Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C9H12FN3O4 |
Molecular Weight | 245.2077 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 4 / 4 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
C[C@H]1O[C@H]([C@H](O)[C@@H]1O)N2C=C(F)C(N)=NC2=O
InChI
InChIKey=YSNABXSEHNLERR-ZIYNGMLESA-N
InChI=1S/C9H12FN3O4/c1-3-5(14)6(15)8(17-3)13-2-4(10)7(11)12-9(13)16/h2-3,5-6,8,14-15H,1H3,(H2,11,12,16)/t3-,5-,6-,8-/m1/s1
Molecular Formula | C9H12FN3O4 |
Molecular Weight | 245.2077 |
Charge | 0 |
Count |
|
Stereochemistry | ABSOLUTE |
Additional Stereochemistry | No |
Defined Stereocenters | 4 / 4 |
E/Z Centers | 0 |
Optical Activity | UNSPECIFIED |
DescriptionCurator's Comment: description was created based on several sources, including:
http://www.rxlist.com/xeloda-drug.htm
https://www.drugs.com/mtm/capecitabine.html
Curator's Comment: description was created based on several sources, including:
http://www.rxlist.com/xeloda-drug.htm
https://www.drugs.com/mtm/capecitabine.html
Capecitabine is a fluoropyrimidine carbamate with antineoplastic activity. It is an orally administered systemic prodrug which is converted to 5-fluorouracil (5-FU). Both normal and tumor cells metabolize 5-FU to 5-fluoro-2’-deoxyuridine monophosphate (FdUMP) and 5-fluorouridine triphosphate (FUTP). These metabolites cause cell injury by two different mechanisms. First, FdUMP and the folate cofactor, N5-10-methylenetetrahydrofolate, bind to thymidylate synthase (TS) to form a covalently bound ternary complex. This binding inhibits the formation of thymidylate from 2’-deoxyuridylate. Thymidylate is the necessary precursor of thymidine triphosphate, which is essential for the synthesis of DNA, so that a deficiency of this compound can inhibit cell division. Second, nuclear transcriptional enzymes can mistakenly incorporate FUTP in place of uridine triphosphate (UTP) during the synthesis of RNA. This metabolic error can interfere with RNA processing and protein synthesis. Most common adverse reactions (≥30%) were diarrhea, hand-and-foot syndrome, nausea, vomiting, abdominal pain, fatigue/weakness, and hyperbilirubinemia. The concentration of 5-fluorouracil is increased and its toxicity may be enhanced by leucovorin.
CNS Activity
Sources: https://www.ncbi.nlm.nih.gov/pubmed/25547867
Curator's Comment: The CNS penetration of 5-FU (Capecitabine is a prodrug that is enzymatically converted to 5-fluorouracil (5-FU) in the body) in human was predicted based on the penetration in preclinical brain tumor, CSF, and human PK and the predicted free CNS concentration was below the antiproliferative potency.
Originator
Sources: https://www.google.com/patents/US5472949
Curator's Comment: # Hoffmann-La Roche Inc.
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL1952 |
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Target ID: CHEMBL2311222 |
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Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | XELODA Approved UseCapecitabine tablets, USP are a nucleoside metabolic inhibitor with antineoplastic activity indicated for: • Adjuvant Colon Cancer (1.1) oPatients with Dukes’ C colon cancer • Metastatic Colorectal Cancer (1.1) oFirst-line as monotherapy when treatment with fluoropyrimidine therapy alone is preferred • Metastatic Breast Cancer (1.2) oIn combination with docetaxel after failure of prior anthracycline-containing therapy oAs monotherapy in patients resistant to both paclitaxel and an anthracycline-containing regimen 1.1 Colorectal Cancer •Capecitabine tablets, USP are indicated as a single agent for adjuvant treatment in patients with Dukes’ C colon cancer who have undergone complete resection of the primary tumor when treatment with fluoropyrimidine therapy alone is preferred. Capecitabine was non-inferior to 5-fluorouracil and leucovorin (5-FU/LV) for disease-free survival (DFS). Physicians should consider results of combination chemotherapy trials, which have shown improvement in DFS and OS, when prescribing single-agent capecitabine in the adjuvant treatment of Dukes’ C colon cancer. •Capecitabine tablets are indicated as first-line treatment of patients with metastatic colorectal carcinoma when treatment with fluoropyrimidine therapy alone is preferred. Combination chemotherapy has shown a survival benefit compared to 5-FU/LV alone. A survival benefit over 5-FU/LV has not been demonstrated with capecitabine monotherapy. Use of capecitabine instead of 5-FU/LV in combinations has not been adequately studied to assure safety or preservation of the survival advantage. 1.2 Breast Cancer •Capecitabine tablets, USP in combination with docetaxel are indicated for the treatment of patients with metastatic breast cancer after failure of prior anthracycline-containing chemotherapy. •Capecitabine tablets monotherapy is also indicated for the treatment of patients with metastatic breast cancer resistant to both paclitaxel and an anthracycline-containing chemotherapy regimen or resistant to paclitaxel and for whom further anthracycline therapy is not indicated (e.g., patients who have received cumulative doses of 400 mg/m2 of doxorubicin or doxorubicin equivalents). Resistance is defined as progressive disease while on treatment, with or without an initial response, or relapse within 6 months of completing treatment with an anthracycline-containing adjuvant regimen. Launch Date1998 |
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Primary | XELODA Approved UseCapecitabine tablets, USP are a nucleoside metabolic inhibitor with antineoplastic activity indicated for: • Adjuvant Colon Cancer (1.1) oPatients with Dukes’ C colon cancer • Metastatic Colorectal Cancer (1.1) oFirst-line as monotherapy when treatment with fluoropyrimidine therapy alone is preferred • Metastatic Breast Cancer (1.2) oIn combination with docetaxel after failure of prior anthracycline-containing therapy oAs monotherapy in patients resistant to both paclitaxel and an anthracycline-containing regimen 1.1 Colorectal Cancer •Capecitabine tablets, USP are indicated as a single agent for adjuvant treatment in patients with Dukes’ C colon cancer who have undergone complete resection of the primary tumor when treatment with fluoropyrimidine therapy alone is preferred. Capecitabine was non-inferior to 5-fluorouracil and leucovorin (5-FU/LV) for disease-free survival (DFS). Physicians should consider results of combination chemotherapy trials, which have shown improvement in DFS and OS, when prescribing single-agent capecitabine in the adjuvant treatment of Dukes’ C colon cancer. •Capecitabine tablets are indicated as first-line treatment of patients with metastatic colorectal carcinoma when treatment with fluoropyrimidine therapy alone is preferred. Combination chemotherapy has shown a survival benefit compared to 5-FU/LV alone. A survival benefit over 5-FU/LV has not been demonstrated with capecitabine monotherapy. Use of capecitabine instead of 5-FU/LV in combinations has not been adequately studied to assure safety or preservation of the survival advantage. 1.2 Breast Cancer •Capecitabine tablets, USP in combination with docetaxel are indicated for the treatment of patients with metastatic breast cancer after failure of prior anthracycline-containing chemotherapy. •Capecitabine tablets monotherapy is also indicated for the treatment of patients with metastatic breast cancer resistant to both paclitaxel and an anthracycline-containing chemotherapy regimen or resistant to paclitaxel and for whom further anthracycline therapy is not indicated (e.g., patients who have received cumulative doses of 400 mg/m2 of doxorubicin or doxorubicin equivalents). Resistance is defined as progressive disease while on treatment, with or without an initial response, or relapse within 6 months of completing treatment with an anthracycline-containing adjuvant regimen. Launch Date1998 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
3515 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/29948022 |
1250 mg/m² 2 times / day multiple, oral dose: 1250 mg/m² route of administration: Oral experiment type: MULTIPLE co-administered: |
.ALPHA.-FLUORO-.BETA.-ALANINE blood | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE food status: UNKNOWN |
|
9105 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/24022189 |
1000 mg/m² 2 times / day multiple, oral dose: 1000 mg/m² route of administration: Oral experiment type: MULTIPLE co-administered: |
CAPECITABINE blood | Homo sapiens population: UNHEALTHY age: ADULT sex: MALE food status: FED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
45027 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/29948022 |
1250 mg/m² 2 times / day multiple, oral dose: 1250 mg/m² route of administration: Oral experiment type: MULTIPLE co-administered: |
.ALPHA.-FLUORO-.BETA.-ALANINE blood | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE food status: UNKNOWN |
|
10238 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/24022189 |
1000 mg/m² 2 times / day multiple, oral dose: 1000 mg/m² route of administration: Oral experiment type: MULTIPLE co-administered: |
CAPECITABINE blood | Homo sapiens population: UNHEALTHY age: ADULT sex: MALE food status: FED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
0.78 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/24022189 |
1000 mg/m² 2 times / day multiple, oral dose: 1000 mg/m² route of administration: Oral experiment type: MULTIPLE co-administered: |
CAPECITABINE blood | Homo sapiens population: UNHEALTHY age: ADULT sex: MALE food status: FED |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
65% |
CAPECITABINE plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
2500 mg 2 times / day multiple, oral Highest studied dose Dose: 2500 mg, 2 times / day Route: oral Route: multiple Dose: 2500 mg, 2 times / day Sources: Page: p.1799 |
unhealthy, 34-68 n = 7 Health Status: unhealthy Condition: Breast cancer Age Group: 34-68 Sex: F Population Size: 7 Sources: Page: p.1799 |
DLT: Hand-and-foot syndrome, Diarrhea... Dose limiting toxicities: Hand-and-foot syndrome (grade 3, 28.6%) Sources: Page: p.1799Diarrhea (grade 3, 14.29%) |
2000 mg 2 times / day multiple, oral MTD Dose: 2000 mg, 2 times / day Route: oral Route: multiple Dose: 2000 mg, 2 times / day Sources: Page: p.1799 |
unhealthy, 41-53 n = 7 Health Status: unhealthy Condition: Breast cancer Age Group: 41-53 Sex: F Population Size: 7 Sources: Page: p.1799 |
DLT: Hand-and-foot syndrome... Dose limiting toxicities: Hand-and-foot syndrome (grade 3, 14.29%) Sources: Page: p.1799 |
1250 mg/m2 2 times / day multiple, oral Recommended Dose: 1250 mg/m2, 2 times / day Route: oral Route: multiple Dose: 1250 mg/m2, 2 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Adjuv ant Colon Cancer|Metastatic Colorectal Cancer|Metastatic Breast Cancer Sources: Page: p.1 |
Disc. AE: Coagulopathy, Diarrhea... AEs leading to discontinuation/dose reduction: Coagulopathy Sources: Page: p.1Diarrhea Cardiotoxicity Dehydration Renal failure Fetal damage Mucocutaneous disorder (severe) Stevens Johnson syndrome Toxic epidermal necrolysis Hyperbilirubinemia |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Diarrhea | grade 3, 14.29% DLT |
2500 mg 2 times / day multiple, oral Highest studied dose Dose: 2500 mg, 2 times / day Route: oral Route: multiple Dose: 2500 mg, 2 times / day Sources: Page: p.1799 |
unhealthy, 34-68 n = 7 Health Status: unhealthy Condition: Breast cancer Age Group: 34-68 Sex: F Population Size: 7 Sources: Page: p.1799 |
Hand-and-foot syndrome | grade 3, 28.6% DLT |
2500 mg 2 times / day multiple, oral Highest studied dose Dose: 2500 mg, 2 times / day Route: oral Route: multiple Dose: 2500 mg, 2 times / day Sources: Page: p.1799 |
unhealthy, 34-68 n = 7 Health Status: unhealthy Condition: Breast cancer Age Group: 34-68 Sex: F Population Size: 7 Sources: Page: p.1799 |
Hand-and-foot syndrome | grade 3, 14.29% DLT |
2000 mg 2 times / day multiple, oral MTD Dose: 2000 mg, 2 times / day Route: oral Route: multiple Dose: 2000 mg, 2 times / day Sources: Page: p.1799 |
unhealthy, 41-53 n = 7 Health Status: unhealthy Condition: Breast cancer Age Group: 41-53 Sex: F Population Size: 7 Sources: Page: p.1799 |
Cardiotoxicity | Disc. AE | 1250 mg/m2 2 times / day multiple, oral Recommended Dose: 1250 mg/m2, 2 times / day Route: oral Route: multiple Dose: 1250 mg/m2, 2 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Adjuv ant Colon Cancer|Metastatic Colorectal Cancer|Metastatic Breast Cancer Sources: Page: p.1 |
Coagulopathy | Disc. AE | 1250 mg/m2 2 times / day multiple, oral Recommended Dose: 1250 mg/m2, 2 times / day Route: oral Route: multiple Dose: 1250 mg/m2, 2 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Adjuv ant Colon Cancer|Metastatic Colorectal Cancer|Metastatic Breast Cancer Sources: Page: p.1 |
Dehydration | Disc. AE | 1250 mg/m2 2 times / day multiple, oral Recommended Dose: 1250 mg/m2, 2 times / day Route: oral Route: multiple Dose: 1250 mg/m2, 2 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Adjuv ant Colon Cancer|Metastatic Colorectal Cancer|Metastatic Breast Cancer Sources: Page: p.1 |
Diarrhea | Disc. AE | 1250 mg/m2 2 times / day multiple, oral Recommended Dose: 1250 mg/m2, 2 times / day Route: oral Route: multiple Dose: 1250 mg/m2, 2 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Adjuv ant Colon Cancer|Metastatic Colorectal Cancer|Metastatic Breast Cancer Sources: Page: p.1 |
Fetal damage | Disc. AE | 1250 mg/m2 2 times / day multiple, oral Recommended Dose: 1250 mg/m2, 2 times / day Route: oral Route: multiple Dose: 1250 mg/m2, 2 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Adjuv ant Colon Cancer|Metastatic Colorectal Cancer|Metastatic Breast Cancer Sources: Page: p.1 |
Hyperbilirubinemia | Disc. AE | 1250 mg/m2 2 times / day multiple, oral Recommended Dose: 1250 mg/m2, 2 times / day Route: oral Route: multiple Dose: 1250 mg/m2, 2 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Adjuv ant Colon Cancer|Metastatic Colorectal Cancer|Metastatic Breast Cancer Sources: Page: p.1 |
Renal failure | Disc. AE | 1250 mg/m2 2 times / day multiple, oral Recommended Dose: 1250 mg/m2, 2 times / day Route: oral Route: multiple Dose: 1250 mg/m2, 2 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Adjuv ant Colon Cancer|Metastatic Colorectal Cancer|Metastatic Breast Cancer Sources: Page: p.1 |
Stevens Johnson syndrome | Disc. AE | 1250 mg/m2 2 times / day multiple, oral Recommended Dose: 1250 mg/m2, 2 times / day Route: oral Route: multiple Dose: 1250 mg/m2, 2 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Adjuv ant Colon Cancer|Metastatic Colorectal Cancer|Metastatic Breast Cancer Sources: Page: p.1 |
Toxic epidermal necrolysis | Disc. AE | 1250 mg/m2 2 times / day multiple, oral Recommended Dose: 1250 mg/m2, 2 times / day Route: oral Route: multiple Dose: 1250 mg/m2, 2 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Adjuv ant Colon Cancer|Metastatic Colorectal Cancer|Metastatic Breast Cancer Sources: Page: p.1 |
Mucocutaneous disorder | severe Disc. AE |
1250 mg/m2 2 times / day multiple, oral Recommended Dose: 1250 mg/m2, 2 times / day Route: oral Route: multiple Dose: 1250 mg/m2, 2 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Adjuv ant Colon Cancer|Metastatic Colorectal Cancer|Metastatic Breast Cancer Sources: Page: p.1 |
PubMed
Title | Date | PubMed |
---|---|---|
Oral fluoropyrimidines: are they the equivalent of parenteral infusional 5-fluorouracil? | 2001 |
|
Dose scheduling--Herceptin. | 2001 |
|
Disease management considerations: disease management considerations. | 2001 |
|
Improving chemoradiotherapy in rectal cancer. | 2001 |
|
Integrating oxaliplatin into the management of colorectal cancer. | 2001 |
|
Optimizing the use of irinotecan in colorectal cancer. | 2001 |
|
Answering patients' needs: oral alternatives to intravenous therapy. | 2001 |
|
The evolution of fluoropyrimidine therapy: from intravenous to oral. | 2001 |
|
Thymidine phosphorylase (TP) activation: convenience through innovation. | 2001 |
|
[Capecitabine (Ro09-1978) for therapy of advanced and recurrent gastric cancer]. | 2001 Apr |
|
Metastatic breast cancer: understanding current management options. | 2001 Apr |
|
A physiologically based pharmacokinetic analysis of capecitabine, a triple prodrug of 5-FU, in humans: the mechanism for tumor-selective accumulation of 5-FU. | 2001 Aug |
|
Capecitabine for 5-fluorouracil-resistant brain metastases from breast cancer. | 2001 Aug |
|
[Coronary insufficiency after an oral intake of capecitabine]. | 2001 Aug-Sep |
|
Capecitabine and oxaliplatin in advanced colorectal cancer: a dose-finding study. | 2001 Dec |
|
Combination chemotherapy of the taxanes and antimetabolites: its use and limitations. | 2001 Dec |
|
Capecitabine in breast cancer: current status. | 2001 Jan |
|
Investigation of 5-FU disposition after oral administration of capecitabine, a triple-prodrug of 5-FU, using a physiologically based pharmacokinetic model in a human cancer xenograft model: comparison of the simulated 5-FU exposures in the tumour tissue between human and xenograft model. | 2001 Jan |
|
Capecitabine (Xeloda). | 2001 Jan-Feb |
|
Capecitabine monotherapy in metastatic colorectal cancer. | 2001 Jul |
|
New chemotherapy approaches in colorectal cancer. | 2001 Jul |
|
Thymidine phosphorylase expression and effect of doxifluridine: a phase II study. | 2001 Jul-Aug |
|
[Tumoral levels of thymidine phosphorylase and dihydropyrimidine dehydrogenase in elderly colorectal cancer patients]. | 2001 Jun |
|
Role of the human concentrative nucleoside transporter (hCNT1) in the cytotoxic action of 5[Prime]-deoxy-5-fluorouridine, an active intermediate metabolite of capecitabine, a novel oral anticancer drug. | 2001 Jun |
|
A phase I and pharmacologic study of capecitabine and paclitaxel in breast cancer patients. | 2001 May |
|
Acute cardiotoxicity during capecitabine treatment: a case report. | 2001 May-Jun |
|
Mucositis as a treatment-limiting side effect in the use of capecitabine for the treatment of metastatic breast cancer. | 2001 Nov |
|
Clinical picture: leopard-like vitiligo with capecitabine. | 2001 Nov 10 |
|
From the Food and Drug Administration. | 2001 Nov 7 |
|
Recent advances in the use of radiosensitizing nucleosides. | 2001 Oct |
|
Multicenter, Phase II study of capecitabine in taxane-pretreated metastatic breast carcinoma patients. | 2001 Oct 1 |
|
[New therapeutic options in chemotherapy of advanced colorectal cancer]. | 2001 Oct 15 |
|
Randomized, open-label, phase II trial of oral capecitabine (Xeloda) vs. a reference arm of intravenous CMF (cyclophosphamide, methotrexate and 5-fluorouracil) as first-line therapy for advanced/metastatic breast cancer. | 2001 Sep |
|
Capecitabine: a novel agent for the treatment of solid tumors. | 2001 Sep |
|
Onychomadesis and onycholysis associated with capecitabine. | 2001 Sep |
|
Role of thymidine phosphorylase in biomodulation of fluoropyrimidines. | 2001 Sep |
|
A randomized study comparing oral and standard regimens for metastatic breast cancer. | 2001 Sep-Oct |
|
Incidence and severity of hand-foot syndrome in colorectal cancer patients treated with capecitabine: a single-institution experience. | 2002 |
|
Prediction of the response of colorectal cancer to systemic therapy. | 2002 Feb |
|
Recent development of anti-cancer drugs for treatment of GI malignancies in Japan. | 2002 Feb |
|
Capecitabine as first-line treatment in colorectal cancer. Pooled data from two large, phase III trials. | 2002 Feb |
|
Clinical experience of capecitabine in metastatic breast cancer. | 2002 Feb |
|
Rational development of capecitabine. | 2002 Feb |
|
An evolving role for oral fluoropyrimidine drugs. | 2002 Feb 15 |
|
Taxanes and capecitabine in combination: rationale and clinical results. | 2002 Jan |
|
Immunohistochemical variation of human equilibrative nucleoside transporter 1 protein in primary breast cancers. | 2002 Jan |
|
Xeloda. Warning: drug interaction increase bleeding risks. | 2002 Mar |
|
The effect of adjuvant 5'-deoxy-5-fluorouridine in early stage breast cancer patients: results from a multicenter randomized controlled trial. | 2002 Mar |
|
Dear doctor: we really are not sure what dose of capecitabine you should prescribe for your patient. | 2002 Mar 15 |
|
Treatment of patients with superficial bladder cancer by intravesical instillation of anticancer drugs plus oral chemotherapy following TUR-Bt: a randomized controlled trial. | 2002 Mar-Apr |
Sample Use Guides
Take XELODA with water within 30 min after a meal. Monotherapy: 1250 mg/m2 twice daily orally for 2 weeks followed by a one week rest period in 3-week cycles.
Route of Administration:
Oral
Substance Class |
Chemical
Created
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admin
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Record UNII |
8RWB05I6ON
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Record Status |
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DTXSID00216543
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10037499
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8RWB05I6ON
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66335-38-4
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1090717
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PARENT -> IMPURITY |