Details
| Stereochemistry | ACHIRAL |
| Molecular Formula | C5H9Cl2N3O2 |
| Molecular Weight | 214.05 |
| Optical Activity | NONE |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
ClCCNC(=O)N(CCCl)N=O
InChI
InChIKey=DLGOEMSEDOSKAD-UHFFFAOYSA-N
InChI=1S/C5H9Cl2N3O2/c6-1-3-8-5(11)10(9-12)4-2-7/h1-4H2,(H,8,11)
| Molecular Formula | C5H9Cl2N3O2 |
| Molecular Weight | 214.05 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ACHIRAL |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Optical Activity | NONE |
DescriptionCurator's Comment: description was created based on several sources, including:
https://www.drugs.com/cdi/carmustine.html
http://www.rxlist.com/bicnu-drug.htm
http://www.wikidoc.org/index.php/Carmustine_(injection)
Curator's Comment: description was created based on several sources, including:
https://www.drugs.com/cdi/carmustine.html
http://www.rxlist.com/bicnu-drug.htm
http://www.wikidoc.org/index.php/Carmustine_(injection)
Carmustine is a cancer medication that interferes with the growth and spread of cancer cells in the body. Carmustine is used to treat brain tumors, Hodgkin's disease, multiple myeloma, and non-Hodgkin's lymphoma. Although it is generally agreed that carmustine alkylates DNA and RNA, it is not cross-resistant with other alkylators. As with other nitrosoureas, it may also inhibit several key enzymatic processes by carbamoylation of amino acids in proteins. Pulmonary toxicity characterized by pulmonary infiltrates and/or fibrosis has been reported to occur from 9 days to 43 months after treatment with BiCNU and related nitrosoureas. A frequent and serious toxicity of BiCNU is delayed myelosuppression. Nausea and vomiting after intravenous administration of BiCNU are noted frequently. Greater myelotoxicity (e.g., leukopenia and neutropenia) has been reported when carmustine was combined with cimetidine.
CNS Activity
Originator
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL2311221 |
57.0 µM [IC50] | ||
Target ID: CHEMBL2311222 |
|||
| 1.6 µM [IC50] |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | BICNU Approved UseGLIADEL Wafer is indicated for the treatment of patients with: newly-diagnosed high-grade malignant glioma as an adjunct to surgery and radiation, and recurrent glioblastoma multiforme as an adjunct to surgery. GLIADEL Wafer is an alkylating drug indicated for the treatment of: newly-diagnosed high-grade-malignant glioma as an adjunct to surgery and radiation (1) and recurrent glioblastoma multiforme as an adjunct to surgery (1) Launch Date1977 |
|||
| Primary | BICNU Approved UseGLIADEL Wafer is indicated for the treatment of patients with: newly-diagnosed high-grade malignant glioma as an adjunct to surgery and radiation, and recurrent glioblastoma multiforme as an adjunct to surgery. GLIADEL Wafer is an alkylating drug indicated for the treatment of: newly-diagnosed high-grade-malignant glioma as an adjunct to surgery and radiation (1) and recurrent glioblastoma multiforme as an adjunct to surgery (1) Launch Date1977 |
|||
| Primary | BICNU Approved UseGLIADEL Wafer is indicated for the treatment of patients with: newly-diagnosed high-grade malignant glioma as an adjunct to surgery and radiation, and recurrent glioblastoma multiforme as an adjunct to surgery. GLIADEL Wafer is an alkylating drug indicated for the treatment of: newly-diagnosed high-grade-malignant glioma as an adjunct to surgery and radiation (1) and recurrent glioblastoma multiforme as an adjunct to surgery (1) Launch Date1977 |
|||
| Primary | BICNU Approved UseGLIADEL Wafer is indicated for the treatment of patients with: newly-diagnosed high-grade malignant glioma as an adjunct to surgery and radiation, and recurrent glioblastoma multiforme as an adjunct to surgery. GLIADEL Wafer is an alkylating drug indicated for the treatment of: newly-diagnosed high-grade-malignant glioma as an adjunct to surgery and radiation (1) and recurrent glioblastoma multiforme as an adjunct to surgery (1) Launch Date1977 |
|||
| Primary | BICNU Approved UseGLIADEL Wafer is indicated for the treatment of patients with: newly-diagnosed high-grade malignant glioma as an adjunct to surgery and radiation, and recurrent glioblastoma multiforme as an adjunct to surgery. GLIADEL Wafer is an alkylating drug indicated for the treatment of: newly-diagnosed high-grade-malignant glioma as an adjunct to surgery and radiation (1) and recurrent glioblastoma multiforme as an adjunct to surgery (1) Launch Date1977 |
|||
| Secondary | BICNU Approved UseGLIADEL Wafer is indicated for the treatment of patients with: newly-diagnosed high-grade malignant glioma as an adjunct to surgery and radiation, and recurrent glioblastoma multiforme as an adjunct to surgery. GLIADEL Wafer is an alkylating drug indicated for the treatment of: newly-diagnosed high-grade-malignant glioma as an adjunct to surgery and radiation (1) and recurrent glioblastoma multiforme as an adjunct to surgery (1) Launch Date1977 |
|||
| Secondary | BICNU Approved UseGLIADEL Wafer is indicated for the treatment of patients with: newly-diagnosed high-grade malignant glioma as an adjunct to surgery and radiation, and recurrent glioblastoma multiforme as an adjunct to surgery. GLIADEL Wafer is an alkylating drug indicated for the treatment of: newly-diagnosed high-grade-malignant glioma as an adjunct to surgery and radiation (1) and recurrent glioblastoma multiforme as an adjunct to surgery (1) Launch Date1977 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
3.7 μg/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/15077226 |
600 mg/m² 1 times / day steady-state, intravenous dose: 600 mg/m² route of administration: Intravenous experiment type: STEADY-STATE co-administered: Cyclophosphamide | Cisplatin |
CARMUSTINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
7.8 μM EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/3719578 |
1000 mg/m² single, intravenous dose: 1000 mg/m² route of administration: Intravenous experiment type: SINGLE co-administered: |
CARMUSTINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
456 μg × min/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/15077226 |
600 mg/m² 1 times / day steady-state, intravenous dose: 600 mg/m² route of administration: Intravenous experiment type: STEADY-STATE co-administered: Cyclophosphamide | Cisplatin |
CARMUSTINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
538 μM × min EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/3719578 |
1000 mg/m² single, intravenous dose: 1000 mg/m² route of administration: Intravenous experiment type: SINGLE co-administered: |
CARMUSTINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
18 min EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/15077226 |
600 mg/m² 1 times / day steady-state, intravenous dose: 600 mg/m² route of administration: Intravenous experiment type: STEADY-STATE co-administered: Cyclophosphamide | Cisplatin |
CARMUSTINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
Funbound
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
23% EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/3719578 |
1000 mg/m² single, intravenous dose: 1000 mg/m² route of administration: Intravenous experiment type: SINGLE co-administered: |
CARMUSTINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
Doses
| Dose | Population | Adverse events |
|---|---|---|
150 mg/m2 1 times / 7 weeks multiple, intravenous MTD Dose: 150 mg/m2, 1 times / 7 weeks Route: intravenous Route: multiple Dose: 150 mg/m2, 1 times / 7 weeks Sources: |
unhealthy, 26-66 |
DLT: Leukopenia, Thrombocytopenia... Disc. AE: Pulmonary toxicity... Dose limiting toxicities: Leukopenia (grade 3-4, 45%) AEs leading toThrombocytopenia (grade 3-4, 27%) discontinuation/dose reduction: Pulmonary toxicity (9%) Sources: |
125 mg/m2 1 times / 6 weeks multiple, intravenous MTD Dose: 125 mg/m2, 1 times / 6 weeks Route: intravenous Route: multiple Dose: 125 mg/m2, 1 times / 6 weeks Sources: |
unhealthy, 31-79 |
DLT: Thrombocytopenia... Disc. AE: Adult respiratory distress syndrome... Dose limiting toxicities: Thrombocytopenia (grade 3-4) AEs leading todiscontinuation/dose reduction: Adult respiratory distress syndrome (grade 5, 4.2%) Sources: |
200 mg/m2 1 times / 6 weeks multiple, intravenous Recommended Dose: 200 mg/m2, 1 times / 6 weeks Route: intravenous Route: multiple Dose: 200 mg/m2, 1 times / 6 weeks Sources: |
unhealthy Health Status: unhealthy Sources: |
Disc. AE: Marrow depression of, Thrombocytopenia... AEs leading to discontinuation/dose reduction: Marrow depression of Sources: Thrombocytopenia Leukopenia Pulmonary toxicity Administration site extravasation Carcinogenicity Fetal damage |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Pulmonary toxicity | 9% Disc. AE |
150 mg/m2 1 times / 7 weeks multiple, intravenous MTD Dose: 150 mg/m2, 1 times / 7 weeks Route: intravenous Route: multiple Dose: 150 mg/m2, 1 times / 7 weeks Sources: |
unhealthy, 26-66 |
| Thrombocytopenia | grade 3-4, 27% DLT |
150 mg/m2 1 times / 7 weeks multiple, intravenous MTD Dose: 150 mg/m2, 1 times / 7 weeks Route: intravenous Route: multiple Dose: 150 mg/m2, 1 times / 7 weeks Sources: |
unhealthy, 26-66 |
| Leukopenia | grade 3-4, 45% DLT |
150 mg/m2 1 times / 7 weeks multiple, intravenous MTD Dose: 150 mg/m2, 1 times / 7 weeks Route: intravenous Route: multiple Dose: 150 mg/m2, 1 times / 7 weeks Sources: |
unhealthy, 26-66 |
| Thrombocytopenia | grade 3-4 DLT |
125 mg/m2 1 times / 6 weeks multiple, intravenous MTD Dose: 125 mg/m2, 1 times / 6 weeks Route: intravenous Route: multiple Dose: 125 mg/m2, 1 times / 6 weeks Sources: |
unhealthy, 31-79 |
| Adult respiratory distress syndrome | grade 5, 4.2% Disc. AE |
125 mg/m2 1 times / 6 weeks multiple, intravenous MTD Dose: 125 mg/m2, 1 times / 6 weeks Route: intravenous Route: multiple Dose: 125 mg/m2, 1 times / 6 weeks Sources: |
unhealthy, 31-79 |
| Administration site extravasation | Disc. AE | 200 mg/m2 1 times / 6 weeks multiple, intravenous Recommended Dose: 200 mg/m2, 1 times / 6 weeks Route: intravenous Route: multiple Dose: 200 mg/m2, 1 times / 6 weeks Sources: |
unhealthy Health Status: unhealthy Sources: |
| Carcinogenicity | Disc. AE | 200 mg/m2 1 times / 6 weeks multiple, intravenous Recommended Dose: 200 mg/m2, 1 times / 6 weeks Route: intravenous Route: multiple Dose: 200 mg/m2, 1 times / 6 weeks Sources: |
unhealthy Health Status: unhealthy Sources: |
| Fetal damage | Disc. AE | 200 mg/m2 1 times / 6 weeks multiple, intravenous Recommended Dose: 200 mg/m2, 1 times / 6 weeks Route: intravenous Route: multiple Dose: 200 mg/m2, 1 times / 6 weeks Sources: |
unhealthy Health Status: unhealthy Sources: |
| Leukopenia | Disc. AE | 200 mg/m2 1 times / 6 weeks multiple, intravenous Recommended Dose: 200 mg/m2, 1 times / 6 weeks Route: intravenous Route: multiple Dose: 200 mg/m2, 1 times / 6 weeks Sources: |
unhealthy Health Status: unhealthy Sources: |
| Marrow depression of | Disc. AE | 200 mg/m2 1 times / 6 weeks multiple, intravenous Recommended Dose: 200 mg/m2, 1 times / 6 weeks Route: intravenous Route: multiple Dose: 200 mg/m2, 1 times / 6 weeks Sources: |
unhealthy Health Status: unhealthy Sources: |
| Pulmonary toxicity | Disc. AE | 200 mg/m2 1 times / 6 weeks multiple, intravenous Recommended Dose: 200 mg/m2, 1 times / 6 weeks Route: intravenous Route: multiple Dose: 200 mg/m2, 1 times / 6 weeks Sources: |
unhealthy Health Status: unhealthy Sources: |
| Thrombocytopenia | Disc. AE | 200 mg/m2 1 times / 6 weeks multiple, intravenous Recommended Dose: 200 mg/m2, 1 times / 6 weeks Route: intravenous Route: multiple Dose: 200 mg/m2, 1 times / 6 weeks Sources: |
unhealthy Health Status: unhealthy Sources: |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Up-regulation of K(+) channels in diabetic rat ventricular myocytes by insulin and glutathione. | 2002-01 |
|
| Escherichia coli FPG and human OGG1 reduce DNA damage and cytotoxicity by BCNU in human lung cells. | 2002-01 |
|
| Induction of lacI mutations in Big Blue Rat-2 cells treated with 1-(2-hydroxyethyl)-1-nitrosourea: a model system for the analysis of mutagenic potential of the hydroxyethyl adducts produced by 1,3-bis (2-chloroethyl)-1-nitrosourea. | 2001-12-12 |
|
| Role of cytochrome P450 isoenzymes in metabolism of O(6)-benzylguanine: implications for dacarbazine activation. | 2001-12 |
|
| HER-2/neu overexpression as a poor prognostic factor for patients with metastatic breast cancer undergoing high-dose chemotherapy with autologous stem cell transplantation. | 2001-12 |
|
| Thoracic positron emission tomography using 18F-fluorodeoxyglucose for the evaluation of residual mediastinal Hodgkin disease. | 2001-11-15 |
|
| The effectiveness of the O(6)-alkylguanine-DNA alkyltransferase encoded by the ogt(ST) gene from S. typhimurium in protection against alkylating drugs, resistance to O(6)-benzylguanine and sensitisation to dibromoalkane genotoxicity. | 2001-10-18 |
|
| Bcl-2 overexpression decreases BCNU sensitivity of a human glioblastoma line through enhancement of catalase activity. | 2001-10-12 |
|
| Immunomodulation of early engrafted natural killer cells with interleukin-2 and interferon-alpha in autologous stem cell transplantation. | 2001-10 |
|
| Outcome and long-term side effects after synchronous radiochemotherapy for childhood brain stem gliomas. | 2001-10 |
|
| G156A MGMT-transduced human mesenchymal stem cells can be selectively enriched by O6-benzylguanine and BCNU. | 2001-10 |
|
| Considerations in the selection of an appropriate conditioning regimen for the treatment of rheumatoid arthritis by autologous peripheral blood stem cell transplantation. | 2001-10 |
|
| Induction of mild intracellular redox imbalance inhibits proliferation of CaCo-2 cells. | 2001-10 |
|
| Sequential tumor biopsies in early phase clinical trials of anticancer agents for pharmacodynamic evaluation. | 2001-10 |
|
| Phase I study of Gliadel wafers plus temozolomide in adults with recurrent supratentorial high-grade gliomas. | 2001-10 |
|
| Levels of N7-(2-hydroxyethyl)guanine as a molecular dosimeter of drug delivery to human brain tumors. | 2001-10 |
|
| Quinacrine enhances carmustine therapy of experimental rat glioma. | 2001-10 |
|
| Use of pure t-butanol as a solvent for freeze-drying: a case study. | 2001-09-11 |
|
| [Autograft and multiple myeloma: experience of the Intergroupe Français du Myélome]. | 2001-09 |
|
| [Role of high-dose chemotherapy with hemopoietic stem-cell support in the treatment of adult patients with high-grade glioma]. | 2001-09 |
|
| Plasma pharmacokinetics and bioavailability of 1-(2-chloroethyl)-3-sarcosinamide-1-nitrosourea after intravenous and oral administration to mice and dogs. | 2001-09 |
|
| T-cell depletion and autologous stem cell transplantation in the management of tumour stage mycosis fungoides with peripheral blood involvement. | 2001-09 |
|
| Accelerated hazards regression model and its adequacy for censored survival data. | 2001-09 |
|
| Nitric oxide and free stable nitroxyl radicals in the mechanism of biological action of the spin-labeled compounds. | 2001-09 |
|
| Pulmonary toxicity syndrome following CDEP (cyclophosphamide, dexamethasone, etoposide, cisplatin) chemotherapy. | 2001-08 |
|
| Temozolomide in combination with other cytotoxic agents. | 2001-08 |
|
| Adenovirally-mediated transfer of E2F-1 potentiates chemosensitivity of human glioma cells to temozolomide and BCNU. | 2001-08 |
|
| [Intracytoplasmic crystals and Fanconi syndrome in a patient with IgA kappa myeloma]. | 2001-07-24 |
|
| Diaminopurine-acridine heterodimers for specific recognition of abasic site containing DNA. Influence on the biological activity of the position of the linker on the purine ring. | 2001-07-23 |
|
| A phase III study of radiation therapy plus carmustine with or without recombinant interferon-alpha in the treatment of patients with newly diagnosed high-grade glioma. | 2001-07-15 |
|
| Autologous hematopoietic stem cell transplantation suppresses Gd-enhanced MRI activity in MS. | 2001-07-10 |
|
| Biodegradable polymer implants to treat brain tumors. | 2001-07-06 |
|
| A CD44 survival pathway triggers chemoresistance via lyn kinase and phosphoinositide 3-kinase/Akt in colon carcinoma cells. | 2001-07-01 |
|
| Amifostine does not protect malignant lymphoma cell lines from the cytotoxic effects of various chemotherapeutics in vitro. | 2001-07 |
|
| Protection of hematopoietic cells from O(6)-alkylation damage by O(6)-methylguanine DNA methyltransferase gene transfer: studies with different O(6)-alkylating agents and retroviral backbones. | 2001-07 |
|
| Autologous stem cell transplantation for follicular lymphoma: no benefit for early transplant? | 2001-07 |
|
| Dexamethasone, paclitaxel, etoposide, cyclophosphamide (d-TEC) and G-CSF for stem cell mobilisation in multiple myeloma. | 2001-07 |
|
| Acyl derivatives of demethylpenclomedine, an antitumor-active, non-neurotoxic metabolites of penclomedine. | 2001-07 |
|
| Potentiation of BCNU cytotoxicity by molecules targeting abasic lesions in DNA. | 2001-07 |
|
| Modulation of 1,3-bis-(2-chloroethyl)-1-nitrosourea resistance in human tumor cells using hammerhead ribozymes designed to degrade O6-methylguanine DNA methyltransferase mRNA. | 2001-07 |
|
| Anticancer therapy by overexpression of superoxide dismutase. | 2001-06 |
|
| Daunorubicin continuous infusion induces more toxicity than bolus infusion in acute lymphoblastic leukemia induction regimen: a randomized study. | 2001-06 |
|
| Shunt-related abdominal metastases in an infant with medulloblastoma: long-term remission by systemic chemotherapy and surgery. | 2001-05 |
|
| Dose escalation of cytotoxic drugs using haematopoietic growth factors: a randomized trial to determine the magnitude of increase provided by GM-CSF. | 2001-04 |
|
| Pharmacodynamics of high-dose chemotherapy. | 2001-03 |
|
| Incidence of post transplant myelodysplasia/acute leukemia in non-Hodgkin's lymphoma patients compared with Hodgkin's disease patients undergoing autologous transplantation following cyclophosphamide, carmustine, and etoposide (CBV). | 2001-02 |
|
| Idiotype vaccination following ABMT can stimulate specific anti-idiotype immune responses in patients with B-cell lymphoma. | 2001 |
|
| Gamma-glutamyl transferase expression in higher-grade astrocytic glioma. | 2001 |
|
| High-dose therapy and autologous hematopoietic-cell transplantation for follicular lymphoma beyond first remission: the Stanford University experience. | 2001 |
|
| Inhaled steroids as prophylaxis for delayed pulmonary toxicity syndrome in breast cancer patients undergoing high-dose chemotherapy and autologous stem cell transplantation. | 2001 |
Sample Use Guides
In Vivo Use Guide
Sources: http://www.accessdata.fda.gov/drugsatfda_docs/label/2016/017422Orig2s050Lbl.pdf https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=38962a55-a514-4c48-bea5-f99a8da4beec
Curator's Comment: The recommended dose of carmustine is eight 7.7 mg wafers for a total of 61.6 mg implanted intracranially.
The recommended dose of BiCNU as a single agent in previously untreated patients is 150 to 200 mg/m2 intravenously every 6 weeks. This may be given as a single dose or divided into daily injections such as 75 to 100 mg/m2 on 2 successive days.
Route of Administration:
Other
| Substance Class |
Chemical
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| Record UNII |
U68WG3173Y
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Validated (UNII)
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NCI_THESAURUS |
C699
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LIVERTOX |
NBK548307
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FDA ORPHAN DRUG |
37089
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WHO-ATC |
L01AD01
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NDF-RT |
N0000000236
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NDF-RT |
N0000175558
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QL01AD01
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FDA ORPHAN DRUG |
606517
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FDA ORPHAN DRUG |
134500
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EU-Orphan Drug |
EU/3/02/085
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FDA ORPHAN DRUG |
801420
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U68WG3173Y
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DTXSID8022743
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U68WG3173Y
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CARMUSTINE
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205-838-2
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D002330
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512
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C349
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2578
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m3115
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DB00262
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CHEMBL513
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2105
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154-93-8
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SUB06132MIG
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1096724
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Carmustine
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409962
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EP
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BASIS OF STRENGTH->SUBSTANCE |
solvent-free basis
ASSAY (HPLC)
USP
|
| Related Record | Type | Details | ||
|---|---|---|---|---|
|
|
IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (TLC)
USP
|
||
|
IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (GC)
USP
|
||
|
|
IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (GC)
USP
|
||
|
IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
|
| Related Record | Type | Details | ||
|---|---|---|---|---|
|
|
ACTIVE MOIETY |
| Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
|---|---|---|---|---|---|---|
| Biological Half-life | PHARMACOKINETIC |
|
|
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| Volume of Distribution | PHARMACOKINETIC |
|
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