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Agrylin (ANAGRELIDE)
Agrylin works by inhibiting an enzyme that regulates platelet production, leading to a decrease in platelet count.
Agrylin (ANAGRELIDE) is a small molecule drug developed by SHIRE LLC and currently owned by Takeda Pharms Usa. It targets cGMP-inhibited 3',5'-cyclic phosphodiesterase A to reduce platelet count. Agrylin is a platelet-reducing agent approved by the FDA in 1997 for the treatment of essential thrombocythemia and thrombocytosis in myeloproliferative disease. The drug is now off-patent with multiple generic manufacturers available. Key safety considerations include monitoring for potential side effects such as diarrhea, dizziness, and fatigue.
At a glance
| Generic name | ANAGRELIDE |
|---|---|
| Sponsor | Takeda |
| Drug class | Platelet-reducing Agent |
| Target | cGMP-inhibited 3',5'-cyclic phosphodiesterase A |
| Modality | Small molecule |
| Therapeutic area | Oncology |
| Phase | FDA-approved |
| First approval | 1997 |
Mechanism of action
The precise mechanism by which anagrelide reduces blood platelet count is unknown. In cell culture studies, anagrelide suppressed expression of transcription factors including GATA-1 and FOG-1 required for megakaryocytopoiesis, ultimately leading to reduced platelet production.
Approved indications
- Essential thrombocythemia
- Thrombocytosis in Myeloproliferative Disease
Common side effects
- Headache
- Palpitations
- Diarrhea
- Asthenia
- Edema
- Pain
- Dyspnea
- Cough
- Tachycardia
- Nausea
- Abdominal pain
- Vomiting
Drug interactions
- High Risk QT Prolonging Agents
Key clinical trials
- A Study of Bomedemstat (IMG-7289/MK-3543) Compared to Best Available Therapy (BAT) in Participants With Essential Thrombocythemia and an Inadequate Response or Intolerance of Hydroxyurea (MK-3543-006) (PHASE3)
- A Study to Evaluate Single Agent Selinexor Versus Physician's Choice in Participants With Previously Treated Myelofibrosis (PHASE2)
- Ropeginterferon Alfa-2b (P1101) vs. Anagrelide in Essential Thrombocythemia Patients With Hydroxyurea Resistance or Intolerance (PHASE3)
- The Ruxo-BEAT Trial in Patients With High-risk Polycythemia Vera or High-risk Essential Thrombocythemia (PHASE2)
- Fed Study of Anagrelide Hydrochloride Capsules 1 mg to Agrylin® Capsules 1 mg (PHASE1)
- Fasting Study of Anagrelide Hydrochloride Capsules 1 mg to Agrylin® Capsules 1 mg (PHASE1)
- Efficacy of Momelotinib Versus Best Available Therapy in Anemic or Thrombocytopenic Subjects With Primary Myelofibrosis (MF), Post-polycythemia Vera MF, or Post-essential Thrombocythemia MF (PHASE3)
- Agrylin Drug Use-Result Survey
Primary sources
Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.
| Source | Used for |
|---|---|
| FDA label | Mechanism, indications, dosing, boxed warnings, drug interactions |
| ClinicalTrials.gov | Trial enrolment, design, endpoints, results |
Competitive intelligence
For the full competitive landscape — auto-detected comparators, recent regulatory actions across the set, upcoming PDUFA, patent timeline, sponsor landscape:
- Agrylin CI brief — competitive landscape report
- Agrylin updates RSS · CI watch RSS
- Takeda portfolio CI