decitabine ๐Ÿถ Veterinary Use | Indications/Contra | FAERs-F | FAERs-M | Orange Bk | PK/Tox | Related Drugs | BioActivity |

Stem definitionDrug idCAS RN
nucleosides antiviral or antineoplastic agents, cytarabine or azacitidine derivatives 790 2353-33-5

Description:

MoleculeDescription

Molfile Inchi Smiles

Synonyms:

  • decitabine mesylate
  • decitabine mesilate
  • decitabine
  • dacogen
An azacitidine derivative and antineoplastic antimetabolite. It inhibits DNA methyltransferase to re-activate silent genes, limiting METASTASIS and NEOPLASM DRUG RESISTANCE. Decitabine is used in the treatment of MYELODISPLASTIC SYNDROMES, and ACUTE MYELOID LEUKEMIA.
  • Molecular weight: 228.21
  • Formula: C8H12N4O4
  • CLOGP: -1.90
  • LIPINSKI: 0
  • HAC: 8
  • HDO: 3
  • TPSA: 120.74
  • ALOGS: -1.62
  • ROTB: 2

  • Status: OFP

  • Legend:
    OFP - off patent
    OFM - off market
    ONP - on patent

Drug dosage:

None

ADMET properties:

PropertyValueReference
MRTD (Maximum Recommended Therapeutic Daily Dose) 4.87 ยตM/kg/day Contrera JF, Matthews EJ, Kruhlak NL, Benz RD
Vd (Volume of distribution) 4.60 L/kg Lombardo F, Berellini G, Obach RS
CL (Clearance) 130 mL/min/kg Lombardo F, Berellini G, Obach RS
fu (Fraction unbound in plasma) 1 % Lombardo F, Berellini G, Obach RS
t_half (Half-life) 0.58 hours Lombardo F, Berellini G, Obach RS
S (Water solubility) 10 mg/mL Bocci G, Oprea TI, Benet LZ
BA (Bioavailability) 0 %
BDDCS (Biopharmaceutical Drug Disposition Classification System) 1 Bocci G, Oprea TI, Benet LZ

Predicted pharmacokinetic/toxicological properties (PK-AZ):

PropertyDescriptionValueUnitConfidenceSimilarity
azlogd74 LogD at pH 7.4 -1.724 High 1
caco2-efflux Caco-2 efflux ratio (BA/AB) 9.354 High 1
caco2-intrinsic-papp Caco-2 intrinsic apparent permeability 1.936 10^-6 cm/s High 1
dh-clint Dog hepatocyte intrinsic clearance 1.250 uL/min/10^6 cells High 1
dppb Dog plasma protein binding (% unbound) 94.870 % High 1
fcs-ppb Fetal calf serum protein binding (% unbound) 95.780 % High 1
herg hERG pIC50 3.265 pIC50 High 1
hh-clint Human hepatocyte intrinsic clearance 0.989 uL/min/10^6 cells High 1
hlm-clint Human liver microsomal intrinsic clearance 3.192 uL/min/mg protein High 1
hppb Human plasma protein binding (% unbound) 91.190 % High 1
kinase-safety-class ACVR2B,AXL,BRAF,CAMK2D,CDK5,CDK9,DYRK1B,EIF2AK3,ERBB2,FLT3,GRK2,ITK,MAP2K6,MAP3K21,MAPK7,NTRK1,NTRK2,PDK1,PDK2,PIK3CD,PRKDC 21
kinase-selectivity-class PIK3CD 1
mdck-mdr1-efflux MDCK-MDR1 efflux ratio 5.082 High 1
mh-clint Mouse hepatocyte intrinsic clearance 0.914 High 1
mppb Mouse plasma protein binding (% unbound) 97.420 High 1
nih-mdck-mdr1-efflux NIH MDCK-MDR1 efflux ratio 2.065 High 1
pfas-class PFAS structural alert (1 = True, 0 = False) 0
pppb Pig plasma protein binding (% unbound) 95.410 % High 1
rh-clint Rat hepatocyte intrinsic clearance 1.799 uL/min/10^6 cells High 1
rh-fuinc Rat hepatocyte fraction unbound in incubation 97.130 % High 1
rppb Rat plasma protein binding (% unbound) 93.330 % High 1
solubility-dd Solubility at pH 7.4 in DMSO 897.429 uM High 1

Approvals:

DateAgencyCompanyOrphan
May 2, 2006 FDA Astex Pharmaceuticals, Inc.

FDA Adverse Event Reporting System (Female)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Febrile neutropenia 413.10 34.97 181 3950 158168 90466148
Myelosuppression 391.11 34.97 130 4001 53461 90570855
Neutropenia 127.64 34.97 95 4036 224809 90399507
Pneumonia 105.84 34.97 137 3994 637922 89986394
Off label use 96.84 34.97 176 3955 1102076 89522240
Disease progression 90.60 34.97 67 4064 156548 90467768
Thrombocytopenia 89.89 34.97 75 4056 208650 90415666
Pancytopenia 89.42 34.97 60 4071 120203 90504113
Acute myeloid leukaemia 89.04 34.97 34 4097 20606 90603710
Sepsis 88.80 34.97 70 4061 179744 90444572
Bone marrow failure 87.25 34.97 38 4093 32183 90592133
Acute myeloid leukaemia recurrent 71.53 34.97 17 4114 2040 90622276
Product use in unapproved indication 71.40 34.97 82 4049 336154 90288162
Death 57.36 34.97 86 4045 456465 90167851
Mucosal inflammation 55.81 34.97 34 4097 57591 90566725
Escherichia bacteraemia 54.27 34.97 17 4114 5718 90618598
Splenic abscess 50.11 34.97 9 4122 269 90624047
Pneumonia fungal 46.92 34.97 16 4115 7015 90617301
Posterior reversible encephalopathy syndrome 46.68 34.97 22 4109 22317 90601999
Respiratory failure 45.66 34.97 40 4091 118378 90505938
Haematotoxicity 44.71 34.97 18 4113 12517 90611799
Acute myeloid leukaemia refractory 42.37 34.97 7 4124 126 90624190
Pyrexia 40.22 34.97 91 4040 660394 89963922
Platelet count decreased 37.00 34.97 38 4093 136931 90487385
Leukaemia recurrent 35.20 34.97 9 4122 1458 90622858

FDA Adverse Event Reporting System (Male)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Myelosuppression 430.57 29.83 173 5654 40288 42575220
Febrile neutropenia 314.91 29.83 234 5593 185469 42430039
Acute myeloid leukaemia 134.32 29.83 64 5763 22192 42593316
Neutropenia 117.41 29.83 140 5687 199291 42416217
Off label use 105.97 29.83 253 5574 638082 41977426
Pancytopenia 92.08 29.83 96 5731 117647 42497861
Infection 90.55 29.83 93 5734 111975 42503533
Acute myeloid leukaemia recurrent 90.48 29.83 29 5798 3483 42612025
Bone marrow failure 89.64 29.83 56 5771 33037 42582471
Thrombocytopenia 88.70 29.83 119 5708 190160 42425348
Pneumonia 70.28 29.83 168 5659 421981 42193527
Sepsis 63.05 29.83 104 5723 199230 42416278
Bacteraemia 61.87 29.83 40 5787 25000 42590508
Cytopenia 58.72 29.83 34 5793 17463 42598045
Product use in unapproved indication 55.31 29.83 94 5733 184362 42431146
Disease progression 55.17 29.83 82 5745 143574 42471934
Acute myeloid leukaemia refractory 52.83 29.83 10 5817 127 42615381
Drug ineffective 47.36 29.83 190 5637 630007 41985501
Therapy partial responder 47.05 29.83 31 5796 19990 42595518
Therapy non-responder 42.48 29.83 44 5783 53315 42562193
Pyrexia 36.25 29.83 127 5700 393915 42221593
Mucormycosis 32.57 29.83 17 5810 7126 42608382
Aspergillus infection 31.21 29.83 22 5805 15815 42599693
Oesophageal candidiasis 30.32 29.83 15 5812 5620 42609888

FDA Adverse Event Reporting System (Geriatric)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Febrile neutropenia 708.18 29.28 398 9006 316369 110263526
Myelosuppression 583.11 29.28 239 9165 94101 110485794
Neutropenia 227.25 29.28 214 9190 374406 110205489
Acute myeloid leukaemia recurrent 206.70 29.28 54 9350 5085 110574810
Acute myeloid leukaemia 196.28 29.28 85 9319 38025 110541870
Pneumonia 190.75 29.28 297 9107 876417 109703478
Bone marrow failure 174.00 29.28 89 9315 57759 110522136
Thrombocytopenia 164.59 29.28 174 9230 348711 110231184
Product use in unapproved indication 159.76 29.28 193 9211 447184 110132711
Sepsis 159.28 29.28 166 9238 327180 110252715
Pancytopenia 154.86 29.28 134 9270 209479 110370416
Off label use 137.66 29.28 354 9050 1499831 109080064
Disease progression 126.25 29.28 128 9276 243906 110335989
Cytopenia 89.52 29.28 46 9358 30070 110549825
Acute myeloid leukaemia refractory 81.09 29.28 15 9389 277 110579618
Bacteraemia 79.98 29.28 48 9356 42342 110537553
Haematotoxicity 79.91 29.28 38 9366 21044 110558851
Infection 77.18 29.28 122 9282 362078 110217817
Therapy partial responder 75.24 29.28 44 9360 37017 110542878
Drug ineffective 65.30 29.28 278 9126 1520262 109059633
Mucosal inflammation 63.95 29.28 58 9346 96083 110483812
Pneumonia fungal 63.37 29.28 29 9375 14725 110565170
Pyrexia 62.07 29.28 192 9212 898073 109681822
Respiratory failure 60.98 29.28 83 9321 215249 110364646
Leukaemia recurrent 58.13 29.28 18 9386 3113 110576782
Death 53.51 29.28 155 9249 698714 109881181
Anaemia 51.53 29.28 131 9273 546955 110032940
Escherichia bacteraemia 50.10 29.28 22 9382 10142 110569753
Septic shock 49.63 29.28 64 9340 157464 110422431
Aspergillus infection 48.29 29.28 29 9375 25587 110554308
Platelet count decreased 48.15 29.28 77 9327 230366 110349529
Therapy non-responder 48.13 29.28 63 9341 157244 110422651
Mucormycosis 42.86 29.28 20 9384 10608 110569287
Tumour lysis syndrome 41.00 29.28 28 9376 30773 110549122
Organising pneumonia 40.14 29.28 21 9383 14222 110565673
Drug ineffective for unapproved indication 39.19 29.28 46 9358 102792 110477103
Pain 37.84 29.28 17 9387 954938 109624957
Graft versus host disease 37.30 29.28 22 9382 18784 110561111
Bronchopulmonary aspergillosis 37.05 29.28 26 9378 29837 110550058
Chronic graft versus host disease 35.69 29.28 17 9387 9440 110570455
Neutrophil count decreased 34.77 29.28 47 9357 120894 110459001
Disease recurrence 33.39 29.28 33 9371 60751 110519144
Splenic abscess 33.05 29.28 9 9395 991 110578904
Gene mutation 32.91 29.28 12 9392 3417 110576478
Pseudomonas infection 31.68 29.28 23 9381 27830 110552065
Cardiac failure 30.35 29.28 56 9348 187570 110392325
Headache 30.11 29.28 19 9385 882358 109697537
Malignant neoplasm progression 29.37 29.28 53 9351 174514 110405381

FDA Adverse Event Reporting System (Pediatric)

None

Pharmacologic Action:

SourceCodeDescription
ATC L01BC08 ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS
ANTINEOPLASTIC AGENTS
ANTIMETABOLITES
Pyrimidine analogues
ATC L01BC58 ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS
ANTINEOPLASTIC AGENTS
ANTIMETABOLITES
Pyrimidine analogues
FDA MoA N0000000233 Nucleic Acid Synthesis Inhibitors
MeSH PA D000963 Antimetabolites
MeSH PA D000964 Antimetabolites, Antineoplastic
MeSH PA D000970 Antineoplastic Agents
MeSH PA D004791 Enzyme Inhibitors
FDA EPC N0000175595 Nucleoside Metabolic Inhibitor
CHEBI has role CHEBI:22587 antiviral agent
CHEBI has role CHEBI:35610 antineoplastic agent
CHEBI has role CHEBI:64946 anti-HIV agent
CHEBI has role CHEBI:75835 anti-anaemic agent
CHEBI has role CHEBI:233423 antifibrotic agent

Related Drugs by ATC class:

L01BC Pyrimidine analogues 9 drugs

Drug Use | Suggest Off label Use Form| |View source of the data|

DiseaseRelationSNOMED_IDDOID
Acute myeloid leukemia, disease indication 91861009
Myelodysplastic syndrome indication 109995007
Diabetes mellitus contraindication 73211009 DOID:9351
Kidney disease contraindication 90708001 DOID:557
Disease of liver contraindication 235856003 DOID:409
Pregnancy, function contraindication 289908002
Thrombocytopenic disorder contraindication 302215000 DOID:1588
Neutropenic disorder contraindication 303011007 DOID:1227
Breastfeeding (mother) contraindication 413712001




๐Ÿถ Veterinary Drug Use

None

๐Ÿถ Veterinary products

None

Acid dissociation constants calculated using MoKa v3.0.0

Dissociation levelDissociation constantType (acidic/basic)
pKa1 12.94 acidic
pKa2 13.68 acidic
pKa3 4.39 Basic
pKa4 2.93 Basic

Orange Book patent data (new drug applications)

Formulation strengthTrade nameApplicantApplication numberApproval dateTypeDose formRoutePatent numberPatent expiration datePatent use
100MG;35MG INQOVI TAIHO ONCOLOGY N212576 July 7, 2020 RX TABLET ORAL 8618075 Oct. 16, 2028 METHOD FOR INHIBITING CYTIDINE DEAMINASE BY ADMINISTERING CEDAZURIDINE
100MG;35MG INQOVI TAIHO ONCOLOGY N212576 July 7, 2020 RX TABLET ORAL 8618075 Oct. 16, 2028 METHOD FOR INHIBITING DEGRADATION OF A CDA SUBSTRATE BY ADMINISTERING CEDAZURIDINE
100MG;35MG INQOVI TAIHO ONCOLOGY N212576 July 7, 2020 RX TABLET ORAL 8268800 Aug. 22, 2030 METHOD FOR INHIBITING CYTIDINE DEAMINASE BY ADMINISTERING CEDAZURIDINE
100MG;35MG INQOVI TAIHO ONCOLOGY N212576 July 7, 2020 RX TABLET ORAL 8268800 Aug. 22, 2030 METHOD FOR INHIBITING DEGRADATION OF A CDA SUBSTRATE BY ADMINISTERING CEDAZURIDINE
100MG;35MG INQOVI TAIHO ONCOLOGY N212576 July 7, 2020 RX TABLET ORAL 8268800 Aug. 22, 2030 TREATMENT OF CHRONIC MYELOMONOCYTIC LEUKEMIA
100MG;35MG INQOVI TAIHO ONCOLOGY N212576 July 7, 2020 RX TABLET ORAL 8268800 Aug. 22, 2030 TREATMENT OF MYELODYSPLASTIC SYNDROME
100MG;35MG INQOVI TAIHO ONCOLOGY N212576 July 7, 2020 RX TABLET ORAL 12239653 Feb. 24, 2041 TREATMENT OF CHRONIC MYELOMONOCYTIC LEUKEMIA
100MG;35MG INQOVI TAIHO ONCOLOGY N212576 July 7, 2020 RX TABLET ORAL 12239653 Feb. 24, 2041 TREATMENT OF MYELODYSPLASTIC SYNDROME

Orange Book exclusivity data (new drug applications)

Formulation strengthTrade nameApplicantApplication numberApproval dateTypeDose formRouteExclusivity dateDescription
100MG;35MG INQOVI TAIHO ONCOLOGY N212576 July 7, 2020 RX TABLET ORAL July 7, 2027 TREATMENT OF ADULT PATIENTS WITH MYELODYSPLASTIC SYNDROMES (MDS), INCLUDING PREVIOUSLY TREATED AND UNTREATED, DE NOVO AND SECONDARY MDS WITH THE FOLLOWING FRENCH-AMERICAN-BRITISH SUBTYPES (REFRACTORY ANEMIA, REFRACTORY ANEMIA WITH RINGED SIDEROBLASTS, REFRACTORY ANEMIA WITH EXCESS BLASTS, AND CHRONIC MYELOMONOCYTIC LEUKEMIA [CMML]) AND INTERMEDIATE-1, INTERMEDIATE-2, AND HIGH-RISK INTERNATIONAL PROGNOSTIC SCORING SYSTEM GROUPS.
100MG;35MG INQOVI TAIHO ONCOLOGY N212576 July 7, 2020 RX TABLET ORAL May 13, 2029 IN COMBINATION WITH VENETOCLAX FOR THE TREATMENT OF NEWLY DIAGNOSED ACUTE MYELOID LEUKEMIA (AML) IN ADULTS 75 YEARS OR OLDER, OR WHO HAVE COMORBIDITIES THAT PRECLUDE USE OF INTENSIVE INDUCTION CHEMOTHERAPY

Bioactivity Summary:

TargetClassPharosUniProtActionTypeActivity value
(-log[M])
Mechanism
action
Bioact sourceMoA source
DNA (cytosine-5)-methyltransferase 1 Enzyme INHIBITOR IC50 7.52 CHEMBL CHEMBL
DNA (cytosine-5)-methyltransferase 3A Enzyme INHIBITOR CHEMBL CHEMBL

External reference:

IDSource
4025438 VUID
N0000179023 NUI
D03665 KEGG_DRUG
879492-57-6 SECONDARY_CAS_RN
15657 RXNORM
4025438 VANDF
C0049065 UMLSCUI
CHEBI:50131 CHEBI
CHEMBL1201129 ChEMBL_ID
DB01262 DRUGBANK_ID
D000077209 MESH_DESCRIPTOR_UI
451668 PUBCHEM_CID
6805 IUPHAR_LIGAND_ID
6374 INN_ID
776B62CQ27 UNII
203877 MMSL
21366 MMSL
81707 MMSL
d05788 MMSL
011499 NDDF
420517007 SNOMEDCT_US
420759005 SNOMEDCT_US
776B62CQ27 INXIGHT DRUGS

Pharmaceutical products:

ProductCategoryIngredientsNDCFormQuantityRouteMarketingLabel
decitabine HUMAN PRESCRIPTION DRUG LABEL 1 0143-9385 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 50 mg INTRAVENOUS ANDA 28 sections
Decitabine HUMAN PRESCRIPTION DRUG LABEL 1 16729-224 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 50 mg INTRAVENOUS ANDA 27 sections
Decitabine HUMAN PRESCRIPTION DRUG LABEL 1 25021-219 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 50 mg INTRAVENOUS ANDA 28 sections
Decitabine HUMAN PRESCRIPTION DRUG LABEL 1 31722-304 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 50 mg INTRAVENOUS ANDA 27 sections
Decitabine HUMAN PRESCRIPTION DRUG LABEL 1 43598-427 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 50 mg INTRAVENOUS ANDA 27 sections
DECITABINE HUMAN PRESCRIPTION DRUG LABEL 1 50742-430 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 50 mg INTRAVENOUS ANDA 24 sections
Decitabine HUMAN PRESCRIPTION DRUG LABEL 1 55111-556 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 50 mg INTRAVENOUS ANDA 27 sections
Decitabine Human Prescription Drug Label 1 55150-376 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 50 mg INTRAVENOUS ANDA 27 sections
INQOVI HUMAN PRESCRIPTION DRUG LABEL 2 64842-0727 TABLET, FILM COATED 35 mg ORAL NDA 32 sections
Decitabine HUMAN PRESCRIPTION DRUG LABEL 1 67184-0535 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 50 mg INTRAVENOUS ANDA 28 sections
Decitabine HUMAN PRESCRIPTION DRUG LABEL 1 67457-316 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 50 mg INTRAVENOUS ANDA 27 sections
DECITABINE HUMAN PRESCRIPTION DRUG LABEL 1 68001-573 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 50 mg INTRAVENOUS ANDA 25 sections
Decitabine HUMAN PRESCRIPTION DRUG LABEL 1 68001-618 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 50 mg INTRAVENOUS ANDA 28 sections
Decitabine HUMAN PRESCRIPTION DRUG LABEL 1 68001-642 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 50 mg INTRAVENOUS ANDA 27 sections
decitabine Human Prescription Drug Label 1 68083-528 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 50 mg INTRAVENOUS ANDA 27 sections
decitabine HUMAN PRESCRIPTION DRUG LABEL 1 68180-738 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 50 mg INTRAVENOUS ANDA 25 sections
Decitabine HUMAN PRESCRIPTION DRUG LABEL 1 70121-1644 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 50 mg INTRAVENOUS ANDA 28 sections
Decitabine HUMAN PRESCRIPTION DRUG LABEL 1 71288-119 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 50 mg INTRAVENOUS ANDA 27 sections
Decitabine HUMAN PRESCRIPTION DRUG LABEL 1 71288-119 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 50 mg INTRAVENOUS ANDA 27 sections
Decitabine HUMAN PRESCRIPTION DRUG LABEL 1 72162-2634 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 50 mg INTRAVENOUS ANDA 27 sections
Decitabine Human Prescription Drug Label 1 72205-031 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 50 mg INTRAVENOUS ANDA 27 sections
Decitabine Human Prescription Drug Label 1 72205-036 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 50 mg INTRAVENOUS ANDA 27 sections
Decitabine Human Prescription Drug Label 1 72603-107 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 50 mg INTRAVENOUS ANDA 27 sections
DECITABINE Human Prescription Drug Label 1 75834-190 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION 50 mg INTRAVENOUS ANDA 27 sections