MedPath

Cytarabine

Generic Name
Cytarabine
Brand Names
Cytosar, Vyxeos
Drug Type
Small Molecule
Chemical Formula
C9H13N3O5
CAS Number
147-94-4
Unique Ingredient Identifier
04079A1RDZ
Background

A pyrimidine nucleoside analog that is used mainly in the treatment of leukemia, especially acute non-lymphoblastic leukemia. Cytarabine is an antimetabolite antineoplastic agent that inhibits the synthesis of DNA. Its actions are specific for the S phase of the cell cycle. It also has antiviral and immunosuppressant properties. (From Martindale, The Extra Pharmacopoeia, 30th ed, p472)

Indication

For the treatment of acute non-lymphocytic leukemia, acute lymphocytic leukemia and blast phase of chronic myelocytic leukemia.

Cytarabine is indicated in combination with daunorubicin for the treatment of newly-diagnosed therapy-related acute myeloid leukemia (t-AML) or AML with myelodysplasia-related changes (AML-MRC) in adults and pediatric patients 1 year and older.

Associated Conditions
Acute Lymphoblastic Leukemia (ALL), Acute Myeloid Leukemia, Acute Myeloid Leukemia With Myelodysplasia-Related Changes, Acute Promyelocytic Leukemia, Meningeal leukemia, Metastatic Malignant Neoplasm to the Leptomeninges, Non-Hodgkin's Lymphoma (NHL), Treatment-Related Acute Myeloid Leukemia, Blast phase Chronic myeloid leukemia
Associated Therapies
-

Entospletinib Plus Intensive Induction/Consolidation Chemotherapy in Newly Diagnosed NPM1-mutated AML

Phase 3
Terminated
Conditions
Nucleophosmin 1-mutated Acute Myeloid Leukemia
Interventions
Drug: Placebo
Drug: Entospletinib
Drug: Cytarabine
Drug: Anthracycline
First Posted Date
2021-08-25
Last Posted Date
2024-01-10
Lead Sponsor
Kronos Bio
Target Recruit Count
15
Registration Number
NCT05020665
Locations
🇺🇸

Mount Sinai Health System, New York, New York, United States

🇫🇷

Hôpital Côte De Nacre, Caen, Calvados, France

🇺🇸

Hollings Cancer Center, Charleston, South Carolina, United States

and more 80 locations

Outcomes of Patients After Allo-HSCT With Decitabine and NAC

Phase 3
Not yet recruiting
Conditions
Engraft Failure
Relapse
GVHD
Interventions
First Posted Date
2021-06-30
Last Posted Date
2021-06-30
Lead Sponsor
The First Affiliated Hospital of Soochow University
Target Recruit Count
100
Registration Number
NCT04945096

Accelerated Dose Schedule of Cytarabine Consolidation Therapy for Older Patients With Acute Myeloid Leukemia (AML) in Complete Remission

Phase 2
Terminated
Conditions
Acute Myeloid Leukemia
Interventions
First Posted Date
2021-06-04
Last Posted Date
2024-10-07
Lead Sponsor
University of Florida
Target Recruit Count
5
Registration Number
NCT04914676
Locations
🇺🇸

University of Florida, Gainesville, Florida, United States

Study of Selinexor and Venetoclax in Combination With Chemotherapy in Pediatric and Young Adult Patients With Refractory or Relapsed Acute Myeloid Leukemia

Phase 1
Recruiting
Conditions
Refractory Acute Leukemia of Ambiguous Lineage
Refractory Acute Myeloid Leukemia
Acute Leukemia of Ambiguous Lineage in Relapse
Acute Myeloid Leukemia, in Relapse
Interventions
First Posted Date
2021-05-24
Last Posted Date
2024-12-18
Lead Sponsor
St. Jude Children's Research Hospital
Target Recruit Count
42
Registration Number
NCT04898894
Locations
🇺🇸

Childrens Hospital of Philadelphia, Philadelphia, Pennsylvania, United States

🇺🇸

Texas Children's Hospital, Houston, Texas, United States

🇺🇸

Rady Children's Hospital-San Diego, San Diego, California, United States

and more 8 locations

Yttrium-90 Labeled Anti-CD25 Monoclonal Antibody Combined With BEAM Chemotherapy Conditioning for the Treatment of Primary Refractory or Relapsed Hodgkin Lymphoma

Phase 2
Recruiting
Conditions
Recurrent Hodgkin Lymphoma
Refractory Hodgkin Lymphoma
Interventions
Biological: Basiliximab
Drug: Carmustine
Drug: Cytarabine
Drug: Etoposide
Biological: Genetically Engineered Hematopoietic Stem Progenitor Cells
Biological: Recombinant Granulocyte Colony-Stimulating Factor
Biological: Yttrium Y 90 Basiliximab
First Posted Date
2021-05-04
Last Posted Date
2024-06-24
Lead Sponsor
City of Hope Medical Center
Target Recruit Count
33
Registration Number
NCT04871607
Locations
🇺🇸

City of Hope Medical Center, Duarte, California, United States

Uproleselan, Cladribine, and Low Dose Cytarabine for the Treatment of Patients With Treated Secondary Acute Myeloid Leukemia

Phase 1
Completed
Conditions
Secondary Acute Myeloid Leukemia
Interventions
First Posted Date
2021-04-19
Last Posted Date
2024-11-04
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
37
Registration Number
NCT04848974
Locations
🇺🇸

M D Anderson Cancer Center, Houston, Texas, United States

Testing Oral Decitabine and Cedazuridine (ASTX727) in Combination With Venetoclax for Higher-Risk Acute Myeloid Leukemia Patients

Phase 1
Active, not recruiting
Conditions
Acute Myeloid Leukemia
Interventions
Procedure: Biospecimen Collection
Procedure: Bone Marrow Aspiration and Biopsy
Drug: Cytarabine
Drug: Decitabine and Cedazuridine
Drug: Daunorubicin
Drug: Venetoclax
First Posted Date
2021-03-26
Last Posted Date
2024-10-29
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
55
Registration Number
NCT04817241
Locations
🇺🇸

University of Alabama at Birmingham Cancer Center, Birmingham, Alabama, United States

🇺🇸

Vanderbilt University/Ingram Cancer Center, Nashville, Tennessee, United States

🇺🇸

Roswell Park Cancer Institute, Buffalo, New York, United States

and more 4 locations

Venetoclax + Azacitidine vs. Induction Chemotherapy in AML

Phase 2
Recruiting
Conditions
Acute Myeloid Leukemia
Interventions
First Posted Date
2021-03-17
Last Posted Date
2024-03-18
Lead Sponsor
Massachusetts General Hospital
Target Recruit Count
172
Registration Number
NCT04801797
Locations
🇺🇸

City of Hope, Duarte, California, United States

🇺🇸

Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States

🇺🇸

Dana-Farber Cancer Institute, Boston, Massachusetts, United States

and more 6 locations

Venetoclax and CLAG-M for the Treatment of Acute Myeloid Leukemia and High-Grade Myeloid Neoplasms

Phase 1
Suspended
Conditions
Acute Biphenotypic Leukemia
Mixed Phenotype Acute Leukemia
Relapsed Acute Myeloid Leukemia
Relapsed Mixed Phenotype Acute Leukemia
Refractory Acute Myeloid Leukemia
Relapsed Acute Biphenotypic Leukemia
Relapsed Myeloid Neoplasm
Refractory Acute Biphenotypic Leukemia
Refractory Mixed Phenotype Acute Leukemia
Refractory Myeloid Neoplasm
Interventions
Drug: Cladribine
Drug: Cytarabine
Drug: Mitoxantrone
Biological: Recombinant Granulocyte Colony-Stimulating Factor
Drug: Venetoclax
First Posted Date
2021-03-15
Last Posted Date
2024-11-21
Lead Sponsor
University of Washington
Target Recruit Count
20
Registration Number
NCT04797767
Locations
🇺🇸

Fred Hutch/University of Washington Cancer Consortium, Seattle, Washington, United States

Study of Magrolimab in Combination With Azacitidine Versus Physician's Choice of Venetoclax in Combination With Azacitidine or Intensive Chemotherapy in Patients With TP53 Mutant Acute Myeloid Leukemia That Have Not Been Treated

Phase 3
Terminated
Conditions
Acute Myeloid Leukemia
Interventions
First Posted Date
2021-03-03
Last Posted Date
2024-04-15
Lead Sponsor
Gilead Sciences
Target Recruit Count
258
Registration Number
NCT04778397
Locations
🇦🇺

Fiona Stanley Hospital, Murdoch, Western Australia, Australia

🇦🇺

Royal Adelaide Hospital, Adelaide, South Australia, Australia

🇺🇸

Massachusetts General Hospital, Boston, Massachusetts, United States

and more 153 locations
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