Drugs / MERCAPTOPURINE ANHYDROUS
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MERCAPTOPURINE ANHYDROUS

Small molecule targets HPRT1, PPAT via inhibition

Developed for
leukemia · acute lymphoblastic leukemia · lymphoblastic lymphoma · childhood acute lymphoblastic leukemia · Crohn disease · lymphoma · B-cell acute lymphoblastic leukemia · adult acute lymphoblastic leukemia
+28 more · acute promyelocytic leukemia · ulcerative colitis · B-cell childhood acute lymphoblastic leukemia · B-lymphoblastic leukemia/lymphoma with t(9;22)(q34.1;q11.2) · glioblastoma · inflammatory bowel disease · Langerhans cell histiocytosis · lymphoid leukemia · precursor B-cell acute lymphoblastic leukemia · acute leukemia · acute leukemia of ambiguous lineage · acute myeloid leukemia · acute myeloid leukemia, t(15;17)(q24;q21) · anaplastic astrocytoma · anaplastic oligodendroglioma · B-lymphoblastic leukemia/lymphoma with hypodiploidy · breast cancer · colitis · intestinal obstruction · metastatic malignant neoplasm · mixed glioma · mixed phenotype acute leukemia · myelodysplastic/myeloproliferative neoplasm · ovarian cancer · precursor lymphoblastic lymphoma/leukemia · primary brain neoplasm · T-cell acute lymphoblastic leukemia · myelodysplastic syndrome
Investigated by
National Cancer Institute (NCI) · Children's Oncology Group · PETHEMA Foundation · M.D. Anderson Cancer Center · St. Jude Children's Research Hospital · Goethe University
+90 more · SWOG Cancer Research Network · Institute of Hematology & Blood Diseases Hospital, China · Alliance for Clinical Trials in Oncology · Chonnam National University Hospital · Dana-Farber Cancer Institute · Deutsche Krebshilfe e.V., Bonn (Germany) · GIMEMA Foundation · Johann Wolfgang Goethe University Hospital · Pusan National University Yangsan Hospital · Qilu Hospital of Shandong University · Rigshospitalet, Denmark · Seoul National University Hospital · Seoul St. Mary's Hospital · Severance Hospital · Shanghai Children's Medical Center · Teva GTC · AbbVie · Asan Medical Center · Australasian Gastro Intestinal Research Foundation · Beth Israel Deaconess Medical Center · Children's Cancer Group, China · Children's Cancer and Leukaemia Group · Children's Hospital of Hebei Province · Children's Hospital of Philadelphia · Children's Hospital of Soochow University · DRC lille, France · Danish Cancer Society · Dutch Childhood Oncology Group · Emory University · Enzon Pharmaceuticals, Inc. · European Acute Promyelocytic Leukemia Group · European Inter-group Cooperation on Childhood and Adolescent Non Hodgkin Lymphoma · European Organisation for Research and Treatment of Cancer - EORTC · European Working Group of MDS in Childhood · Federal Research Institute of Pediatric Hematology, Oncology and Immunology · Genzyme, a Sanofi Company · Groupe d'Etude Therapeutique des Affections Inflammatoires Digestives · Grupo Espanol de Trabajo en Enfermedad de Crohn y Colitis Ulcerosa · Hee Young Ju · Histiocyte Society · Ho Joon Im · Indiana University · Italian Association of Pediatric Hematology and Oncology · Jazz Pharmaceuticals · Jeju National University Hospital · Kjeld Schmiegelow · Korea University Anam Hospital · Kristoffer Rohrberg · Martin Schrappe · Massachusetts General Hospital · Medical Research Council · Memorial Sloan Kettering Cancer Center · Mylan Pharmaceuticals Inc · Nanjing Children's Hospital · National Institute of Allergy and Infectious Diseases (NIAID) · National Institutes of Health Clinical Center (CC) · National University Hospital, Singapore · National University of Singapore · Nordic Society for Pediatric Hematology and Oncology · North American Consortium for Histiocytosis · Prince of Wales Hospital, Shatin, Hong Kong · Qianfoshan Hospital · Radboud University Medical Center · Rush University Medical Center · Saint-Louis Hospital, Paris, France · Samsung Medical Center · Shandong University · St Vincent's Hospital Melbourne · Sun Yat-sen University · Takeda · The Affiliated Hospital of Qingdao University · The Children's Hospital of Zhejiang University School of Medicine · The First Affiliated Hospital with Nanjing Medical University · Tianjin Medical University Cancer Institute and Hospital · all 96 on the full record

Regulatory milestones approvals, filings & regulatory actions · 2 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Approved EU (EMA) Xaluprine (previously Mercaptopurine Nova Laboratories) — 2012-03-09 europa.eu ↗
Approved US (FDA) PURINETHOL — 1953-09-11 fda.gov ↗

Trials 99 · started per year

today
US approved 1953
EU approved 2012
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PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 13 trials
Phase 1 NCT05506332 Jul 2022 → Dec 2024 overdue acute myeloid leukemia University Hospital, Antwerp Recruiting No outcome recorded
Phase 1 NCT00774982 Dec 2008 → Feb 2009 Crohn disease Teva GTC Completed No outcome recorded
Phase 1 NCT00648336 Nov → Dec 2003 — Mylan Pharmaceuticals Inc Completed No outcome recorded
Phase 1/23 trials
Phase 1/2 NCT05276284 Sep 2022 → Dec 2024 metastatic malignant neoplasm Kristoffer Rohrberg Completed No outcome recorded
Phase 1/2 NCT06279767 Jul 2022 → Jul 2025 glioblastoma The First Affiliated Hospital with Nanjing Medical University Unknown No outcome recorded
Phase 1/2 NCT00287170 Jul 2006 → Dec 2007 Crohn disease Teva GTC Completed No outcome recorded
Phase 231 trials · 1 met primary
Phase 2 NCT07643103 Jun 2026 → May 2028 expected precursor B-cell acute lymphoblastic leukemia Institute of Hematology & Blood Diseases Hospital, China Not yet recruiting No outcome recorded
Phase 2 NCT07227584 Apr 2026 → Jul 2030 expected acute lymphoblastic leukemia Dana-Farber Cancer Institute Not yet recruiting No outcome recorded
Phase 2 NCT05827549 Apr 2024 → Dec 2032 expected acute lymphoblastic leukemia Ho Joon Im Recruiting No outcome recorded
Phase 2 NCT06387121 Apr 2024 → Dec 2026 expected precursor lymphoblastic lymphoma/leukemia Institute of Hematology & Blood Diseases Hospital, China Recruiting No outcome recorded
Phase 2 NCT06099366 Mar 2024 → Dec 2033 expected childhood acute lymphoblastic leukemia Hee Young Ju Recruiting No outcome recorded
Phase 2 NCT04845035 Jan 2024 → Jan 2026 acute lymphoblastic leukemia University of Michigan Rogel Cancer Center Withdrawn No outcome recorded
Phase 2 NCT05645718 Jul 2023 → Dec 2027 expected leukemia M.D. Anderson Cancer Center Recruiting No outcome recorded
Phase 2 NCT03518112 Apr 2018 → May 2021 B-cell acute lymphoblastic leukemia M.D. Anderson Cancer Center Terminated No outcome recorded
Phase 2 NCT03488225 Mar 2018 → Apr 2020 B-cell acute lymphoblastic leukemia M.D. Anderson Cancer Center Terminated No outcome recorded
Phase 2 NCT02877303 Nov 2016 → Nov 2026 expected B-cell acute lymphoblastic leukemia, lymphoblastic lymphoma M.D. Anderson Cancer Center Recruiting No outcome recorded
Phase 2/32 trials · 1 met primary
Phase 2/3 NCT04228393 Feb 2020 → Dec 2022 childhood acute lymphoblastic leukemia Wei Zhao Unknown Met primary
Phase 2/3 NCT02205762 Nov 2016 → Jul 2026 overdue Langerhans cell histiocytosis North American Consortium for Histiocytosis Active not recruiting No outcome recorded
Phase 331 trials · 1 met primary · 3 missed
Phase 3 NCT03643276 Jul 2018 → Jul 2028 expected childhood acute lymphoblastic leukemia Martin Schrappe Recruiting No outcome recorded
Phase 3 NCT04773366 Jul 2018 → Jun 2023 Langerhans cell histiocytosis Shanghai Children's Medical Center Unknown No outcome recorded
Phase 3 NCT03007147 Aug 2017 → Jun 2026 overdue B-cell acute lymphoblastic leukemia, T-cell acute lymphoblastic leukemia, mixed phenotype acute leukemia Children's Oncology Group Active not recruiting No outcome recorded
Phase 3 NCT02845882 Jan 2016 → Dec 2023 overdue lymphoblastic lymphoma Children's Cancer Group, China Active not recruiting No outcome recorded
Phase 3 NCT01503632 Feb 2012 → Jun 2019 acute lymphoblastic leukemia Children's Oncology Group Completed Missed primary
Phase 3 NCT01190930 Aug 2010 → Mar 2019 B-cell childhood acute lymphoblastic leukemia, B-lymphoblastic leukemia/lymphoma with hypodiploidy, B-lymphoblastic leukemia/lymphoma with t(9;22)(q34.1;q11.2), Down syndrome +1 Children's Oncology Group Completed No outcome recorded
Phase 3 NCT00866918 Mar 2009 → Jun 2015 acute promyelocytic leukemia Children's Oncology Group Completed No outcome recorded
Phase 3 NCT00816049 Jan 2009 → Mar 2016 acute lymphoblastic leukemia Rigshospitalet, Denmark Completed No outcome recorded
Phase 3 NCT00707083 May 2008 → Oct 2018 leukemia Prince of Wales Hospital, Shatin, Hong Kong Completed No outcome recorded
Phase 3 NCT00492856 Jun 2007 → Dec 2013 leukemia SWOG Cancer Research Network Completed No outcome recorded
Phase 417 trials · 1 met primary · 2 missed
Phase 4 NCT07248644 May → Sep 2026 overdue ulcerative colitis Grupo Espanol de Trabajo en Enfermedad de Crohn y Colitis Ulcerosa Not yet recruiting No outcome recorded
Phase 4 NCT03220841 Oct 2017 → Sep 2020 Crohn disease, intestinal obstruction St Vincent's Hospital Melbourne Unknown Missed primary
Phase 4 NCT04304950 Apr 2016 → Dec 2021 inflammatory bowel disease Rush University Medical Center Completed No outcome recorded
Phase 4 NCT02177071 Oct 2015 → Jun 2021 Crohn disease Groupe d'Etude Therapeutique des Affections Inflammatoires Digestives Completed No outcome recorded
Phase 4 NCT03920813 Jan 2015 → Dec 2021 acute lymphoblastic leukemia Shandong University Unknown No outcome recorded
Phase 4 NCT01906671 Jun 2013 → Sep 2018 acute lymphoblastic leukemia Kjeld Schmiegelow Unknown Missed primary
Phase 4 NCT02894645 Oct 2008 → Oct 2018 childhood acute lymphoblastic leukemia National University Hospital, Singapore Unknown Met primary
Phase 4 NCT02036489 Jan 2008 → Dec 2019 acute lymphoblastic leukemia PETHEMA Foundation Completed No outcome recorded
Phase 4 NCT00199017 Apr 2004 → Mar 2009 lymphoblastic lymphoma Johann Wolfgang Goethe University Hospital Completed No outcome recorded
Phase 4 NCT00853008 Jan 2003 → Nov 2012 acute lymphoblastic leukemia PETHEMA Foundation Completed No outcome recorded
Phase not applicable12 trials · 1 missed
— NCT07443592 Mar 2026 → Mar 2031 expected acute lymphoblastic leukemia PETHEMA Foundation Not yet recruiting No outcome recorded
— NCT07462299 Feb 2026 → Jan 2028 expected childhood acute lymphoblastic leukemia The Children's Hospital of Zhejiang University School of Medicine Not yet recruiting No outcome recorded
— NCT04179929 Nov 2019 → Nov 2026 expected acute lymphoblastic leukemia PETHEMA Foundation Recruiting No outcome recorded
— NCT03370601 Jan 2017 → Jan 2019 inflammatory bowel disease University Hospital, Lille Terminated No outcome recorded Stop: Enrollment
— NCT03390387 Nov 2015 → Nov 2020 childhood acute lymphoblastic leukemia Federal Research Institute of Pediatric Hematology, Oncology and Immunology Unknown No outcome recorded
— NCT02551718 Sep 2015 → Jun 2020 acute leukemia of ambiguous lineage, acute lymphoblastic leukemia University of Washington Completed No outcome recorded
— NCT02413047 May 2015 → Feb 2018 Crohn disease, ulcerative colitis Indiana University Terminated No outcome recorded Stop: Enrollment
— NCT01156883 Apr 2010 → Oct 2017 leukemia GIMEMA Foundation Completed No outcome recorded
— NCT00521950 Sep 2007 → Dec 2011 Crohn disease, ulcerative colitis ZonMw: The Netherlands Organisation for Health Research and Development Completed Missed primary
— NCT00096135 Nov 2004 → Sep 2013 leukemia Children's Oncology Group Completed No outcome recorded
Comparator or background therapy113 trials
Phase 1 NCT05157971 Background Mar 2022 → Apr 2027 expected B-lymphoblastic leukemia/lymphoma, BCR-ABL1–like City of Hope Medical Center Active not recruiting No outcome recorded
Phase 1 NCT03571321 Background May 2019 → Sep 2026 overdue childhood acute lymphoblastic leukemia University of Chicago Recruiting No outcome recorded
Phase 1 NCT02303821 Background Feb 2015 → Jun 2024 acute lymphoblastic leukemia Amgen Completed Missed primary
Phase 1 NCT02228772 Background Dec 2014 → Oct 2016 B-cell adult acute lymphocytic leukemia, T-cell adult acute lymphocytic leukemia, lymphoblastic lymphoma Massachusetts General Hospital Completed No outcome recorded
Phase 1 NCT00866307 Background Feb 2009 → Jun 2014 B-cell adult acute lymphocytic leukemia, B-cell childhood acute lymphoblastic leukemia Children's Oncology Group Completed No outcome recorded
Show all 113 trials opens the full record — a long page

News releases announcing trial results or a regulatory action · 1

DateIssuerRelease
2018-02-17 Celltrion Results CT-P13 (biosimilar infliximab) is comparable to reference infliximab and adalimumab in highly anticipated real-world UK-wide study celltrion.com ↗
According to the study, immunogenicity is a significant factor in non-remission for both infliximab and adalimumab at week 54 but can be mitigated by the use of immunomodulators, azathioprine, mercaptopurine and methotrexate.

All press releases naming this drug 2 releases

DateIssuerRelease

Evidence & citations 20 cited values

Every value below carries the sentence it was read from. 218 sources stand behind the page.

FieldValueCited text
Known as MERCAPTOPURINE ANHYDROUS ChEMBL registry synonym — accepted as the source's own label CHEMBL1425 ↗
Known as 6-mercaptopurine “The delayed-release test drugs are 6-mercaptopurine (at a dose of 40 mg daily) or calcitriol (at a dose of 5 mcg three times a week) versus Purinethol (6-MP at a dose of 1-2...” NCT00287170 ↗
60

“continuous CT with 6 mercaptopurine (90 mg/m2/d, orally) and methotrexate (15 mg/m2/wk, oral-ly), according to a 2-by-2 factorial design stratified on the initial induction...” NCT00599937 ↗

“Oral 6-mercaptopurine with a starting dose of 25 mg/m2 and upward adjusted in steps of 25 mg/m2 (i.e. 50 or 75 mg/m2) if unacceptable bone-marrox toxicity is not encountered” NCT00816049 ↗

“Standard Chemotherapy (which includes cyclophosphamide, vincristine, doxorubicin, dexamethasone, methotrexate, 6-mercaptopurine, etoposide, and cytarabine” NCT03319901 ↗

“Includes vincristine, daunorubicin, cyclophosphamide, pegaspargase, prednisone, dexamethasone, cytarabine, 6-mercaptopurine, and high-dose methotrexate.” NCT07495631 ↗

“The longest treatment phase in both protocols is maintenance therapy, which is composed of 6-Mercaptopurine (6MP) and Methotrexate (MTX).” NCT02912676 ↗

“Maintenance therapy with dose-reduced POMP (6-mercaptopurine, vincristine, methotrexate, and prednisone) was given for 3 years.” PMID 37187201 ↗ May 2023

“Patients randomized to IFX combination therapy will also receive 6-mercaptopurine 1-1.5 mg/kg.” NCT06059989 ↗

“Initial dosage of 6-Mercaptopurine (6-MP) is stratified based on NUDT15 and TPMT genotypes:” NCT07462299 ↗

“6-Mercaptopurine by mouth daily NOTE: Only high risk patients will receive 6-Mercaptopurine” NCT02670707 ↗

“Drug:6-mercaptopurine 60 mg/m2/d,po,d1-d28,during maintenance treatment for 2 years” NCT02042690 ↗

Show 50 more sources

Known as 6-mercaptopurine monohydrate ChEMBL registry synonym — accepted as the source's own label CHEMBL1425 ↗
Known as 6MP “Immunosuppressives, e.g. azathioprine (AZA) and 6-mercaptopurine (6-MP), are important in induction of remission and long term treatment of (ulcerative) colitis and Crohn's...” NCT00521950 ↗
18

“Efficacy and myelosuppression of azathioprine/6-mercaptopurine (AZA/6-MP) are correlated with the metabolite 6-thioguanine, while the metabolite 6-methylmercaptopurine...” PMID 36730289 ↗ Feb 2023

“The delayed-release test drugs are 6-mercaptopurine (at a dose of 40 mg daily) or calcitriol (at a dose of 5 mcg three times a week) versus Purinethol (6-MP at a dose of 1-2...” NCT00287170 ↗

“The study is designed to evaluate the clinical efficacy and safety of daily treatment for 12 weeks of oral administration of a delayed release, locally delivered 6MP...” NCT01094613 ↗

“The longest treatment phase in both protocols is maintenance therapy, which is composed of 6-Mercaptopurine (6MP) and Methotrexate (MTX).” NCT02912676 ↗

“6-mercaptopurine (6-MP) is a crucial drug in the maintenance phase of acute lymphoblastic leukemia treatment.” NCT06279767 ↗

“Initial dosage of 6-Mercaptopurine (6-MP) is stratified based on NUDT15 and TPMT genotypes:” NCT07462299 ↗

“Mercaptopurine (6MP) is essential to cure childhood acute lymphoblastic leukemia (ALL).” PMID 32519032 ↗ Jun 2020

“a medicine called 6-mercaptopurine or "6MP" is taken by mouth every day at home.” NCT06639958 ↗

“Maintenance therapy 6-Mercaptopurine (6-MP), 50 mg/m2/day orally.” NCT00482833 ↗

“1 x 40 mg Oral Tablet, 6 MP Delayed Release Test Formulation” NCT00774982 ↗

Show 8 more sources

Known as Mercaptopurina ChEMBL registry synonym — accepted as the source's own label CHEMBL1425 ↗
Known as mercaptopurine “with varied cycles, including Daunorubicin, Vincristine, Prednisone, Pegaspargase, Rituximab, Cytarabine, Mercaptopurine, Cyclophosphamide, Methotrexate, Doxorubicin,...” NCT04845035 ↗
157

“The study is designed to evaluate the clinical efficacy and safety of daily treatment for 12 weeks of oral administration of a delayed release, locally delivered 6MP...” NCT01094613 ↗

“plus thiopurine (initial dose of azathioprine 2·5 mg/kg or mercaptopurine 1·5 mg/kg, with dose adjustment based on thiopurine metabolite testing)” PMID 34890567 ↗ Dec 2021

“Mercaptopurine (6MP) is essential to cure childhood acute lymphoblastic leukemia (ALL).” PMID 32519032 ↗ Jun 2020

“Maintenance (Methotrexate, Mercaptopurine).” NCT07443592 ↗

“Maintenance (Methotrexate, Mercaptopurine)” NCT04179929 ↗

“Mercaptopurine: 60 mg/m2 po on days 35-59” NCT02396043 ↗

“Melphalan Mercaptopurine Methotrexate” NCT02551718 ↗

NCT00002704 ↗

NCT00059839 ↗

NCT00015873 ↗

Show 147 more sources

Known as Mercaptopurine hydrate ChEMBL registry synonym — accepted as the source's own label CHEMBL1425 ↗
Known as Mercaptopurinum ChEMBL registry synonym — accepted as the source's own label CHEMBL1425 ↗
Known as NSC-755 ChEMBL registry synonym — accepted as the source's own label CHEMBL1425 ↗
Known as NSC-759614 ChEMBL registry synonym — accepted as the source's own label CHEMBL1425 ↗
Known as Puri-Nethol (6-mercaptopurine) “PuriNethol, Puri-Nethol (6-mercaptopurine)” NCT00816049 ↗
Known as Purinethol “Maintenance therapy with dose-reduced POMP (purinethol [6-mercaptopurine], oncovin [vincristine sulfate], methotrexate, and prednisone) was given for 3 years.” PMID 29352703 ↗ Jan 2018
4

“Pharmacokinetics of 50 mg 6MP tablet (Puri-Nethol®) and 20 mg/ml 6MP liquid suspension (Xaluprine®) were compared” PMID 32519032 ↗ Jun 2020

“PuriNethol, Puri-Nethol (6-mercaptopurine)” NCT00816049 ↗

“standard 6MP (100 mg Purinethol)” NCT00774982 ↗

NCT04747912 ↗

Known as Purixan ChEMBL registry synonym — accepted as the source's own label CHEMBL1425 ↗
Known as Xaluprine “Pharmacokinetics of 50 mg 6MP tablet (Puri-Nethol®) and 20 mg/ml 6MP liquid suspension (Xaluprine®) were compared” PMID 32519032 ↗ Jun 2020
Known as Xaluprine (previously mercaptopurine nova laboratories) ChEMBL registry synonym — accepted as the source's own label CHEMBL1425 ↗
Action Inhibit “6-mercaptopurine (6-MP) competes effectively to inhibit HPRT1 activity” NCT06279767 ↗
1

“Amidophosphoribosyltransferase inhibitor” CHEMBL1425 ↗

Modality Other / unclassified “Antineoplastic Agent, Antimetabolite, Immunosuppressant Agent used traditionally to treat Acute lymphoblastic leukemia.” NCT00514982 ↗
Route Oral “oral mercaptopurine (MP) once daily” NCT00002514 ↗
Target HPRT1 “6-mercaptopurine (6-MP) competes effectively to inhibit HPRT1 activity” NCT06279767 ↗
Target PPAT “Amidophosphoribosyltransferase inhibitor” CHEMBL1425 ↗