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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
Structure of GUADECITABINE

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

HIDE SMILES / InChI

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

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).

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
Target ID: CHEMBL1993
Sources: www.ncbi.nlm.nih.gov/pubmed/20501800
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
DACOGEN

Approved Use

Dacogen 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 Date

2006
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
73.8 ng/mL
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

AUC

ValueDoseCo-administeredAnalytePopulation
163 ng × h/mL
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

T1/2

ValueDoseCo-administeredAnalytePopulation
0.62 h
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

Funbound

ValueDoseCo-administeredAnalytePopulation
99%
DECITABINE plasma
Homo sapiens
population: UNKNOWN
age: UNKNOWN
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse 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%)
Lymphopenia (grade 2, 17%)
Neutropenia (grade 2, 17%)
Leucopenia (grade 1, 17%)
Thrombocytopaenia (grade 1, 17%)
Sources:
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)
Thrombocytopenia (2 patients)
Sources:
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)
Neutropenia (grade 5, 6 patients)
Thrombocytopenia (grade 5, 6 patients)
Other AEs:
Neutropenia (grade 3-4, 87%)
Thrombocytopenia (grade 3-4, 85%)
Febrile neutropenia (grade 3-4, 23%)
Leukopenia (grade 3-4, 22%)
Sources:
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%)
Thrombocytopenia (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%)
Sources: Page: p. 82
AEs

AEs

AESignificanceDosePopulation
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

OverviewOther

Drug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
no
no
no
no
no
no
no
no
no
weak
yes
Drug as victim

Drug as victim

Tox targets
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
Targeting hypomethylation of DNA to achieve cellular differentiation in myelodysplastic syndromes (MDS).
2001
The E-cadherin/catenin complex: an important gatekeeper in breast cancer tumorigenesis and malignant progression.
2001
Demethylation by 5-aza-2'-deoxycytidine (5-azadC) of p16INK4A gene results in downregulation of vascular endothelial growth factor expression in human lung cancer cell lines.
2001
Unnatural enantiomers of 5-azacytidine analogues: syntheses and enzymatic properties.
2001 Apr-Jul
[Chemotherapy and radiation therapy].
2001 Dec
Reexpression of a cluster of silenced transgenes is associated with their rearrangement.
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
Reversal of GSTP1 CpG island hypermethylation and reactivation of pi-class glutathione S-transferase (GSTP1) expression in human prostate cancer cells by treatment with procainamide.
2001 Dec 15
Large scale mapping of methylcytosines in CTCF-binding sites in the human H19 promoter and aberrant hypomethylation in human bladder cancer.
2001 Nov 1
Glypican-3 expression is silenced in human breast cancer.
2001 Nov 1
CpG methylation as a basis for breast tumor-specific loss of NES1/kallikrein 10 expression.
2001 Nov 1
Diminished expression of S100A2, a putative tumor suppressor, at early stage of human lung carcinogenesis.
2001 Nov 1
Hypermethylation in human cancers of the RIZ1 tumor suppressor gene, a member of a histone/protein methyltransferase superfamily.
2001 Nov 15
Reduced expression of intercellular adhesion molecule-1 in ovarian adenocarcinomas.
2001 Nov 2
Increased expression of unmethylated CDKN2D by 5-aza-2'-deoxycytidine in human lung cancer cells.
2001 Nov 22
Silencing of HTR1B and reduced expression of EDN1 in human lung cancers, revealed by methylation-sensitive representational difference analysis.
2001 Nov 8
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
Reduced expression of syndecan-1 affects metastatic potential and clinical outcome in patients with colorectal cancer.
2001 Oct
Dynamic DNA methylation change in the CpG island region of p15 during human myeloid development.
2001 Oct
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
Synergistic activation of functional estrogen receptor (ER)-alpha by DNA methyltransferase and histone deacetylase inhibition in human ER-alpha-negative breast cancer cells.
2001 Oct 1
Chloroplast DNA methylation and inheritance in Chlamydomonas.
2001 Oct 1
Rexpression of HLA class I antigens and restoration of antigen-specific CTL response in melanoma cells following 5-aza-2'-deoxycytidine treatment.
2001 Oct 15
CpG hypermethylation of the promoter region inactivates the estrogen receptor-beta gene in patients with prostate carcinoma.
2001 Oct 15
Methylation in hMLH1 promoter interferes with its binding to transcription factor CBF and inhibits gene expression.
2001 Oct 25
Pharmacological reactivation of inactive genes: the fragile X experience.
2001 Oct-Nov 1
Evolving treatment options of myelodysplastic syndromes.
2001 Sep
Selection of drug-resistant transduced cells with cytosine nucleoside analogs using the human cytidine deaminase gene.
2001 Sep
Epigenetic regulation of the KAI1 metastasis suppressor gene in human prostate cancer cell lines.
2001 Sep
Hypermethylation of the tumor necrosis factor receptor superfamily 6 (APT1, Fas, CD95/Apo-1) gene promoter at rel/nuclear factor kappaB sites in prostatic carcinoma.
2001 Sep
CpG methylation of promoter region inactivates E-cadherin gene in renal cell carcinoma.
2001 Sep
Sensitization for death receptor- or drug-induced apoptosis by re-expression of caspase-8 through demethylation or gene transfer.
2001 Sep 13
Histone deacetylase and DNA methyltransferase in human prostate cancer.
2001 Sep 28
Altered hox gene expression and cellular pathogenesis of 5-aza-2'-deoxycytidine-induced murine hindlimb dysmorphogenesis.
2001 Sep-Oct
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
Methylation-mediated silencing of TMS1/ASC is accompanied by histone hypoacetylation and CpG island-localized changes in chromatin architecture.
2002 Feb 15
Reduced expression of insulin-like growth factor binding protein-3 and its promoter hypermethylation in human hepatocellular carcinoma.
2002 Feb 25
The 5-lipoxygenase promoter is regulated by DNA methylation.
2002 Feb 8
Novel agents for the therapy of acute leukemia.
2002 Jan
DNA methylation regulates the expression of Y chromosome specific genes in prostate cancer.
2002 Jan
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
Combined restriction landmark genomic scanning and virtual genome scans identify a novel human homeobox gene, ALX3, that is hypermethylated in neuroblastoma.
2002 Mar
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

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
In Vitro Use Guide
Sources: www.ncbi.nlm.nih.gov/pubmed/20126405
AML cells were treated daily with serial dilutions (0.02–50 uM) of freshlyprepared decitabine and incubated at 37 degree Celsius, 5% CO2 for 72 hours.
Substance Class Chemical
Created
by admin
on Fri Dec 15 19:46:44 GMT 2023
Edited
by admin
on Fri Dec 15 19:46:44 GMT 2023
Record UNII
2KT4YN1DP7
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
GUADECITABINE
INN   USAN   WHO-DD  
INN   USAN  
Official Name English
Guadecitabine [WHO-DD]
Common Name English
((2R,3S,5R)-5-(2-AMINO-6-OXO-1,6-DIHYDRO-9H-PURIN-9-YL)-3- HYDROXYTETRAHYDROFURAN-2-YL)METHYL (2R,3S,5R)-5-(4-AMINO-2-OXO-1 ,3,5-TRIAZIN-1(2H)YL)- 2-(HYDROXYMETHYL)TETRAHYDROFURAN-3-YL HYDROGEN PHOSPHATE
Systematic Name English
SGI-110 FREE ACID
Code English
SGI-110
Code English
GUADECITABINE [USAN]
Common Name English
guadecitabine [INN]
Common Name English
GUANOSINE, 2'-DEOXY-5-AZACYTIDYLYL-(3'-5')-2'-DEOXY-
Common Name English
Classification Tree Code System Code
FDA ORPHAN DRUG 627818
Created by admin on Fri Dec 15 19:46:44 GMT 2023 , Edited by admin on Fri Dec 15 19:46:44 GMT 2023
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
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
Code System Code Type Description
DRUG BANK
DB11918
Created by admin on Fri Dec 15 19:46:44 GMT 2023 , Edited by admin on Fri Dec 15 19:46:44 GMT 2023
PRIMARY
FDA UNII
2KT4YN1DP7
Created by admin on Fri Dec 15 19:46:44 GMT 2023 , Edited by admin on Fri Dec 15 19:46:44 GMT 2023
PRIMARY
NCI_THESAURUS
C95209
Created by admin on Fri Dec 15 19:46:44 GMT 2023 , Edited by admin on Fri Dec 15 19:46:44 GMT 2023
PRIMARY
EVMPD
SUB177922
Created by admin on Fri Dec 15 19:46:44 GMT 2023 , Edited by admin on Fri Dec 15 19:46:44 GMT 2023
PRIMARY
SMS_ID
100000163603
Created by admin on Fri Dec 15 19:46:44 GMT 2023 , Edited by admin on Fri Dec 15 19:46:44 GMT 2023
PRIMARY
USAN
AB-42
Created by admin on Fri Dec 15 19:46:44 GMT 2023 , Edited by admin on Fri Dec 15 19:46:44 GMT 2023
PRIMARY
ChEMBL
CHEMBL3544916
Created by admin on Fri Dec 15 19:46:44 GMT 2023 , Edited by admin on Fri Dec 15 19:46:44 GMT 2023
PRIMARY
CAS
929901-49-5
Created by admin on Fri Dec 15 19:46:44 GMT 2023 , Edited by admin on Fri Dec 15 19:46:44 GMT 2023
PRIMARY
INN
10102
Created by admin on Fri Dec 15 19:46:44 GMT 2023 , Edited by admin on Fri Dec 15 19:46:44 GMT 2023
PRIMARY
PUBCHEM
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
PRIMARY
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ACTIVE MOIETY