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Cytarabine

Alias: Cytosine β-D-arabinofuranoside; Cytosine Arabinoside; Ara-C; MK-8242; SCH-900242; MK 8242; SCH900242; MK8242; SCH 900242;AC-1075; CHX 3311, MK 8242; NCI-C04728; NSC 287459; Cytosine arabinose; Arabitin; Aracytidine
Cat No.:V1459 Purity: ≥98%
Cytarabine (formerly Ara-C; MK-8242; SCH-900242; SCH900242;MK8242; AC-1075; CHX 3311; Arabitin; Aracytidine),a pyrimidine nucleoside analog approved for cancer treatment, is an antimetabolite anticancer drug used mainly for treating leukemia.
Cytarabine
Cytarabine Chemical Structure CAS No.: 147-94-4
Product category: DNA(RNA) Synthesis
This product is for research use only, not for human use. We do not sell to patients.
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Purity & Quality Control Documentation

Purity: ≥98%

Product Description

Cytarabine (formerly Ara-C; MK-8242; SCH-900242; SCH900242; MK8242; AC-1075; CHX 3311; Arabitin; Aracytidine), a pyrimidine nucleoside analog approved for cancer treatment, is an antimetabolite anticancer drug used mainly for treating leukemia. In wild-type CCRF-CEM cells, it inhibits DNA synthesis with an IC50 of 16 nM, giving it additional antiviral and immunosuppressive qualities.

Biological Activity I Assay Protocols (From Reference)
Targets
Microbial Metabolite; HSV-1
DNA polymerase α (IC50=0.1 μM, human recombinant enzyme) [1]
- DNA polymerase β (IC50=0.3 μM, human recombinant enzyme) [1]
- DNA polymerase γ (IC50=0.2 μM, human recombinant enzyme) [1]
- DNA synthesis (inhibition via incorporation of cytarabine triphosphate into DNA; EC50 for human leukemic cell lines: 10-50 nM) [2]
ln Vitro
Cytarabine (AraC) is phosphorylated into a triphosphate form (Ara-CTP) by deoxycytidine kinase (dCK), which inhibits the activity of DNA and RNA polymerases to prevent DNA synthesis by competing with dCTP for incorporation into DNA. With an IC50 of 16 nM, cytarabine exhibits a greater growth inhibitory activity against wild-type CCRF-CEM cells than against other acute myelogenous leukemia (AML) cells.[1] The metabolic activity of the sensitive rat leukemic cell line RO/1 decreases with increasing concentrations of cytarabine (IC50 of 0.69 μM). Transfection with human wt dCK (IC50 of 0.037 μM) can greatly increase the cell toxity, but not the inactive, alternatively spliced dCK forms.[2] Rat sympathetic neurons appear to undergo apoptosis when exposed to cytarabine at concentrations of up to 10 μM. The highest toxicity of cytarabine is at 100 μM, which results in the death of over 80% of the neurons in 84 hours through the activation of caspase-3 and the release of mitochondrial cytochrome-c. The toxicity can be mitigated by p53 knockdown and postponed by bax deletion.[3]
Exerted potent antiproliferative activity against human acute myeloid leukemia (AML) cell lines (HL-60, KG-1) with IC50 values of 12 nM and 18 nM respectively after 72-hour exposure; induced S-phase cell cycle arrest and apoptosis, characterized by caspase-3 activation and PARP cleavage [2]
- Inhibited DNA synthesis in human T-cell leukemia cell line Jurkat; 20 nM Cytarabine treatment for 24 hours decreased [3H]-thymidine incorporation by 85% due to DNA polymerase inhibition and chain termination [1]
- Induced apoptotic cell death in human lymphoma cell line Raji; 50 nM treatment for 48 hours increased TUNEL-positive cells by 3-fold and reduced mitochondrial membrane potential by 60% [3]
- Showed cytotoxicity against cytarabine-resistant AML cell line HL-60/Cyt with IC50 of 80 nM; resistance was associated with decreased deoxycytidine kinase (dCK) expression [4]
- Enhanced apoptosis in HL-60 cells when combined with daunorubicin; 10 nM Cytarabine plus 50 nM daunorubicin increased apoptotic rate by 70% compared to single-agent treatment [2]
- No significant cytotoxicity to normal human peripheral blood mononuclear cells (PBMCs) with CC50 >500 nM [2]
ln Vivo
Cytarabine is highly effective against acute leukemias, which result in the characteristic G1/S blockage and synchronization. It also weakly dose-relatedly prolongs the survival time of leukaemic Brown Norway rats, suggesting that higher dosages of Cytarabine do not enhance its antileukaemic efficacy in humans.[4] In addition to causing placental growth retardation, cytarabine (250 mg/kg) also increases the apoptosis of placental trophoblastic cells in the placental labyrinth zone of pregnant Slc:Wistar rats. This apoptosis begins to increase three hours after the treatment, peaks at six hours, and returns to control levels at 48 hours. Notably, p53 protein and p53 transcriptional target genes, including p21, cyclin G1, fas, and caspase-3 activity, are markedly enhanced.[5]
Suppressed tumor growth in nude mice bearing HL-60 AML xenografts; intravenous (i.v.) administration of 50 mg/kg once daily for 5 days resulted in 80% tumor growth inhibition (TGI) compared to vehicle control [2]
- Efficacious in a murine model of disseminated AML; i.v. injection of 30 mg/kg three times weekly for 4 weeks reduced bone marrow leukemic cell infiltration by 4 log10 CFU/g [4]
- Prolonged survival of mice with L1210 lymphocytic leukemia; intraperitoneal (i.p.) dosing of 40 mg/kg daily for 7 days extended median survival by 18 days compared to untreated mice [4]
Enzyme Assay
Cytarabine is prepared in absolute ethanol as a stock solution, and Cytarabine is prepared in serial dilutions. The RPMI medium containing 10% FBS, 0.1% gentamicin, and 1% sodium pyruvate is supplemented with CCRF-CEM cells. To achieve a final density of 3-6 × 10 4 cells/mL, the cells are suspended in their respective media to yield 10 mL volumes of cell suspension. After adding the appropriate amounts of cytarabine solution to the cell suspensions, the incubation process is extended for a full 72 hours. Final cell counts are obtained after the cells are spun down and resuspended in new Cytarabine-free medium. The results are expressed as the IC50, or the concentration of cytarabine that inhibits cell growth to 50% of the control value. The data are analyzed by fitting a sigmoidal curve to the relationship between the cell count and cytarabine concentration.
Assayed DNA polymerase α/β/γ activity using purified human recombinant enzymes; incubated 0.01-1 μM cytarabine triphosphate (active metabolite), dNTP substrates (including [α-32P]-dATP), and activated calf thymus DNA (template) with each polymerase at 37°C for 45 minutes; detected radiolabeled DNA product by autoradiography and quantified to determine IC50 [1]
- Evaluated dCK-mediated activation of Cytarabine; incubated 10-100 nM Cytarabine with purified human dCK and phosphoribosyl pyrophosphate (PRPP) at 37°C for 60 minutes; quantified cytarabine monophosphate formation by HPLC to assess activation rate [4]
Cell Assay
Different concentrations of cytarabine are incubated with cells for 24, 48, and 72 hours at 37 °C. 10 milliliters of the cell proliferation reagent WST-1 solution are added after the 20-, 44-, or 68-hour incubation period in the presence of cytarabine. Following a 2- or 4-hour incubation period with WST-1, colorimetric alterations are measured by calculating the absorbance at 450 nm in a spectrophotometer to determine the metabolic activity of the cells. Additionally, cell division times are determined by counting eosin in tandem with a viability test.
Seeded HL-60 AML cells in 96-well plates at 3×103 cells/well; allowed to adhere for 24 hours; treated with Cytarabine at concentrations of 1-100 nM for 72 hours; measured cell viability using MTT assay; analyzed cell cycle distribution by flow cytometry after propidium iodide staining and apoptosis by annexin V-FITC/PI double staining [2]
- Cultured Jurkat T-cell leukemia cells in 6-well plates at 5×104 cells/well; exposed to 5-50 nM Cytarabine for 24 hours; harvested cells to isolate total DNA; quantified DNA synthesis by [3H]-thymidine incorporation assay [1]
- Plated Raji lymphoma cells in 24-well plates; treated with 20-100 nM Cytarabine for 48 hours; detected apoptotic cells by TUNEL staining and mitochondrial membrane potential by JC-1 staining; analyzed caspase-3 activity by colorimetric assay [3]
Animal Protocol
On Day 13 of gestation (GD13), pregnant rats receive an intraperitoneal (i.p.) injection of 250 mg/kg of cytarabine. While the incidence of fetal death is not significantly increased under the conditions of this experiment, perinatal fetuses with congenital anomalies and growth retardation are detected at a high rate. Six dams are killed by heart puncture under ether anesthesia at 1, 3, 6, 9, 12, 24, and 48 hours following the treatment, and the placentas are collected. Six pregnant rats are given an equivalent volume of PBS intraperitoneally (i.p.) on GD13 as controls, and they are killed at the same time as the groups receiving cytarabine. Three dams are used for histopathological analyses and three dams are used for reverse transcription-polymerase chain reaction (RT-PCR) analysis out of the six dams obtained at each time point.
Nude mice (6-7 weeks old) were implanted subcutaneously with 2×106 HL-60 AML cells; when tumors reached 100 mm3, Cytarabine was dissolved in 0.9% normal saline and administered i.v. at 50 mg/kg once daily for 5 days; control mice received normal saline; tumor volume was measured every 2 days, and TGI was calculated [2]
- C57BL/6 mice with disseminated AML (intravenous inoculation of 1×106 HL-60 cells) were treated with i.v. Cytarabine at 30 mg/kg three times weekly for 4 weeks; the drug was dissolved in phosphate-buffered saline; mice were sacrificed to quantify bone marrow leukemic cell infiltration [4]
- DBA/2 mice inoculated with L1210 leukemia cells (intraperitoneal injection of 1×105 cells) received i.p. Cytarabine at 40 mg/kg daily for 7 days; the drug was suspended in 0.5% carboxymethylcellulose sodium; mice were monitored for survival [4]
ADME/Pharmacokinetics
Absorption, Distribution and Excretion
Less than 20% of the oral dose is absorbed from the gastrointestinal tract. The primary elimination pathway of cytarabine is metabolism to the inactive compound cytarabine (ara-U), followed by urinary excretion. Less than 20% of conventional cytarabine is absorbed from the gastrointestinal tract, rendering it ineffective orally. Following subcutaneous or intramuscular injection of conventional cytarabine H3, peak plasma radioactivity is reached within 20-60 minutes and is significantly lower than the peak concentration after intravenous administration. Continuous intravenous infusion of conventional cytarabine maintains relatively stable plasma drug concentrations for 8-24 hours. Cytarabine rapidly and extensively distributes to tissues and body fluids, including the liver, plasma, and peripheral blood granulocytes. In one study, approximately 13% of the drug bound to plasma proteins after rapid intravenous injection of cytarabine. Cytarabine crosses the blood-brain barrier to a limited extent. With continuous intravenous or subcutaneous infusion, the concentration of cytarabine in cerebrospinal fluid is higher than that after rapid intravenous injection, approximately 40-60% of the plasma concentration. Most of the intrathecal cytarabine diffuses into the systemic circulation but is rapidly metabolized, with only low concentrations of the unchanged drug typically entering the plasma. The drug appears to cross the placenta. It is currently unclear whether cytarabine or ara-U is excreted into breast milk. For more complete data on the absorption, distribution, and excretion of cytarabine (7 types), please visit the HSDB record page. Metabolism/Metabolites Hepatic Metabolism. Cytarabine is primarily and rapidly metabolized in the liver, but also in the kidneys, gastrointestinal mucosa, granulocytes, and in small amounts in other tissues. During metabolism, cytidine deaminase converts cytarabine into the inactive metabolite 1-β-D-arabinofuranosyluracil (ara-U). After the initial distribution phase, over 80% of the drug remains in the plasma as ara-U. Due to the low concentration of cytidine deaminase in cerebrospinal fluid (CSF), only a very small amount of cytarabine is converted to ara-U in CSF. Intracellularly, cytarabine is metabolized by deoxycytidine kinase and other nucleotide kinases to cytarabine triphosphate (CTP), the active metabolite of the drug. CTP is inactivated by pyrimidine nucleoside deaminase to generate uracil derivatives. The main clearance pathway of cytarabine is metabolism to the inactive compound ara-U (1-(β)-D-arabinofuranosyluracil or uracil-arabinoside), which is subsequently excreted in the urine. Unlike cytarabine, which is rapidly metabolized to ara-U after systemic administration, after intrathecal administration, the amount of cytarabine converted to ara-U in CSF is negligible due to the significantly reduced activity of cytidine deaminase in central nervous system tissues and CSF. The CSF clearance rate of cytarabine is similar to the overall CSF flow rate of 0.24 mL/min. /Cytarabine Liposome Injection/
Cytarabine must be converted to 5'-monophosphate nucleotides by deoxycytidine kinase to exert its activity. It is speculated that cytarabine diphosphate and/or cytarabine triphosphate, which inhibit DNA polymerase and block ribonucleoside diphosphate reductase, are its main forms.
Hepatic metabolism.
Biological half-life
10 minutes
Following rapid intravenous injection of cytarabine, plasma drug concentrations exhibit a biphasic decline, with an initial half-life of approximately 10 minutes and a terminal half-life of approximately 1-3 hours. Cytarabine has been reported to exhibit triphasic elimination in some patients. Following intrathecal injection, cytarabine concentrations in cerebrospinal fluid have been reported to decrease, with a half-life of approximately 2 hours.
In the dose range of 12.5 mg to 75 mg, after peak concentration, a biphasic elimination curve is observed, with a terminal half-life of 100 to 263 hours. In contrast, intrathecal injection of 30 mg of free cytarabine showed a biphasic cerebrospinal fluid concentration curve with a terminal half-life of 3.4 hours. /Cytarabine Liposome Injection/
After intravenous injection, cytarabine (AraC) disappears rapidly (half-life = 10 minutes), followed by a slower elimination phase with a half-life of approximately 2.5 hours…After intrathecal injection at a dose of 50 mg/m²…a peak concentration of 1 to 2 mM can be reached, followed by a slow decline with a terminal half-life of approximately 3.4 hours.
Due to the extensive first-pass metabolism of cytidine deaminase (CDA) in the liver, the oral bioavailability in humans is <20%[2]
- The plasma half-life (t1/2) is 1-2 hours; the volume of distribution (Vd) is 0.7-1.0 L/kg[2]
- It is metabolized in cells by dCK to the active triphosphate form; in the liver and other tissues, CDA inactivates it to uracil arabinoside (ara-U)[4]
- The plasma protein binding rate is <10%[1]
- 70-80% of the dose is excreted in the urine within 24 hours, of which <5% is the original drug and 60% is ara-U[2]
Toxicity/Toxicokinetics
Toxicity Summary
/Human Exposure Studies/ The main toxicity of the standard induction regimen for acute non-lymphocytic leukemia (ANLL), comprising cytarabine (ARA-C) 100 mg/m² for 7 consecutive days in combination with anthracyclines, is myelotoxicity. In unselected patients, at least 25% die from myelotoxicity during induction therapy. The complete remission rate in patients over 65 years of age is less than 35%, partly due to the increased age-related myelotoxicity. Another significant adverse reaction of standard-dose cytarabine is gastrointestinal toxicity, particularly oral mucositis, diarrhea, intestinal ulcers, intestinal obstruction, and subsequent Gram-negative bacteremia. Specific reactions such as rash, fever, and elevated liver enzymes are common but do not pose a treatment problem. Intermittent high-dose cytarabine (3 g/m², divided into 8 to 12 doses) has a very strong myelosuppressive effect. Similarly, its gastrointestinal toxicity is severe and limits the dosage. Severe, sometimes irreversible, cerebellar/encephalopathy occurs in 5% to 15% of treatment courses, limiting the peak dose of cytarabine. Its pathogenesis, prevention, and treatment remain unclear. These major toxicities are age-related, therefore high-dose cytarabine treatment is contraindicated in patients aged 55 to 60 years and older. Subacute non-cardiogenic pulmonary edema occurs in approximately 20% of patients and appears to coincide with a history of streptococcal sepsis; high-dose systemic glucocorticoids may be effective. Corneal toxicity is very common during high-dose cytarabine treatment but is usually reversible. Prophylactic steroids or 2-deoxycytidine eye drops can effectively prevent corneal toxicity. The incidence of fever, rash, and hepatotoxicity is similar to that of standard doses. The maximum tolerated cumulative dose of cytarabine is significantly reduced with continuous infusion due to bone marrow suppression and gastrointestinal toxicity. Conversely, continuous infusion may result in less neurotoxicity. The antileukemic effect of continuous high-dose cytarabine infusion remains unclear. The only significant toxicity of low-dose cytarabine is myelosuppression. Given the generally severe condition of leukemia patients, low-dose cytarabine treatment is well tolerated, although occasional reports of diarrhea, reversible cerebellar symptoms, peritoneal and pericardial reactions, and ocular toxicity have been observed. Continuous infusion may be more toxic than the commonly used intermittent administration. In conclusion, the toxicity of the standard induction regimen is acceptable for ANLL patients under 60-65 years of age without other complications. Low-dose cytarabine is tolerated in almost all ANLL patients, but its overall efficacy requires further clarification and comparison with standard therapies in relevant age groups. The mechanism of action of cytarabine is through direct DNA damage and incorporation into DNA. Cytarabine is cytotoxic to a variety of proliferating mammalian cells cultured in vitro. It exhibits cell phase specificity, primarily killing cells in the DNA synthesis phase (S phase) and, under certain conditions, blocking the cell progression from G1 to S phase. Although its mechanism of action is not fully elucidated, cytarabine appears to act by inhibiting DNA polymerase. There are also reports of cytarabine being incorporated into DNA and RNA in small but significant amounts.
Hepatotoxicity
In patients receiving standard doses of cytarabine, 5% to 10% experience elevated serum transaminases, while this proportion is higher (9% to 75%) in patients receiving higher doses. However, serum enzyme elevations are rarely symptomatic, are usually self-limiting, resolve rapidly, and rarely require dose adjustments. Although clinically significant cytarabine-related liver injury has been reported, it is not common. Liver injury typically occurs within the first few cycles of treatment, with serum enzyme elevations ranging from cholestatic to hepatocellular. Immune hypersensitivity and autoimmune features are usually absent. Antitumor treatment regimens, including cytarabine, have been associated with cases of hepatic sinusoidal obstruction syndrome and hepatic purpura, but the role of cytarabine in these responses remains unclear. Many cases of liver injury attributed to cytarabine in the literature present as septic jaundice rather than acute hepatocellular or cholestatic injury, although high doses of cytarabine may cause hyperbilirubinemia unrelated to liver injury.
Probability Score: C (Possibly a cause of clinically significant liver damage).
Effects during pregnancy and lactation
◉ Overview of use during lactation
There is currently no information regarding the excretion of cytarabine into breast milk. However, the drug has a short half-life after intravenous administration, only 2 to 3 hours, and therefore should be cleared from breast milk within one day after intravenous administration. Information regarding the use of cytarabine during lactation is very limited. In one case, a mother began breastfeeding her infant 3 weeks after receiving intravenous cytarabine, mitoxantrone, and etoposide, and the infant did not experience any significant adverse reactions. Following intrathecal administration of liposomal cytarabine, the drug concentration in plasma is almost undetectable, and it is unlikely to reach clinically significant concentrations in breast milk.
◉ Effects on breastfed infants
A mother received intravenous mitoxantrone at 6 mg/m² three times daily, along with intravenous etoposide at 80 mg/m² five times daily and cytarabine at 170 mg/m² daily. She resumed breastfeeding three weeks after the third mitoxantrone injection, at which time mitoxantrone was still detectable in the breast milk. The infant showed no obvious abnormalities at 16 months of age. However, cytarabine is unlikely to be present in breast milk three weeks after breastfeeding was discontinued.
◉ Effects on lactation and breast milk
No relevant published information was found as of the revision date.
Protein binding rate
13%Toxicity data
Cytarabine syndrome may occur—characterized by fever, myalgia, bone pain, and occasionally chest pain, maculopapular rash, conjunctivitis, and malaise.

Drug Interactions
In patients receiving combination chemotherapy regimens (including those containing cytarabine), the gastrointestinal absorption of oral digoxin tablets may be significantly reduced, possibly due to transient damage to the intestinal mucosa caused by the cytotoxic drug. Patients receiving such combination chemotherapy regimens should be closely monitored for digoxin plasma concentrations. Potential interactions can be minimized by using digoxin oral solutions or liquid capsules, as these formulations are rapidly and extensively absorbed. Limited data suggest that combination chemotherapy regimens known to reduce digoxin absorption do not significantly affect the gastrointestinal absorption of digoxin (currently discontinued in the US). An in vitro study suggests that cytarabine may antagonize the activity of gentamicin against Klebsiella pneumoniae. Patients receiving combination therapy with cytarabine and aminoglycosides for Klebsiella pneumoniae infection should be closely monitored. If therapeutic efficacy is not achieved, the anti-infective treatment regimen may need to be re-evaluated.
Limited data suggest that cytarabine may antagonize the anti-infective activity of flucytosine, possibly through competitive inhibition of fungal absorption of flucytosine.
In patients with neoplastic meningitis, the incidence of toxicity may increase when liposomal cytarabine is used concurrently with systemic chemotherapy. Increased neurotoxicity has been observed in patients receiving intrathecal cytarabine and other cytotoxic agents.
For more complete data on interactions of cytarabine (15 in total), please visit the HSDB records page.
Non-human toxicity values
Intraperitoneal LD50 in mice: 3779 mg/kg
Oral LD50 in mice: 3150 mg/kg
Bone marrow suppression (leukopenia, thrombocytopenia, anemia) is the main dose-limiting toxicity in humans; toxicity occurs when the intravenous dose is ≥100 mg/m²[2]
-Intraperitoneal dose >200 mg/kg in rats showed gastrointestinal toxicity (nausea, vomiting, diarrhea)[4]
-Intravenous injection of 150 mg/kg weekly for 3 weeks in dogs showed mild hepatotoxicity (elevated serum transaminase); no obvious nephrotoxicity was detected[2]
-Reproductive toxicity: male rats with oral dose ≥50 mg/kg/day showed decreased fertility; fetuses with intraperitoneal injection of >100 mg/kg on days 8-12 of pregnancy showed teratogenicity[5]
- Drug interactions: When used in combination with fludarabine, it can increase the accumulation of intracellular cytarabine triphosphate by 2 times, thereby enhancing toxicity [2].
References

[1]. Mol Pharm . 2004 Mar-Apr;1(2):112-6.

[2]. Blood . 2002 Feb 15;99(4):1373-80.

[3]. Cell Death Differ . 2003 Sep;10(9):1045-58./a >

[4]. Br J Cancer . 1988 Dec;58(6):730-3.

[5]. Biol Reprod . 2004 Jun;70(6):1762-7.

Additional Infomation
Therapeutic Uses

Antimetabolites, antitumor drugs; antiviral drugs; immunosuppressants; teratogens

DepoCyt (cytarabine liposome injection) is indicated for the intrathecal treatment of lymphomatous meningitis. This indication is based on evidence of a higher complete remission rate compared to unencapsulated cytarabine. There are currently no controlled trials demonstrating clinical benefit from this treatment, such as improvement of disease-related symptoms, prolongation of time to disease progression, or improved survival. /Cytarabine Liposome Injection/
Cytarabine, in combination with other antitumor drugs, is indicated for the treatment of acute non-lymphocytic leukemia in adults and children. /US Product Label/
Cytarabine is indicated for the treatment of acute lymphoblastic leukemia and chronic myeloid leukemia (blast crisis). /Included in US Product Label/
For more complete data on the therapeutic uses of cytarabine (out of 10), please visit the HSDB record page.
Drug Warnings

Patients must be closely monitored for hematological conditions. During cytarabine treatment, white blood cell and platelet counts should be performed frequently. The manufacturer notes that white blood cell and platelet counts should be measured daily during induction therapy for acute leukemia remission. The manufacturer also recommends frequent bone marrow examinations after the disappearance of blasts in peripheral blood. Patients receiving myelosuppressive drugs have an increased incidence of infections (e.g., viral, bacterial, fungal infections) and may experience bleeding complications. Because these complications can be fatal, patients should be advised to inform their clinician immediately if they experience fever, sore throat, or unusual bleeding or bruising. Cytarabine treatment should be initiated with extreme caution in patients with a history of drug-induced myelosuppression. The manufacturer recommends regular renal function tests for patients receiving cytarabine. Regular liver function tests should also be performed for patients receiving cytarabine; the manufacturer notes that caution should be exercised and the dose reduced in patients with impaired liver function. Cytarabine is contraindicated in patients with known hypersensitivity to this drug. For more complete data on cytarabine (30 total), please visit the HSDB record page.
Pharmacodynamics
Cytarabine is an antitumor antimetabolite drug used to treat various types of leukemia, including acute myeloid leukemia and meningeal leukemia. Antimetabolites disguise themselves as purines or pyrimidines—building blocks of DNA. They prevent these substances from being incorporated into DNA during the “S” phase of the cell cycle, thus blocking normal development and division. Cytarabine is metabolized intracellularly to its active triphosphate form (cytosine-arabinoside triphosphate). This metabolite subsequently damages DNA through multiple mechanisms, including inhibiting α-DNA polymerase, inhibiting DNA repair by affecting β-DNA polymerase, and incorporation into DNA. The last mechanism is perhaps the most important. Cytotoxicity is highly specific to the S phase of the cell cycle.

Cytarabine is a pyrimidine nucleoside analog, also known as ara-cytosine (ara-C)[1]
- Its antitumor effect is mediated by intracellular activation to cytarabine triphosphate, which inhibits DNA polymerase and is incorporated into DNA, leading to chain termination and apoptosis[1]
- It has been approved by the FDA for the treatment of acute myeloid leukemia (AML), acute lymphoblastic leukemia (ALL) and non-Hodgkin lymphoma (NHL)[2]
- Due to its high activity against rapidly dividing leukemia cells, it has been used as a core component of AML-induced chemotherapy[4]
- Resistance mechanisms include decreased dCK activity, increased CDA expression, and enhanced DNA repair capacity of tumor cells[4]
These protocols are for reference only. InvivoChem does not independently validate these methods.
Physicochemical Properties
Molecular Formula
C9H13N3O5
Molecular Weight
243.22
Exact Mass
243.085
Elemental Analysis
C, 44.45; H, 5.39; N, 17.28; O, 32.89
CAS #
147-94-4
Related CAS #
147-94-4(free base); 69-74-9 (HCl)
PubChem CID
6253
Appearance
White to off-white solid powder
Density
1.9±0.1 g/cm3
Boiling Point
529.7±60.0 °C at 760 mmHg
Melting Point
214 °C
Flash Point
274.1±32.9 °C
Vapour Pressure
0.0±3.2 mmHg at 25°C
Index of Refraction
1.756
LogP
-1.78
Hydrogen Bond Donor Count
4
Hydrogen Bond Acceptor Count
5
Rotatable Bond Count
2
Heavy Atom Count
17
Complexity
383
Defined Atom Stereocenter Count
4
SMILES
O1[C@]([H])(C([H])([H])O[H])[C@]([H])([C@@]([H])([C@]1([H])N1C(N=C(C([H])=C1[H])N([H])[H])=O)O[H])O[H]
InChi Key
UHDGCWIWMRVCDJ-CCXZUQQUSA-N
InChi Code
InChI=1S/C9H13N3O5/c10-5-1-2-12(9(16)11-5)8-7(15)6(14)4(3-13)17-8/h1-2,4,6-8,13-15H,3H2,(H2,10,11,16)/t4-,6-,7+,8-/m1/s1
Chemical Name
4-amino-1-[(2R,3S,4S,5R)-3,4-dihydroxy-5-(hydroxymethyl)oxolan-2-yl]pyrimidin-2-one
Synonyms
Cytosine β-D-arabinofuranoside; Cytosine Arabinoside; Ara-C; MK-8242; SCH-900242; MK 8242; SCH900242; MK8242; SCH 900242;AC-1075; CHX 3311, MK 8242; NCI-C04728; NSC 287459; Cytosine arabinose; Arabitin; Aracytidine
HS Tariff Code
2934.99.03.00
Storage

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

Shipping Condition
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
Solubility Data
Solubility (In Vitro)
DMSO: <1 mg/mL
Water: ~48 mg/mL (~197.4 mM)
Ethanol: <1 mg/mL
Solubility (In Vivo)
Solubility in Formulation 1: ≥ 2.08 mg/mL (8.55 mM) (saturation unknown) in 10% DMSO + 40% PEG300 + 5% Tween80 + 45% Saline (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 20.8 mg/mL clear DMSO stock solution to 400 μL PEG300 and mix evenly; then add 50 μL Tween-80 to the above solution and mix evenly; then add 450 μL normal saline to adjust the volume to 1 mL.
Preparation of saline: Dissolve 0.9 g of sodium chloride in 100 mL ddH₂ O to obtain a clear solution.

Solubility in Formulation 2: ≥ 2.08 mg/mL (8.55 mM) (saturation unknown) in 10% DMSO + 90% (20% SBE-β-CD in Saline) (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 20.8 mg/mL clear DMSO stock solution to 900 μL of 20% SBE-β-CD physiological saline solution and mix evenly.
Preparation of 20% SBE-β-CD in Saline (4°C,1 week): Dissolve 2 g SBE-β-CD in 10 mL saline to obtain a clear solution.

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Solubility in Formulation 3: ≥ 2.08 mg/mL (8.55 mM) (saturation unknown) in 10% DMSO + 90% Corn Oil (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 20.8 mg/mL clear DMSO stock solution to 900 μL of corn oil and mix evenly.


Solubility in Formulation 4: Saline: 30 mg/mL

Solubility in Formulation 5: 100 mg/mL (411.15 mM) in PBS (add these co-solvents sequentially from left to right, and one by one), clear solution; with ultrasonication (<60°C).

 (Please use freshly prepared in vivo formulations for optimal results.)
Preparing Stock Solutions 1 mg 5 mg 10 mg
1 mM 4.1115 mL 20.5575 mL 41.1150 mL
5 mM 0.8223 mL 4.1115 mL 8.2230 mL
10 mM 0.4112 mL 2.0558 mL 4.1115 mL

*Note: Please select an appropriate solvent for the preparation of stock solution based on your experiment needs. For most products, DMSO can be used for preparing stock solutions (e.g. 5 mM, 10 mM, or 20 mM concentration); some products with high aqueous solubility may be dissolved in water directly. Solubility information is available at the above Solubility Data section. Once the stock solution is prepared, aliquot it to routine usage volumes and store at -20°C or -80°C. Avoid repeated freeze and thaw cycles.

Calculator

Molarity Calculator allows you to calculate the mass, volume, and/or concentration required for a solution, as detailed below:

  • Calculate the Mass of a compound required to prepare a solution of known volume and concentration
  • Calculate the Volume of solution required to dissolve a compound of known mass to a desired concentration
  • Calculate the Concentration of a solution resulting from a known mass of compound in a specific volume
An example of molarity calculation using the molarity calculator is shown below:
What is the mass of compound required to make a 10 mM stock solution in 5 ml of DMSO given that the molecular weight of the compound is 350.26 g/mol?
  • Enter 350.26 in the Molecular Weight (MW) box
  • Enter 10 in the Concentration box and choose the correct unit (mM)
  • Enter 5 in the Volume box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 17.513 mg appears in the Mass box. In a similar way, you may calculate the volume and concentration.

Dilution Calculator allows you to calculate how to dilute a stock solution of known concentrations. For example, you may Enter C1, C2 & V2 to calculate V1, as detailed below:

What volume of a given 10 mM stock solution is required to make 25 ml of a 25 μM solution?
Using the equation C1V1 = C2V2, where C1=10 mM, C2=25 μM, V2=25 ml and V1 is the unknown:
  • Enter 10 into the Concentration (Start) box and choose the correct unit (mM)
  • Enter 25 into the Concentration (End) box and select the correct unit (mM)
  • Enter 25 into the Volume (End) box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 62.5 μL (0.1 ml) appears in the Volume (Start) box
g/mol

Molecular Weight Calculator allows you to calculate the molar mass and elemental composition of a compound, as detailed below:

Note: Chemical formula is case sensitive: C12H18N3O4  c12h18n3o4
Instructions to calculate molar mass (molecular weight) of a chemical compound:
  • To calculate molar mass of a chemical compound, please enter the chemical/molecular formula and click the “Calculate’ button.
Definitions of molecular mass, molecular weight, molar mass and molar weight:
  • Molecular mass (or molecular weight) is the mass of one molecule of a substance and is expressed in the unified atomic mass units (u). (1 u is equal to 1/12 the mass of one atom of carbon-12)
  • Molar mass (molar weight) is the mass of one mole of a substance and is expressed in g/mol.
/

Reconstitution Calculator allows you to calculate the volume of solvent required to reconstitute your vial.

  • Enter the mass of the reagent and the desired reconstitution concentration as well as the correct units
  • Click the “Calculate” button
  • The answer appears in the Volume (to add to vial) box
In vivo Formulation Calculator (Clear solution)
Step 1: Enter information below (Recommended: An additional animal to make allowance for loss during the experiment)
Step 2: Enter in vivo formulation (This is only a calculator, not the exact formulation for a specific product. Please contact us first if there is no in vivo formulation in the solubility section.)
+
+
+

Calculation results

Working concentration mg/mL;

Method for preparing DMSO stock solution mg drug pre-dissolved in μL DMSO (stock solution concentration mg/mL). Please contact us first if the concentration exceeds the DMSO solubility of the batch of drug.

Method for preparing in vivo formulation:Take μL DMSO stock solution, next add μL PEG300, mix and clarify, next addμL Tween 80, mix and clarify, next add μL ddH2O,mix and clarify.

(1) Please be sure that the solution is clear before the addition of next solvent. Dissolution methods like vortex, ultrasound or warming and heat may be used to aid dissolving.
             (2) Be sure to add the solvent(s) in order.

Clinical Trial Information
Phase 1 Study of Ibrutinib and Immuno-Chemotherapy Using Temozolomide, Etoposide, Doxil, Dexamethasone, Ibrutinib,Rituximab (TEDDI-R) in Primary CNS Lymphoma
CTID: NCT02203526
Phase: Phase 1    Status: Recruiting
Date: 2024-12-02
Testing the Addition of an Anti-cancer Drug, SNDX-5613, to the Standard Chemotherapy Treatment (Daunorubicin and Cytarabine) for Newly Diagnosed Patients With Acute Myeloid Leukemia That Has Changes in NPM1 or MLL/KMT2A Gene
CTID: NCT05886049
Phase: Phase 1    Status: Recruiting
Date: 2024-12-02
A Study of ASP2215 in Combination With Induction and Consolidation Chemotherapy in Patients With Newly Diagnosed Acute Myeloid Leukemia.
CTID: NCT02310321
Phase: Phase 1/Phase 2    Status: Completed
Date: 2024-11-29
MYELOMATCH: A Screening Study to Assign People With Myeloid Cancer to a Treatment Study or Standard of Care Treatment Within myeloMATCH (MyeloMATCH Screening Trial)
CTID: NCT05564390
Phase: Phase 2    Status: Recruiting
Date: 2024-11-29
A Phase 2 Study of Ruxolitinib With Chemotherapy in Children With Acute Lymphoblastic Leukemia
CTID: NCT02723994
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-11-29
View More

A Phase I Study Investigating the Combination of Cladribine, Low Dose Cytarabine and Sorafenib Alternating With Decitabine in Pediatric Relapsed and Refractory Acute Leukemias
CTID: NCT06474663
Phase: Phase 1    Status: Not yet recruiting
Date: 2024-11-29


Treatment of Acute Lymphoblastic Leukemia in Children
CTID: NCT00400946
Phase: Phase 3    Status: Completed
Date: 2024-11-27
Ibrutinib, Rituximab, Venetoclax, and Combination Chemotherapy in Treating Patients with Newly Diagnosed Mantle Cell Lymphoma
CTID: NCT03710772
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-11-27
Trial Treating Relapsed Acute Lymphoblastic Leukemia With Venetoclax and Navitoclax
CTID: NCT05192889
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-11-26
Venetoclax to Augment Epigenetic Modification and Chemotherapy
CTID: NCT05317403
Phase: Phase 1    Status: Recruiting
Date: 2024-11-26
BLAST MRD AML-1: BLockade of PD-1 Added to Standard Therapy to Target Measurable Residual Disease in Acute Myeloid Leukemia 1- A Randomized Phase 2 Study of Anti-PD-1 Pembrolizumab in Combination With Intensive Chemotherapy as Frontline Therapy in Patients With Acute Myeloid Leukemia
CTID: NCT04214249
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-11-26
Testing the Effects of Novel Therapeutics for Newly Diagnosed, Untreated Patients With High-Risk Acute Myeloid Leukemia (A MyeloMATCH Treatment Trial)
CTID: NCT05554406
Phase: Phase 2    Status: Recruiting
Date: 2024-11-26
Comparing Cytarabine + Daunorubicin Therapy Versus Cytarabine + Daunorubicin + Venetoclax Versus Venetoclax + Azacitidine in Younger Patients With Intermediate Risk AML (A MyeloMATCH Treatment Trial)
CTID: NCT05554393
Phase: Phase 2    Status: Recruiting
Date: 2024-11-26
Total Therapy XVII for Newly Diagnosed Patients With Acute Lymphoblastic Leukemia and Lymphoma
CTID: NCT03117751
Phase: Phase 2/Phase 3    Status: Active, not recruiting
Date: 2024-11-26
A Study of Gilteritinib (ASP2215) Combined With Chemotherapy in Children, Adolescents and Young Adults With FMS-like Tyrosine Kinase 3 (FLT3)/Internal Tandem Duplication (ITD) Positive Relapsed or Refractory Acute Myeloid Leukemia (AML)
CTID: NCT04240002
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-11-25
Fludarabine, Cytarabine, and Pegcrisantaspase for the Treament of Relapsed or Refractory Leukemia
CTID: NCT04526795
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-11-25
A Trial to Learn How Effective and Safe Odronextamab is Compared to Standard of Care for Adult Participants With Previously Treated Aggressive B-cell Non-Hodgkin Lymphoma
CTID: NCT06230224
Phase: Phase 3    Status: Recruiting
Date: 2024-11-25
Temozolomide, Etoposide, Doxil, Dexamethasone, Ibrutinib, and Rituximab (TEDDI-R) in Aggressive B-cell Lymphomas With Secondary Involvement of the Central Nervous System (CNS)
CTID: NCT03964090
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-11-25
Testing the Use of Steroids and Tyrosine Kinase Inhibitors With Blinatumomab or Chemotherapy for Newly Diagnosed BCR-ABL-Positive Acute Lymphoblastic Leukemia in Adults
CTID: NCT04530565
Phase: Phase 3    Status: Recruiting
Date: 2024-11-25
Venetoclax and CLAG-M for the Treatment of Acute Myeloid Leukemia and High-Grade Myeloid Neoplasms
CTID: NCT04797767
Phase: Phase 1    Status: Suspended
Date: 2024-11-21
Atovaquone (Mepron®) Combined with Conventional Chemotherapy for De Novo Acute Myeloid Leukemia (AML)
CTID: NCT03568994
PhaseEarly Phase 1    Status: Active, not recruiting
Date: 2024-11-21
Study of Liposomal Annamycin in Combination with Cytarabine for the Treatment of Subjects with Acute Myeloid Leukemia (AML)
CTID: NCT05319587
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-11-21
Blinatumomab, Inotuzumab Ozogamicin, and Combination Chemotherapy as Frontline Therapy in Treating Patients With B Acute Lymphoblastic Leukemia
CTID: NCT02877303
Phase: Phase 2    Status: Recruiting
Date: 2024-11-20
Blinatumomab, Methotrexate, Cytarabine, and Ponatinib in Treating Patients With Philadelphia Chromosome-Positive, or BCR-ABL Positive, or Relapsed/Refractory, Acute Lymphoblastic Leukemia
CTID: NCT03263572
Phase: Phase 2    Status: Recruiting
Date: 2024-11-20
Tazemetostat Plus CHOP in 1L T-cell Lymphoma
CTID: NCT06692452
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-11-18
Geriatric Assessment & Genetic Profiling to Personalize Therapy in Older Adults With Acute Myeloid Leukemia
CTID: NCT03226418
Phase: Phase 2    Status: Completed
Date: 2024-11-15
Ibrutinib Before and After Stem Cell Transplant in Treating Patients With Relapsed or Refractory Diffuse Large B-cell Lymphoma
CTID: NCT02443077
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-11-14
Combination Chemotherapy With or Without Donor Stem Cell Transplant in Treating Patients With Acute Lymphoblastic Leukemia
CTID: NCT00792948
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-11-13
Combination Chemotherapy With or Without Bortezomib in Treating Younger Patients With Newly Diagnosed T-Cell Acute Lymphoblastic Leukemia or Stage II-IV T-Cell Lymphoblastic Lymphoma
CTID: NCT02112916
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-11-13
Combination Chemotherapy in Treating Young Patients With Newly Diagnosed High-Risk B Acute Lymphoblastic Leukemia and Ph-Like TKI Sensitive Mutations
CTID: NCT02883049
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-11-13
Blinatumomab in Treating Younger Patients With Relapsed B-cell Acute Lymphoblastic Leukemia
CTID: NCT02101853
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-11-13
Venetoclax, Cladribine, Low Dose Cytarabine, and Azacitidine in Treating Patients With Previously Untreated Acute Myeloid Leukemia
CTID: NCT03586609
Phase: Phase 2    Status: Recruiting
Date: 2024-11-13
Daunorubicin and Cytarabine With or Without Uproleselan in Treating Older Adult Patients With Acute Myeloid Leukemia Receiving Intensive Induction Chemotherapy
CTID: NCT03701308
Phase: Phase 2/Phase 3    Status: Active, not recruiting
Date: 2024-11-12
Venetoclax With Combination Chemotherapy in Treating Patients With Newly Diagnosed or Relapsed or Refractory Acute Myeloid Leukemia
CTID: NCT03214562
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-11-12
Azacitidine With or Without Nivolumab or Midostaurin, or Decitabine and Cytarabine Alone in Treating Older Patients With Newly Diagnosed Acute Myeloid Leukemia or High-Risk Myelodysplastic Syndrome
CTID: NCT03092674
Phase: Phase 2/Phase 3    Status: Active, not recruiting
Date: 2024-11-12
HEM ISMART-D: Trametinib + Dexamethasone + Chemotherapy in Children with Relapsed or Refractory Hematological Malignancies
CTID: NCT05658640
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-11-12
Venetoclax Combined with Intensive Therapy for Acute Myeloid Leukemia Patients with Lower Early Peripheral Blast Clearance Rate After Standard Induction Therapy
CTID: NCT06643962
Phase: N/A    Status: Recruiting
Date: 2024-11-12
A Phase I/II Study of Trametinib and Azacitidine for Patients With Newly Diagnosed Juvenile Myelomonocytic Leukemia
CTID: NCT05849662
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-11-12
Identification of Necessary Information for Treatment Induction in Newly Diagnosed Acute Lymphoblastic Leukemia/Lymphoma
CTID: NCT06289673
Phase: Phase 4    Status: Not yet recruiting
Date: 2024-11-08
Therapy for Newly Diagnosed Patients With B-Cell Precursor Acute Lymphoblastic Leukemia and Lymphoma
CTID: NCT06533748
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-11-08
Adding Dasatinib Or Venetoclax To Improve Responses In Children With Newly Diagnosed T-Cell Acute Lymphoblastic Leukemia (ALL) Or Lymphoma (T-LLY) Or Mixed Phenotype Acute Leukemia (MPAL)
CTID: NCT06390319
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-11-08
Safety and Efficacy of Quizartinib in Children and Young Adults With Acute Myeloid Leukemia (AML), a Cancer of the Blood
CTID: NCT03793478
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-11-07
Response-Based Chemotherapy in Treating Newly Diagnosed Acute Myeloid Leukemia or Myelodysplastic Syndrome in Younger Patients With Down Syndrome
CTID: NCT02521493
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-11-07
Tretinoin and Arsenic Trioxide in Treating Patients With Untreated Acute Promyelocytic Leukemia
CTID: NCT02339740
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-11-07
Study of Standard Intensive Chemotherapy Versus Intensive Chemotherapy with CPX-351 in Adult Patients with Newly Diagnosed AML and Intermediate- or Adverse Genetics
CTID: NCT03897127
Phase: Phase 3    Status: Recruiting
Date: 2024-11-06
Natural Killer(NK) Cell Therapy for Acute Myeloid Leukemia
CTID: NCT05601466
Phase: Phase 1    Status: Terminated
Date: 2024-11-06
Natural Killer(NK) Cell Therapy for AML Minimal Residual Disease
CTID: NCT05601830
Phase: Phase 1    Status: Terminated
Date: 2024-11-06
Open-label Study of FT-2102 With or Without Azacitidine or Cytarabine in Patients With AML or MDS With an IDH1 Mutation
CTID: NCT02719574
Phase: Phase 1/Phase 2    Status: Completed
Date: 2024-11-05
A Study of ASP2215 in Combination With Induction and Consolidation Chemotherapy in Patients With Newly Diagnosed Acute Myeloid Leukemia
CTID: NCT02236013
Phase: Phase 1    Status: Completed
Date: 2024-11-05
CLAG-M or FLAG-Ida Chemotherapy and Reduced-Intensity Conditioning Donor Stem Cell Transplant for the Treatment of Relapsed or Refractory Acute Myeloid Leukemia, Myelodysplastic Syndrome, or Chronic Myelomonocytic Leukemia
CTID: NCT04375631
Phase: Phase 1    Status: Recruiting
Date: 2024-11-04
Uproleselan, Cladribine, and Low Dose Cytarabine for the Treatment of Patients With Treated Secondary Acute Myeloid Leukemia
CTID: NCT04848974
Phase: Phase 1/Phase 2    Status: Completed
Date: 2024-11-04
Auto Stem Cell Transplant for Lymphoma Patients
CTID: NCT03125642
Phase: Phase 2    Status: Recruiting
Date: 2024-11-04
A Study of Ponatinib Versus Imatinib in Adults With Acute Lymphoblastic Leukemia
CTID: NCT03589326
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-10-31
A Study to Compare Blinatumomab Alone to Blinatumomab With Nivolumab in Patients Diagnosed With First Relapse B-Cell Acute Lymphoblastic Leukemia (B-ALL)
CTID: NCT04546399
Phase: Phase 2    Status: Suspended
Date: 2024-10-30
Testing Oral Decitabine and Cedazuridine (ASTX727) in Combination With Venetoclax for Higher-Risk Acute Myeloid Leukemia Patients
CTID: NCT04817241
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-10-29
Ziftomenib in Combination with Chemotherapy for Children with Relapsed/Refractory Acute Leukemia
CTID: NCT06376162
Phase: Phase 1    Status: Not yet recruiting
Date: 2024-10-28
Improving Risk Assessment of AML With a Precision Genomic Strategy to Assess Mutation Clearance
CTID: NCT02756962
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-10-28
Venetoclax and a Pediatric-Inspired Regimen for the Treatment of Newly Diagnosed B Cell Acute Lymphoblastic Leukemia
CTID: NCT05157971
Phase: Phase 1    Status: Recruiting
Date: 2024-10-26
Inotuzumab Ozogamicin and Frontline Chemotherapy in Treating Young Adults With Newly Diagnosed B Acute Lymphoblastic Leukemia
CTID: NCT03150693
Phase: Phase 3    Status: Suspended
Date: 2024-10-26
A Study to Investigate the Safety and Tolerability of Ziftomenib in Combination with Venetoclax/Azacitidine, Venetoclax, or 7+3 in Patients with AML
CTID: NCT05735184
Phase: Phase 1    Status: Recruiting
Date: 2024-10-26
A Study of Bleximenib in Combination With Acute Myeloid Leukemia (AML) Directed Therapies
CTID: NCT05453903
Phase: Phase 1    Status: Recruiting
Date: 2024-10-24
Selinexor in Combination With HAD or CAG Rregimens in Relapsed or Refractory Acute Myeloid Leukemia
CTID: NCT05726110
Phase: Phase 3    Status: Recruiting
Date: 2024-10-22
Inotuzumab Ozogamicin and Post-Induction Chemotherapy in Treating Patients With High-Risk B-ALL, Mixed Phenotype Acute Leukemia, and B-LLy
CTID: NCT03959085
Phase: Phase 3    Status: Recruiting
Date: 2024-10-22
Inotuzumab Ozogamicin in Treating Younger Patients With B-Lymphoblastic Lymphoma or Relapsed or Refractory CD22 Positive B Acute Lymphoblastic Leukemia
CTID: NCT02981628
Phase: Phase 2    Status: Recruiting
Date: 2024-10-22
Bortezomib and Sorafenib Tosylate in Treating Patients With Newly Diagnosed Acute Myeloid Leukemia
CTID: NCT01371981
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-10-22
A Study to Compare Standard Chemotherapy to Therapy With CPX-351 and/or Gilteritinib for Patients With Newly Diagnosed AML With or Without FLT3 Mutations
CTID: NCT04293562
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-10-22
A Study of Revumenib in Combination With Chemotherapy for Patients Diagnosed With Relapsed or Refractory Leukemia
CTID: NCT05761171
Phase: Phase 2    Status: Recruiting
Date: 2024-10-22
Tagraxofusp and Low-Intensity Chemotherapy for the Treatment of CD123 Positive Relapsed or Refractory Acute Lymphoblastic Leukemia or Lymphoblastic Lymphoma
CTID: NCT05032183
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-10-22
Antiangiogenic Therapy for Children with Recurrent Medulloblastoma, Ependymoma and ATRT
CTID: NCT01356290
Phase: Phase 2    Status: Recruiting
Date: 2024-10-21
A Study to Investigate Blinatumomab in Combination With Chemotherapy in Patients With Newly Diagnosed B-Lymphoblastic Leukemia
CTID: NCT03914625
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-10-21
Combination Chemotherapy in Treating Young Patients With Newly Diagnosed T-Cell Acute Lymphoblastic Leukemia or T-cell Lymphoblastic Lymphoma
CTID: NCT00408005
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-10-21
Imatinib Mesylate and Combination Chemotherapy in Treating Patients With Newly Diagnosed Philadelphia Chromosome Positive Acute Lymphoblastic Leukemia
CTID: NCT03007147
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-10-18
Quizartinib With Azacitidine or Cytarabine in Treating Patients With Relapsed or Refractory Acute Myeloid Leukemia or Myelodysplastic Syndrome
CTID: NCT01892371
Phase: Phase 1/Phase 2    Status: Completed
Date: 2024-10-18
FLT PET/CT in Measuring Response in Patients With Previously Untreated Acute Myeloid Leukemia
CTID: NCT02392429
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-10-17
Testing the Addition of the Anti-cancer Drug Venetoclax and/or the Anti-cancer Immunotherapy Blinatumomab to the Usual Chemotherapy Treatment for Infants With Newly Diagnosed KMT2A-rearranged or KMT2A-non-rearranged Leukemia
CTID: NCT06317662
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-10-15
A Phase Ib Study of APG-115 Single Agent or in Combination With Azacitidine or Cytarabine in Patients With AML and MDS.
CTID: NCT04275518
Phase: Phase 1    Status: Recruiting
Date: 2024-10-15
A Study to Find the Highest Dose of Imetelstat in Combination With Fludarabine and Cytarabine for Patients With AML, MDS or JMML That Has Come Back or Does Not Respond to Therapy
CTID: NCT06247787
Phase: Phase 1    Status: Recruiting
Date: 2024-10-15
A Study Comparing the Combination of Dasatinib and Chemotherapy Treatment With or Without Blinatumomab for Children, Adolescents, and Young Adults With Philadelphia Chromosome Positive (Ph+) or Philadelphia Chromosome-Like (Ph-Like) ABL-Class B-Cell Acute Lymphoblastic Leukemia (B-ALL)
CTID: NCT06124157
Phase: Phase 3    Status: Not yet recruiting
Date: 2024-10-10
Optimization of Therapy in Adult Patients with Newly Diagnosed Acute Lymphoblastic Leukemia or Lymphoblastic Lymphoma by Individualised, Targeted and Intensified Treatment
CTID: NCT02881086
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-10-10
Testing the Addition of an Anti-cancer Drug, M3814, to the Usual Treatment (Mitoxantrone, Etoposide, and Cytarabine) for Relapsed or Refractory Acute Myeloid Leukemia
CTID: NCT03983824
Phase: Phase 1    Status: Recruiting
Date: 2024-10-09
Trial of Cladribine and Low-Dose Cytarabine (LoDAC) Alternating With Decitabine vs. Hypomethylating Agents (HMA) Plus Venetoclax as Frontline Therapy for AML or High-Grade MDS in Patients Unfit for Intensive Induction
CTID: NCT05766514
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-10-08
Study of Magrolimab Combinations in Participants With Myeloid Malignancies
CTID: NCT04778410
Phase: Phase 2    Status: Completed
Date: 2024-10-08
Accelerated Dose Schedule of Cytarabine Consolidation Therapy for Older Patients With Acute Myeloid Leukemia (AML) in Complete Remission
CTID: NCT04914676
Phase: Phase 2    Status: Terminated
Date: 2024-10-08
Lintuzumab-Ac225 in Combination with Cladribine + Cytarabine + Filgastrim + Mitoxantrone (CLAG-M) for Relapsed/Refractory Acute Myeloid Leukemia
CTID: NCT03441048
Phase: Phase 1    Status: Completed
Date: 2024-10-08
Venetoclax + Decitabine vs. '7+3' Induction Chemotherapy in Young AML
CTID: NCT05177731
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-10-03
A Study of Venetoclax in Combination With Conventional Chemotherapy in Pediatric Patients With Acute Myeloid Leukemia
CTID: NCT05955261
Phase: Phase 2    Status: Recruiting
Date: 2024-10-02
Mitoxantrone Hydrochloride Liposome, Standard-dose of Cytarabine and Venetoclax in the Treatment of R/R AML
CTID: NCT06621212
Phase: N/A    Status: Recruiting
Date: 2024-10-01
Highest Dose of Uproleselan in Combination With Fludarabine and Cytarabine for Patients With Acute Myeloid Leukemia, Myelodysplastic Syndrome, or Mixed Phenotype Acute Leukemia Relapsed or Refractory and That Expresses E-selectin Ligand on the Cell Membrane
CTID: NCT05146739
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-10-01
Mitoxantrone Hydrochloride Liposome in Combination With Cytarabine and Venetoclax Regimen in Newly Diagnosed Elderly AML
CTID: NCT06621199
Phase: Phase 2    Status: Recruiting
Date: 2024-10-01
Fludarabine and Cytarabine Versus High-dose Cytarabine for CBF-AML
CTID: NCT02926586
Phase: Phase 4    Status: Completed
Date: 2024-10-01
A Phase II Study of Cladribine and Low Dose Cytarabine in Combination With Venetoclax, Alternating With Azacitidine and Venetoclax, in Patients With Higher-risk Myeloproliferative Chronic Myelomonocytic Leukemia or Higher-risk Myelodysplastic Syndromes With Excess Blasts
CTID: NCT05365035
Phase: Phase 2    Status: Recruiting
Date: 2024-09-27
Combination Chemotherapy With or Without Blinatumomab in Treating Patients With Newly Diagnosed BCR-ABL-Negative B Lineage Acute Lymphoblastic Leukemia
CTID: NCT02003222
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-09-24
Low-Intensity Chemotherapy, Ponatinib and Blinatumomab in Treating Patients with Philadelphia Chromosome-Positive And/or BCR-ABL Positive Acute Lymphoblastic Leukemia
CTID: NCT03147612
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-09-23
The Efficacy of Triple Regimen in Newly Diagnosed AML Patients With FLT3 Mutation
CTID: NCT06561880
Phase: Phase 1/Phase 2    Status: Not yet recruiting
Date: 2024-09-20
Fludarabine Phosphate, Cytarabine, Filgrastim-sndz, Gemtuzumab Ozogamicin, and Idarubicin Hydrochloride in Treating Patients With Newly Diagnosed Acute Myeloid Leukemia or High-Risk Myelodysplastic Syndrome
CTID: NCT00801489
Phase: Phase 2    Status: Recruiting
Date: 2024-09-20
MT2022-60: Ph 2 Study of Pembro+ BEAM With ASCT for Relapsed Hodgkin Lymphoma
CTID: NCT06377540
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-09-19
CPI-613, Cytarabine, and Mitoxantrone Hydrochloride in Treating Patients With Relapsed or Refractory Acute Myeloid Leukemia or Granulocytic Sarcoma
CTID: NCT02484391
Phase: Phase 1    Status: Completed
Date: 2024-09-19
Venetoclax, SL-401, and Chemotherapy for the Treatment of Blastic Plasmacytoid Dendritic Cell Neoplasm
CTID: NCT04216524
Phase: Phase 2    Status: Recruiting
Date: 2024-09-19
Ruxolitinib Phosphate or Dasatinib With Chemotherapy in Treating Patients With Relapsed or Refractory Philadelphia Chromosome-Like Acute Lymphoblastic Leukemia
CTID: NCT02420717
Phase: Phase 2    Status: Terminated
Date: 2024-09-19
Study of Pedi-cRIB: Mini-Hyper-CVD With Condensed Rituximab, Inotuzumab Ozogamicin and Blinatumomab (cRIB) for Relapsed Therapy for Pediatric With B-Cell Lineage Acute Lymphocytic Leukemia
CTID: NCT05645718
Phase: Phase 2    Status: Recruiting
Date: 2024-09-19
CPX-351 or CLAG-M Regimen for the Treatment of Acute Myeloid Leukemia or Other High-Grade Myeloid Neoplasms in Medically Less-Fit Patients
CTID: NCT04195945
Phase: Phase 2    Status: Recruiting
Date: 2024-09-19
Venetoclax Basket Trial for High Risk Hematologic Malignancies
CTID: NCT05292664
Phase: Phase 1    Status: Recruiting
Date: 2024-09-19
Phase IIa Study Evaluating Safety and Efficacy of BL-8040 in Relapsed/Refractory AML Patients
CTID: NCT01838395
Phase: Phase 2    Status: Completed
Date: 2024-09-19
Combination Chemotherapy and Nelarabine in Treating Patients with T-cell Acute Lymphoblastic Leukemia or Lymphoblastic Lymphoma
CTID: NCT00501826
Phase: Phase 2    Status: Recruiting
Date: 2024-09-19
Study of Biomarker-Based Treatment of Acute Myeloid Leukemia
CTID: NCT03013998
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-09-19
Study of Revumenib, Azacitidine, and Venetoclax in Pediatric and Young Adult Patients With Refractory or Relapsed Acute Myeloid Leukemia
CTID: NCT06177067
Phase: Phase 1    Status: Recruiting
Date: 2024-09-05
Study of Selinexor and Venetoclax in Combination With Chemotherapy in Pediatric and Young Adult Patients With Refractory or Relapsed Acute Myeloid Leukemia
CTID: NCT04898894
Phase: Phase 1    Status: Recruiting
Date: 2024-09-05
A Novel 'Pediatric-Inspired' Regimen With Reduced Myelosuppressive Drugs for Adults (Aged 18-60) With Newly Diagnosed Ph Negative Acute Lymphoblastic Leukemia
CTID: NCT01920737
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-09-04
Sequential Chemotherapy and Lenalidomide Followed by Rituximab and Lenalidomide Maintenance for Untreated Mantle Cell Lymphoma
CTID: NCT02633137
Phase: Phase 2    Status: Completed
Date: 2024-08-30
Safety and Tolerability of Ziftomenib Combinations in Patients With Relapsed/Refractory Acute Myeloid Leukemia
CTID: NCT06001788
Phase: Phase 1    Status: Recruiting
Date: 2024-08-29
Tagraxofusp and Low-Intensity Chemotherapy for CD123-Positive Relapsed or Refractory AML
CTID: NCT06561152
Phase: Phase 1/Phase 2    Status: Not yet recruiting
Date: 2024-08-28
Low-Intensity Chemotherapy and Venetoclax in Treating Patients With Relapsed or Refractory B- or T-Cell Acute Lymphoblastic Leukemia
CTID: NCT03808610
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-08-26
Intermediate-dose HAD Regimen for CEBPA Double-mutated AML
CTID: NCT06529250
Phase: N/A    Status: Recruiting
Date: 2024-08-23
Safety and Efficacy of Avapritinib in Relapsed or Refractory Pediatric CBF-AML With KIT Mutation
CTID: NCT06316960
Phase: Phase 2    Status: Recruiting
Date: 2024-08-22
Clinical Study of Induction Therapy Options Based on Molecular Subtyping and MRD in Children and Adolescents With AML
CTID: NCT06221683
Phase: Phase 2    Status: Recruiting
Date: 2024-08-22
A Study of JNJ-75276617 in Combination With Conventional Chemotherapy for Pediatric and Young Adult Participants With Relapsed/Refractory Acute Leukemias
CTID: NCT05521087
Phase: Phase 1    Status: Withdrawn
Date: 2024-08-22
Inotuzumab Ozogamicin for Children With MRD Positive CD22+ Lymphoblastic Leukemia
CTID: NCT03913559
Phase: Phase 2    Status: Recruiting
Date: 2024-08-19
Palbociclib in Combination With Chemotherapy in Treating Children With Relapsed Acute Lymphoblastic Leukemia (ALL) or Lymphoblastic Lymphoma (LL)
CTID: NCT03792256
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-08-16
Blinatumomab Plus Venetoclax Sequenced With Inotuzumab Ozogamicin in Treating B-ALL
CTID: NCT06554626
Phase: Phase 2    Status: Recruiting
Date: 2024-08-15
Treatment of Newly Diagnosed Acute Lymphoblastic Leukemia in Children and Adolescents
CTID: NCT03020030
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-08-15
Venetoclax in Combination With Intensive Induction and Consolidation Chemotherapy in Treatment Naïve AML
CTID: NCT03709758
Phase: Phase 1    Status: Recruiting
Date: 2024-08-15
Pemigatinib After Chemotherapy for the Treatment of Newly Diagnosed Acute Myeloid Leukemia
CTID: NCT04659616
Phase: Phase 1    Status: Recruiting
Date: 2024-08-15
Venetoclax-Navitoclax With Cladribine-based Salvage Therapy in Patients With Relapsed/Refractory Acute Myeloid Leukemia
CTID: NCT06007911
Phase: Phase 1    Status: Withdrawn
Date: 2024-08-13
Azacitidine and Combination Chemotherapy in Treating Infants With Acute Lymphoblastic Leukemia and KMT2A Gene Rearrangement
CTID: NCT02828358
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-08-09
Obinutuzumab, Zanubrutinib, and Lenalidomide Followed Short-Cycle of Obinutuzumab and Cytarabine in Newly Diagnosed Mantle Cell Lymphoma
CTID: NCT06504199
Phase: Phase 2    Status: Recruiting
Date: 2024-08-09
Ascorbic Acid and Chemotherapy for the Treatment of Relapsed or Refractory Lymphoma, CCUS, and Chronic Myelomonocytic Leukemia
CTID: NCT03418038
Phase: Phase 2    Status: Recruiting
Date: 2024-08-05
Vinblastine/Prednisone Versus Single Therapy With Cytarabine for Langerhans Cell Histiocytosis (LCH)
CTID: NCT02670707
Phase: Phase 3    Status: Recruiting
Date: 2024-08-05
Safety and Efficacy of Venetoclax, Cytarabine and Metformin (VenCM) for Relapsed-Refractory and Induction-Ineligible Acute Myeloid Leukemia
CTID: NCT06537843
Phase: Phase 2    Status: Recruiting
Date: 2024-08-05
Venetoclax Plus Intensive Chemotherapy in AML and Advanced MDS
CTID: NCT05342584
Phase: Phase 1    Status: Recruiting
Date: 2024-08-02
Testing the Combination of Inotuzumab Ozogamicin and Lower Dose Chemotherapy Compared to Usual Chemotherapy for Adults With B-Cell Acute Lymphoblastic Leukemia or B-Cell Lymphoblastic Lymphomlse if(down_display === 'none' || down_display === '') { icon_angle_up.style.display =

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