recorded phase
    2
    Condition identifier
    EFO:0003884
    Subject identifier
    D051436
  • Condition
    Spondylitis, Ankylosing
    Highest recorded phase
    4
    Condition identifier
    EFO:0003898
    Subject identifier
    D013167
  • Condition
    Vitiligo
    Highest recorded phase
    2
    Condition identifier
    EFO:0004208
    Subject identifier
    D014820
  • Condition
    Mucocutaneous Lymph Node Syndrome
    Highest recorded phase
    2
    Condition identifier
    EFO:0004246
    Subject identifier
    D009080
  • Condition
    Stevens-Johnson Syndrome
    Highest recorded phase
    3
    Condition identifier
    EFO:0004276
    Subject identifier
    D013262
  • Condition
    Pemphigus
    Highest recorded phase
    2
    Condition identifier
    EFO:0004719
    Subject identifier
    D010392

And 30 more, listed on the interactive page.

  • Condition identifier
    EFO_0000095
  • Condition identifier
    EFO_0000195
  • Condition identifier
    EFO_0000195
    Highest recorded phase
    2
  • Condition identifier
    EFO_0000198
    Highest recorded phase
    2
  • Condition identifier
    EFO_0000398
  • Condition identifier
    EFO_0000540
  • Condition identifier
    EFO_0000565
    Highest recorded phase
    2
  • Condition identifier
    EFO_0000616
  • Condition identifier
    EFO_0000621
    Highest recorded phase
    1
  • Condition identifier
    EFO_0000676
  • Condition identifier
    EFO_0000685
  • Condition identifier
    EFO_0000699
    Highest recorded phase
    2
  • Condition identifier
    EFO_0000706
  • Condition identifier
    EFO_0000713
    Highest recorded phase
    1
  • Condition identifier
    EFO_0000764
    Highest recorded phase
    1
  • Condition identifier
    EFO_0000768
    Highest recorded phase
    2
  • Condition identifier
    EFO_0002609
  • Condition identifier
    EFO_0002687
    Highest recorded phase
    2
  • Condition identifier
    EFO_0002950
  • Condition identifier
    EFO_0003106
    Highest recorded phase
    3
  • Condition identifier
    EFO_0003778
  • Condition identifier
    EFO_0003884
    Highest recorded phase
    2
  • Condition identifier
    EFO_0003898
  • Condition identifier
    EFO_0004208
    Highest recorded phase
    2
  • Condition identifier
    EFO_0004246
    Highest recorded phase
    2

And 103 more, listed on the interactive page.

  • Warning
    Black Box Warning
    Effect
    carcinogenicity
  • Warning
    Black Box Warning
    Effect
    infectious disease

  • Warning
    Black Box Warning
    Effect
    carcinogenicity
    Country
    United States
  • Warning
    Black Box Warning
    Effect
    infectious disease
    Country
    United States

  • Event
    arthralgia
    Reports
    32,254
    Reporting signal score
    15,993
  • Event
    arthropathy
    Reports
    5,705
    Reporting signal score
    5,525.09
  • Event
    crohn's disease
    Reports
    9,339
    Reporting signal score
    8,378.8
  • Event
    drug intolerance
    Reports
    7,675
    Reporting signal score
    4,572.34
  • Event
    hand deformity
    Reports
    2,486
    Reporting signal score
    4,125.23
  • Event
    injection site bruising
    Reports
    10,119
    Reporting signal score
    8,907.37
  • Event
    injection site erythema
    Reports
    28,046
    Reporting signal score
    30,268.8
  • Event
    injection site haemorrhage
    Reports
    5,395
    Reporting signal score
    6,107.99
  • Event
    injection site pain
    Reports
    36,582
    Reporting signal score
    33,354.4
  • Event
    injection site pruritus
    Reports
    15,404
    Reporting signal score
    17,025.4
  • Event
    injection site rash
    Reports
    4,672
    Reporting signal score
    6,083.68
  • Event
    injection site reaction
    Reports
    14,682
    Reporting signal score
    13,757.9
  • Event
    injection site swelling
    Reports
    15,132
    Reporting signal score
    15,462
  • Event
    injection site urticaria
    Reports
    3,581
    Reporting signal score
    4,819.4
  • Event
    injection site warmth
    Reports
    7,246
    Reporting signal score
    8,795.39
  • Event
    joint swelling
    Reports
    14,107
    Reporting signal score
    10,294.4
  • Event
    mobility decreased
    Reports
    5,262
    Reporting signal score
    5,194.35
  • Event
    musculoskeletal stiffness
    Reports
    6,833
    Reporting signal score
    5,265.68
  • Event
    nasopharyngitis
    Reports
    13,404
    Reporting signal score
    6,634.45
  • Event
    pain
    Reports
    28,949
    Reporting signal score
    8,122.63
  • Event
    pain in extremity
    Reports
    14,368
    Reporting signal score
    7,508.66
  • Event
    psoriasis
    Reports
    17,688
    Reporting signal score
    12,149.9
  • Event
    rheumatoid arthritis
    Reports
    26,299
    Reporting signal score
    31,670.4
  • Event
    sinusitis
    Reports
    8,497
    Reporting signal score
    7,391.02
  • Event
    synovitis
    Reports
    4,272
    Reporting signal score
    6,328.09

And 1 more, listed on the interactive page.

And 227 more, listed on the interactive page.

Dose
50 mg
Route
Subcutaneous
How often
Once weekly

Prodrug
No
Chirality
Single enantiomer
Inorganic
No
Natural product
No

Sequences

  • Component
    Sequence
    Type
    Protein
    Sequence
    LPAQVAFTPYAPEPGSTCRLREYYDQTAQMCCSKCSPGQHAKVFCTKTSDTVCDSCEDSTYTQLWNWVPECLSCGSRCSSDQVETQACTREQNRICTCRPGWYCALSKQEGCRLCAPLRKCRPGFGVARPGTETSDVVCKPCAPGTFSNTTSSTDICRPHQICNVVAIPGNASMDAVCTSTSPTRSMAPGAVHLPQPVSTRSQHTQPTPEPSTAPSTSFLLPMGPSPPAEGSTGDEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPQVKFNWYVDGVQVHNAKTKPREQQYNSTYRVVSVLTVLHQNWLDGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSREEMTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPGK

  • 58406-010
  • 58406-021
  • 58406-032
  • 58406-044
  • 58406-055

Related records

Trials (415)

Approved for (9)

In development for (46)

Other linked conditions (3)

Targets (1)