Cladribine
Brand names,
Cladribine
Analogs
Cladribine
Brand Names Mixture
Cladribine
Chemical_Formula
C10H12ClN5O3
Cladribine
RX_link
http://www.rxlist.com/cgi/generic3/cladribine.htm
Cladribine
fda sheet
Cladribine
msds (material safety sheet)
Cladribine
Synthesis Reference
No information avaliable
Cladribine
Molecular Weight
285.687 g/mol
Cladribine
Melting Point
215 oC
Cladribine
H2O Solubility
No information avaliable
Cladribine
State
Solid
Cladribine
LogP
1.57
Cladribine
Dosage Forms
Solution
Cladribine
Indication
For the treatment of active hairy cell leukemia (leukemic reticuloendotheliosis) as defined by clinically significant anemia, neutropenia, thrombocytopenia, or disease-related symptoms.
Cladribine
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.
Cladribine
Absorption
Oral bioavailability is 34 to 48%.
Cladribine
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.
Cladribine
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.
Cladribine
Organisms Affected
Humans and other mammals