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Cytosine Arabinoside
Cytosine Arabinoside is a Nucleoside analog antimetabolite Small molecule drug developed by University of Rochester. It is currently FDA-approved for Acute myeloid leukemia (AML), Acute lymphoblastic leukemia (ALL), Chronic myeloid leukemia (CML) in blast crisis. Also known as: AraC, Cytosar U, Cytosine aribinoside, Arabinosylcytosine.
Cytosine arabinoside is a nucleoside analog that inhibits DNA synthesis by being incorporated into DNA and blocking DNA polymerase, leading to cell death.
Cytosine arabinoside is a nucleoside analog that inhibits DNA synthesis by being incorporated into DNA and blocking DNA polymerase, leading to cell death. Used for Acute myeloid leukemia (AML), Acute lymphoblastic leukemia (ALL), Chronic myeloid leukemia (CML) in blast crisis.
At a glance
| Generic name | Cytosine Arabinoside |
|---|---|
| Also known as | AraC, Cytosar U, Cytosine aribinoside, Arabinosylcytosine, Cytarabine sterile |
| Sponsor | University of Rochester |
| Drug class | Nucleoside analog antimetabolite |
| Target | DNA polymerase; incorporated into DNA |
| Modality | Small molecule |
| Therapeutic area | Oncology |
| Phase | FDA-approved |
Mechanism of action
Cytosine arabinoside (ara-C) is a cytidine analog that enters cells and is phosphorylated to its active triphosphate form. It then incorporates into DNA during replication, causing chain termination and inhibiting DNA synthesis. This mechanism is particularly effective against rapidly dividing cells, making it useful in hematologic malignancies where leukemic blasts are highly proliferative.
Approved indications
- Acute myeloid leukemia (AML)
- Acute lymphoblastic leukemia (ALL)
- Chronic myeloid leukemia (CML) in blast crisis
- Lymphoma
Common side effects
- Myelosuppression (neutropenia, thrombocytopenia, anemia)
- Nausea and vomiting
- Mucositis
- Hepatotoxicity
- Neurotoxicity (at high doses)
- Infection
- Diarrhea
Key clinical trials
- 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 (PHASE2)
- A Study to Investigate Blinatumomab in Combination With Chemotherapy in Patients With Newly Diagnosed B-Lymphoblastic Leukemia (PHASE3)
- Pediatric-Inspired Regimen Combined With Venetoclax and Immunotherapy for Adult Ph-Negative Acute Lymphoblastic Leukemia (NA)
- Testing the Addition of Venetoclax or Gemtuzumab Ozogamicin (GO) to Usual Treatment Regimen (Cytarabine and Daunorubicin, "7+3") for Core Binding Factor Acute Myeloid Leukemia (CBF-AML) to Improve Response (A MyeloMATCH Treatment Trial) (PHASE2)
- Ibrutinib Before and After Stem Cell Transplant in Treating Patients With Relapsed or Refractory Diffuse Large B-cell Lymphoma (PHASE3)
- Standard-dose vs Intermediate-dose Cytarabine Induction in the Treatment of Acute Myeloid Leukemia With RUNX1-RUNX1T1 (PHASE3)
- Comparing Cytarabine + Daunorubicin Therapy Versus Cytarabine + Daunorubicin + Venetoclax Versus Venetoclax + Azacitidine in Younger Patients With Intermediate Risk AML (A MyeloMATCH Treatment Trial) (PHASE2)
- MYELOMATCH: A Screening Study to Assign People With Myeloid Cancer to a Treatment Study or Standard of Care Treatment Within myeloMATCH (MyeloMATCH Screening Trial) (PHASE2)
Primary sources
Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.
| Source | Used for |
|---|---|
| ClinicalTrials.gov | Trial enrolment, design, endpoints, results |
Competitive intelligence
For the full competitive landscape — auto-detected comparators, recent regulatory actions across the set, upcoming PDUFA, patent timeline, sponsor landscape:
- Cytosine Arabinoside CI brief — competitive landscape report
- Cytosine Arabinoside updates RSS · CI watch RSS
- University of Rochester portfolio CI
Frequently asked questions about Cytosine Arabinoside
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Related
- Drug class: All Nucleoside analog antimetabolite drugs
- Target: All drugs targeting DNA polymerase; incorporated into DNA
- Manufacturer: University of Rochester — full pipeline
- Therapeutic area: All drugs in Oncology
- Indication: Drugs for Acute myeloid leukemia (AML)
- Indication: Drugs for Acute lymphoblastic leukemia (ALL)
- Indication: Drugs for Chronic myeloid leukemia (CML) in blast crisis
- Also known as: AraC, Cytosar U, Cytosine aribinoside, Arabinosylcytosine, Cytarabine sterile
- Compare: Cytosine Arabinoside vs similar drugs
- Pricing: Cytosine Arabinoside cost, discount & access