Drugs / Pegargiminase
last change Jul 2026 re-read 9 days ago

Pegargiminase

Protein / enzyme biologic

Developed for
hepatocellular carcinoma · acute myeloid leukemia · glioblastoma · non-small cell lung carcinoma · soft tissue sarcoma · malignant pleural mesothelioma · prostate cancer · small cell lung carcinoma
+21 more · uveal melanoma · argininosuccinic aciduria · colorectal cancer · cutaneous melanoma · diffuse glioma, H3 G34 mutant · diffuse midline glioma, H3 K27M-mutant · gastric cancer · glioma · Her2-receptor negative breast cancer · high grade malignant neoplasm · malignant peritoneal mesothelioma · melanoma · mesothelioma · metabolic dysfunction-associated steatohepatitis · metastatic melanoma · non-Hodgkin lymphoma · obesity disorder · pancreatic neoplasm · prediabetes syndrome · sarcomatoid carcinoma · skin cancer
Investigated by
Polaris Group · Washington University School of Medicine · M.D. Anderson Cancer Center · Memorial Sloan Kettering Cancer Center · Chang Gung Memorial Hospital · Ludwig Institute for Cancer Research
+28 more · AstraZeneca · Austin Health · Barts & The London NHS Trust · Bayer · Biohaven Pharmaceuticals, Inc. · Cancer Research UK · Children's Discovery Institute · Duke University · FDA Office of Orphan Products Development · Global Coalition for Adaptive Research · Hoffmann-La Roche · Kazia Therapeutics Limited · Kintara Therapeutics, Inc. · Knoa Pharma LLC · Krankenhaus Nordwest · NYU Langone Health · National Cancer Institute (NCI) · National Cheng-Kung University Hospital · National Institutes of Health (NIH) · National Taiwan University Hospital · Polaris Pharmaceuticals, Inc. · Queen Mary University of London · Sabine Mueller, MD, PhD · Saint-Luc University Hospital · St. Bartholomew's Hospital · UK: Barts Center for Experimental Cancer Medicine (CECM) for Trial Coordination · University of Miami · Vigeo Therapeutics, Inc.

Regulatory milestones approvals, filings & regulatory actions · 1 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed US (FDA) — localized pleural mesothelioma 2023-11-17

“今(11/17)日宣布已向美國食品藥品監督管理局(FDA)正式啟動ADI-PEG 20生物製劑許可證(BLA)送件,以治療罕見而侵略性的癌症──惡性肺間皮癌。” polarispharma.com ↗

Trials 37

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 113 trials
Phase 1 NCT05813327 Mar 2024 → Apr 2026 soft tissue sarcoma Washington University School of Medicine Terminated No outcome recorded Stop: Enrollment
Phase 1 NCT05001828 Apr 2022 → May 2026 overdue acute myeloid leukemia Polaris Group Active not recruiting No outcome recorded
Phase 1 NCT03922880 Apr 2019 → Jan 2023 uveal melanoma Memorial Sloan Kettering Cancer Center Completed No outcome recorded
Phase 1 NCT03498222 Jun 2018 → Jan 2020 non-small cell lung carcinoma Queen Mary University of London Withdrawn No outcome recorded Stop: Business
Phase 1 NCT03254732 Jul 2017 → May 2019 high grade malignant neoplasm Polaris Group Terminated No outcome recorded
Phase 1 NCT02875093 Jan 2017 → Jul 2019 acute myeloid leukemia Polaris Group Terminated No outcome recorded
Phase 1 NCT02101580 Nov 2014 → May 2017 pancreatic neoplasm Polaris Group Completed No outcome recorded
Phase 1 NCT02101593 Nov 2014 → Feb 2016 hepatocellular carcinoma Polaris Group Completed No outcome recorded
Phase 1 NCT02029690 Apr 2014 → Aug 2018 glioma, hepatocellular carcinoma, malignant peritoneal mesothelioma, malignant pleural mesothelioma +3 Polaris Group Terminated No outcome recorded
Phase 1 NCT01948843 Apr 2014 → Apr 2016 Her2-receptor negative breast cancer Polaris Group Completed No outcome recorded
Phase 1/26 trials · 1 missed
Phase 1/2 NCT07389278 Jun 2027 → Jun 2032 expected diffuse glioma, H3 G34 mutant, diffuse midline glioma, H3 K27M-mutant, glioblastoma Sabine Mueller, MD, PhD Not yet recruiting No outcome recorded
Phase 1/2 NCT06085729 Feb 2024 → Sep 2027 expected prostate cancer M.D. Anderson Cancer Center Recruiting No outcome recorded
Phase 1/2 NCT06006286 Aug → Nov 2023 hepatocellular carcinoma M.D. Anderson Cancer Center Withdrawn No outcome recorded
Phase 1/2 NCT05616624 Apr 2023 → Jul 2026 overdue non-small cell lung carcinoma, small cell lung carcinoma Washington University School of Medicine Active not recruiting No outcome recorded
Phase 1/2 NCT02102022 Nov 2014 → Feb 2020 colorectal cancer, gastric cancer, hepatocellular carcinoma Polaris Group Terminated No outcome recorded
Phase 1/2 NCT00520299 Jul 2007 → Mar 2010 metastatic melanoma, skin cancer Ludwig Institute for Cancer Research Completed Missed primary
Phase 213 trials · 1 met primary
Phase 2 NCT05829239 Apr 2024 obesity disorder, prediabetes syndrome Washington University School of Medicine Withdrawn No outcome recorded
Phase 2 NCT06034977 Dec 2023 → Jul 2026 overdue hepatocellular carcinoma Chang Gung Memorial Hospital Recruiting No outcome recorded
Phase 2 NCT05842512 Sep 2023 → Dec 2027 expected metabolic dysfunction-associated steatohepatitis Polaris Group Recruiting No outcome recorded
Phase 2 NCT04965714 Apr 2022 → Feb 2023 hepatocellular carcinoma M.D. Anderson Cancer Center Withdrawn No outcome recorded Stop: Enrollment
Phase 2 NCT04587830 Sep 2020 → Feb 2027 expected glioblastoma Polaris Group Active not recruiting No outcome recorded
Phase 2 NCT03449901 May 2018 → Jul 2022 soft tissue sarcoma Washington University School of Medicine Completed No outcome recorded
Phase 2 NCT01910012 Jan 2015 → Sep 2016 acute myeloid leukemia Polaris Group Completed No outcome recorded
Phase 2 NCT02006030 Oct 2014 → Jul 2016 hepatocellular carcinoma Polaris Group Completed No outcome recorded
Phase 2 NCT01910025 Dec 2013 → Aug 2016 non-Hodgkin lymphoma Polaris Group Completed No outcome recorded
Phase 2 NCT01279967 Jan 2011 → Jan 2015 malignant pleural mesothelioma Barts & The London NHS Trust Unknown Met primary
Phase 2/32 trials · 1 missed
Phase 2/3 NCT03970447 Jul 2019 → Jun 2028 expected glioblastoma Global Coalition for Adaptive Research Recruiting Missed primary
Phase 2/3 NCT02709512 Aug 2017 → Aug 2022 mesothelioma Polaris Group Completed No outcome recorded
Phase 33 trials
Phase 3 NCT05712694 Nov 2023 → May 2026 soft tissue sarcoma Polaris Group Terminated No outcome recorded
Phase 3 NCT05317819 Mar 2022 → Sep 2028 expected hepatocellular carcinoma Polaris Group Recruiting No outcome recorded
Phase 3 NCT01287585 Jul 2011 → Jul 2015 hepatocellular carcinoma Polaris Group Completed No outcome recorded

News releases announcing trial results or a regulatory action · 7

DateIssuerRelease
2025-12-09 Polaris Group Results 北極星藥業集團使用ADI-PEG 20於急性骨髓性白血病的一期臨床試驗結果 polarispharma.com ↗
於 23 名可評估的患者中,16 名(69.6%)達到完全緩解;總體客觀反應率 為 21/23(91.3%),且反應持久。
2025-08-18 Polaris Group Regulatory 北極星藥業集團使用於治療惡性肺間皮癌生物製劑Pegargiminase (ADI-PEG 20) 之上市查驗登記申請(BLA)已獲通知正式進入美國FDA藥證實質審查階段 polarispharma.com ↗
我們已完成送件之受理審查,並認定申請案內容足夠完整,可進入實質審查階段。
2025-06-09 Polaris Group Regulatory 北極星藥業集團完成向美國FDA呈送Pegargiminase(ADI-PEG 20)生物製劑用於治療惡性肺間皮癌的上市許可證申請案(BLA) polarispharma.com ↗
並於美國時間2025年6月9日完成提交BLA的最終部分。
2024-02-19 Polaris Group Results 北極星藥業肺間皮癌新藥三年存活率增加四倍,於國際知名醫學期刊JAMA Oncology發表 polarispharma.com ↗
該研究顯示,將傳統化療與新藥ADI-PEG20結合治療,使參與者的中位數生存期增加了1.6個月,並且相較於安慰劑-化療組,36個月的存活率增加了四倍。
2023-11-17 Polaris Group Regulatory 北極星藥業啟動向FDA呈送ADI-PEG 20用於治療肺間皮癌的上市許可證申請案(BLA) polarispharma.com ↗
北極星藥業集團(TWSE:6550),今(11/17)日宣布已向美國食品藥品監督管理局(FDA)正式啟動ADI-PEG 20生物製劑許可證(BLA)送件,以治療罕見而侵略性的癌症──惡性肺間皮癌。
2023-04-17 Polaris Group Results 北極星癌症新藥眾所矚目特別於AACR全體會員大會獲邀發表臨床成果,揭開代謝療法治療實體腫瘤的新篇章 polarispharma.com ↗
研究顯示,隨機分配至ADI-PEG 20與Pemetrexed和Cisplatin聯合使用的患者中,中位數總生存期為9.3個月,而對照組為7.66個月,兩組差異在總生存期之療效終點上達到統計顯著意義(p value=0.0234)。
2021-03-02 Polaris Group Results 北極星肺癌臨床三期期中分析達最高標,獲得藥證指日可待 polarispharma.com ↗
北極星-KY(6550)在美國進行的肺間皮癌(肺癌的一種)臨床試驗三期期中分析報告於美國時間2月25日出爐,以現有期中的數據來分析,預估最後整體試驗的成功機率在80%以上(80~100%之間)。

Evidence & citations 13 cited values

Every value below carries the sentence it was read from. 43 sources stand behind the page.

FieldValueCited text
Known as pegargiminase “Pegargiminase (ADI-PEG 20; ADI) degrades arginine and potentiates pemetrexed (Pem) cytotoxicity in argininosuccinate synthetase 1 (ASS1)-deficient malignant pleural mesothelioma (MPM).” PMID 34589965 ↗ Sep 2020
1

NCT04965714 ↗

Known as 0B7PYQ9YRT ChEMBL registry synonym — accepted as the source's own label CHEMBL3137346 ↗
Known as ADI “Pegargiminase (ADI-PEG 20; ADI) degrades arginine and potentiates pemetrexed (Pem) cytotoxicity in argininosuccinate synthetase 1 (ASS1)-deficient malignant pleural mesothelioma (MPM).” PMID 34589965 ↗ Sep 2020
Known as ADI-PEG ChEMBL registry synonym — accepted as the source's own label CHEMBL3137346 ↗
Known as ADI-PEG20 “This study is measuring the safety of the study drug, ADI-PEG 20, combined with immunotherapy drugs nivolumab and ipilimumab in treating patients with advanced uveal melanoma.” NCT03922880 ↗
43

“The role of the arginine-lowering agent pegylated arginine deiminase (ADI-PEG20) has not been evaluated in a randomized and biomarker-driven study among patients with cancer.” PMID 27584578 ↗ Jan 2017

“The efficacy of pegylated ADI (ADI-PEG20) in relapsed/refractory/poor-risk acute myeloid leukemia (AML) was evaluated in 43 patients in a prospective, phase II trial” PMID 28900115 ↗ Sep 2017

“Arginine-depleting therapy with pegylated arginine deiminase (ADI-PEG20) was reported to have activity in advanced melanoma in early phase I-II trial” PMID 22472884 ↗ Apr 2012

“Phase I/II Study of PEGylated Arginine Deiminase (ADI-PEG20) With Carboplatin and Cabazitaxel in Men With Aggressive Variant Prostate Cancers (AVPC)” NCT06085729 ↗

“ADI-PEG 20 will be given on an outpatient basis at a dose of 36 mg/m\^2 via intramuscular injection into either the deltoid or gluteal muscle.” NCT05813327 ↗

“Pegylated arginine deiminase (ADI-PEG20) monotherapy depletes circulating arginine, thereby selectively inducing tumor cell death.” PMID 33787078 ↗ Mar 2021

“Phase I/II study of pegylated arginine deiminase (ADI-PEG 20) in patients with advanced melanoma.” PMID 22864522 ↗ Aug 2012

“Phase I/II study of pegylated arginine deiminase (ADI-PEG 20) in patients with advanced melanoma.” PMID 22864522 ↗ Aug 2012

“Thus ADI-PEG 20 is an arginine degrading enzyme, ADI, coupled to PEG.” NCT03254732 ↗

“Drug: ADI PEG20” NCT03254732 ↗

Show 33 more sources

Known as Adi-peg20 arginine deiminase ChEMBL registry synonym — accepted as the source's own label CHEMBL3137346 ↗
Known as ADI-SS ChEMBL registry synonym — accepted as the source's own label CHEMBL3137346 ↗
Known as Arginine deiminase pegylated “ADI-PEG 20 (Arginine deiminase pegylated)” NCT07389278 ↗
Known as Pegargiminasa ChEMBL registry synonym — accepted as the source's own label CHEMBL3137346 ↗
Known as PEGylated arginine deiminase “This is a study of ADI-PEG 20 (pegylated arginine deiminase), an arginine degrading enzyme versus placebo in patients with hepatocellular carcinoma who have failed prior...” NCT01287585 ↗
7

“ADI-PEG20 (PEGylated arginine deiminase) is an arginine catabolizing enzyme preparation that improves insulin sensitivity, mitochondrial respiration, and energy utilization in...” NCT05829239 ↗

“The role of the arginine-lowering agent pegylated arginine deiminase (ADI-PEG20) has not been evaluated in a randomized and biomarker-driven study among patients with cancer.” PMID 27584578 ↗ Jan 2017

“Arginine-depleting therapy with pegylated arginine deiminase (ADI-PEG20) was reported to have activity in advanced melanoma in early phase I-II trial” PMID 22472884 ↗ Apr 2012

“Phase I/II Study of PEGylated Arginine Deiminase (ADI-PEG20) With Carboplatin and Cabazitaxel in Men With Aggressive Variant Prostate Cancers (AVPC)” NCT06085729 ↗

“Pegylated arginine deiminase (ADI-PEG20) monotherapy depletes circulating arginine, thereby selectively inducing tumor cell death.” PMID 33787078 ↗ Mar 2021

“Phase I/II study of pegylated arginine deiminase (ADI-PEG 20) in patients with advanced melanoma.” PMID 22864522 ↗ Aug 2012

NCT03449901 ↗

Action Inhibit “arginine-lowering agent” PMID 27584578 ↗ Jan 2017
Modality Protein / enzyme biologic “Arginine Deiminase (ADI) formulated with polyethylene glycol (PEG)” NCT00450372 ↗
Route Other “a once a week injection of 160 IU/m2 of ADI-PEG 20” NCT00056992 ↗