Details
| Stereochemistry | ACHIRAL |
| Molecular Formula | C14H19Cl2NO2 |
| Molecular Weight | 304.212 |
| Optical Activity | NONE |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
OC(=O)CCCC1=CC=C(C=C1)N(CCCl)CCCl
InChI
InChIKey=JCKYGMPEJWAADB-UHFFFAOYSA-N
InChI=1S/C14H19Cl2NO2/c15-8-10-17(11-9-16)13-6-4-12(5-7-13)2-1-3-14(18)19/h4-7H,1-3,8-11H2,(H,18,19)
| Molecular Formula | C14H19Cl2NO2 |
| Molecular Weight | 304.212 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ACHIRAL |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Optical Activity | NONE |
Chlorambucil is a bifunctional 12 alkylating agent of the nitrogen mustard type that has been found active against selected human 13 neoplastic diseases. Chlorambucil alkylates and cross-links DNA during all phases of the cell cycle, inducing DNA damage via three different methods of covalent adduct generation with double-helical DNA. Bone marrow suppression (anemia, neutropenia, thrombocytopenia) is the most commonly occurring side effect of chlorambucil. There are no known drug/drug interactions with chlorambucil.
CNS Activity
Sources: http://www.ncbi.nlm.nih.gov/pubmed/3342460
Curator's Comment: Data in rats only. Chlorambucil is ionized at physiological pH and thus minimally enters brain, with a brain/plasma concentration of only 0.02.
Originator
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL2311221 |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | LEUKERAN Approved UseLEUKERAN (chlorambucil) is indicated in the treatment of chronic lymphatic (lymphocytic) leukemia, malignant lymphomas including lymphosarcoma, giant follicular lymphoma, and Hodgkin’s disease. It is not curative in any of these disorders but may produce clinically useful palliation. Launch Date1957 |
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| Primary | LEUKERAN Approved UseLEUKERAN (chlorambucil) is indicated in the treatment of chronic lymphatic (lymphocytic) leukemia, malignant lymphomas including lymphosarcoma, giant follicular lymphoma, and Hodgkin’s disease. It is not curative in any of these disorders but may produce clinically useful palliation. Launch Date1957 |
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| Primary | LEUKERAN Approved UseLEUKERAN (chlorambucil) is indicated in the treatment of chronic lymphatic (lymphocytic) leukemia, malignant lymphomas including lymphosarcoma, giant follicular lymphoma, and Hodgkin’s disease. It is not curative in any of these disorders but may produce clinically useful palliation. Launch Date1957 |
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| Primary | LEUKERAN Approved UseLEUKERAN (chlorambucil) is indicated in the treatment of chronic lymphatic (lymphocytic) leukemia, malignant lymphomas including lymphosarcoma, giant follicular lymphoma, and Hodgkin’s disease. It is not curative in any of these disorders but may produce clinically useful palliation. Launch Date1957 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
1.46 μg/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/6489421 |
40 mg single, oral dose: 40 mg route of administration: Oral experiment type: SINGLE co-administered: |
CHLORAMBUCIL plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
259 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/6840176 |
10 mg single, oral dose: 10 mg route of administration: Oral experiment type: SINGLE co-administered: |
CHLORAMBUCIL plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
1.99 μg × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/6489421 |
40 mg single, oral dose: 40 mg route of administration: Oral experiment type: SINGLE co-administered: |
CHLORAMBUCIL plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
380 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/6840176 |
10 mg single, oral dose: 10 mg route of administration: Oral experiment type: SINGLE co-administered: |
CHLORAMBUCIL plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
0.94 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/6489421 |
40 mg single, oral dose: 40 mg route of administration: Oral experiment type: SINGLE co-administered: |
CHLORAMBUCIL plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
Funbound
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
1% |
CHLORAMBUCIL plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
| Dose | Population | Adverse events |
|---|---|---|
3.2 mg/kg single, oral Overdose Dose: 3.2 mg/kg Route: oral Route: single Dose: 3.2 mg/kg Sources: |
healthy, 1.8 |
Disc. AE: Irritability, Myoclonic jerks... AEs leading to discontinuation/dose reduction: Irritability Sources: Myoclonic jerks Exaggerated startle response Vomiting Bone marrow depression (mild) Abnormal EEG |
5 mg/kg single, oral Overdose |
healthy, 2.5 |
Disc. AE: Convulsive seizure, Comatose... AEs leading to discontinuation/dose reduction: Convulsive seizure Sources: Comatose Vomiting |
250 mg single, oral Overdose |
healthy, 38 |
Disc. AE: Acute renal failure, Seizures... AEs leading to discontinuation/dose reduction: Acute renal failure Sources: Seizures |
0.2 mg/kg 1 times / day multiple, oral Recommended Dose: 0.2 mg/kg, 1 times / day Route: oral Route: multiple Dose: 0.2 mg/kg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
Disc. AE: Bone marrow depression, Carcinogenicity... AEs leading to discontinuation/dose reduction: Bone marrow depression Sources: Carcinogenicity Infertility |
0.2 mg/kg 1 times / day multiple, oral Recommended Dose: 0.2 mg/kg, 1 times / day Route: oral Route: multiple Dose: 0.2 mg/kg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
Disc. AE: Convulsions, Metastases... AEs leading to discontinuation/dose reduction: Convulsions Sources: Metastases Leukemia |
0.2 mg/kg 1 times / day multiple, oral Recommended Dose: 0.2 mg/kg, 1 times / day Route: oral Route: multiple Dose: 0.2 mg/kg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
Disc. AE: Skin rash, Erythema multiforme... AEs leading to discontinuation/dose reduction: Skin rash (rare) Sources: Erythema multiforme (rare) Toxic epidermal necrolysis (rare) Stevens-Johnson syndrome (rare) |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Abnormal EEG | Disc. AE | 3.2 mg/kg single, oral Overdose Dose: 3.2 mg/kg Route: oral Route: single Dose: 3.2 mg/kg Sources: |
healthy, 1.8 |
| Exaggerated startle response | Disc. AE | 3.2 mg/kg single, oral Overdose Dose: 3.2 mg/kg Route: oral Route: single Dose: 3.2 mg/kg Sources: |
healthy, 1.8 |
| Irritability | Disc. AE | 3.2 mg/kg single, oral Overdose Dose: 3.2 mg/kg Route: oral Route: single Dose: 3.2 mg/kg Sources: |
healthy, 1.8 |
| Myoclonic jerks | Disc. AE | 3.2 mg/kg single, oral Overdose Dose: 3.2 mg/kg Route: oral Route: single Dose: 3.2 mg/kg Sources: |
healthy, 1.8 |
| Vomiting | Disc. AE | 3.2 mg/kg single, oral Overdose Dose: 3.2 mg/kg Route: oral Route: single Dose: 3.2 mg/kg Sources: |
healthy, 1.8 |
| Bone marrow depression | mild Disc. AE |
3.2 mg/kg single, oral Overdose Dose: 3.2 mg/kg Route: oral Route: single Dose: 3.2 mg/kg Sources: |
healthy, 1.8 |
| Comatose | Disc. AE | 5 mg/kg single, oral Overdose |
healthy, 2.5 |
| Convulsive seizure | Disc. AE | 5 mg/kg single, oral Overdose |
healthy, 2.5 |
| Vomiting | Disc. AE | 5 mg/kg single, oral Overdose |
healthy, 2.5 |
| Acute renal failure | Disc. AE | 250 mg single, oral Overdose |
healthy, 38 |
| Seizures | Disc. AE | 250 mg single, oral Overdose |
healthy, 38 |
| Bone marrow depression | Disc. AE | 0.2 mg/kg 1 times / day multiple, oral Recommended Dose: 0.2 mg/kg, 1 times / day Route: oral Route: multiple Dose: 0.2 mg/kg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Carcinogenicity | Disc. AE | 0.2 mg/kg 1 times / day multiple, oral Recommended Dose: 0.2 mg/kg, 1 times / day Route: oral Route: multiple Dose: 0.2 mg/kg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Infertility | Disc. AE | 0.2 mg/kg 1 times / day multiple, oral Recommended Dose: 0.2 mg/kg, 1 times / day Route: oral Route: multiple Dose: 0.2 mg/kg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Convulsions | Disc. AE | 0.2 mg/kg 1 times / day multiple, oral Recommended Dose: 0.2 mg/kg, 1 times / day Route: oral Route: multiple Dose: 0.2 mg/kg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Leukemia | Disc. AE | 0.2 mg/kg 1 times / day multiple, oral Recommended Dose: 0.2 mg/kg, 1 times / day Route: oral Route: multiple Dose: 0.2 mg/kg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Metastases | Disc. AE | 0.2 mg/kg 1 times / day multiple, oral Recommended Dose: 0.2 mg/kg, 1 times / day Route: oral Route: multiple Dose: 0.2 mg/kg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Erythema multiforme | rare Disc. AE |
0.2 mg/kg 1 times / day multiple, oral Recommended Dose: 0.2 mg/kg, 1 times / day Route: oral Route: multiple Dose: 0.2 mg/kg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Skin rash | rare Disc. AE |
0.2 mg/kg 1 times / day multiple, oral Recommended Dose: 0.2 mg/kg, 1 times / day Route: oral Route: multiple Dose: 0.2 mg/kg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Stevens-Johnson syndrome | rare Disc. AE |
0.2 mg/kg 1 times / day multiple, oral Recommended Dose: 0.2 mg/kg, 1 times / day Route: oral Route: multiple Dose: 0.2 mg/kg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Toxic epidermal necrolysis | rare Disc. AE |
0.2 mg/kg 1 times / day multiple, oral Recommended Dose: 0.2 mg/kg, 1 times / day Route: oral Route: multiple Dose: 0.2 mg/kg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
PubMed
| Title | Date | PubMed |
|---|---|---|
| A novel kind of antitumour drugs using sulfonamide as parent compound. | 2002-01-05 |
|
| Conservative versus immunosuppressive treatment of patients with idiopathic membranous nephropathy. | 2002-01 |
|
| Sciatica or spinal lymphoma. | 2002-01 |
|
| A 6-bp deletion in the Crygc gene leading to a nuclear and radial cataract in the mouse. | 2002-01 |
|
| Efficacy and safety of chlorambucil in intractable noninfectious uveitis: the Massachusetts Eye and Ear Infirmary experience. | 2002-01 |
|
| Developments in the treatment of uveitis. | 2002-01 |
|
| Waldenström's macroglobulinemia: clinical course and prognostic factors in 60 patients. Experience from a single hematology unit. | 2001-12 |
|
| Screening for inhibitory effects of antineoplastic agents on CYP3A4 in human liver microsomes. | 2001-12 |
|
| The Chinese hamster FANCG/XRCC9 mutant NM3 fails to express the monoubiquitinated form of the FANCD2 protein, is hypersensitive to a range of DNA damaging agents and exhibits a normal level of spontaneous sister chromatid exchange. | 2001-12 |
|
| Waldenström macroglobulinaemia: presenting features and outcome in a series with 217 cases. | 2001-12 |
|
| Sequence-specific DNA cleavage by dipeptides disubstituted with chlorambucil and 2,6-dimethoxyhydroquinone-3-mercaptoacetic acid. | 2001-11-22 |
|
| Chronic lymphocytic leukaemia. | 2001-11-15 |
|
| Characteristic and controlled release of anticancer drug loaded poly (D,L-lactide) microparticles prepared by spray drying technique. | 2001-11-07 |
|
| Caspase 8 activation independent of Fas (CD95/APO-1) signaling may mediate killing of B-chronic lymphocytic leukemia cells by cytotoxic drugs or gamma radiation. | 2001-11-01 |
|
| Giant cell arteritis and renal amyloidosis: report of a case. | 2001-11 |
|
| Response to fludarabine in B-cell chronic lymphocytic leukemia patients previously treated with chlorambucil as up-front therapy and a CHOP-like regimen as second line therapy. | 2001-11 |
|
| Prediction of subsequent relapse in children with steroid-sensitive nephrotic syndrome. | 2001-11 |
|
| Blastic variant of mantle cell lymphoma: a rare but highly aggressive subtype. | 2001-11 |
|
| Novel bicistronic retroviral vector expressing gamma-glutamylcysteine synthetase and the multidrug resistance protein 1 (MRP1) protects cells from MRP1-effluxed drugs and alkylating agents. | 2001-09-20 |
|
| Induction of apoptosis by the ADEPT agent ZD2767: comparison with the classical nitrogen mustard chlorambucil and a monofunctional ZD2767 analogue. | 2001-09-01 |
|
| Lymphoplasmacytic lymphoma/immunocytoma: towards a disease-targeted treatment? | 2001-09 |
|
| [Vascular purpura in a patient with severe sarcoptic acariasis]. | 2001-09 |
|
| Autologous plasma activates Akt/protein kinase B and enhances basal survival and resistance to DNA damage-induced apoptosis in B-chronic lymphocytic leukaemia cells. | 2001-09 |
|
| A case of Behćet's disease complicated by visceral Leishmaniasis and myelodysplasia: clinical considerations. | 2001-09 |
|
| Cutaneous necrobiotic xanthogranuloma (NXG)--successfully treated with low dose chlorambucil. | 2001-08-30 |
|
| Impact of therapy With chlorambucil, fludarabine, or fludarabine plus chlorambucil on infections in patients with chronic lymphocytic leukemia: Intergroup Study Cancer and Leukemia Group B 9011. | 2001-08-15 |
|
| Stage I and II MALT lymphoma: results of treatment with radiotherapy. | 2001-08-01 |
|
| Reactions of N,N-bis(2-chloroethyl)-p-aminophenylbutyric acid (chlorambucil) with 2'-deoxyguanosine. | 2001-08 |
|
| A phase II study of sequential combination chemotherapy with cyclophosphamide, prednisone, and 2-chlorodeoxyadenosine in previously untreated patients with chronic lymphocytic leukemia. | 2001-08 |
|
| A randomized controlled trial to evaluate the role of interferon as initial and maintenance therapy in patients with follicular lymphoma. | 2001-07-06 |
|
| Genetic damage by bifunctional agents in repair-active pre-meiotic stages of Drosophila males. | 2001-07-01 |
|
| Bcl-2 antisense oligonucleotides enhance the cytotoxicity of chlorambucil in B-cell chronic lymphocytic leukaemia cells. | 2001-07 |
|
| Cutaneous xanthomas with concurrent demodicosis and dermatophytosis in a cat. | 2001-07 |
|
| The effect of optimal treatment on elderly patients with aggressive non-Hodgkin's lymphoma: more patients treated with unaffected response rates. | 2001-07 |
|
| Granulomatous slack skin: a distinct disorder or a variant of mycosis fungoides? | 2001-06-20 |
|
| The cell transmembrane pH gradient in tumors enhances cytotoxicity of specific weak acid chemotherapeutics. | 2001-06-15 |
|
| [Chronic lymphatic leukemia. 3. The concrete case]. | 2001-06-08 |
|
| [Chronic lymphocytic leukemia. 2. Therapy]. | 2001-06-08 |
|
| Treatment options in Waldenström's macroglobulinaemia: the role of the purine analogues. | 2001-06 |
|
| [Pneumonia in patients with chronic lymphocytic leukemia. Study of 30 episodes]. | 2001-05-26 |
|
| Synthesis, molecular modelling, and antiproliferative and cytotoxic effects of carbocyclic derivatives of distamycin with chlorambucil moiety. | 2001-05 |
|
| Hypercalcaemia associated with chronic lymphocytic leukaemia in a Giant Schnauzer. | 2001-05 |
|
| [Paraneoplastic pemphigus: a pustular form during chronic lymphoid leukemia]. | 2001-05 |
|
| Does intensive treatment with high dose chlorambucil and prednisone as first line and cladribine as second line influence the survival of the patients with chronic lymphocytic leukemia? | 2001-05 |
|
| Esters of chlorambucil with 2-substituted 1,4-dihydroxy-9,10-anthraquinones as multifunctional anticancer agents. | 2001-04 |
|
| Non-corticosteroid treatment for nephrotic syndrome in children. | 2001 |
|
| Treatment of membranous nephropathy. | 2001 |
|
| A systematic overview of chemotherapy effects in B-cell chronic lymphocytic leukaemia. | 2001 |
|
| Potential new therapeutic options in Behçet's syndrome. | 2001 |
|
| Carcinoma of the urinary bladder in patients receiving cyclophosphamide. | 1975-08-07 |
Sample Use Guides
In Vitro Use Guide
Sources: http://www.ncbi.nlm.nih.gov/pubmed/1739612
Curator's Comment: Chronic lymphocytic leukaemia cells were treated
The inhibition of 3H-thymidine incorporation into the DNA of mitogen-stimulated lymphocytes from patients with chronic lymphocytic leukaemia by chlorambucil was measured in vitro. For the lymphocytes from the untreated patients the mean ID50 was 3.1 ug/ml.
| Substance Class |
Chemical
Created
by
admin
on
Edited
Mon Mar 31 17:33:31 GMT 2025
by
admin
on
Mon Mar 31 17:33:31 GMT 2025
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| Record UNII |
18D0SL7309
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| Record Status |
Validated (UNII)
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| Record Version |
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| Classification Tree | Code System | Code | ||
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LIVERTOX |
NBK548207
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NDF-RT |
N0000175558
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NDF-RT |
N0000000236
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NCI_THESAURUS |
C697
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WHO-VATC |
QL01AA02
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WHO-ATC |
L01AA02
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WHO-ESSENTIAL MEDICINES LIST |
8.2
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| Code System | Code | Type | Description | ||
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CHLORAMBUCIL
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SUB06172MIG
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305-03-3
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m3343
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PRIMARY | Merck Index | ||
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DTXSID7020263
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206-162-0
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1106001
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7143
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CHEMBL515
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3026
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18D0SL7309
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18D0SL7309
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C362
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D002699
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100000081577
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588
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CHLORAMBUCIL
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PRIMARY | Description: A white or almost white, crystalline or slightly granular powder. Solubility: Practically insoluble in water; freely soluble in ethanol (~750 g/l) TS and acetone R. Category: Cytotoxic drug. Storage: Chlorambucil should be kept in a well-closed container, protected from light. Additional information: CAUTION: Chlorambucil must be handled with care, avoiding contact with the skin and inhalation of airborne particles. Definition: Chlorambucil contains not less than 98.0% and not more than 101.0% of C14H19Cl2NO2, calculated with reference to the anhydrous substance. |
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BASIS OF STRENGTH->SUBSTANCE |
ASSAY (TITRATION)
EP
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BASIS OF STRENGTH->SUBSTANCE |
ASSAY (TITRATION)
USP
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TRANSPORTER -> SUBSTRATE | |||
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BINDER->LIGAND |
BINDING
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| Related Record | Type | Details | ||
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METABOLITE ACTIVE -> PARENT |
Has antineoplastic activity
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IMPURITY -> PARENT | |||
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IMPURITY -> PARENT | |||
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IMPURITY -> PARENT | |||
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
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| Related Record | Type | Details | ||
|---|---|---|---|---|
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ACTIVE MOIETY |
A white or almost white, crystalline or slightly granular powder.
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| Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
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| Biological Half-life | PHARMACOKINETIC |
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| Volume of Distribution | PHARMACOKINETIC |
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