Name: | nelarabine |
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PubChem Compound ID: | 151121 |
Molecular formula: | C11H15N5O5 |
Molecular weight: | 297.268 g/mol |
Synonyms: |
121032-29-9; Nelarabine; 506U; 506U78; 9H-Purin-2-amine, 9beta-D-arabinofuranosyl-6-methyl-; U78; Nelzarabine; 9beta-D-Arabinofuranosyl-6-methoxy-9H-purin-2-amine; Arranon; GW 506U78.
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Name: | nelarabine |
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Name (isomeric): | DB01280 |
Drug Type: | small molecule |
Synonyms: |
GW-506U78; Nelzarabine
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Brand: | Atriance, Arranon (GlaxoSmithKline), Arranon |
Category: | Antineoplastic Agents |
CAS number: | 121032-29-9 |
Indication: | For the treatment of pediatric and adult patients with acute T-cell lymphoblastic leukemia and T-cell lymphoblastic lymphoma whose disease has not responded to or has relapsed following treatment with at least two chemotherapy regimens. |
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Pharmacology: |
Nelarabine is a prodrug of the cytotoxic deoxyguanosine analogue 9-ß-D-arabinofuranosylguanine (ara-G). Nelarabine is demethylated by adenosine deaminase (ADA) to ara-G. Ara-G is then transported into cells, where it undergoes three phosphorylation steps, resulting in the formation of ara-G triphosphate (ara-GTP). In the first phosphorylation...
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Mechanism of Action: |
Once nelarabine is metabolized into ara-GTP, the metabolite accumulates in leukemic blasts and incorporates into DNA to exert its S phase-specific cytotoxic effects, leading to the induction of fragmentation and apoptosis. Ara-GTP competes with endogenous deoxyGTP (dGTP) for incorporation into DNA. Once ara-GTP is incorporated at the 3' end of DNA,...
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Protein binding: | Nelarabine and ara-G are not substantially bound to human plasma proteins (<25%) in vitro, and binding is independent of nelarabine or ara-G concentrations up to 600 mM. |
Biotransformation: | The principal route of metabolism for nelarabine is O-demethylation by adenosine deaminase to form ara-G, which undergoes hydrolysis to form guanine. In addition, some nelarabine is hydrolyzed to form methylguanine, which is O-demethylated to form guanine. Guanine is N-deaminated to form xanthine, which is further oxidized to yield uric acid. Ring opening of uric acid followed by further oxidation results in the formation of allantoin. |
Route of elimination: | Excretion: Nelarabine and ara-G are partially eliminated by the kidneys. |
Half Life: | Nelarabine and ara-G are rapidly eliminated from plasma with a half-life of approximately 30 minutes and 3 hours. |
Clearance: | 197 +/- 189 L/h/m2 [Adult patients with refractory leukemia or lymphoma receiving doses of 199 to 2,900 mg/m2] 259 +/- 409 L/h/m2 [Pediatric patients with refractory leukemia or lymphoma receiving doses of 104 to 2,900 mg/m2] |
Toxicity: | A single IV dose of 4,800 mg/m^2 was lethal in monkeys, and was associated with CNS signs including reduced/shallow respiration, reduced reflexes, and flaccid muscle tone. It is anticipated that overdosage would result in severe neurotoxicity (possibly including paralysis, coma), myelosuppression, and potentially death. |
Affected organisms: | Humans and other mammals |
Drug interaction: |
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