2-CdA
Brand names,
2-CdA
Analogs
2-CdA
Brand Names Mixture
2-CdA
Chemical_Formula
C10H12ClN5O3
2-CdA
RX_link
http://www.rxlist.com/cgi/generic3/cladribine.htm
2-CdA
fda sheet
2-CdA
msds (material safety sheet)
2-CdA
Synthesis Reference
No information avaliable
2-CdA
Molecular Weight
285.687 g/mol
2-CdA
Melting Point
215 oC
2-CdA
H2O Solubility
No information avaliable
2-CdA
State
Solid
2-CdA
LogP
1.57
2-CdA
Dosage Forms
Solution
2-CdA
Indication
For the treatment of active hairy cell leukemia (leukemic reticuloendotheliosis) as defined by clinically significant anemia, neutropenia, thrombocytopenia, or disease-related symptoms.
2-CdA
Pharmacology
Cladribine is a synthetic antineoplastic agent with immunosuppressive effects. Cladribine is one of a group of chemotherapy drugs known as the anti-metabolites. Anti-metabolites stop cells making and repairing DNA. Cancer cells need to make and repair DNA in order to grow and multiply.
2-CdA
Absorption
Oral bioavailability is 34 to 48%.
2-CdA
side effects and Toxicity
Symptoms of overdose include irreversible neurologic toxicity (paraparesis/quadriparesis), acute nephrotoxicity, and severe bone marrow suppression resulting in neutropenia, anemia and thrombocytopenia.
2-CdA
Patient Information
LEUSTATIN (cladribine) Injection should be administered under the supervision of a qualified physician experienced in the use of antineoplastic therapy. Suppression of bone marrow function should be anticipated. This is usually reversible and appears to be dose dependent. Serious neurological toxicity (including irreversible paraparesis and quadraparesis) has been reported in patients who received LEUSTATIN Injection by continuous infusion at high doses (4 to 9 times the recommended dose for Hairy Cell Leukemia). Neurologic toxicity appears to demonstrate a dose relationship; however, severe neurological toxicity has been reported rarely following treatment with standard cladribine dosing regimens. Acute nephrotoxicity has been observed with high doses of LEUSTATIN (4 to 9 times the recommended dose for Hairy Cell Leukemia), especially when given concomitantly with other nephrotoxic agents/ therapies.
2-CdA
Organisms Affected
Humans and other mammals