Sandimmune, Ikervis(cyclosporine)
Cequa, Ikervis, Neoral, Restasis, Sandimmune, Verkazia, Vevye (cyclosporine) is a protein pharmaceutical. Cyclosporine was first approved as Sandimmune on 1983-11-14. It is used to treat focal segmental glomerulosclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and systemic lupus erythematosus in the USA. It has been approved in Europe to treat conjunctivitis, corneal diseases, and keratitis. The pharmaceutical is active against peptidyl-prolyl cis-trans isomerase A. In addition, it is known to target hepatic sodium/bile acid cotransporter, solute carrier organic anion transporter family member 1B1, broad substrate specificity ATP-binding cassette transporter ABCG2, fMet-Leu-Phe receptor, solute carrier organic anion transporter family member 1B3, and peptidyl-prolyl cis-trans isomerase D.
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Novartis Pharmaceuticals
Commercial
Trade Name
FDA
EMA
Cequa, Neoral, Restasis, Restasis multidose, Sandimmune, Verkazia, Vevye (generic drugs available since 1999-10-29, discontinued: Gengraf)
Drug Products
FDA
EMA
New Drug Application (NDA)
New Drug Application (NDA)
Abbreviated New Drug Application (ANDA)
Abbreviated New Drug Application (ANDA)
Cyclosporine
Tradename | Company | Number | Date | Products |
---|---|---|---|---|
RESTASIS MULTIDOSE | AbbVie | N-050790 RX | 2016-10-27 | 1 products, RLD, RS |
RESTASIS | AbbVie | N-050790 RX | 2002-12-23 | 1 products, RLD, RS |
VEVYE | NOVALIQ GMBH | N-217469 RX | 2023-05-30 | 1 products, RLD, RS |
SANDIMMUNE | Novartis | N-050573 RX | 1983-11-14 | 1 products, RLD, RS |
SANDIMMUNE | Novartis | N-050574 RX | 1983-11-14 | 1 products, RLD, RS |
SANDIMMUNE | Novartis | N-050625 RX | 1990-03-02 | 3 products, RLD, RS |
NEORAL | Novartis | N-050715 RX | 1995-07-14 | 2 products, RLD, RS |
NEORAL | Novartis | N-050716 RX | 1995-07-14 | 1 products, RLD, RS |
VERKAZIA | Santen | N-214965 RX | 2021-06-23 | 1 products, RLD, RS |
CEQUA | sparc | N-210913 RX | 2018-08-14 | 1 products, RLD, RS |
Show 1 discontinued
Labels
FDA
EMA
Brand Name | Status | Last Update |
---|---|---|
cequa | New Drug Application | 2021-01-28 |
gengraf | ANDA | 2021-02-01 |
neoral | New Drug Application | 2020-06-13 |
restasis multidose | New Drug Application | 2016-10-01 |
sandimmune | New Drug Application | 2020-07-25 |
verkazia | New Drug Application | 2021-07-27 |
Indications
FDA
EMA
Indication | Ontology | MeSH | ICD-10 |
---|---|---|---|
focal segmental glomerulosclerosis | EFO_0004236 | D005923 | — |
myasthenia gravis | EFO_0004991 | D009157 | G70.0 |
psoriasis | EFO_0000676 | D011565 | L40 |
rheumatoid arthritis | EFO_0000685 | D001172 | M06.9 |
systemic lupus erythematosus | EFO_0002690 | D008180 | M32 |
Agency Specific
FDA
EMA
Expiration | Code | ||
---|---|---|---|
CYCLOSPORINE, VERKAZIA, SANTEN | |||
2028-06-23 | ODE-358 | ||
2024-06-23 | NP |
Patent Expiration
Patent | Expires | Flag | FDA Information |
---|---|---|---|
Cyclosporine, Cequa, Sun Pharm | |||
10918694 | 2037-02-28 | DP | |
8980839 | 2033-08-23 | DP | U-1483 |
9937225 | 2033-08-23 | DP | U-1483 |
10441630 | 2033-08-23 | DP | |
Cyclosporine, Restasis, Abbvie | |||
9669974 | 2034-05-11 | DP | |
9676525 | 2034-02-07 | DP | |
8561859 | 2032-04-16 | DP | |
8292129 | 2031-02-25 | DP | |
8629111 | 2024-08-27 | DP | |
8633162 | 2024-08-27 | U-1479 | |
8642556 | 2024-08-27 | DP | |
8648048 | 2024-08-27 | U-1483 | |
8685930 | 2024-08-27 | DP | |
9248191 | 2024-08-27 | U-1479 | |
Cyclosporine, Verkazia, Santen | |||
9132071 | 2029-06-02 | DP | |
8298568 | 2027-11-03 | DP | |
7973081 | 2026-01-27 | DP | |
8524779 | 2026-01-27 | DP | |
9220694 | 2026-01-27 | DP | |
9956289 | 2026-01-27 | DP | |
11612658 | 2026-01-27 | U-3560 |
ATC Codes
HCPCS
Code | Description |
---|---|
G9507 | Documentation that the patient is on a statin medication or has documentation of a valid contraindication or exception to statin medications; contraindications/exceptions that can be defined by diagnosis codes include pregnancy during the measurement period, active liver disease, rhabdomyolysis, end stage renal disease on dialysis and heart failure; provider documented contraindications/exceptions include breastfeeding during the measurement period, woman of child-bearing age not actively taking birth control, allergy to statin, drug interaction (hiv protease inhibitors, nefazodone, cyclosporine, gemfibrozil, and danazol) and intolerance (with supporting documentation of trying a statin at least once within the last 5 years or diagnosis codes for myostitis or toxic myopathy related to drugs) |
J7502 | Cyclosporine, oral, 100 mg |
J7515 | Cyclosporine, oral, 25 mg |
Clinical
Clinical Trials
765 clinical trials
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Indications Phases 4
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
---|---|---|---|---|---|---|---|---|---|
Myelodysplastic syndromes | D009190 | D46 | 27 | 81 | 6 | 1 | 11 | 111 | |
Leukemia | D007938 | C95 | 18 | 69 | 10 | 1 | 10 | 94 | |
Kidney transplantation | D016030 | — | 10 | 27 | 25 | 2 | 63 | ||
Myeloid leukemia acute | D015470 | C92.0 | 15 | 39 | 8 | 1 | 5 | 61 | |
Dry eye syndromes | D015352 | H04.12 | 3 | 9 | 14 | 26 | 10 | 61 | |
Graft vs host disease | D006086 | D89.81 | 9 | 31 | 11 | 2 | 10 | 59 | |
Aplastic anemia | D000741 | HP_0001915 | D61.9 | 4 | 26 | 1 | 3 | 3 | 35 |
Psoriasis | D011565 | EFO_0000676 | L40 | 3 | 5 | 2 | 5 | 2 | 15 |
Atopic dermatitis | D003876 | EFO_0000274 | L20 | — | 2 | 3 | 5 | 5 | 15 |
Liver transplantation | D016031 | EFO_0010682 | — | 1 | 3 | 9 | — | 13 |
Show 44 more
Indications Phases 3
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
---|---|---|---|---|---|---|---|---|---|
Lymphoma | D008223 | C85.9 | 12 | 36 | 7 | — | 9 | 58 | |
Precursor cell lymphoblastic leukemia-lymphoma | D054198 | C91.0 | 11 | 32 | 4 | — | 6 | 49 | |
Non-hodgkin lymphoma | D008228 | C85.9 | 7 | 30 | 1 | — | 6 | 39 | |
Multiple myeloma | D009101 | C90.0 | 10 | 24 | 2 | — | 7 | 38 | |
B-cell chronic lymphocytic leukemia | D015451 | C91.1 | 7 | 26 | 2 | — | 6 | 36 | |
Bcr-abl positive chronic myelogenous leukemia | D015464 | EFO_0000340 | 5 | 24 | 3 | — | 5 | 34 | |
Hodgkin disease | D006689 | C81 | 7 | 23 | 3 | — | 4 | 32 | |
Plasma cell neoplasms | D054219 | 7 | 18 | 1 | — | 4 | 27 | ||
Mantle-cell lymphoma | D020522 | C83.1 | 4 | 17 | 2 | — | 5 | 25 | |
Myeloproliferative disorders | D009196 | D47.1 | 7 | 15 | 1 | — | 5 | 24 |
Show 41 more
Indications Phases 2
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
---|---|---|---|---|---|---|---|---|---|
Myelomonocytic leukemia chronic | D015477 | C93.1 | 8 | 13 | — | — | 2 | 19 | |
Follicular lymphoma | D008224 | C82 | 4 | 13 | — | — | 5 | 19 | |
Burkitt lymphoma | D002051 | C83.7 | 3 | 12 | — | — | 4 | 17 | |
Anemia | D000740 | EFO_0004272 | D64.9 | 7 | 11 | — | — | — | 16 |
B-cell lymphoma marginal zone | D018442 | C88.4 | 3 | 9 | — | — | 5 | 15 | |
Myelodysplastic-myeloproliferative diseases | D054437 | 2 | 11 | — | — | 3 | 14 | ||
Large-cell lymphoma immunoblastic | D016400 | 3 | 9 | — | — | 3 | 13 | ||
Lymphomatoid granulomatosis | D008230 | C83.8 | 3 | 9 | — | — | 3 | 13 | |
Large-cell lymphoma anaplastic | D017728 | C84.6 | 3 | 8 | — | — | 3 | 12 | |
Extranodal nk-t-cell lymphoma | D054391 | C86.0 | 3 | 7 | — | — | 3 | 11 |
Show 123 more
Indications Phases 1
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
---|---|---|---|---|---|---|---|---|---|
Healthy volunteers/patients | — | 23 | — | — | — | 2 | 25 | ||
Drug interactions | D004347 | 3 | — | — | — | — | 3 | ||
Pharmacokinetics | D010599 | 2 | — | — | — | — | 2 | ||
Inflammation | D007249 | 2 | — | — | — | — | 2 | ||
Severe combined immunodeficiency | D016511 | D81.0 | 1 | — | — | — | 1 | 2 | |
X-linked combined immunodeficiency diseases | D053632 | EFO_1001451 | 1 | — | — | — | 1 | 2 | |
Venous thromboembolism | D054556 | EFO_0004286 | I74 | 1 | — | — | — | — | 1 |
Hyperkalemia | D006947 | HP_0002153 | E87.5 | 1 | — | — | — | — | 1 |
Hereditary angioedemas | D054179 | EFO_0004131 | 1 | — | — | — | — | 1 | |
Invasive pulmonary aspergillosis | D055744 | B44.0 | 1 | — | — | — | — | 1 |
Show 13 more
Indications Without Phase
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
---|---|---|---|---|---|---|---|---|---|
Keratoconjunctivitis | D007637 | H16.2 | — | — | — | — | 2 | 2 | |
Juvenile arthritis | D001171 | EFO_0002609 | M08 | — | — | — | — | 2 | 2 |
Lysosomal storage diseases | D016464 | — | — | — | — | 1 | 1 | ||
Hemophilia a | D006467 | EFO_0007267 | D66 | — | — | — | — | 1 | 1 |
Wiskott-aldrich syndrome | D014923 | D82.0 | — | — | — | — | 1 | 1 | |
Type 1 hyper-igm immunodeficiency syndrome | D053307 | — | — | — | — | 1 | 1 | ||
Common variable immunodeficiency | D017074 | EFO_0000367 | D83 | — | — | — | — | 1 | 1 |
Leukocyte-adhesion deficiency syndrome | D018370 | EFO_1001359 | — | — | — | — | 1 | 1 | |
Thalassemia | D013789 | EFO_1001996 | D56 | — | — | — | — | 1 | 1 |
Neutrophilic leukemia chronic | D015467 | D47.1 | — | — | — | — | 1 | 1 |
Show 15 more
Epidemiology
Epidemiological information for investigational and approved indications
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Drug
General
Drug common name | CYCLOSPORINE |
INN | ciclosporin |
Description | Cyclosporin A is a cyclic nonribosomal peptide of eleven amino acids; an immunosuppressant drug widely used in post-allogeneic organ transplant to reduce the activity of the patient's immune system, and therefore the risk of organ rejection. Also causes reversible inhibition of immunocompetent lymphocytes in the G0- and G1-phase of the cell cycle. It has a role as an antifungal agent, an antirheumatic drug, a dermatologic drug, an immunosuppressive agent, a metabolite, a carcinogenic agent, an anti-asthmatic drug, an EC 3.1.3.16 (phosphoprotein phosphatase) inhibitor, an anticoronaviral agent and a geroprotector. |
Classification | Protein |
Drug class | Calcineurin inhibitor |
Image (chem structure or protein) | |
Structure (InChI/SMILES or Protein Sequence) | C/C=C/C[C@@H](C)[C@@H](O)[C@H]1C(=O)N[C@@H](CC)C(=O)N(C)CC(=O)N(C)[C@@H](CC(C)C)C(=O)N[C@@H](C(C)C)C(=O)N(C)[C@@H](CC(C)C)C(=O)N[C@@H](C)C(=O)N[C@H](C)C(=O)N(C)[C@@H](CC(C)C)C(=O)N(C)[C@@H](CC(C)C)C(=O)N(C)[C@@H](C(C)C)C(=O)N1C |
Identifiers
PDB | — |
CAS-ID | 59865-13-3 |
RxCUI | 3008 |
ChEMBL ID | CHEMBL160 |
ChEBI ID | 4031 |
PubChem CID | 5284373 |
DrugBank | DB00091 |
UNII ID | 83HN0GTJ6D (ChemIDplus, GSRS) |
Target
Agency Approved
PPIA
PPIA
Organism
Homo sapiens
Gene name
PPIA
Gene synonyms
CYPA
NCBI Gene ID
Protein name
peptidyl-prolyl cis-trans isomerase A
Protein synonyms
Cyclophilin A, Cyclosporin A-binding protein, epididymis secretory sperm binding protein Li 69p, peptidylprolyl isomerase A (cyclophilin A), PPIase A, Rotamase A, T cell cyclophilin
Uniprot ID
Mouse ortholog
Ppia (268373)
peptidyl-prolyl cis-trans isomerase A (Q9R137)
Alternate
SLC10A1
SLC10A1
SLCO1B1
SLCO1B1
ABCG2
ABCG2
FPR1
FPR1
SLCO1B3
SLCO1B3
PPID
PPID
Organism
Homo sapiens
Gene name
SLC10A1
Gene synonyms
NTCP
NCBI Gene ID
Protein name
hepatic sodium/bile acid cotransporter
Protein synonyms
Cell growth-inhibiting gene 29 protein, growth-inhibiting protein 29, Na(+)/bile acid cotransporter, Na(+)/taurocholate transport protein, Na/taurocholate cotransporting polypeptide, NTCP, SLC10A1, sodium/bile acid cotransporter, sodium/taurocholate cotransporter, Sodium/taurocholate cotransporting polypeptide, solute carrier family 10 (sodium/bile acid cotransporter family), member 1, solute carrier family 10 (sodium/bile acid cotransporter), member 1, Solute carrier family 10 member 1
Uniprot ID
Mouse ortholog
Slc10a1 (20493)
hepatic sodium/bile acid cotransporter (Q52L86)
Variants
Clinical Variant
No data
Financial
Restasis - Allergan
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Restasis - Warner Chilcott
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Restasis - AbbVie
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Neoral - Novartis
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Tabular view
Trends
PubMed Central
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Additional graphs summarizing 72,707 documents
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Safety
Black-box Warning
Black-box warning for: Gengraf, Neoral, Sandimmune
Adverse Events
Top Adverse Reactions
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2,162 adverse events reported
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