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
-

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)

Phase 1
Recruiting
Conditions
Acute Myeloid Leukemia (AML)
Acute Myeloid Leukemia With FMS-like Tyrosine Kinase 3 (FLT3) Mutation / Internal Tandem Duplication (ITD)
Interventions
Drug: gilteritinib
Drug: fludarabine
Drug: cytarabine
Drug: granulocyte colony-stimulating factor (G-CSF)
First Posted Date
2020-01-27
Last Posted Date
2024-12-19
Lead Sponsor
Astellas Pharma Global Development, Inc.
Target Recruit Count
97
Registration Number
NCT04240002
Locations
🇩🇪

Site DE49001, Halle (Saale), Sachsen-Anhalt, Germany

🇮🇹

SIte IT39001, Roma, Italy

🇺🇸

Sarah Cannon Research Institute, Nashville, Tennessee, United States

and more 22 locations

Galinpepimut-S Versus Investigator's Choice of Best Available Therapy for Maintenance in AML CR2/CRp2

Phase 3
Active, not recruiting
Conditions
Acute Myeloid Leukemia
Interventions
Biological: Galinpepimut-S
Drug: Azacitidine
Biological: GM-CSF
Drug: Venetoclax
Other: Montanide
Drug: Decitabine
Drug: Cytarabine
Other: Observation
First Posted Date
2020-01-18
Last Posted Date
2024-04-09
Lead Sponsor
Sellas Life Sciences Group
Target Recruit Count
128
Registration Number
NCT04229979
Locations
🇺🇸

Mayo Clinic Jacksonville Florida, Jacksonville, Florida, United States

🇫🇷

CHU de Caen, Caen, France

🇬🇷

General Hospital of Athens "Evaggelismos", Athens, Greece

and more 70 locations

A Trial of Treatments to Assess the Effects on Outcome of Adults With AML and MDS Undergoing Allogeneic SCT

Phase 2
Active, not recruiting
Conditions
Acute Myeloid Leukaemia
High-risk Myelodysplastic Syndrome
Interventions
First Posted Date
2020-01-03
Last Posted Date
2023-05-10
Lead Sponsor
University of Birmingham
Target Recruit Count
333
Registration Number
NCT04217278
Locations
🇬🇧

King's College Hospital, London, United Kingdom

🇬🇧

Nottingham City Hospital, Nottingham, United Kingdom

🇬🇧

Manchester Royal Infirmary, Manchester, United Kingdom

and more 11 locations

Venetoclax, SL-401, and Chemotherapy for the Treatment of Blastic Plasmacytoid Dendritic Cell Neoplasm

First Posted Date
2020-01-02
Last Posted Date
2024-07-03
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
40
Registration Number
NCT04216524
Locations
🇺🇸

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

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

Phase 2
Active, not recruiting
Conditions
Acute Myeloid Leukemia
Acute Myeloid Leukemia Arising From Previous Myelodysplastic Syndrome
Acute Myeloid Leukemia Post Cytotoxic Therapy
Secondary Acute Myeloid Leukemia
Interventions
Procedure: Biospecimen Collection
Procedure: Bone Marrow Aspiration
Procedure: Bone Marrow Biopsy
Procedure: Computed Tomography
Drug: Cytarabine
Drug: Daunorubicin Hydrochloride
Procedure: Echocardiography
Procedure: Hematopoietic Cell Transplantation
Drug: Idarubicin Hydrochloride
Procedure: Multigated Acquisition Scan
Biological: Pembrolizumab
Procedure: Punch Biopsy
First Posted Date
2020-01-02
Last Posted Date
2024-12-04
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
50
Registration Number
NCT04214249
Locations
🇺🇸

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

🇺🇸

UC Irvine Health/Chao Family Comprehensive Cancer Center, Orange, California, United States

🇺🇸

Wake Forest Baptist Health - Wilkes Medical Center, Wilkesboro, North Carolina, United States

and more 7 locations

CPX-351 or CLAG-M Regimen for the Treatment of Acute Myeloid Leukemia or Other High-Grade Myeloid Neoplasms in Medically Less-Fit Patients

Phase 2
Recruiting
Conditions
Myeloid Neoplasm
Acute Myeloid Leukemia
Interventions
Drug: Liposome-encapsulated Daunorubicin-Cytarabine
Drug: Cladribine
Other: Questionnaire Administration
Drug: Cytarabine
Biological: Recombinant Granulocyte Colony-Stimulating Factor
Drug: Mitoxantrone
Other: Quality-of-Life Assessment
First Posted Date
2019-12-12
Last Posted Date
2024-03-20
Lead Sponsor
Fred Hutchinson Cancer Center
Target Recruit Count
60
Registration Number
NCT04195945
Locations
🇺🇸

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

Continuous Infusion Chemotherapy (CI-CLAM) for the Treatment of Relapsed or Refractory Acute Myeloid Leukemia or Other High-Grade Myeloid Neoplasms

Phase 1
Terminated
Conditions
Refractory Acute Myeloid Leukemia
Myeloid Neoplasm
Recurrent Acute Myeloid Leukemia
Interventions
Drug: Cladribine
Drug: Cytarabine
Biological: Recombinant Granulocyte Colony-Stimulating Factor
Drug: Mitoxantrone
First Posted Date
2019-12-12
Last Posted Date
2023-12-28
Lead Sponsor
University of Washington
Target Recruit Count
13
Registration Number
NCT04196010
Locations
🇺🇸

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

Testing the Addition of an Anti-cancer Drug, Navtemadlin, to the Usual Treatments (Cytarabine and Idarubicin) in Patients With Acute Myeloid Leukemia

Phase 1
Active, not recruiting
Conditions
Acute Myeloid Leukemia
Acute Myeloid Leukemia Arising From Previous Myelodysplastic Syndrome
Interventions
First Posted Date
2019-12-09
Last Posted Date
2024-12-06
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
24
Registration Number
NCT04190550
Locations
🇺🇸

Los Angeles General Medical Center, Los Angeles, California, United States

🇺🇸

USC / Norris Comprehensive Cancer Center, Los Angeles, California, United States

🇺🇸

Northwestern University, Chicago, Illinois, United States

and more 3 locations

AML Patients Bearing FLT3 Mutations Based on Peripheral Blast Clearance

Phase 3
Recruiting
Conditions
Acute Myeloid Leukemia With FLT3/ITD Mutation
Interventions
First Posted Date
2019-11-22
Last Posted Date
2022-03-02
Lead Sponsor
Gruppo Italiano Malattie EMatologiche dell'Adulto
Target Recruit Count
172
Registration Number
NCT04174612
Locations
🇮🇹

Aou San Luigi Gonzaga - Orbassano - Scdu Ematologia Generale E Oncoematologia, Orbassano, Italy

🇮🇹

Aulss 3 Serenissima, Ospedale Dell'Angelo - Mestre - Uo Ematologia, Mestre, Italy

🇮🇹

Aou Policlinico P. Giaccone - Palermo - Uo Ematologia, Palermo, Italy

and more 17 locations

Flotetuzumab for the Treatment of Pediatric Recurrent or Refractory Acute Myeloid Leukemia

Phase 1
Active, not recruiting
Conditions
Recurrent Acute Myeloid Leukemia
Refractory Acute Myeloid Leukemia
Interventions
First Posted Date
2019-11-12
Last Posted Date
2025-01-09
Lead Sponsor
Children's Oncology Group
Target Recruit Count
16
Registration Number
NCT04158739
Locations
🇺🇸

Children's Healthcare of Atlanta - Arthur M Blank Hospital, Atlanta, Georgia, United States

🇺🇸

Children's Hospital of Alabama, Birmingham, Alabama, United States

🇺🇸

Children's Hospital Los Angeles, Los Angeles, California, United States

and more 16 locations
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