Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C18H24N9O10P |
Molecular Weight | 557.4112 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 6 / 6 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
NC1=NC(=O)C2=C(N1)N(C=N2)[C@H]3C[C@H](O)[C@@H](COP(O)(=O)O[C@H]4C[C@@H](O[C@@H]4CO)N5C=NC(N)=NC5=O)O3
InChI
InChIKey=GUWXKKAWLCENJA-WGWHJZDNSA-N
InChI=1S/C18H24N9O10P/c19-16-22-6-27(18(31)25-16)12-2-8(9(3-28)35-12)37-38(32,33)34-4-10-7(29)1-11(36-10)26-5-21-13-14(26)23-17(20)24-15(13)30/h5-12,28-29H,1-4H2,(H,32,33)(H2,19,25,31)(H3,20,23,24,30)/t7-,8-,9+,10+,11+,12+/m0/s1
Molecular Formula | C18H24N9O10P |
Molecular Weight | 557.4112 |
Charge | 0 |
Count |
|
Stereochemistry | ABSOLUTE |
Additional Stereochemistry | No |
Defined Stereocenters | 6 / 6 |
E/Z Centers | 0 |
Optical Activity | UNSPECIFIED |
DescriptionSources: https://clinicaltrials.gov/ct2/show/NCT02907359 | https://www.ncbi.nlm.nih.gov/pubmed/31060979 | https://clinicaltrials.gov/ct2/show/NCT02348489 | https://www.businesswire.com/news/home/20151006006636/en/Astex-Pharmaceuticals-Announces-Orphan-Drug-Designation-Guadecitabine | https://astx.com/research-development/clinical-pipeline/guadecitabine-sgi-110-dnmt-inhibitor-solid-tumors/https://www.ncbi.nlm.nih.gov/pubmed/23369223Curator's Comment: description was created based on several sources, including http://www.accessdata.fda.gov/drugsatfda_docs/label/2015/021790s018lbl.pdf, www.ncbi.nlm.nih.gov/pubmed/20501800
Sources: https://clinicaltrials.gov/ct2/show/NCT02907359 | https://www.ncbi.nlm.nih.gov/pubmed/31060979 | https://clinicaltrials.gov/ct2/show/NCT02348489 | https://www.businesswire.com/news/home/20151006006636/en/Astex-Pharmaceuticals-Announces-Orphan-Drug-Designation-Guadecitabine | https://astx.com/research-development/clinical-pipeline/guadecitabine-sgi-110-dnmt-inhibitor-solid-tumors/https://www.ncbi.nlm.nih.gov/pubmed/23369223
Curator's Comment: description was created based on several sources, including http://www.accessdata.fda.gov/drugsatfda_docs/label/2015/021790s018lbl.pdf, www.ncbi.nlm.nih.gov/pubmed/20501800
Decitabine was first synthesized by Pliml and Sorm in the Institute of Organic Chemistry, Czechoslovak Academy of Sciences in 1964. Later, the drug was approved by FDA for the treatment of myelodysplastic syndromes in patients with cancer. Upon administration the decitabine is metabolized to the active phosphorylated metabolite which is incorporated into DNA and thus inhibits DNA methyltransferase (decitabine deplete DNMT1).
CNS Activity
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL2311221 |
|||
Target ID: CHEMBL1993 Sources: www.ncbi.nlm.nih.gov/pubmed/20501800 |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | DACOGEN Approved UseDacogen is a nucleoside metabolic inhibitor indicated for treatment of patients with myelodysplastic syndromes (MDS) including previously treated and untreated, de novo and secondary MDS of all French-American-British subtypes (refractory anemia, refractory anemia with ringed sideroblasts, refractory anemia with excess blasts, refractory anemia with excess blasts in transformation, and chronic myelomonocytic leukemia) and intermediate-1, intermediate -2, and high-risk International Prognostic Scoring System groups. Launch Date2006 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
73.8 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/17564707 |
15 mg/m² steady-state, intravenous dose: 15 mg/m² route of administration: Intravenous experiment type: STEADY-STATE co-administered: |
DECITABINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
163 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/17564707 |
15 mg/m² steady-state, intravenous dose: 15 mg/m² route of administration: Intravenous experiment type: STEADY-STATE co-administered: |
DECITABINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
0.62 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/17564707 |
15 mg/m² steady-state, intravenous dose: 15 mg/m² route of administration: Intravenous experiment type: STEADY-STATE co-administered: |
DECITABINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
99% |
DECITABINE plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
100 mg/m2 2 times / day steady, intravenous Highest studied dose Dose: 100 mg/m2, 2 times / day Route: intravenous Route: steady Dose: 100 mg/m2, 2 times / day Sources: |
unhealthy, 52 years (range: 23 - 78 years) n = 13 Health Status: unhealthy Condition: chronic myelogenous leukemia (CML) Age Group: 52 years (range: 23 - 78 years) Sex: M+F Population Size: 13 Sources: |
|
20 mg/m2 1 times / day steady, intravenous Recommended|MTD Dose: 20 mg/m2, 1 times / day Route: intravenous Route: steady Dose: 20 mg/m2, 1 times / day Sources: |
unhealthy, 59 years (range: 42–79 years) n = 6 Health Status: unhealthy Condition: unresectable liver-predominant metastases Age Group: 59 years (range: 42–79 years) Sex: M+F Population Size: 6 Sources: |
Other AEs: Anaemia, Lymphopenia... Other AEs: Anaemia (grade 1, 17%) Sources: Lymphopenia (grade 2, 17%) Neutropenia (grade 2, 17%) Leucopenia (grade 1, 17%) Thrombocytopaenia (grade 1, 17%) |
15 mg/m2 1 times / day steady, intravenous Dose: 15 mg/m2, 1 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 1 times / day Sources: |
unhealthy, 61 years (range: 32–82 years) n = 16 Health Status: unhealthy Condition: CLL Age Group: 61 years (range: 32–82 years) Sex: M+F Population Size: 16 Sources: |
DLT: Hyperbilirubinemia, Thrombocytopenia... Dose limiting toxicities: Hyperbilirubinemia (grade 3, 2 patients) Sources: Thrombocytopenia (2 patients) |
20 mg/m2 1 times / day multiple, subcutaneous Dose: 20 mg/m2, 1 times / day Route: subcutaneous Route: multiple Dose: 20 mg/m2, 1 times / day Sources: |
unhealthy, 65 years n = 14 Health Status: unhealthy Condition: myelodysplastic syndrome Age Group: 65 years Sex: M+F Population Size: 14 Sources: |
|
15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: |
unhealthy, 70 years (range: 65-76 years) n = 81 Health Status: unhealthy Condition: myelodysplastic syndromes Age Group: 70 years (range: 65-76 years) Sex: M+F Population Size: 81 Sources: |
Disc. AE: Anemia, Neutropenia... Other AEs: Neutropenia, Thrombocytopenia... AEs leading to discontinuation/dose reduction: Anemia (grade 5, 6 patients) Other AEs:Neutropenia (grade 5, 6 patients) Thrombocytopenia (grade 5, 6 patients) Neutropenia (grade 3-4, 87%) Sources: Thrombocytopenia (grade 3-4, 85%) Febrile neutropenia (grade 3-4, 23%) Leukopenia (grade 3-4, 22%) |
15 mg/m2 1 times / day steady, intravenous Dose: 15 mg/m2, 1 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 1 times / day Sources: |
unhealthy, 72 years (range: 68–75 years) n = 4 Health Status: unhealthy Condition: NHL Age Group: 72 years (range: 68–75 years) Sex: M+F Population Size: 4 Sources: |
DLT: Febrile neutropenia... Dose limiting toxicities: Febrile neutropenia (grade 3-4, 2 patients) Sources: |
660 mg/m2 single, intravenous Highest studied dose Dose: 660 mg/m2 Route: intravenous Route: single Dose: 660 mg/m2 Sources: |
unhealthy n = 7 Health Status: unhealthy Condition: chronic myelogenous leukemia Population Size: 7 Sources: |
|
15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Other AEs: Neutropenia, Thrombocytopenia... Other AEs: Neutropenia (all grades, 83%) Sources: Page: p. 82Thrombocytopenia (all grades, 81%) Anemia (all grades, 54%) Splenomegaly (all grades, 2%) Thrombocythaemia (all grades, 4%) Tachycardia (all grades, 1%) Pulmonary edema (all grades, 1%) Nausea (all grades, 22%) Constipation (all grades, 8%) Diarrhea (all grades, 16%) Vomiting (all grades, 8%) Abdominal pain (all grades, 4%) Oral mucosal petechiae (all grades, 5%) Stomatitis (all grades, 7%) Loose stools (all grades, 2%) Tongue ulceration (all grades, 5%) Dysphagia (all grades, 2%) Pyrexia (all grades, 16%) Fatigue (all grades, 18%) Asthenia (all grades, 4%) Fall (all grades, 1%) Hyperbilirubinaemia (all grades, 4%) Hepatomegaly (all grades, 1%) Cellulitis (all grades, 2%) Urinary tract infection (all grades, 1%) Alanine aminotransferase increased (all grades, 1%) Aspartate aminotransferase increased (all grades, 1%) Alkaline phosphatase increased (all grades, 1%) Hypocalcemia (all grades, 7%) Hypoalbuminemia (all grades, 7%) Hypomagnesaemia (all grades, 2%) Hypokalemia (all grades, 4%) Decreased appetite (all grades, 4%) Anorexia (all grades, 6%) Dehydration (all grades, 1%) Arthralgia (all grades, 1%) Back pain (all grades, 1%) Headache (all grades, 10%) Dizziness (all grades, 2%) Hypoaesthesia (all grades, 1%) Insomnia (all grades, 5%) Depression (all grades, 2%) Cough (all grades, 6%) Dyspnea (all grades, 2%) Pharyngitis (all grades, 4%) Epistaxis (all grades, 4%) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Anaemia | grade 1, 17% | 20 mg/m2 1 times / day steady, intravenous Recommended|MTD Dose: 20 mg/m2, 1 times / day Route: intravenous Route: steady Dose: 20 mg/m2, 1 times / day Sources: |
unhealthy, 59 years (range: 42–79 years) n = 6 Health Status: unhealthy Condition: unresectable liver-predominant metastases Age Group: 59 years (range: 42–79 years) Sex: M+F Population Size: 6 Sources: |
Leucopenia | grade 1, 17% | 20 mg/m2 1 times / day steady, intravenous Recommended|MTD Dose: 20 mg/m2, 1 times / day Route: intravenous Route: steady Dose: 20 mg/m2, 1 times / day Sources: |
unhealthy, 59 years (range: 42–79 years) n = 6 Health Status: unhealthy Condition: unresectable liver-predominant metastases Age Group: 59 years (range: 42–79 years) Sex: M+F Population Size: 6 Sources: |
Thrombocytopaenia | grade 1, 17% | 20 mg/m2 1 times / day steady, intravenous Recommended|MTD Dose: 20 mg/m2, 1 times / day Route: intravenous Route: steady Dose: 20 mg/m2, 1 times / day Sources: |
unhealthy, 59 years (range: 42–79 years) n = 6 Health Status: unhealthy Condition: unresectable liver-predominant metastases Age Group: 59 years (range: 42–79 years) Sex: M+F Population Size: 6 Sources: |
Lymphopenia | grade 2, 17% | 20 mg/m2 1 times / day steady, intravenous Recommended|MTD Dose: 20 mg/m2, 1 times / day Route: intravenous Route: steady Dose: 20 mg/m2, 1 times / day Sources: |
unhealthy, 59 years (range: 42–79 years) n = 6 Health Status: unhealthy Condition: unresectable liver-predominant metastases Age Group: 59 years (range: 42–79 years) Sex: M+F Population Size: 6 Sources: |
Neutropenia | grade 2, 17% | 20 mg/m2 1 times / day steady, intravenous Recommended|MTD Dose: 20 mg/m2, 1 times / day Route: intravenous Route: steady Dose: 20 mg/m2, 1 times / day Sources: |
unhealthy, 59 years (range: 42–79 years) n = 6 Health Status: unhealthy Condition: unresectable liver-predominant metastases Age Group: 59 years (range: 42–79 years) Sex: M+F Population Size: 6 Sources: |
Thrombocytopenia | 2 patients DLT |
15 mg/m2 1 times / day steady, intravenous Dose: 15 mg/m2, 1 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 1 times / day Sources: |
unhealthy, 61 years (range: 32–82 years) n = 16 Health Status: unhealthy Condition: CLL Age Group: 61 years (range: 32–82 years) Sex: M+F Population Size: 16 Sources: |
Hyperbilirubinemia | grade 3, 2 patients DLT |
15 mg/m2 1 times / day steady, intravenous Dose: 15 mg/m2, 1 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 1 times / day Sources: |
unhealthy, 61 years (range: 32–82 years) n = 16 Health Status: unhealthy Condition: CLL Age Group: 61 years (range: 32–82 years) Sex: M+F Population Size: 16 Sources: |
Leukopenia | grade 3-4, 22% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: |
unhealthy, 70 years (range: 65-76 years) n = 81 Health Status: unhealthy Condition: myelodysplastic syndromes Age Group: 70 years (range: 65-76 years) Sex: M+F Population Size: 81 Sources: |
Febrile neutropenia | grade 3-4, 23% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: |
unhealthy, 70 years (range: 65-76 years) n = 81 Health Status: unhealthy Condition: myelodysplastic syndromes Age Group: 70 years (range: 65-76 years) Sex: M+F Population Size: 81 Sources: |
Thrombocytopenia | grade 3-4, 85% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: |
unhealthy, 70 years (range: 65-76 years) n = 81 Health Status: unhealthy Condition: myelodysplastic syndromes Age Group: 70 years (range: 65-76 years) Sex: M+F Population Size: 81 Sources: |
Neutropenia | grade 3-4, 87% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: |
unhealthy, 70 years (range: 65-76 years) n = 81 Health Status: unhealthy Condition: myelodysplastic syndromes Age Group: 70 years (range: 65-76 years) Sex: M+F Population Size: 81 Sources: |
Anemia | grade 5, 6 patients Disc. AE |
15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: |
unhealthy, 70 years (range: 65-76 years) n = 81 Health Status: unhealthy Condition: myelodysplastic syndromes Age Group: 70 years (range: 65-76 years) Sex: M+F Population Size: 81 Sources: |
Neutropenia | grade 5, 6 patients Disc. AE |
15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: |
unhealthy, 70 years (range: 65-76 years) n = 81 Health Status: unhealthy Condition: myelodysplastic syndromes Age Group: 70 years (range: 65-76 years) Sex: M+F Population Size: 81 Sources: |
Thrombocytopenia | grade 5, 6 patients Disc. AE |
15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: |
unhealthy, 70 years (range: 65-76 years) n = 81 Health Status: unhealthy Condition: myelodysplastic syndromes Age Group: 70 years (range: 65-76 years) Sex: M+F Population Size: 81 Sources: |
Febrile neutropenia | grade 3-4, 2 patients DLT |
15 mg/m2 1 times / day steady, intravenous Dose: 15 mg/m2, 1 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 1 times / day Sources: |
unhealthy, 72 years (range: 68–75 years) n = 4 Health Status: unhealthy Condition: NHL Age Group: 72 years (range: 68–75 years) Sex: M+F Population Size: 4 Sources: |
Alanine aminotransferase increased | all grades, 1% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Alkaline phosphatase increased | all grades, 1% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Arthralgia | all grades, 1% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Aspartate aminotransferase increased | all grades, 1% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Back pain | all grades, 1% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Dehydration | all grades, 1% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Fall | all grades, 1% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Hepatomegaly | all grades, 1% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Hypoaesthesia | all grades, 1% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Pulmonary edema | all grades, 1% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Tachycardia | all grades, 1% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Urinary tract infection | all grades, 1% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Headache | all grades, 10% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Diarrhea | all grades, 16% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Pyrexia | all grades, 16% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Fatigue | all grades, 18% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Cellulitis | all grades, 2% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Depression | all grades, 2% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Dizziness | all grades, 2% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Dysphagia | all grades, 2% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Dyspnea | all grades, 2% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Hypomagnesaemia | all grades, 2% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Loose stools | all grades, 2% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Splenomegaly | all grades, 2% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Nausea | all grades, 22% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Abdominal pain | all grades, 4% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Asthenia | all grades, 4% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Decreased appetite | all grades, 4% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Epistaxis | all grades, 4% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Hyperbilirubinaemia | all grades, 4% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Hypokalemia | all grades, 4% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Pharyngitis | all grades, 4% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Thrombocythaemia | all grades, 4% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Insomnia | all grades, 5% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Oral mucosal petechiae | all grades, 5% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Tongue ulceration | all grades, 5% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Anemia | all grades, 54% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Anorexia | all grades, 6% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Cough | all grades, 6% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Hypoalbuminemia | all grades, 7% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Hypocalcemia | all grades, 7% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Stomatitis | all grades, 7% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Constipation | all grades, 8% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Vomiting | all grades, 8% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Thrombocytopenia | all grades, 81% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Neutropenia | all grades, 83% | 15 mg/m2 3 times / day steady, intravenous Recommended Dose: 15 mg/m2, 3 times / day Route: intravenous Route: steady Dose: 15 mg/m2, 3 times / day Sources: Page: p. 82 |
unhealthy n = 83 Health Status: unhealthy Population Size: 83 Sources: Page: p. 82 |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/021790s000_Dacogen_BioPharmR.pdf#page=20 Page: 20.0 |
no | |||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
weak | ||||
Sources: https://pdf.hres.ca/dpd_pm/00049298.PDF#page=19 Page: 19.0 |
yes |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
weak |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
PubMed
Title | Date | PubMed |
---|---|---|
Unnatural enantiomers of 5-azacytidine analogues: syntheses and enzymatic properties. | 2000 Nov |
|
Autoreactive murine Th1 and Th2 cells kill syngeneic macrophages and induce autoantibodies. | 2001 |
|
Hypermethylation of the cpG island of Ras association domain family 1A (RASSF1A), a putative tumor suppressor gene from the 3p21.3 locus, occurs in a large percentage of human breast cancers. | 2001 Apr 1 |
|
[Chemotherapy and radiation therapy]. | 2001 Dec |
|
Potential of 5-aza-2'-deoxycytidine (Decitabine) a potent inhibitor of DNA methylation for therapy of advanced non-small cell lung cancer. | 2001 Dec |
|
Identification and characterization of differentially methylated CpG islands in pancreatic carcinoma. | 2001 Dec 1 |
|
Expression of the Hypermethylated in Cancer gene (HIC-1) is associated with good outcome in human breast cancer. | 2001 Dec 14 |
|
Sensitization by 5-aza-2'-deoxycytidine of leukaemia cells with MLL abnormalities to induction of differentiation by all-trans retinoic acid and 1alpha,25-dihydroxyvitamin D3. | 2001 Feb |
|
Site-specific methylation of the promoter alters deoxyribonucleic acid-protein interactions and prevents follicle-stimulating hormone receptor gene transcription. | 2001 Feb |
|
Identification of a novel member of the snail/Gfi-1 repressor family, mlt 1, which is methylated and silenced in liver tumors of SV40 T antigen transgenic mice. | 2001 Feb 1 |
|
DNA methyltransferase inhibition enhances apoptosis induced by histone deacetylase inhibitors. | 2001 Feb 15 |
|
Resistance to tumor necrosis factor-related apoptosis-inducing ligand (TRAIL)-induced apoptosis in neuroblastoma cells correlates with a loss of caspase-8 expression. | 2001 Feb 15 |
|
Induction of MAGE-3 expression in lung and esophageal cancer cells. | 2001 Jan |
|
Biallelic inactivation of retinoic acid receptor beta2 gene by epigenetic change in breast cancer. | 2001 Jan |
|
Progesterone receptor B gene inactivation and CpG hypermethylation in human uterine endometrial cancer. | 2001 Jan 1 |
|
Inactivation of the apoptosis effector Apaf-1 in malignant melanoma. | 2001 Jan 11 |
|
Loss of mismatch repair activity in simian virus 40 large T antigen-immortalized BPH-1 human prostatic epithelial cell line. | 2001 Jul |
|
Promoter hypermethylation: a common cause of reduced p16(INK4a) expression in uveal melanoma. | 2001 Jul 1 |
|
Regulation of the intestinal mucin MUC2 gene expression in vivo: evidence for the role of promoter methylation. | 2001 Jul 10 |
|
Transcriptional silencing of Cyclooxygenase-2 by hyper-methylation of the 5' CpG island in human gastric carcinoma cells. | 2001 Jun 1 |
|
Cytosine methylation represses glutathione S-transferase P1 (GSTP1) gene expression in human prostate cancer cells. | 2001 Jun 15 |
|
Down-regulation of caveolin-1, a candidate tumor suppressor gene, in sarcomas. | 2001 Mar |
|
Identification of Arabidopsis histone deacetylase HDA6 mutants that affect transgene expression. | 2001 May |
|
Regulation of CD21 expression by DNA methylation and histone deacetylation. | 2001 May |
|
5' CpG island methylation of the FHIT gene is correlated with loss of gene expression in lung and breast cancer. | 2001 May 1 |
|
Diminished expression of S100A2, a putative tumor suppressor, at early stage of human lung carcinogenesis. | 2001 Nov 1 |
|
E-cadherin expression is commonly downregulated by CpG island hypermethylation in esophageal carcinoma cells. | 2001 Nov 8 |
|
5-Aza-2'-deoxycytidine induces histone hyperacetylation of mouse centromeric heterochromatin by a mechanism independent of DNA demethylation. | 2001 Nov 9 |
|
DNA hypermethylation is a mechanism for loss of expression of the HLA class I genes in human esophageal squamous cell carcinomas. | 2001 Oct |
|
Frequent epigenetic inactivation of RASSF1A by aberrant promoter hypermethylation in human gastric adenocarcinoma. | 2001 Oct 1 |
|
Chloroplast DNA methylation and inheritance in Chlamydomonas. | 2001 Oct 1 |
|
Evolving treatment options of myelodysplastic syndromes. | 2001 Sep |
|
Methylation status in the promoter region of the human PGP9.5 gene in cancer and normal tissues. | 2001 Sep 10 |
|
Hypermethylation of CpG islands in the mouse asparagine synthetase gene: relationship to asparaginase sensitivity in lymphoma cells. Partial methylation in normal cells. | 2001 Sep 14 |
|
Frequent allelic losses on the short arm of chromosome 1 and decreased expression of the p73 gene at 1p36.3 in squamous cell carcinoma of the oral cavity. | 2002 Feb |
|
Characterization of XAGE-1b, a short major transcript of cancer/testis-associated gene XAGE-1, induced in melanoma metastasis. | 2002 Jan 10 |
|
Aberrant methylation and histone deacetylation of cyclooxygenase 2 in gastric cancer. | 2002 Jan 20 |
|
Immunomodulatory activity of SGI-110, a 5-aza-2'-deoxycytidine-containing demethylating dinucleotide. | 2013 Mar |
|
TGF-β induces global changes in DNA methylation during the epithelial-to-mesenchymal transition in ovarian cancer cells. | 2014 Nov |
|
Guadecitabine (SGI-110) in patients with intermediate or high-risk myelodysplastic syndromes: phase 2 results from a multicentre, open-label, randomised, phase 1/2 trial. | 2019 Jun |
Patents
Sample Use Guides
In Vivo Use Guide
Sources: https://clinicaltrials.gov/ct2/show/NCT02907359
Guadecitabine 60 mg/m2 given subcutaneously daily on Days 1-5 in 28-day cycles. The total amount (in mg) of guadecitabine to be administered is determined by body surface area.
Route of Administration:
Other
Substance Class |
Chemical
Created
by
admin
on
Edited
Fri Dec 15 19:46:44 GMT 2023
by
admin
on
Fri Dec 15 19:46:44 GMT 2023
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Record UNII |
2KT4YN1DP7
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Record Status |
Validated (UNII)
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Record Version |
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Common Name | English |
Classification Tree | Code System | Code | ||
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FDA ORPHAN DRUG |
627818
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admin on Fri Dec 15 19:46:44 GMT 2023 , Edited by admin on Fri Dec 15 19:46:44 GMT 2023
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NCI_THESAURUS |
C2083
Created by
admin on Fri Dec 15 19:46:44 GMT 2023 , Edited by admin on Fri Dec 15 19:46:44 GMT 2023
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FDA ORPHAN DRUG |
492515
Created by
admin on Fri Dec 15 19:46:44 GMT 2023 , Edited by admin on Fri Dec 15 19:46:44 GMT 2023
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Code System | Code | Type | Description | ||
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DB11918
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2KT4YN1DP7
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C95209
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SUB177922
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100000163603
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PRIMARY | |||
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AB-42
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CHEMBL3544916
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929901-49-5
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PRIMARY | |||
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10102
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PRIMARY | |||
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135564655
Created by
admin on Fri Dec 15 19:46:44 GMT 2023 , Edited by admin on Fri Dec 15 19:46:44 GMT 2023
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PRIMARY |
Related Record | Type | Details | ||
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SALT/SOLVATE -> PARENT |
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Related Record | Type | Details | ||
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METABOLITE ACTIVE -> PRODRUG |
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Related Record | Type | Details | ||
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ACTIVE MOIETY |
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