Details
| Stereochemistry | ABSOLUTE |
| Molecular Formula | C8H12N4O4 |
| Molecular Weight | 228.2053 |
| Optical Activity | UNSPECIFIED |
| Defined Stereocenters | 3 / 3 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
NC1=NC(=O)N(C=N1)[C@H]2C[C@H](O)[C@@H](CO)O2
InChI
InChIKey=XAUDJQYHKZQPEU-KVQBGUIXSA-N
InChI=1S/C8H12N4O4/c9-7-10-3-12(8(15)11-7)6-1-4(14)5(2-13)16-6/h3-6,13-14H,1-2H2,(H2,9,11,15)/t4-,5+,6+/m0/s1
| Molecular Formula | C8H12N4O4 |
| Molecular Weight | 228.2053 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ABSOLUTE |
| Additional Stereochemistry | No |
| Defined Stereocenters | 3 / 3 |
| 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 |
|---|---|---|---|---|
77 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/17564707 |
15 mg/m² 3 times / day 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 |
|
155 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/22816487/ |
20 mg/m² 1 times / day multiple, intravenous dose: 20 mg/m² route of administration: Intravenous experiment type: MULTIPLE co-administered: |
DECITABINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
158 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/17564707 |
15 mg/m² 3 times / day 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 |
|
802.81 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/32285126/ |
20 mg/m² 1 times / day multiple, intravenous dose: 20 mg/m² route of administration: Intravenous experiment type: MULTIPLE co-administered: |
DECITABINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
750.82 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/32285126/ |
35 mg 1 times / day multiple, oral dose: 35 mg route of administration: Oral experiment type: MULTIPLE co-administered: CEDAZURIDINE |
DECITABINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
150 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/22816487/ |
20 mg/m² 1 times / day multiple, intravenous dose: 20 mg/m² route of administration: Intravenous experiment type: MULTIPLE co-administered: |
DECITABINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
0.78 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/17564707 |
15 mg/m² 3 times / day 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 |
|
0.2 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/22816487/ |
20 mg/m² 1 times / day multiple, intravenous dose: 20 mg/m² route of administration: Intravenous experiment type: MULTIPLE co-administered: |
DECITABINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: |
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) Health Status: unhealthy Age Group: 52 years (range: 23 - 78 years) Sex: M+F 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) Health Status: unhealthy Age Group: 59 years (range: 42–79 years) Sex: M+F 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) Health Status: unhealthy Age Group: 61 years (range: 32–82 years) Sex: M+F 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 Health Status: unhealthy Age Group: 65 years Sex: M+F 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) Health Status: unhealthy Age Group: 70 years (range: 65-76 years) Sex: M+F 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) Health Status: unhealthy Age Group: 72 years (range: 68–75 years) Sex: M+F 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 |
|
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 Health Status: unhealthy Sources: |
Other AEs: Neutropenia, Thrombocytopenia... Other AEs: Neutropenia (all grades, 83%) Sources: 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%) |
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) Health Status: unhealthy Age Group: 59 years (range: 42–79 years) Sex: M+F 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) Health Status: unhealthy Age Group: 59 years (range: 42–79 years) Sex: M+F 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) Health Status: unhealthy Age Group: 59 years (range: 42–79 years) Sex: M+F 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) Health Status: unhealthy Age Group: 59 years (range: 42–79 years) Sex: M+F 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) Health Status: unhealthy Age Group: 59 years (range: 42–79 years) Sex: M+F 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) Health Status: unhealthy Age Group: 61 years (range: 32–82 years) Sex: M+F 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) Health Status: unhealthy Age Group: 61 years (range: 32–82 years) Sex: M+F 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) Health Status: unhealthy Age Group: 70 years (range: 65-76 years) Sex: M+F 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) Health Status: unhealthy Age Group: 70 years (range: 65-76 years) Sex: M+F 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) Health Status: unhealthy Age Group: 70 years (range: 65-76 years) Sex: M+F 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) Health Status: unhealthy Age Group: 70 years (range: 65-76 years) Sex: M+F 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) Health Status: unhealthy Age Group: 70 years (range: 65-76 years) Sex: M+F 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) Health Status: unhealthy Age Group: 70 years (range: 65-76 years) Sex: M+F 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) Health Status: unhealthy Age Group: 70 years (range: 65-76 years) Sex: M+F 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) Health Status: unhealthy Age Group: 72 years (range: 68–75 years) Sex: M+F 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
| 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: |
unhealthy Health Status: unhealthy Sources: |
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 |
|---|---|---|
| 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. | 2019-06 |
|
| TGF-β induces global changes in DNA methylation during the epithelial-to-mesenchymal transition in ovarian cancer cells. | 2014-11 |
|
| Immunomodulatory activity of SGI-110, a 5-aza-2'-deoxycytidine-containing demethylating dinucleotide. | 2013-03 |
|
| Combined restriction landmark genomic scanning and virtual genome scans identify a novel human homeobox gene, ALX3, that is hypermethylated in neuroblastoma. | 2002-03 |
|
| Reduced expression of insulin-like growth factor binding protein-3 and its promoter hypermethylation in human hepatocellular carcinoma. | 2002-02-25 |
|
| Methylation-mediated silencing of TMS1/ASC is accompanied by histone hypoacetylation and CpG island-localized changes in chromatin architecture. | 2002-02-15 |
|
| The 5-lipoxygenase promoter is regulated by DNA methylation. | 2002-02-08 |
|
| 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. | 2002-02 |
|
| Aberrant methylation and histone deacetylation of cyclooxygenase 2 in gastric cancer. | 2002-01-20 |
|
| Characterization of XAGE-1b, a short major transcript of cancer/testis-associated gene XAGE-1, induced in melanoma metastasis. | 2002-01-10 |
|
| Novel agents for the therapy of acute leukemia. | 2002-01 |
|
| DNA methylation regulates the expression of Y chromosome specific genes in prostate cancer. | 2002-01 |
|
| 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. | 2001-12-15 |
|
| Expression of the Hypermethylated in Cancer gene (HIC-1) is associated with good outcome in human breast cancer. | 2001-12-14 |
|
| Identification and characterization of differentially methylated CpG islands in pancreatic carcinoma. | 2001-12-01 |
|
| [Chemotherapy and radiation therapy]. | 2001-12 |
|
| Reexpression of a cluster of silenced transgenes is associated with their rearrangement. | 2001-12 |
|
| Potential of 5-aza-2'-deoxycytidine (Decitabine) a potent inhibitor of DNA methylation for therapy of advanced non-small cell lung cancer. | 2001-12 |
|
| Pharmacological reactivation of inactive genes: the fragile X experience. | 2001-11-24 |
|
| Increased expression of unmethylated CDKN2D by 5-aza-2'-deoxycytidine in human lung cancer cells. | 2001-11-22 |
|
| Hypermethylation in human cancers of the RIZ1 tumor suppressor gene, a member of a histone/protein methyltransferase superfamily. | 2001-11-15 |
|
| 5-Aza-2'-deoxycytidine induces histone hyperacetylation of mouse centromeric heterochromatin by a mechanism independent of DNA demethylation. | 2001-11-09 |
|
| Silencing of HTR1B and reduced expression of EDN1 in human lung cancers, revealed by methylation-sensitive representational difference analysis. | 2001-11-08 |
|
| E-cadherin expression is commonly downregulated by CpG island hypermethylation in esophageal carcinoma cells. | 2001-11-08 |
|
| Altered hox gene expression and cellular pathogenesis of 5-aza-2'-deoxycytidine-induced murine hindlimb dysmorphogenesis. | 2001-11-07 |
|
| Reduced expression of intercellular adhesion molecule-1 in ovarian adenocarcinomas. | 2001-11-02 |
|
| Large scale mapping of methylcytosines in CTCF-binding sites in the human H19 promoter and aberrant hypomethylation in human bladder cancer. | 2001-11-01 |
|
| Glypican-3 expression is silenced in human breast cancer. | 2001-11-01 |
|
| CpG methylation as a basis for breast tumor-specific loss of NES1/kallikrein 10 expression. | 2001-11-01 |
|
| Diminished expression of S100A2, a putative tumor suppressor, at early stage of human lung carcinogenesis. | 2001-11-01 |
|
| Methylation in hMLH1 promoter interferes with its binding to transcription factor CBF and inhibits gene expression. | 2001-10-25 |
|
| Rexpression of HLA class I antigens and restoration of antigen-specific CTL response in melanoma cells following 5-aza-2'-deoxycytidine treatment. | 2001-10-15 |
|
| CpG hypermethylation of the promoter region inactivates the estrogen receptor-beta gene in patients with prostate carcinoma. | 2001-10-15 |
|
| Frequent epigenetic inactivation of RASSF1A by aberrant promoter hypermethylation in human gastric adenocarcinoma. | 2001-10-01 |
|
| Synergistic activation of functional estrogen receptor (ER)-alpha by DNA methyltransferase and histone deacetylase inhibition in human ER-alpha-negative breast cancer cells. | 2001-10-01 |
|
| Chloroplast DNA methylation and inheritance in Chlamydomonas. | 2001-10-01 |
|
| Reduced expression of syndecan-1 affects metastatic potential and clinical outcome in patients with colorectal cancer. | 2001-10 |
|
| Dynamic DNA methylation change in the CpG island region of p15 during human myeloid development. | 2001-10 |
|
| DNA hypermethylation is a mechanism for loss of expression of the HLA class I genes in human esophageal squamous cell carcinomas. | 2001-10 |
|
| Histone deacetylase and DNA methyltransferase in human prostate cancer. | 2001-09-28 |
|
| Unnatural enantiomers of 5-azacytidine analogues: syntheses and enzymatic properties. | 2001-09-21 |
|
| Sensitization for death receptor- or drug-induced apoptosis by re-expression of caspase-8 through demethylation or gene transfer. | 2001-09-13 |
|
| Evolving treatment options of myelodysplastic syndromes. | 2001-09 |
|
| Selection of drug-resistant transduced cells with cytosine nucleoside analogs using the human cytidine deaminase gene. | 2001-09 |
|
| Epigenetic regulation of the KAI1 metastasis suppressor gene in human prostate cancer cell lines. | 2001-09 |
|
| 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. | 2001-09 |
|
| CpG methylation of promoter region inactivates E-cadherin gene in renal cell carcinoma. | 2001-09 |
|
| 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 |
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
Wed Apr 02 07:04:39 GMT 2025
by
admin
on
Wed Apr 02 07:04:39 GMT 2025
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| Record UNII |
776B62CQ27
|
| Record Status |
Validated (UNII)
|
| Record Version |
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Common Name | English |
| Classification Tree | Code System | Code | ||
|---|---|---|---|---|
|
FDA ORPHAN DRUG |
555916
Created by
admin on Wed Apr 02 07:04:39 GMT 2025 , Edited by admin on Wed Apr 02 07:04:39 GMT 2025
|
||
|
NCI_THESAURUS |
C1557
Created by
admin on Wed Apr 02 07:04:39 GMT 2025 , Edited by admin on Wed Apr 02 07:04:39 GMT 2025
|
||
|
FDA ORPHAN DRUG |
227106
Created by
admin on Wed Apr 02 07:04:39 GMT 2025 , Edited by admin on Wed Apr 02 07:04:39 GMT 2025
|
||
|
FDA ORPHAN DRUG |
159702
Created by
admin on Wed Apr 02 07:04:39 GMT 2025 , Edited by admin on Wed Apr 02 07:04:39 GMT 2025
|
||
|
NDF-RT |
N0000000233
Created by
admin on Wed Apr 02 07:04:39 GMT 2025 , Edited by admin on Wed Apr 02 07:04:39 GMT 2025
|
||
|
FDA ORPHAN DRUG |
122298
Created by
admin on Wed Apr 02 07:04:39 GMT 2025 , Edited by admin on Wed Apr 02 07:04:39 GMT 2025
|
||
|
NCI_THESAURUS |
C2083
Created by
admin on Wed Apr 02 07:04:39 GMT 2025 , Edited by admin on Wed Apr 02 07:04:39 GMT 2025
|
||
|
FDA ORPHAN DRUG |
123399
Created by
admin on Wed Apr 02 07:04:39 GMT 2025 , Edited by admin on Wed Apr 02 07:04:39 GMT 2025
|
||
|
FDA ORPHAN DRUG |
537716
Created by
admin on Wed Apr 02 07:04:39 GMT 2025 , Edited by admin on Wed Apr 02 07:04:39 GMT 2025
|
||
|
WHO-VATC |
QL01BC08
Created by
admin on Wed Apr 02 07:04:39 GMT 2025 , Edited by admin on Wed Apr 02 07:04:39 GMT 2025
|
||
|
EU-Orphan Drug |
EU/3/17/1881
Created by
admin on Wed Apr 02 07:04:39 GMT 2025 , Edited by admin on Wed Apr 02 07:04:39 GMT 2025
|
||
|
EMA ASSESSMENT REPORTS |
DACOGEN (AUTHORIZED: LEUKEMIA, MYELOID)
Created by
admin on Wed Apr 02 07:04:39 GMT 2025 , Edited by admin on Wed Apr 02 07:04:39 GMT 2025
|
||
|
FDA ORPHAN DRUG |
697019
Created by
admin on Wed Apr 02 07:04:39 GMT 2025 , Edited by admin on Wed Apr 02 07:04:39 GMT 2025
|
||
|
LIVERTOX |
NBK548668
Created by
admin on Wed Apr 02 07:04:39 GMT 2025 , Edited by admin on Wed Apr 02 07:04:39 GMT 2025
|
||
|
NDF-RT |
N0000175595
Created by
admin on Wed Apr 02 07:04:39 GMT 2025 , Edited by admin on Wed Apr 02 07:04:39 GMT 2025
|
||
|
WHO-ATC |
L01BC08
Created by
admin on Wed Apr 02 07:04:39 GMT 2025 , Edited by admin on Wed Apr 02 07:04:39 GMT 2025
|
||
|
FDA ORPHAN DRUG |
20687
Created by
admin on Wed Apr 02 07:04:39 GMT 2025 , Edited by admin on Wed Apr 02 07:04:39 GMT 2025
|
| Code System | Code | Type | Description | ||
|---|---|---|---|---|---|
|
C981
Created by
admin on Wed Apr 02 07:04:39 GMT 2025 , Edited by admin on Wed Apr 02 07:04:39 GMT 2025
|
PRIMARY | |||
|
DECITABINE
Created by
admin on Wed Apr 02 07:04:39 GMT 2025 , Edited by admin on Wed Apr 02 07:04:39 GMT 2025
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PRIMARY | |||
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DB01262
Created by
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PRIMARY | |||
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776B62CQ27
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PRIMARY | |||
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SUB06932MIG
Created by
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PRIMARY | |||
|
m4126
Created by
admin on Wed Apr 02 07:04:39 GMT 2025 , Edited by admin on Wed Apr 02 07:04:39 GMT 2025
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PRIMARY | Merck Index | ||
|
CHEMBL1201129
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PRIMARY | |||
|
50131
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PRIMARY | |||
|
15657
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PRIMARY | RxNorm | ||
|
790
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PRIMARY | |||
|
6805
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PRIMARY | |||
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776B62CQ27
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PRIMARY | |||
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2353-33-5
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PRIMARY | |||
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1165204
Created by
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PRIMARY | |||
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451668
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PRIMARY | |||
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C014347
Created by
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PRIMARY | |||
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Decitabine
Created by
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PRIMARY | |||
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6374
Created by
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PRIMARY | |||
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100000083471
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PRIMARY | |||
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DTXSID7030432
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PRIMARY | |||
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AA-24
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PRIMARY | |||
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219-089-4
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PRIMARY | |||
|
127716
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PRIMARY |
| Related Record | Type | Details | ||
|---|---|---|---|---|
|
SOLVATE->ANHYDROUS | |||
|
BINDER->LIGAND |
BINDING
|
||
|
EXCRETED UNCHANGED |
According to the limited data in the study by van Groeningen et al. (1986), decitabine is not excreted unchanged in urine.
|
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TARGET -> INHIBITOR |
|
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|
SALT/SOLVATE -> PARENT |
| Related Record | Type | Details | ||
|---|---|---|---|---|
|
METABOLITE INACTIVE -> PARENT | |||
|
|
PRODRUG -> METABOLITE ACTIVE |
|
||
|
METABOLITE -> PARENT | |||
|
METABOLITE -> PARENT | |||
|
METABOLITE -> PARENT |
| Related Record | Type | Details | ||
|---|---|---|---|---|
|
|
ACTIVE MOIETY |
|
| Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
|---|---|---|---|---|---|---|
| Biological Half-life | PHARMACOKINETIC |
|
|
|||
| Tmax | PHARMACOKINETIC |
|
ONCE DAILY |
|
||