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QuickView for Nelarabine (compound)


PubChem
Name: nelarabine
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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DrugBank
Identification
Name: nelarabine
Name (isomeric): DB01280
Drug Type: small molecule
Synonyms:
GW-506U78; Nelzarabine
Brand: Atriance, Arranon (GlaxoSmithKline), Arranon
Category: Antineoplastic Agents
CAS number: 121032-29-9
Pharmacology
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.
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
Interactions
Drug interaction:
TrastuzumabTrastuzumab may increase the risk of neutropenia and anemia. Monitor closely for signs and symptoms of adverse events.

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