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2D Structure
Also known as: 123318-82-1, Clolar, Evoltra, Clofarex, Cafda, Cl-f-ara-a
Molecular Formula
C10H11ClFN5O3
Molecular Weight
303.68  g/mol
InChI Key
WDDPHFBMKLOVOX-AYQXTPAHSA-N
FDA UNII
762RDY0Y2H

An adenine arabinonucleoside derivative that acts as an antineoplastic antimetabolite. It is used in the treatment of ACUTE LYMPHOID LEUKEMIA in pediatric patients who have relapsed.
Clofarabine is a Nucleoside Metabolic Inhibitor. The mechanism of action of clofarabine is as a Nucleic Acid Synthesis Inhibitor.
1 2D Structure

2D Structure

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
(2R,3R,4S,5R)-5-(6-amino-2-chloropurin-9-yl)-4-fluoro-2-(hydroxymethyl)oxolan-3-ol
2.1.2 InChI
InChI=1S/C10H11ClFN5O3/c11-10-15-7(13)5-8(16-10)17(2-14-5)9-4(12)6(19)3(1-18)20-9/h2-4,6,9,18-19H,1H2,(H2,13,15,16)/t3-,4+,6-,9-/m1/s1
2.1.3 InChI Key
WDDPHFBMKLOVOX-AYQXTPAHSA-N
2.1.4 Canonical SMILES
C1=NC2=C(N=C(N=C2N1C3C(C(C(O3)CO)O)F)Cl)N
2.1.5 Isomeric SMILES
C1=NC2=C(N=C(N=C2N1[C@H]3[C@H]([C@@H]([C@H](O3)CO)O)F)Cl)N
2.2 Other Identifiers
2.2.1 UNII
762RDY0Y2H
2.3 Synonyms
2.3.1 MeSH Synonyms

1. 2 Chloro 2' Arabino Fluoro 2' Deoxyadenosine

2. 2 Chloro 2' Fluoroarabino 2' Deoxyadenosine

3. 2-chloro-2'-arabino-fluoro-2'-deoxyadenosine

4. 2-chloro-2'-fluoroarabino-2'-deoxyadenosine

5. 2-chloro-9-(2-deoxy-2-fluoro-beta-d-arbinofuranosyl)adenine

6. 2-chloro-9-(2-deoxy-2-fluoroarabinofuranosyl)adenine

7. 9h-purin-6-amine, 2-chloro-9-(2-deoxy-2-fluoro-beta-d-arabinofuranosyl)-

8. Cl-f-ara-a

9. Clofarex

10. Clolar

11. Evoltra

2.3.2 Depositor-Supplied Synonyms

1. 123318-82-1

2. Clolar

3. Evoltra

4. Clofarex

5. Cafda

6. Cl-f-ara-a

7. C1-f-ara-a

8. (2r,3r,4s,5r)-5-(6-amino-2-chloropurin-9-yl)-4-fluoro-2-(hydroxymethyl)oxolan-3-ol

9. 2-chloro-9-(2-deoxy-2-fluoro-beta-d-arabinofuranosyl)-9h-purin-6-amine

10. 2-chloro-9-(2-deoxy-2-fluoro-beta-d-arabinofuranosyl)adenine

11. Chebi:681569

12. (2r,3r,4s,5r)-5-(6-amino-2-chloro-9h-purin-9-yl)-4-fluoro-2-(hydroxymethyl)tetrahydrofuran-3-ol

13. 762rdy0y2h

14. 9h-purin-6-amine, 2-chloro-9-(2-deoxy-2-fluoro-beta-d-arabinofuranosyl)-

15. (2r,3r,4s,5r)-5-(6-amino-2-chloro-9h-purin-9-yl)-4-fluoro-2-(hydroxymethyl)oxolan-3-ol

16. Nsc-759857

17. Clofarabine [usan]

18. 2-chloro-9-(2'-deoxy-2'-fluoro-beta-d-arabinofuranosyl)adenine

19. Dsstox_cid_26437

20. Dsstox_rid_81613

21. Dsstox_gsid_46437

22. Cfb

23. Clofarabina

24. Clofarabinum

25. Cl-f-araa

26. Mfcd00871077

27. 2-chloro-9-(2-deoxy-2-fluoro-b -d-arabinofuranosyl)-9h-purin-6-amine

28. (2r,3r,4s,5r)-5-(6-amino-2-chloro-purin-9-yl)-4-fluoro-2-(hydroxymethyl)tetrahydrofuran-3-ol

29. Clolar (tn)

30. Cas-123318-82-1

31. 2-cl-2'-f-araa

32. Unii-762rdy0y2h

33. Clofarabine [usan:inn:ban]

34. Ncgc00164553-01

35. Clofarabine [mi]

36. Clofarabine [inn]

37. Clofarabine [jan]

38. 2-chloro-9-(2-deoxy-2-fluoro-b-d-arabinofuranosyl)-9h-purin-6-amine

39. 2-chloro-2'-arabino-fluoro-2'-deoxyadenosine

40. Clofarabine [vandf]

41. Clofarabine,clolar, Evoltra

42. Schembl9040

43. Chembl1750

44. Clofarabine [mart.]

45. Clofarabine [who-dd]

46. Mls003915615

47. Clofarabine (jan/usan/inn)

48. Clofarabine [ema Epar]

49. Gtpl6802

50. Dtxsid5046437

51. Clofarabine, >=98% (hplc)

52. Clofarabine [orange Book]

53. Hms2090a07

54. Hms3413j15

55. Hms3677j15

56. Act05522

57. Bcp23422

58. Hy-a0005

59. Zinc3798247

60. Tox21_112182

61. Ac-274

62. Bdbm50247921

63. S1218

64. Akos005063562

65. Akos015919355

66. Tox21_112182_1

67. Bcp9000540

68. Ccg-264865

69. Cs-0373

70. Db00631

71. Nsc 759857

72. Sar-393590

73. Ncgc00164553-02

74. Ncgc00164553-05

75. As-12958

76. Smr002530055

77. Bcp0726000280

78. Sw218080-2

79. D03546

80. Ab00430247-03

81. Ab00430247-04

82. Ab00430247_06

83. 318c821

84. Sr-01000930565

85. Q5134875

86. Sr-01000930565-3

87. Z1557400138

88. 2-chloro-9-(2-deoxy-2-fluoro-beta-d-arabinofuranosyl)-adenine

89. 2-chloro-9-(2-deoxy-2-fluoro-?-d-arabinofuranosyl)-9h-purin-6-amine

90. 9h-purine-6-amine,2-chloro-9-(2-deoxy-2-fluoro-beta-d-arabinofuranosyl)-

91. 2-chloro-9-(2-deoxy-2-fluoro-.beta.-d-arabinofuranosyl)-9h-purin-6-amine

92. 9h-purin-6-amine, 2-chloro-9-(2-deoxy-2-fluoro-.beta.-d-arabinofuranosyl)

93. (2r,3r,4s,5r)-5-(6-amino-2-chloropurin-9-yl)-4-fluoro-2-(hydroxymethyl)oxolan-3-ol 2-chloro-2''-arabino-fluoro-2''-deoxyadenosine

2.4 Create Date
2005-08-08
3 Chemical and Physical Properties
Molecular Weight 303.68 g/mol
Molecular Formula C10H11ClFN5O3
XLogP30.9
Hydrogen Bond Donor Count3
Hydrogen Bond Acceptor Count8
Rotatable Bond Count2
Exact Mass303.0534451 g/mol
Monoisotopic Mass303.0534451 g/mol
Topological Polar Surface Area119 Ų
Heavy Atom Count20
Formal Charge0
Complexity370
Isotope Atom Count0
Defined Atom Stereocenter Count4
Undefined Atom Stereocenter Count0
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count1
4 Drug and Medication Information
4.1 Drug Information
1 of 2  
Drug NameClolar
PubMed HealthClofarabine (Injection)
Drug ClassesAntineoplastic Agent
Drug LabelClolar (clofarabine) Injection contains clofarabine, a purine nucleoside metabolic inhibitor. Clolar (1 mg/mL) is supplied in a 20 mL, single-use vial. The 20 mL vial contains 20 mg clofarabine formulated in 20 mL unbuffered normal saline (comprised...
Active IngredientClofarabine
Dosage FormInjectable
RouteIv (infusion)
Strength20mg/20ml (1mg/ml)
Market StatusPrescription
CompanyGenzyme

2 of 2  
Drug NameClolar
PubMed HealthClofarabine (Injection)
Drug ClassesAntineoplastic Agent
Drug LabelClolar (clofarabine) Injection contains clofarabine, a purine nucleoside metabolic inhibitor. Clolar (1 mg/mL) is supplied in a 20 mL, single-use vial. The 20 mL vial contains 20 mg clofarabine formulated in 20 mL unbuffered normal saline (comprised...
Active IngredientClofarabine
Dosage FormInjectable
RouteIv (infusion)
Strength20mg/20ml (1mg/ml)
Market StatusPrescription
CompanyGenzyme

4.2 Drug Indication

For the treatment of pediatric patients 1 to 21 years old with relapsed or refractory acute lymphocytic (lymphoblastic) leukemia after at least two prior regimens. It is designated as an orphan drug by the FDA for this use.


FDA Label


Treatment of acute lymphoblastic leukaemia (ALL) in paediatric patients who have relapsed or are refractory after receiving at least two prior regimens and where there is no other treatment option anticipated to result in a durable response. Safety and efficacy have been assessed in studies of patients 21 years old at initial diagnosis.


5 Pharmacology and Biochemistry
5.1 Pharmacology

Clofarabine is a purine nucleoside antimetabolite that differs from other puring nucleoside analogs by the presence of a chlorine in the purine ring and a flourine in the ribose moiety. Clofarabine seems to interfere with the growth of cancer cells, which are eventually destroyed. Since the growth of normal body cells may also be affected by clofarabine, other effects also occur. Clofarabine prevents cells from making DNA and RNA by interfering with the synthesis of nucleic acids, thus stopping the growth of cancer cells.


5.2 MeSH Pharmacological Classification

Antimetabolites, Antineoplastic

Antimetabolites that are useful in cancer chemotherapy. (See all compounds classified as Antimetabolites, Antineoplastic.)


5.3 FDA Pharmacological Classification
5.3.1 Active Moiety
CLOFARABINE
5.3.2 FDA UNII
762RDY0Y2H
5.3.3 Pharmacological Classes
Nucleoside Metabolic Inhibitor [EPC]; Nucleic Acid Synthesis Inhibitors [MoA]
5.4 ATC Code

L01BB06


L - Antineoplastic and immunomodulating agents

L01 - Antineoplastic agents

L01B - Antimetabolites

L01BB - Purine analogues

L01BB06 - Clofarabine


5.5 Absorption, Distribution and Excretion

Route of Elimination

Based on 24-hour urine collections in the pediatric studies, 49 - 60% of the dose is excreted in the urine unchanged.


Volume of Distribution

172 L/m2


Clearance

28.8 L/h/m2 [Pediatric patients (2 - 19 years old) with relapsed or refractory acute lymphoblastic leukemia (ALL) or acute myelogenous leukemia (AML) receiving 52 mg/m2 dose]


5.6 Metabolism/Metabolites

Clofarabine is sequentially metabolized intracellularly to the 5’-monophosphate metabolite by deoxycytidine kinase and mono- and di-phosphokinases to the active 5’-triphosphate metabolite. Clofarabine has high affinity for the activating phosphorylating enzyme, deoxycytidine kinase, equal to or greater than that of the natural substrate, deoxycytidine.


5.7 Biological Half-Life

The terminal half-life is estimated to be 5.2 hours.


5.8 Mechanism of Action

Clofarabine is metabolized intracellularly to the active 5'-monophosphate metabolite by deoxycytidine kinase and 5'-triphosphate metabolite by mono- and di-phospho-kinases. This metabolite inhibits DNA synthesis through an inhibitory action on ribonucleotide reductase, and by terminating DNA chain elongation and inhibiting repair through competitive inhibition of DNA polymerases. This leads to the depletion of the intracellular deoxynucleotide triphosphate pool and the self-potentiation of clofarabine triphosphate incorporation into DNA, thereby intensifying the effectiveness of DNA synthesis inhibition. The affinity of clofarabine triphosphate for these enzymes is similar to or greater than that of deoxyadenosine triphosphate. In preclinical models, clofarabine has demonstrated the ability to inhibit DNA repair by incorporation into the DNA chain during the repair process. Clofarabine 5'-triphosphate also disrupts the integrity of mitochondrial membrane, leading to the release of the pro-apoptotic mitochondrial proteins, cytochrome C and apoptosis-inducing factor, leading to programmed cell death.