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 |
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Target ID: CHEMBL2311221 |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
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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 |
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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 n = 1 Health Status: healthy Age Group: 1.8 Sex: F Population Size: 1 Sources: |
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 Dose: 5 mg/kg Route: oral Route: single Dose: 5 mg/kg Sources: Page: p.239 |
healthy, 2.5 n = 1 Health Status: healthy Age Group: 2.5 Sex: M Population Size: 1 Sources: Page: p.239 |
Disc. AE: Convulsive seizure, Comatose... AEs leading to discontinuation/dose reduction: Convulsive seizure Sources: Page: p.239Comatose Vomiting |
250 mg single, oral Overdose Dose: 250 mg Route: oral Route: single Dose: 250 mg Co-administed with:: cimetidine, p.o(600 mg; single) Sources: aspirin |
healthy, 38 n = 1 Health Status: healthy Age Group: 38 Sex: M Population Size: 1 Sources: |
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 (max) Recommended Dose: 0.2 mg/kg, 1 times / day Route: oral Route: multiple Dose: 0.2 mg/kg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Chronic lymphatic leukemia|Malignant lymphomas Sources: Page: p.1 |
Disc. AE: Bone marrow depression, Carcinogenicity... AEs leading to discontinuation/dose reduction: Bone marrow depression Sources: Page: p.1Carcinogenicity Infertility |
0.2 mg/kg 1 times / day multiple, oral (max) Recommended Dose: 0.2 mg/kg, 1 times / day Route: oral Route: multiple Dose: 0.2 mg/kg, 1 times / day Sources: Page: p.2 |
unhealthy Health Status: unhealthy Condition: Chronic lymphatic leukemia|Malignant lymphomas Sources: Page: p.2 |
Disc. AE: Convulsions, Metastases... AEs leading to discontinuation/dose reduction: Convulsions Sources: Page: p.2Metastases Leukemia |
0.2 mg/kg 1 times / day multiple, oral (max) Recommended Dose: 0.2 mg/kg, 1 times / day Route: oral Route: multiple Dose: 0.2 mg/kg, 1 times / day Sources: Page: p.3 |
unhealthy Health Status: unhealthy Condition: Chronic lymphatic leukemia|Malignant lymphomas Sources: Page: p.3 |
Disc. AE: Skin rash, Erythema multiforme... AEs leading to discontinuation/dose reduction: Skin rash (rare) Sources: Page: p.3Erythema 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 n = 1 Health Status: healthy Age Group: 1.8 Sex: F Population Size: 1 Sources: |
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 n = 1 Health Status: healthy Age Group: 1.8 Sex: F Population Size: 1 Sources: |
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 n = 1 Health Status: healthy Age Group: 1.8 Sex: F Population Size: 1 Sources: |
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 n = 1 Health Status: healthy Age Group: 1.8 Sex: F Population Size: 1 Sources: |
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 n = 1 Health Status: healthy Age Group: 1.8 Sex: F Population Size: 1 Sources: |
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 n = 1 Health Status: healthy Age Group: 1.8 Sex: F Population Size: 1 Sources: |
Comatose | Disc. AE | 5 mg/kg single, oral Overdose Dose: 5 mg/kg Route: oral Route: single Dose: 5 mg/kg Sources: Page: p.239 |
healthy, 2.5 n = 1 Health Status: healthy Age Group: 2.5 Sex: M Population Size: 1 Sources: Page: p.239 |
Convulsive seizure | Disc. AE | 5 mg/kg single, oral Overdose Dose: 5 mg/kg Route: oral Route: single Dose: 5 mg/kg Sources: Page: p.239 |
healthy, 2.5 n = 1 Health Status: healthy Age Group: 2.5 Sex: M Population Size: 1 Sources: Page: p.239 |
Vomiting | Disc. AE | 5 mg/kg single, oral Overdose Dose: 5 mg/kg Route: oral Route: single Dose: 5 mg/kg Sources: Page: p.239 |
healthy, 2.5 n = 1 Health Status: healthy Age Group: 2.5 Sex: M Population Size: 1 Sources: Page: p.239 |
Acute renal failure | Disc. AE | 250 mg single, oral Overdose Dose: 250 mg Route: oral Route: single Dose: 250 mg Co-administed with:: cimetidine, p.o(600 mg; single) Sources: aspirin |
healthy, 38 n = 1 Health Status: healthy Age Group: 38 Sex: M Population Size: 1 Sources: |
Seizures | Disc. AE | 250 mg single, oral Overdose Dose: 250 mg Route: oral Route: single Dose: 250 mg Co-administed with:: cimetidine, p.o(600 mg; single) Sources: aspirin |
healthy, 38 n = 1 Health Status: healthy Age Group: 38 Sex: M Population Size: 1 Sources: |
Bone marrow depression | Disc. AE | 0.2 mg/kg 1 times / day multiple, oral (max) Recommended Dose: 0.2 mg/kg, 1 times / day Route: oral Route: multiple Dose: 0.2 mg/kg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Chronic lymphatic leukemia|Malignant lymphomas Sources: Page: p.1 |
Carcinogenicity | Disc. AE | 0.2 mg/kg 1 times / day multiple, oral (max) Recommended Dose: 0.2 mg/kg, 1 times / day Route: oral Route: multiple Dose: 0.2 mg/kg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Chronic lymphatic leukemia|Malignant lymphomas Sources: Page: p.1 |
Infertility | Disc. AE | 0.2 mg/kg 1 times / day multiple, oral (max) Recommended Dose: 0.2 mg/kg, 1 times / day Route: oral Route: multiple Dose: 0.2 mg/kg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Chronic lymphatic leukemia|Malignant lymphomas Sources: Page: p.1 |
Convulsions | Disc. AE | 0.2 mg/kg 1 times / day multiple, oral (max) Recommended Dose: 0.2 mg/kg, 1 times / day Route: oral Route: multiple Dose: 0.2 mg/kg, 1 times / day Sources: Page: p.2 |
unhealthy Health Status: unhealthy Condition: Chronic lymphatic leukemia|Malignant lymphomas Sources: Page: p.2 |
Leukemia | Disc. AE | 0.2 mg/kg 1 times / day multiple, oral (max) Recommended Dose: 0.2 mg/kg, 1 times / day Route: oral Route: multiple Dose: 0.2 mg/kg, 1 times / day Sources: Page: p.2 |
unhealthy Health Status: unhealthy Condition: Chronic lymphatic leukemia|Malignant lymphomas Sources: Page: p.2 |
Metastases | Disc. AE | 0.2 mg/kg 1 times / day multiple, oral (max) Recommended Dose: 0.2 mg/kg, 1 times / day Route: oral Route: multiple Dose: 0.2 mg/kg, 1 times / day Sources: Page: p.2 |
unhealthy Health Status: unhealthy Condition: Chronic lymphatic leukemia|Malignant lymphomas Sources: Page: p.2 |
Erythema multiforme | rare Disc. AE |
0.2 mg/kg 1 times / day multiple, oral (max) Recommended Dose: 0.2 mg/kg, 1 times / day Route: oral Route: multiple Dose: 0.2 mg/kg, 1 times / day Sources: Page: p.3 |
unhealthy Health Status: unhealthy Condition: Chronic lymphatic leukemia|Malignant lymphomas Sources: Page: p.3 |
Skin rash | rare Disc. AE |
0.2 mg/kg 1 times / day multiple, oral (max) Recommended Dose: 0.2 mg/kg, 1 times / day Route: oral Route: multiple Dose: 0.2 mg/kg, 1 times / day Sources: Page: p.3 |
unhealthy Health Status: unhealthy Condition: Chronic lymphatic leukemia|Malignant lymphomas Sources: Page: p.3 |
Stevens-Johnson syndrome | rare Disc. AE |
0.2 mg/kg 1 times / day multiple, oral (max) Recommended Dose: 0.2 mg/kg, 1 times / day Route: oral Route: multiple Dose: 0.2 mg/kg, 1 times / day Sources: Page: p.3 |
unhealthy Health Status: unhealthy Condition: Chronic lymphatic leukemia|Malignant lymphomas Sources: Page: p.3 |
Toxic epidermal necrolysis | rare Disc. AE |
0.2 mg/kg 1 times / day multiple, oral (max) Recommended Dose: 0.2 mg/kg, 1 times / day Route: oral Route: multiple Dose: 0.2 mg/kg, 1 times / day Sources: Page: p.3 |
unhealthy Health Status: unhealthy Condition: Chronic lymphatic leukemia|Malignant lymphomas Sources: Page: p.3 |
PubMed
Title | Date | PubMed |
---|---|---|
Chlorambucil-induced seizure in a patient with nephrotic syndrome. | 1999 |
|
Non-corticosteroid treatment for nephrotic syndrome in children. | 2001 |
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Achieving optimal outcomes in chronic lymphocytic leukaemia. | 2001 |
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Esters of chlorambucil with 2-substituted 1,4-dihydroxy-9,10-anthraquinones as multifunctional anticancer agents. | 2001 Apr |
|
Treatment of Behçet's disease--an update. | 2001 Apr |
|
Fludarabine for chronic lymphocytic leukemia. | 2001 Apr 12 |
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Fludarabine for chronic lymphocytic leukemia. | 2001 Apr 12 |
|
A phase II study of sequential combination chemotherapy with cyclophosphamide, prednisone, and 2-chlorodeoxyadenosine in previously untreated patients with chronic lymphocytic leukemia. | 2001 Aug |
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Screening for inhibitory effects of antineoplastic agents on CYP3A4 in human liver microsomes. | 2001 Dec |
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Genetic damage by bifunctional agents in repair-active pre-meiotic stages of Drosophila males. | 2001 Jul 1 |
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Treatment options in Waldenström's macroglobulinaemia: the role of the purine analogues. | 2001 Jun |
|
Idiopathic erythrocytosis, diagnosis and clinical management. | 2001 Mar |
|
Primary low-grade B cell non-Hodgkin's lymphoma of MALT type simultaneously arising in the colon and in the lung: report of a case. | 2001 Mar |
|
Synthesis and antitumor activity of novel paclitaxel-chlorambucil hybrids. | 2001 Mar 26 |
|
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 May |
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Immunosuppressive agents in childhood nephrotic syndrome: a meta-analysis of randomized controlled trials. | 2001 May |
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ChlVPP alternating with PABlOE is superior to PABlOE alone in the initial treatment of advanced Hodgkin's disease: results of a British National Lymphoma Investigation/Central Lymphoma Group randomized controlled trial. | 2001 May 18 |
|
Giant cell arteritis and renal amyloidosis: report of a case. | 2001 Nov |
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Prediction of subsequent relapse in children with steroid-sensitive nephrotic syndrome. | 2001 Nov |
|
Lymphoplasmacytic lymphoma/immunocytoma: towards a disease-targeted treatment? | 2001 Sep |
|
[Vascular purpura in a patient with severe sarcoptic acariasis]. | 2001 Sep |
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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 Sep |
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Induction of apoptosis by the ADEPT agent ZD2767: comparison with the classical nitrogen mustard chlorambucil and a monofunctional ZD2767 analogue. | 2001 Sep 1 |
|
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 Sep 20 |
|
Cutaneous necrobiotic xanthogranuloma (NXG)--successfully treated with low dose chlorambucil. | 2001 Sep-Oct |
|
Sciatica or spinal lymphoma. | 2002 Jan |
|
Efficacy and safety of chlorambucil in intractable noninfectious uveitis: the Massachusetts Eye and Ear Infirmary experience. | 2002 Jan |
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
Fri Dec 15 14:58:24 GMT 2023
by
admin
on
Fri Dec 15 14:58:24 GMT 2023
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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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LIVERTOX |
NBK548207
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NDF-RT |
N0000175558
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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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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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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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TRANSPORTER -> SUBSTRATE | |||
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BASIS OF STRENGTH->SUBSTANCE |
ASSAY (TITRATION)
USP
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BINDER->LIGAND |
BINDING
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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 | |||
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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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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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