Accession Number
DB00016  (BTD00103, BIOD00103, DB08923)
Biologic Classification
Protein Based Therapies

Erythropoietin (EPO) is a growth factor produced in the kidneys that stimulates the production of red blood cells. It works by promoting the division and differentiation of committed erythroid progenitors in the bone marrow Label. Epoetin alfa (Epoge) was developed by Amgen Inc. in 1983 as the first rhEPO commercialized in the United States, followed by other alfa and beta formulations. Epoetin alfa is a 165-amino acid erythropoiesis-stimulating glycoprotein produced in cell culture using recombinant DNA technology and is used for the treatment of patients with anemia associated with various clinical conditions, such as chronic renal failure, antiviral drug therapy, chemotherapy, or a high risk for perioperative blood loss from surgical procedures Label. It has a molecular weight of approximately 30,400 daltons and is produced by mammalian cells into which the human erythropoietin gene has been introduced. The product contains the identical amino acid sequence of isolated natural erythropoietin and has the same biological activity as the endogenous erythropoietin. Epoetin alfa biosimilar, such as Retacrit (epoetin alfa-epbx or epoetin zeta), has been formulated to allow more access to treatment options for patients in the market 5. The biosimilar is approved by the FDA and EMA as a safe, effective and affordable biological product and displays equivalent clinical efficacy, potency, and purity to the reference product 1. Epoetin alfa formulations can be administered intravenously or subcutaneously.

Protein structure
Protein chemical formula
Protein average weight
18396.1 Da
>DB00016 (Erythropoietin) sequence
Download FASTA Format
  • E.P.O.
  • Epoetin alfa
  • Epoetin alfa rDNA
  • Epoetin alfa-epbx
  • Epoetin alfa, recombinant
  • Epoetin beta
  • Epoetin beta rDNA
  • Epoetin epsilon
  • Epoetin gamma
  • Epoetin gamma rDNA
  • Epoetin kappa
  • Epoetin omega
  • Epoetin theta
  • Epoetin zeta
  • Epoetina alfa
  • Epoetina beta
  • Epoetina dseta
  • Epoetina zeta
  • Epoétine zêta
  • Epoetinum zeta
  • Erythropoiesis stimulating factor
  • Erythropoietin (human, recombinant)
  • Erythropoietin (recombinant human)
  • ESF
  • SH-polypeptide-72
External IDs
BM 06.019
Prescription Products
NameDosageStrengthRouteLabellerMarketing StartMarketing End
AbseamedInjection, solution8000 IU/0.8mlIntravenous; SubcutaneousMedice Arzneimittel Pütter Gmb H & Co. Kg2007-08-28Not applicableEu
AbseamedInjection, solution10000 IU/1.0mlIntravenous; SubcutaneousMedice Arzneimittel Pütter Gmb H & Co. Kg2007-08-28Not applicableEu
AbseamedInjection, solution2000 IU/1.0mlIntravenous; SubcutaneousMedice Arzneimittel Pütter Gmb H & Co. Kg2007-08-28Not applicableEu
AbseamedInjection, solution2000 IU/1.0mlIntravenous; SubcutaneousMedice Arzneimittel Pütter Gmb H & Co. Kg2007-08-28Not applicableEu
AbseamedInjection, solution30000 IU/0.75mlIntravenous; SubcutaneousMedice Arzneimittel Pütter Gmb H & Co. Kg2007-08-28Not applicableEu
AbseamedInjection, solution1000 IU/0.5mlIntravenous; SubcutaneousMedice Arzneimittel Pütter Gmb H & Co. Kg2007-08-28Not applicableEu
AbseamedInjection, solution10000 IU/1.0mlIntravenous; SubcutaneousMedice Arzneimittel Pütter Gmb H & Co. Kg2007-08-28Not applicableEu
AbseamedInjection, solution8000 IU/0.8mlIntravenous; SubcutaneousMedice Arzneimittel Pütter Gmb H & Co. Kg2007-08-28Not applicableEu
AbseamedInjection, solution7000 IU/0.7mlIntravenous; SubcutaneousMedice Arzneimittel Pütter Gmb H & Co. Kg2007-08-28Not applicableEu
AbseamedInjection, solution1000 IU/0.5mlIntravenous; SubcutaneousMedice Arzneimittel Pütter Gmb H & Co. Kg2007-08-28Not applicableEu
Additional Data Available
  • Application Number
    Application Number

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  • Product Code
    Product Code

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International/Other Brands
Epobel (Nobel Ilac Pazarlama ve Sanayii Ltd. STI., Turkey) / Epocept (Lupin pharma) / Epofit (Intas pharma) / Epogin (Chugai) / Eqralys (Hemofarm AD) / Nanokine (Nanogen Pharmaceutical biotechnology, Vietnam))
CAS number



Indicated in adult and paediatric patients for the:

  • treatment of anemia due to Chronic Kidney Disease (CKD) in patients on dialysis and not on dialysis.
  • treatment of anemia due to zidovudine in patients with HIV-infection.
  • treatment of anemia due to the effects of concomitant myelosuppressive chemotherapy, and upon initiation, there is a minimum of two additional months of planned chemotherapy.
  • reduction of allogeneic RBC transfusions in patients undergoing elective, noncardiac, nonvascular surgery.
Associated Conditions
Associated Therapies

Erythropoietin and epoetin alfa are involved in the regulation of erythrocyte differentiation and the maintenance of a physiological level of circulating erythrocyte mass. It is reported to increase the reticulocyte count within 10 days of initiation, followed by increases in the RBC count, hemoglobin, and hematocrit, usually within 2 to 6 weeks 6. Depending on the dose administered, the rate of hemoglobin increase may vary. In patients receiving hemodialysis, a greater biologic response is not observed at doses exceeding 300 Units/kg 3 times weekly 6.

Epoetin alfa serves to restore erythropoietin deficiency in pathological and other clinical conditions where normal production of erythropoietin is impaired or compromised. In anemic patients with chronic renal failure (CRF), administration with epoetin alfa stimulated erythropoiesis by increasing the reticulocyte count within 10 days, followed by increases in the red cell count, hemoglobin, and hematocrit, usually within 2 to 6 weeks Label. Epoetin alfa was shown to be effective in increasing hematocrit in zidovudine-treated HIV-infected patients and anemic cancer patients undergoing chemotherapy Label.

Mechanism of action

Erythropoietin or exogenous epoetin alfa binds to the erythropoietin receptor (EPO-R) and activates intracellular signal transduction pathways 3. The affinity (Kd) of EPO for its receptor on human cells is ∼100 to 200 pM 4. Upon binding to EPO-R on the surface of erythroid progenitor cells, a conformational change is induced which brings EPO-R-associated Janus family tyrosine protein kinase 2 (JAK2) molecules into close proximity. JAK2 molecules are subsequently activated via phosphorylation, then phosphorylate tyrosine residues in the cytoplasmic domain of the EPO-R that serve as docking sites for Src homology 2-domain-containing intracellular signaling proteins 3. The signalling proteins include STAT5 that once phosphorylated by JAK2, dissociates from the EPO-R, dimerizes, and translocates to the nucleus where they serve as transcription factors to activate target genes involved in cell division or differentiation, including the apoptosis inhibitor Bcl-x 3. The inhibition of apoptosis by the EPO-activated JAK2/STAT5/Bcl-x pathway is critical in erythroid differentiation. Via JAK2-mediated tyrosine phosphorylation, erythropoietin and epoetin alfa also activates other intracellular proteins involved in erythroid cell proliferation and survival, such as Shc , phosphatidylinositol 3-kinase (PI3K), and phospholipase C-γ1 3.

AErythropoietin receptor
Additional Data Available
Adverse Effects

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Additional Data Available

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The time to reach peak concentration is slower via the subcutaneous route than the intravenous route which ranges from 20 to 25 hours, and the peak is always well below the peak achieved using the intravenous route (5–10% of those seen with IV administration) 4. The bioavailability of subcutaneous injectable erythropoietin is much lower than that of the intravenously administered product and is approximately 20-40% 4.

Adult and paediatric patients with CRF: Following subcutaneous administration, the peak plasma levels are achieved within 5 to 24 hours Label.

Cancer patients receiving cyclic chemotherapy: The average time to reach peak plasma concentration was approximately 13.3 ± 12.4 hours after 150 Units/kg three times per week (TIW) subcutaneous (SC) dosing. The Cmax is expected be 3- to 7- fold higher and the Tmax is expected to be 2- to 3-fold longer in patients receiving a 40,000 Units SC weekly dosing regimen Label.

Volume of distribution

In healthy volunteers, the volume of distribution of intravenous epoetin alfa was generally similar to the plasma volume (range of 40–63.80 mL/kg), indicating limited extravascular distribution 4,2.

Protein binding

No information of serum protein binding available.


Binding of erythropoietin and epoetin alfa to EPO-R leads to cellular internalization, which involves the degradation of the ligand. Erythropoietin and epoetin alfa may also be degraded by the reticuloendothelial scavenging pathway or lymphatic system 4.

Route of elimination

Erythropoietin and epoetin alfa are cleared via uptake and degradation via the EPO-R-expressing cells, and may also involve other cellular pathways in the interstitium, probably via cells in the reticuloendothelial scavenging pathway or lymphatic system 4. Only a small amount of unchanged epoetin alfa is found in the urine 7.

Half life

Healthy volunteers: The half life is approximately 4 hours in healthy volunteers receiving an intravenous injection 6. A half-life of approximately 6 hours has been reported in children 6.

Adult and paediatric patients with CRF: The elimination half life following intravenous administration ranges from 4 to 13 hours, which is about 20% longer in CRF patients than that in healthy subjects. The half life is reported to be similar between adult patients receiving or not receiving dialysis Label.

Cancer patients receiving cyclic chemotherapy: Following subcutaneous administration, the average half life is 40 hours with range of 16 to 67 hours Label.


*Healthy volunteers: * In male volunteers receiving intravenous epoetin alfa, the total body clearance was approximately 8.12 ± 1.00 mL/h/kg 2.

Cancer patients receiving cyclic chemotherapy: The average clearance was approximately 20.2 ± 15.9 mL/h/kg after 150 Units/kg three times per week (TIW) subcutaneous (SC) dosing Label. The patients receiving a 40,000 Units SC weekly dosing regimen display a lower clearance (9.2 ± 4.7 mL/h/kg) Label.


Overdose from epoetin alfa include signs and symptoms associated with an excessive and/or rapid increase in hemoglobin concentration, including cardiovascular events. Patients with suspected or known overdose should be monitored closely for cardiovascular events and hematologic abnormalities. Polycythemia should be managed acutely with phlebotomy, as clinically indicated. Following resolution of the overdose, reintroduction of epoetin alfa therapy should be accompanied by close monitoring for evidence of rapid increases in hemoglobin concentration (>1 gm/dL per 14 days). In patients with an excessive hematopoietic response, reduce the dose in accordance with the recommendations described in the drug label Label.

Affected organisms
  • Humans and other mammals
Not Available
Pharmacogenomic Effects/ADRs
Not Available


Drug Interactions
This information should not be interpreted without the help of a healthcare provider. If you believe you are experiencing an interaction, contact a healthcare provider immediately. The absence of an interaction does not necessarily mean no interactions exist.
10-hydroxycamptothecinThe risk or severity of Thrombosis can be increased when Erythropoietin is combined with 10-hydroxycamptothecin.
2-(4-Chlorophenyl)-5-QuinoxalinecarboxamideThe risk or severity of Thrombosis can be increased when Erythropoietin is combined with 2-(4-Chlorophenyl)-5-Quinoxalinecarboxamide.
2-chloroethyl-3-sarcosinamide-1-nitrosoureaThe risk or severity of Thrombosis can be increased when Erythropoietin is combined with 2-chloroethyl-3-sarcosinamide-1-nitrosourea.
2-MethoxyestradiolThe risk or severity of Thrombosis can be increased when Erythropoietin is combined with 2-Methoxyestradiol.
3,4-Dihydroxybenzoic AcidThe risk or severity of Thrombosis can be increased when Erythropoietin is combined with 3,4-Dihydroxybenzoic Acid.
6-O-benzylguanineThe risk or severity of Thrombosis can be increased when Erythropoietin is combined with 6-O-benzylguanine.
7-ethyl-10-hydroxycamptothecinThe risk or severity of Thrombosis can be increased when Erythropoietin is combined with 7-ethyl-10-hydroxycamptothecin.
7-HydroxystaurosporineThe risk or severity of Thrombosis can be increased when Erythropoietin is combined with 7-Hydroxystaurosporine.
8-azaguanineThe risk or severity of Thrombosis can be increased when Erythropoietin is combined with 8-azaguanine.
9-aminocamptothecinThe risk or severity of Thrombosis can be increased when Erythropoietin is combined with 9-aminocamptothecin.
Additional Data Available
  • Extended Description
    Extended Description

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  • Severity

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  • Evidence Level
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  • Action

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Food Interactions
Not Available


General References
  1. Brinks V, Hawe A, Basmeleh AH, Joachin-Rodriguez L, Haselberg R, Somsen GW, Jiskoot W, Schellekens H: Quality of original and biosimilar epoetin products. Pharm Res. 2011 Feb;28(2):386-93. doi: 10.1007/s11095-010-0288-2. Epub 2010 Oct 1. [PubMed:20886265]
  2. Halstenson CE, Macres M, Katz SA, Schnieders JR, Watanabe M, Sobota JT, Abraham PA: Comparative pharmacokinetics and pharmacodynamics of epoetin alfa and epoetin beta. Clin Pharmacol Ther. 1991 Dec;50(6):702-12. [PubMed:1752115]
  3. Weiss MJ: New insights into erythropoietin and epoetin alfa: mechanisms of action, target tissues, and clinical applications. Oncologist. 2003;8 Suppl 3:18-29. [PubMed:14671225]
  4. Elliott S, Pham E, Macdougall IC: Erythropoietins: a common mechanism of action. Exp Hematol. 2008 Dec;36(12):1573-84. doi: 10.1016/j.exphem.2008.08.003. Epub 2008 Oct 14. [PubMed:18922615]
  5. FDA News Release: FDA approves first epoetin alfa biosimilar for the treatment of anemia [Link]
  6. EMA Summary of Product Characteristics: RETACRIT (epoetin alfa-epox) injection, for intravenous or subcutaneous use [File]
  7. Epoetin Alfa (Epogen®) Product Monograph [File]
External Links
PubChem Substance
Therapeutic Targets Database
RxList Drug Page Drug Page
ATC Codes
B03XA01 — Erythropoietin
AHFS Codes
  • 20:16.00 — Hematopoietic Agents
FDA label
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Clinical Trials

Clinical Trials
0Enrolling by InvitationBasic ScienceHepatitis, Autoimmune1
0Enrolling by InvitationOtherHealthy Athletes1
1Active Not RecruitingTreatmentAnemia Associated With Chronic Kidney Disease1
1CompletedNot AvailableAnemia / Chronic Renal Failure (CRF)1
1CompletedBasic ScienceRenal Effects1
1CompletedBasic ScienceThere Are no Conditions Under Study. Healthy Volunteers1
1CompletedPreventionParkinson's Disease (PD)1
1CompletedPreventionReperfusion Injury1
1CompletedTreatmentAnemia / Chronic Kidney Disease (CKD)1
1CompletedTreatmentCerebral Palsy (CP)1
1CompletedTreatmentChronic Kidney Disease (CKD) / Pulmonary Hypertension (PH) / Sickle Cell Disease (SCD)1
1CompletedTreatmentChronic Renal Failure (CRF)1
1CompletedTreatmentHuman Immunodeficiency Virus (HIV) Infections1
1CompletedTreatmentHypoxic-Ischaemic Encephalopathy1
1CompletedTreatmentRenal Insufficiency,Chronic1
1Not Yet RecruitingTreatmentHealthy Volunteers1
1RecruitingTreatmentHealthy Volunteers1
1TerminatedSupportive CareMalignant Lymphomas / Neutropenia1
1Unknown StatusTreatmentChronic Renal Failure (CRF)1
1Unknown StatusTreatmentHealthy Volunteers4
1Unknown StatusTreatmentTransplantation, Kidney1
1, 2Active Not RecruitingTreatmentHypoxic-Ischaemic Encephalopathy / Neonatal Asphyxia / Neonatal Encephalopathy1
1, 2CompletedPreventionAortic Arch Hypoplasia or Interruption / Congenital Heart Disease (CHD) / Hypoplastic Left Heart Syndrome (HLHS) / Transposition of the Great Arteries1
1, 2CompletedPreventionHypoxic-Ischaemic Encephalopathy1
1, 2CompletedTreatmentAnemia1
1, 2CompletedTreatmentAngiogenesis / Burr Hole / Ischemic Attack / Moyamoya Disease / Stroke, Ischemic1
1, 2CompletedTreatmentDiabetic Chronic Ulcers / Diabetic Foot Ulcers (DFU)1
1, 2CompletedTreatmentHypoxic Ischemic Encephalopathy (HIE) / Hypoxic-Ischaemic Encephalopathy1
1, 2CompletedTreatmentLow- or Intermediate-1-risk Myelodysplastic Syndrome (MDS)1
1, 2CompletedTreatmentTraumatic Optic Neuropathy1
1, 2RecruitingOtherAmyotrophic Lateral Sclerosis (ALS)1
1, 2RecruitingTreatmentErythropoietin / Safety / Stroke / Treatment Outcomes / Umbilical Cord Blood1
1, 2TerminatedTreatmentAnemia / Cardiovascular Heart Disease1
1, 2TerminatedTreatmentCardiac Surgery-CABG / Cardiac Surgery-CABG and/or Cardiac Valve Replacement / Cardiac valve replacement1
1, 2Unknown StatusBasic ScienceHealthy Volunteers1
1, 2Unknown StatusPreventionInfants, Premature / Intraventricular Hemorrhage / Periventricular Leukomalacia / Retinopathy of Prematurity1
2Active Not RecruitingPreventionNeonatal Anemia1
2Active Not RecruitingTreatmentAnemia / Hemodialysis-dependent chronic kidney disease (HDD-CKD)1
2CompletedPreventionCerebral Palsy (CP) / Developmental Psychomotor Disorders / Intracranial Hemorrhages / Periventricular Leukomalacia1
2CompletedPreventionMyocardial Ischemia1
2CompletedPreventionOptic Neuritis1
2CompletedSupportive CareAnemia / Disorders, Lymphoproliferative / Leukemias / Malignant Lymphomas / Multiple Myeloma and Plasma Cell Neoplasm / Precancerous Conditions / Unspecified Adult Solid Tumor, Protocol Specific2
2CompletedSupportive CareAnemia / Fatigue / Unspecified Adult Solid Tumor, Protocol Specific2
2CompletedSupportive CareAnemia / Leukemias / Myelodysplastic Syndromes (MDS) / Myelodysplastic/Myeloproliferative Neoplasms1
2CompletedSupportive CareAnemia / Lung Cancers1
2CompletedTreatmentAcquired Immune Deficiency Syndrome (AIDS) / Anemia4
2CompletedTreatmentAcute Myocardial Infarction (AMI)1
2CompletedTreatmentAdult Patients With Int 1-risk Myelodysplastic Syndrome / Adult Patients With Low Risk Myelodysplastic Syndrome / Adult Patients With Low- and Int-1-risk Myelodysplastic Syndrome / Low and Int 1-risk Myelodysplastic Syndrome1
2CompletedTreatmentAnemia in End Stage Renal Disease1
2CompletedTreatmentAnemia / Blood Transfusions / Orthopedic Procedures1
2CompletedTreatmentAnemia / Breast Cancer1
2CompletedTreatmentAnemia / Chronic Kidney Disease (CKD)1
2CompletedTreatmentAnemia / Chronic Kidney Disease (CKD) / Chronic Renal Failure (CRF)1
2CompletedTreatmentAnemia / Chronic Lymphocytic Leukaemia (CLL) / Leukemia, Lymphocytic / Malignancies / Neoplasms / Quality of Life1
2CompletedTreatmentAnemia / Chronic Renal Failure (CRF)1
2CompletedTreatmentAnemia / End Stage Renal Disease (ESRD)1
2CompletedTreatmentAnemia / Genital Neoplasms, Female / Gynecological Malignancies1
2CompletedTreatmentAnemia / Illness, Critical1
2CompletedTreatmentAnemia / Kidney Diseases1
2CompletedTreatmentAnemia / Malignancies1
2CompletedTreatmentAnemia / Cancer treatment / Malignancies1
2CompletedTreatmentAnemia / Neoplasms3
2CompletedTreatmentAnemia / Non-Small Cell Lung Carcinoma (NSCLC)1
2CompletedTreatmentAnemia / Renal Insufficiency,Chronic3
2CompletedTreatmentAnemia / Cancer treatment1
2CompletedTreatmentAneurysmal Subarachnoid Hemorrhage1
2CompletedTreatmentCerebral Palsy (CP)1
2CompletedTreatmentEnd Stage Renal Disease (ESRD)1
2CompletedTreatmentErectile Dysfunction / Prostate Cancer1
2CompletedTreatmentFriedreich's Ataxia2
2CompletedTreatmentHead and Neck Carcinoma1
2CompletedTreatmentHealthy Volunteers1
2CompletedTreatmentInfants, Premature1
2CompletedTreatmentInjuries, Brain / Surgery, Cardiac1
2CompletedTreatmentLymphoma, Hodgkins1
2CompletedTreatmentMalignant Neoplasm of Pancreas1
2CompletedTreatmentMoods Disorders1
2CompletedTreatmentMyelodysplastic Syndrome1
2CompletedTreatmentMyelodysplastic Syndromes (MDS)4
2CompletedTreatmentMyocardial Infarction2
2CompletedTreatmentNewborn Infants1
2CompletedTreatmentPreterm, Infant1
2CompletedTreatmentRenal Failure1
2CompletedTreatmentReperfusion Injury1
2CompletedTreatmentST Elevation Acute Myocardial Infarction1
2Not Yet RecruitingTreatmentAngiogenesis / Stroke, Ischemic1
2Not Yet RecruitingTreatmentInfants, Premature1
2Not Yet RecruitingTreatmentNeonatal Encephalopathy1
2RecruitingTreatmentAnemia of Chronic Disease / Hip Arthropathy / Iron Deficiency Anemia (IDA) / Knee Arthropathy1
2RecruitingTreatmentAnemia / Chronic Renal Failure (CRF) / Dialysis therapy1
2RecruitingTreatmentAnemia / Congenital Heart Disease (CHD) / Cyanosis / Cyanotic Congenital Heart Disease1
2RecruitingTreatmentBipolar Disorder (BD) / Cognitive Impairments / Unipolar Depression1
2RecruitingTreatmentCognitive Impairments / Depression, Bipolar / Electroconvulsive Therapy / Unipolar Depression1
2RecruitingTreatmentInfants, Premature2
2RecruitingTreatmentNon-arteritic Anterior Ischemic Optic Neuropathy (NAION)1
2TerminatedPreventionErythropoietin / Infants, Premature / Injuries, Brain / Intraventricular Hemorrhage / Neurodevelopmental Outcomes / Periventricular Leukomalacia / Randomized Clinical Trial1
2TerminatedPreventionPeripheral Neuropathy, Chemotherapy-induced1
2TerminatedTreatmentAgeing / Anemia / Hemoglobins2
2TerminatedTreatmentAging / Anemia1
2TerminatedTreatmentAnemia / Chronic Kidney Disease (CKD)1
2TerminatedTreatmentAnemia / Epoetin Alfa / Malignancies1
2TerminatedTreatmentAnemia / Human Immunodeficiency Virus (HIV) Infections1
2TerminatedTreatmentAnemia / Malignancies / Neoplasms1
2TerminatedTreatmentAnemia / Rheumatoid Arthritis1
2TerminatedTreatmentAnemia / Surgery, Arthroscopy1
2TerminatedTreatmentAnemia / Hemodialysis-dependent chronic kidney disease (HDD-CKD)1
2TerminatedTreatmentEnd Stage Renal Disease (ESRD)1
2TerminatedTreatmentMyelodysplastic Syndrome1
2TerminatedTreatmentMyelodysplastic Syndromes (MDS)2
2Unknown StatusTreatmentAcute Myocardial Infarction (AMI)1
2Unknown StatusTreatmentAnemia1
2Unknown StatusTreatmentAnemia / Myelodysplastic Syndromes (MDS)1
2Unknown StatusTreatmentMultiple Sclerosis (Primary or Secondary Progressive Phase)1
2Unknown StatusTreatmentTrauma, Multiple1
2WithdrawnPreventionTraumatic Brain Injury (TBI)1
2WithdrawnTreatmentAnemia / Myelodysplastic Syndromes (MDS)1
2WithdrawnTreatmentAnemia / Rheumatoid Arthritis1
2WithdrawnTreatmentHuman Immunodeficiency Virus (HIV) Infections / Neuropathies1
2, 3CompletedPreventionAcute Renal Failure (ARF)1
2, 3CompletedPreventionTransplantation, Kidney1
2, 3CompletedTreatmentAnemia1
2, 3CompletedTreatmentAnemia Neonatal / Infant, Low Birth Weight / Infant, Small for Gestational Age / Infants, Premature / Neonatal Anemia / Newborn Infants1
2, 3CompletedTreatmentAnemia / Blood Transfusions / Orthopedic Procedures1
2, 3CompletedTreatmentAnemia / Traumatic Brain Injury (TBI)1
2, 3CompletedTreatmentBlood Transfusions / Blood Transfusions, Autologous / Cardiovascular Surgical Procedures / Mammaplasty / Orthopedic Procedures1
2, 3CompletedTreatmentBlood Transfusions / Blood Transfusions, Autologous / Cardiovascular Surgical Procedures / Orthopedic Procedures1
2, 3CompletedTreatmentMiddle Cerebral Artery Infarction / Middle Cerebral Artery Stroke / Stroke, Acute1
2, 3CompletedTreatmentPerinatal Asphyxia1
2, 3RecruitingTreatmentRefractory Diabetic Macular Edema1
2, 3TerminatedTreatmentNerve Compression Syndromes1
2, 3Unknown StatusTreatmentMalaria, Cerebral1
2, 3WithdrawnTreatmentTraumatic Brain Injury (TBI)1
3Active Not RecruitingTreatmentAnemia / Chronic Myelomonocytic Leukemia / De Novo Myelodysplastic Syndrome / Myelodysplastic Syndrome1
3Active Not RecruitingTreatmentHypoxic Ischemic Encephalopathy (HIE) / Hypoxic-Ischaemic Encephalopathy1
3Active Not RecruitingTreatmentIntraventricular Hemorrhage of Prematurity1
3Active Not RecruitingTreatmentNeonatal Asphyxia / Neonatal Encephalopathy1
3Active Not RecruitingTreatmentOptic Nerve Diseases1
3CompletedPreventionAnemia / Left Ventricular Hypertrophy / Renal Failure1
3CompletedSupportive CareAcute Myeloid Leukemia (AML) / Leukemias / Myelodysplastic Syndrome1
3CompletedSupportive CareAdenocarcinoma of the Cervix / Adenosquamous carcinoma of the cervix / Anemia / Cervical Squamous Cell Carcinoma / Radiation Toxicity / Stage IIB Cervical Cancer / Stage III Cervical Cancer / Stage IVA Cervical Cancer / Therapeutic Agent Toxicity1
3CompletedSupportive CareAnemia / Breast Cancer / Chronic Myeloproliferative Disorders / Drug/Agent Toxicity by Tissue/Organ / Leukemias / Lung Cancers / Malignant Lymphomas / Multiple Myeloma and Plasma Cell Neoplasm / Precancerous Conditions / Small Intestine Cancer / Unspecified Adult Solid Tumor, Protocol Specific1
3CompletedSupportive CareAnemia / Disorders, Lymphoproliferative / Leukemias / Malignant Lymphomas / Multiple Myeloma and Plasma Cell Neoplasm / Precancerous Conditions / Unspecified Adult Solid Tumor, Protocol Specific1
3CompletedSupportive CareAnemia / Disorders, Lymphoproliferative / Leukemias / Malignant Lymphomas / Multiple Myeloma and Plasma Cell Neoplasm / Precancerous/Nonmalignant Condition / Unspecified Adult Solid Tumor, Protocol Specific1
3CompletedSupportive CareAnemia / Fatigue / Prostate Cancer1
3CompletedSupportive CareAnemia / Leukemias / Malignant Lymphomas / Multiple Myeloma and Plasma Cell Neoplasm1
3CompletedTreatmentAnemia in End-Stage Renal Disease1
3CompletedTreatmentAnemia in Incident Dialysis Patients1
3CompletedTreatmentAnemia / Aortic Valve Stenosis1
3CompletedTreatmentAnemia / Blood Transfusions, Autologous / Orthopedic Procedures1
3CompletedTreatmentAnemia / Blood Transfusions / Orthopedic Procedures1
3CompletedTreatmentAnemia / Breast Cancer / Esophagus Cancer / Malignant Lymphomas / Multiple Myeloma (MM) / Neoplasms / Ovarian Cancer / Prostate Cancer / Small Cell Lung Cancer (SCLC)1
3CompletedTreatmentAnemia / Chronic Kidney Disease (CKD)1
3CompletedTreatmentAnemia / Chronic Kidney Disease (CKD) / Chronic Renal Failure (CRF)2
3CompletedTreatmentAnemia / Chronic Renal Failure (CRF)1
3CompletedTreatmentAnemia / End Stage Renal Disease (ESRD)1
3CompletedTreatmentAnemia / Head and Neck Carcinoma1
3CompletedTreatmentAnemia / Hodgkins Disease (HD) / Leukemias / Non-Hodgkin's Lymphoma (NHL)1
3CompletedTreatmentAnemia / Kidney Diseases1
3CompletedTreatmentAnemia / Malignancies / Neoplasms1
3CompletedTreatmentAnemia / Cancer treatment / Malignancies1
3CompletedTreatmentAnemia / Multiple Myeloma (MM)1
3CompletedTreatmentAnemia / Myelodysplastic Syndromes (MDS)1
3CompletedTreatmentAnemia / Neoplasms1
3CompletedTreatmentAnemia / Neoplasms, Breast / Quality of Life1
3CompletedTreatmentAnemia / Thrombosis, Venous1
3CompletedTreatmentAngioplasty, Transluminal, Percutaneous Coronary / Myocardial Infarction1
3CompletedTreatmentBreast Cancer1
3CompletedTreatmentBreast Cancer / Neoplasms Metastasis1
3CompletedTreatmentCKD Anemia in Stable Dialysis Patients1
3CompletedTreatmentCarcinoma NOS / Prostate1
3CompletedTreatmentChemotherapy Induced Anemia2
3CompletedTreatmentChronic Hepatitis C Virus (HCV) Infection2
3CompletedTreatmentChronic Kidney Disease (CKD)2
3CompletedTreatmentChronic Kidney Disease (CKD) / Chronic Renal Failure (CRF)2
3CompletedTreatmentChronic Renal Failure (CRF)1
3CompletedTreatmentComparison of the Efficacy of Two Formulations of Epoetin in Patients Undergoing Hemodialysis1
3CompletedTreatmentCongestive Heart Failure (CHF) / Renal Insufficiency,Chronic1
3CompletedTreatmentExtreme Prematurity1
3CompletedTreatmentHepatitis C Viral Infection1
3CompletedTreatmentHip Fracture1
3CompletedTreatmentLung Cancers1
3CompletedTreatmentMyelodysplastic Syndromes (MDS)1
3CompletedTreatmentOptic Neuritis1
3CompletedTreatmentPredialysis Patients1
3CompletedTreatmentRectal Neoplasms / Stomach Neoplasms1
3CompletedTreatmentRenal Failure1
3CompletedTreatmentTraumatic Brain Injury (TBI)1
3Not Yet RecruitingTreatmentChronic Kidney Disease (CKD)1
3Not Yet RecruitingTreatmentHypoxic-Ischaemic Encephalopathy1
3Not Yet RecruitingTreatmentNon-dialysis-dependent Chronic Kidney Disease1
3RecruitingTreatmentAnemia of Chronic Kidney Disease2
3RecruitingTreatmentCerebral Palsy (CP) / Infants, Premature / Intracranial Hemorrhages / Periventricular Leukomalacia1
3RecruitingTreatmentChronic Kidney Disease Stage 5 on Dialysis1
3RecruitingTreatmentHypoxic-Ischaemic Encephalopathy1
3RecruitingTreatmentMyelodysplastic Syndromes (MDS)2
3RecruitingTreatmentRenal Anemia1
3RecruitingTreatmentTraumatic Optic Neuropathy1
3TerminatedTreatmentAnemia / Chemotherapy, Adjuvant / Hemoglobins / Neoplasms, Breast / Quality of Life1
3TerminatedTreatmentAnemia / Lung Cancers / Non-Small Cell Lung Carcinoma (NSCLC)1
3TerminatedTreatmentAnemia / Malignancies1
3TerminatedTreatmentAnemia / Myelodysplastic Syndromes (MDS)1
3TerminatedTreatmentAnemia / Neoplasms1
3TerminatedTreatmentAnemia / Renal Insufficiency,Chronic1
3TerminatedTreatmentChronic Kidney Disease (CKD)1
3TerminatedTreatmentChronic Renal Failure (CRF) / Drug Resistance1
3TerminatedTreatmentGastrointestinal Cancers / Rectal Carcinoma1
3TerminatedTreatmentHead and Neck Carcinoma1
3TerminatedTreatmentSpinal Cord Injuries (SCI)1
3Unknown StatusPreventionAcute Renal Failure (ARF)1
3Unknown StatusPreventionDiabetes / Kidney Insufficiency, Chronic1
3Unknown StatusSupportive CareAnemia / Leukemias / Malignant Lymphomas / Multiple Myeloma and Plasma Cell Neoplasm / Unspecified Adult Solid Tumor, Protocol Specific1
3Unknown StatusTreatmentCervix Cancer1
3WithdrawnTreatmentAnemia / Blood Transfusions / Orthopedic Procedures1
4CompletedNot AvailableAnemia1
4CompletedNot AvailableAnemia / Neoplasms2
4CompletedNot AvailablePure Red Cell Aplasia / Pure Red-Cell Aplasia1
4CompletedBasic ScienceHigh Blood Pressure (Hypertension) / Thrombotic events1
4CompletedBasic ScienceRenal Anemia1
4CompletedDiagnosticAnemia / Chronic Renal Failure (CRF)1
4CompletedPreventionDiabetic Nephropathies1
4CompletedPreventionDissection of Thoracic Aorta1
4CompletedPreventionOther and unspecified effects of high altitude1
4CompletedPreventionPatients Receiving a Kidney From a Non-Heart-Beating Donor1
4CompletedPreventionPremature Births1
4CompletedSupportive CareAnemia / Breast Cancer / Fatigue1
4CompletedSupportive CareAnemia / Cervical Cancers1
4CompletedTreatmentAcute Myocardial Infarction (AMI)1
4CompletedTreatmentAnemia / Chronic Kidney Disease (CKD)1
4CompletedTreatmentAnemia / Chronic Renal Failure (CRF)1
4CompletedTreatmentAnemia / Erythrocyte Transfusion / Renal Dialysis / Renal Insufficiency,Chronic1
4CompletedTreatmentAnemia / Human Immunodeficiency Virus (HIV) Infections1
4CompletedTreatmentAnemia / Iron Deficiency1
4CompletedTreatmentAnemia / Cancer treatment / Malignancies1
4CompletedTreatmentAnemia / Neoplasms3
4CompletedTreatmentAnemia / Renal Anemia, Chronic1
4CompletedTreatmentAnemia / Cancer treatment1
4CompletedTreatmentAntineoplastic Chemotherapy Induced Anemia1
4CompletedTreatmentChronic Hepatitis C Virus (HCV) Infection1
4CompletedTreatmentChronic Kidney Disease (CKD)1
4CompletedTreatmentChronic Renal Failure (CRF)1
4CompletedTreatmentDelayed Graft Function1
4CompletedTreatmentMyelodysplastic Syndromes (MDS)2
4CompletedTreatmentOsteoarthritis (OA)1
4RecruitingSupportive CareAnemia / Hemolytic-uremic Syndrome (HUS)1
4RecruitingTreatmentAnemia in Incident Dialysis Patients1
4RecruitingTreatmentAnemia / Hematopoietic Stem Cell Transplantation (HSCT) / Malignant Lymphomas1
4RecruitingTreatmentAutoimmune Encephalitis1
4RecruitingTreatmentRenal Anemia1
4TerminatedNot AvailableAnemia - Cancer Related1
4TerminatedPreventionAnemia / Atherosclerosis / Cardiovascular / CKD1
4TerminatedPreventionContrast Induced Nephropathy (CIN) / Prophylaxis of Contrast-induced nephropathy1
4TerminatedPreventionHeart; Dysfunction Postoperative, Cardiac Surgery / Iron Deficiency Anemia (IDA) / Iron-Deficiency Anemias1
4TerminatedTreatmentAnemia / Hepatitis C Virus (HCV) Infection / Human Immunodeficiency Virus (HIV) Infections / Neutropenia1
4TerminatedTreatmentAnemia / Kidney Diseases1
4TerminatedTreatmentAnemia / Cancer treatment / Malignancies1
4TerminatedTreatmentAnemia / Renal Failure, Chronic Renal Failure1
4TerminatedTreatmentAnemia / Renal Insufficiency,Chronic1
4TerminatedTreatmentSubarachnoid Hemorrhage1
4TerminatedTreatmentMaintenance of surgical hemostasis therapy1
4Unknown StatusTreatmentAcute Myocardial Infarction (AMI)1
4Unknown StatusTreatmentChronic Hepatitis C Virus (HCV) Infection1
4Unknown StatusTreatmentHeart Failure1
4WithdrawnNot AvailableAnemia1
Not AvailableCompletedNot AvailableAnemia2
Not AvailableCompletedNot AvailableAnemia, Kidney Transplantation1
Not AvailableCompletedNot AvailableAnemia, Neoplasms1
Not AvailableCompletedNot AvailableAnemia / Chronic Kidney Disease (CKD) / End Stage Renal Disease (ESRD) / End-Stage Renal Disease (ESRD)1
Not AvailableCompletedNot AvailableAnemia / Endometrial Diseases1
Not AvailableCompletedNot AvailableCerebral Palsy (CP)1
Not AvailableCompletedNot AvailableChronic Renal Failure (CRF)1
Not AvailableCompletedNot AvailableImpaired kidney function / Renal Anemia of Chronic Kidney Disease1
Not AvailableCompletedBasic ScienceInsulin Sensitivity1
Not AvailableCompletedBasic ScienceSubstance Abuse Problem1
Not AvailableCompletedOtherAllogenic Transfusion / Hip Arthroplasty / Knee Replacement Surgery / Perioperative Anaemia1
Not AvailableCompletedPreventionAnemia / Transfusions1
Not AvailableCompletedPreventionMyocardial Ischemic Reperfusion Injury1
Not AvailableCompletedSupportive CareAnemia / Multiple Myeloma (MM) / Multiple Myeloma and Plasma Cell Neoplasm / Plasma Cell Neoplasms1
Not AvailableCompletedSupportive CareMultiple Myeloma (MM)1
Not AvailableCompletedTreatmentAnemia / Infant, Low Birth Weight1
Not AvailableCompletedTreatmentBlood Transfusions1
Not AvailableCompletedTreatmentCardiovascular Heart Disease / Disease, Chronic / Kidney Diseases1
Not AvailableCompletedTreatmentCerebral Palsy (CP)2
Not AvailableCompletedTreatmentCirrhosis, Decompensated1
Not AvailableCompletedTreatmentCrohn's Disease (CD)1
Not AvailableCompletedTreatmentCytopenias / Human Immunodeficiency Virus (HIV) Infections8
Not AvailableCompletedTreatmentHypoglycemia / Type 1 Diabetes Mellitus1
Not AvailableCompletedTreatmentLeukemias1
Not AvailableEnrolling by InvitationPreventionDevelopmental Disability1
Not AvailableNot Yet RecruitingNot AvailableIron Deficiency Anemia (IDA)1
Not AvailableRecruitingNot AvailableTraumatic Brain Injury (TBI)1
Not AvailableRecruitingBasic ScienceHealthy Volunteers1
Not AvailableRecruitingOtherIron Deficiency Anemia (IDA) / Scoliosis Idiopathic / Ultra-short-term1
Not AvailableRecruitingTreatmentAnemia Renal1
Not AvailableRecruitingTreatmentCerebrovascular Diseases / Moyamoya Disease / Pediatrics1
Not AvailableTerminatedOtherAnemia / End Stage Renal Disease (ESRD)1
Not AvailableTerminatedPreventionAcute Kidney Injury (AKI) / Cardiac Diseases / General Surgery1
Not AvailableTerminatedPreventionDefect, Congenital Heart1
Not AvailableTerminatedSupportive CareAnemia / Fatigue / Unspecified Adult Solid Tumor, Protocol Specific1
Not AvailableTerminatedTreatmentAnemia1
Not AvailableTerminatedTreatmentIron Deficiency Anemia (IDA) / Iron-Deficiency Anemias1
Not AvailableUnknown StatusNot AvailableAnemia / Chronic Renal Failure (CRF)1
Not AvailableUnknown StatusNot AvailableHealthy Volunteers1
Not AvailableUnknown StatusBasic ScienceIron Metabolism Disorders1
Not AvailableUnknown StatusPreventionChronic Kidney Disease (CKD)1
Not AvailableUnknown StatusScreeningRetinopathy of Prematurity1
Not AvailableUnknown StatusSupportive CareAnemia / Unspecified Adult Solid Tumor, Protocol Specific1
Not AvailableWithdrawnSupportive CareFatigue / Unspecified Adult Solid Tumor, Protocol Specific1
Not AvailableWithdrawnTreatmentAnemia1


Not Available
  • Amgen Inc.
  • Centocor Ortho Biotech Inc.
  • DSM Corp.
  • Janssen-Ortho Inc.
  • JHP Pharmaceuticals LLC
  • Ortho-McNeil-Janssen Pharmaceuticals Inc.
  • Physicians Total Care Inc.
Dosage forms
Injection, solutionIntravenous; Subcutaneous1000 IU/0.5ml
Injection, solutionIntravenous; Subcutaneous10000 IU/1.0ml
Injection, solutionIntravenous; Subcutaneous2000 IU/1.0ml
Injection, solutionIntravenous; Subcutaneous20000 IU/0.5ml
Injection, solutionIntravenous; Subcutaneous3000 IU/0.3ml
Injection, solutionIntravenous; Subcutaneous30000 IU/0.75ml
Injection, solutionIntravenous; Subcutaneous4000 IU/0.4ml
Injection, solutionIntravenous; Subcutaneous40000 IU/1ml
Injection, solutionIntravenous; Subcutaneous40000 IU/1.0ml
Injection, solutionIntravenous; Subcutaneous5000 IU/0.5ml
Injection, solutionIntravenous; Subcutaneous6000 IU/0.6ml
Injection, solutionIntravenous; Subcutaneous7000 IU/0.7ml
Injection, solutionIntravenous; Subcutaneous8000 IU/0.8ml
Injection, solutionIntravenous; Subcutaneous9000 IU/0.9ml
Injection, solutionIntravenous; Subcutaneous10000 IU/1ml
SolutionIntravenous; Subcutaneous10000 [iU]/1mL
SolutionIntravenous; Subcutaneous2000 [iU]/1mL
SolutionIntravenous; Subcutaneous20000 [iU]/1mL
SolutionIntravenous; Subcutaneous3000 [iU]/1mL
SolutionIntravenous; Subcutaneous4000 [iU]/1mL
SolutionIntravenous; Subcutaneous40000 1/1mL
Injection, solutionIntravenous; Subcutaneous2000 IU/0.5ml
Injection, solutionIntravenous; Subcutaneous20000 IU/1.0ml
Injection, solutionIntravenous; Subcutaneous3000 IU/0.5ml
Injection, solutionIntravenous; Subcutaneous30000 IU/1.0ml
Injection, solutionIntravenous; Subcutaneous4000 IU/0.5ml
SolutionIntravenous; Subcutaneous
Injection, solutionIntravenous; Subcutaneous10000 [iU]/1mL
Injection, solutionIntravenous; Subcutaneous2000 [iU]/1mL
Injection, solutionIntravenous; Subcutaneous20000 [iU]/1mL
Injection, solutionIntravenous; Subcutaneous3000 [iU]/1mL
Injection, solutionIntravenous; Subcutaneous4000 [iU]/1mL
Injection, solutionIntravenous; Subcutaneous40000 [iU]/1mL
Injection, solutionIntravenous; Subcutaneous1000 IU/0.3ml
Injection, solutionIntravenous; Subcutaneous2000 IU/0.6ml
Injection, solutionIntravenous; Subcutaneous3000 IU/0.9ml
Unit descriptionCostUnit
Epogen 40000 unit/ml Solution 1 Box Contains Ten 1ml Vials6852.3USD box
Epogen 20000 unit/ml Solution 1 Box Contains Ten 1ml Vials3157.44USD box
Epogen 10000 unit/ml Solution 1 Box Contains Ten 1ml Vials1578.72USD box
Procrit 40000 unit/ml vial767.03USD vial
Procrit 10000 unit/ml vial710.87USD vial
Epogen 40000 unit/ml vial640.37USD ml
Procrit 20000 unit/ml vial388.97USD ml
Procrit 20000 unit/ml Solution378.14USD ml
Procrit 10000 unit/ml Solution 2ml Vial358.02USD vial
Epogen 10000 unit/ml Solution 2ml Vial315.74USD vial
Epogen 20000 unit/ml vial303.6USD ml
Epogen 10000 unit/ml vial151.8USD ml
Procrit 4000 unit/ml vial74.17USD vial
Epogen 4000 unit/ml vial61.34USD vial
Procrit 3000 unit/ml vial55.63USD vial
Epogen 3000 unit/ml vial47.53USD vial
Procrit 2000 unit/ml vial37.09USD vial
Epogen 2000 unit/ml vial34.14USD vial
DrugBank does not sell nor buy drugs. Pricing information is supplied for informational purposes only.
Patent NumberPediatric ExtensionApprovedExpires (estimated)
Additional Data Available
  • Filed On
    Filed On

    The date on which a patent was filed with the relevant government.

    Learn more


Experimental Properties
melting point (°C)53 °CArakawa, T. et al., Biosci. Biotechnol. Biochem. 65:1321-1327 (2001)
isoelectric point8.75Not Available


Not Available
Organic Compounds
Super Class
Organic Acids
Carboxylic Acids and Derivatives
Sub Class
Amino Acids, Peptides, and Analogues
Direct Parent
Alternative Parents
Not Available
Not Available
Molecular Framework
Not Available
External Descriptors
Not Available


Pharmacological action
General Function
Identical protein binding
Specific Function
Receptor for erythropoietin. Mediates erythropoietin-induced erythroblast proliferation and differentiation. Upon EPO stimulation, EPOR dimerizes triggering the JAK2/STAT5 signaling cascade. In som...
Gene Name
Uniprot ID
Uniprot Name
Erythropoietin receptor
Molecular Weight
55064.725 Da
  1. LaMontagne KR, Butler J, Marshall DJ, Tullai J, Gechtman Z, Hall C, Meshaw A, Farrell FX: Recombinant epoetins do not stimulate tumor growth in erythropoietin receptor-positive breast carcinoma models. Mol Cancer Ther. 2006 Feb;5(2):347-55. [PubMed:16505108]
  2. Kokhaei P, Abdalla AO, Hansson L, Mikaelsson E, Kubbies M, Haselbeck A, Jernberg-Wiklund H, Mellstedt H, Osterborg A: Expression of erythropoietin receptor and in vitro functional effects of epoetins in B-cell malignancies. Clin Cancer Res. 2007 Jun 15;13(12):3536-44. [PubMed:17575216]
  3. Chen X, Ji ZL, Chen YZ: TTD: Therapeutic Target Database. Nucleic Acids Res. 2002 Jan 1;30(1):412-5. [PubMed:11752352]

Drug created on June 13, 2005 07:24 / Updated on July 09, 2020 11:59

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