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Sapacitabine

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249: 583:"has a right of first negotiation". They currently have essentially all marketing rights globally for the compounds in association with their drug development programs. Numerous patents from Cyclacel are found related to sapacitibine and sapacitibine dosing regimes along with other drugs such as decitibine. There are patents and applications that no longer apply to current use of sapacitibine, some involving administration of sapacitibine and seliciclib. 534:) patients with good renal and liver function and who are not viable candidates for or have refused intensive induction chemotherapy. SEAMLESS is a global study with 118 different sites in the United States, Austria, Belgium, France, Germany, Hungary, Italy, Poland, Spain, Sweden, Switzerland, and the United Kingdom. In the trial an arm of oral sapacitibine is given in alternating cycles with IV 576:
2016 with 15.9 million dollars in cash and equivalents. An earnings report from H.C. Wainwright & Co. acknowledged how Cyclacel may at first seem like an unattractive investment but the ultimate risk/reward opportunity may be positive; sapacitibine has indeed shown very positive anti-tumor activity and has progressed to Phase III clinical trials for elderly patients with AML.
29: 538:, which is compared to the control arm of IV decitabine alone. The SEAMLESS study was constructed based on the promising results of a Phase II one-year survival study for patients with AML. The efficacy goal of the treatment is overall survival; the average survival of an elderly person diagnosed with AML is approximately three to six months. The 543:
results from a Phase I/II clinical trial studying the safety and efficacy of the oral sapacitibine along with IV decitabine were presented, selected data highlights are as follows: median overall survival was approximately 8 months, patients still alive at 3 months was 83%, 35% of patients survived a year or longer, 2 dose-limiting
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For the Phase II trial for MDS patients so far, median survival overall was about 9.7 months, with the average median survival overall for patients receiving classic azacitidine or decitabine is approximately 4.3-5.9 months. More data will be arriving from the second half of this trial meant to allow
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As of August 2016, Cyclacel had a 19.5 million dollar market capitalization and shares of the company have declined in value recently due to research and development costs of 2.6 million dollars and general and administrative expense costs of 1.3 million dollars. Cyclacel ended the last quarter in
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has communicated the unlikelihood that this Phase III study will reach a statistically significant survival improvement due to the planned futility boundary of 247 patient deaths already being crossed, but the trial is ongoing. During a poster session at the 2012 American Society of Hematology,
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Cyclacel currently has no sales or marketing capability and so will rely on alliances to distribute and commercialize the various drugs they hope to bring through the development pipeline. These compounds particularly target control of the cell cycle for treating cancer and other diseases.
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to sapacitibine for the treatment of AML and MDS; this designation assists in funding and provides various benefits for the drug's development such as market exclusivity for a period of several years, grant funding, tax credits, and potential fee waivers.
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The Phase II study for sapacitibine with seliciclib in advanced cancer patients is ongoing; so far, "durable partial responses" and "prolonged stable disease" have been seen particularly for patients with the
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InChI=1S/C26H42N4O5/c1-2-3-4-5-6-7-8-9-10-11-12-13-14-15-23(32)28-22-16-17-30(26(34)29-22)25-20(18-27)24(33)21(19-31)35-25/h16-17,20-21,24-25,31,33H,2-15,19H2,1H3,(H,28,29,32,34)/t20-,21+,24-,25+/m0/s1
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for cancer treatment including hereditary ovarian and breast cancers. Thus far approximately 1,000 patients have received sapacitibine treatment in all phases of trials.
997: 430:) that acts through a dual mechanism. CNDAC lasts longer in the bloodstream by being metabolized from sapacitibine than it would do so by being directly administered. 1697: 336: 590:
Cyclacel says current funds and generated money from items such as R&D tax credits and "recent financing activities" will carry them through 2017. The
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mutations. In a group of 45 patients including those with breast, ovarian, and pancreatic cancers, a "35.6% disease control rate was observed."
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Fein, Andrew S., Emile Yu, and Rachel F. Lane. H.C.Wainwright & Co. Cyclacel Pharmaceuticals, Inc. 12 August 2016. Web. 5 November 2016.
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Faderl S, Gandhi V, Kantarjian HM (March 2008). "Potential role of novel nucleoside analogs in the treatment of acute myeloid leukemia".
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by causing single-strand DNA breaks due to CNDAC being incorporated into DNA during replication or repair, then inducing arrest of the
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Sapacitabine is being evaluated as of March 2016 in three different studies; a Phase III trial for elderly patients with
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for "A Study of Oral Sapacitabine in Elderly Patients With Newly Diagnosed Acute Myeloid Leukemia" at
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Serova M, Galmarini CM, Ghoul A, Benhadji K, Green SR, Chiao J, et al. (September 2007).
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Cyclacel holds worldwide right to commercialize sapacitibine, except in Japan for which
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of a variety of dosing schedules in approximately 120 patients with solid tumors.
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and combination studies with other anti-cancer agents. Three
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mouse model, sapacitabine was shown to be superior to
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Liu XJ, Nowak B, Wang YQ, Plunkett W (August 2012).
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CCCCCCCCCCCCCCCC(=O)NC1=NC(=O)N(C=C1)2(((O2)CO)O)C#N
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initiated a number of 404:developed by US biotechnology firm 196: 127: 1433:Ribonucleotide reductase inhibitor 1389:Ribonucleotide reductase inhibitor 452:, CNDAC, have demonstrated potent 426:-arabino-pentofuranosyl-cytosine ( 14: 1192:Dihydrofolate reductase inhibitor 448:Both sapacitabine and its major 282: 276: 592:European Medicines Agency (EMA) 369:Key:LBGFKUUHOPIEMA-PEARBKPGSA-N 2718:Drugs not assigned an ATC code 1329:Thymidylate synthase inhibitor 1219:Thymidylate synthase inhibitor 932:"sapacitabine - Google Search" 502:Phase I clinical trial studies 288: 270: 1: 1249:Adenosine deaminase inhibitor 1090:Block microtubule disassembly 622:Current Opinion in Hematology 433:The compound interferes with 634:10.1097/MOH.0b013e3282f46e94 596:Food and Drug Administration 540:Data Safety Monitoring Board 515:, a Phase II trial for MDS ( 513:AML (acute myeloid leukemia) 456:activity in both blood and 422:of 2′-C-cyano-2′-deoxy-1-β- 2759: 260:Chemical and physical data 2723:Experimental cancer drugs 2668: 2549:Omacetaxine mepesuccinate 2429:Ciltacabtagene autoleucel 2419:Brexucabtagene autoleucel 773:Chinese Journal of Cancer 669:British Journal of Cancer 517:myelodysplastic syndromes 377: 352: 332: 74: 26: 2601:Talimogene laherparepvec 2534:Nadofaragene firadenovec 2504:Lisocabtagene maraleucel 1453:Topoisomerase inhibitors 1372:DNA polymerase inhibitor 559:better dosing regimens. 528:Phase III clinical trial 2404:Axicabtagene ciloleucel 1008:chemotherapeutic agents 2586:Sitimagene ceradenovec 2484:Idecabtagene vicleucel 2049:Methyl aminolevulinate 839:Clinical trial number 681:10.1038/sj.bjc.6603896 532:acute myeloid leukemia 2060:Porphyrin derivatives 1756:Melphalan flufenamide 1403:Hypomethylating agent 1012:antineoplastic agents 821:www.seamlessstudy.com 785:10.5732/cjc.012.10077 748:investor.cyclacel.com 402:chemotherapeutic drug 86:1-(2-cyano-2-deoxy-β- 2389:Asparagine depleters 2318:Receptor antagonists 2232:+abiraterone acetate 817:"The SEAMLESS Study" 2439:Denileukin diftitox 2339:Retinoid X receptor 2039:Aminolevulinic acid 1861:Triethylenemelamine 1693:Crosslinking of DNA 1424:Deoxyribonucleotide 1363:+gimeracil/oteracil 598:(FDA) have granted 462:preclinical studies 23: 2695:Never to phase III 1497:Etirinotecan pegol 847:ClinicalTrials.gov 600:orphan drug status 478:nucleoside analogs 476:, two widely used 2705: 2704: 2664: 2663: 2621:Tigilanol tiglate 2098:Enzyme inhibitors 2021: 2020: 2017: 2016: 1717:Nitrogen mustards 1687: 1686: 1447: 1446: 1149: 1148: 417:nucleoside analog 395: 394: 323:Interactive image 229:CompTox Dashboard 89: 49: 16:Chemical compound 2750: 2626:Tisagenlecleucel 2383:Arsenic trioxide 2094: 2027:Photosensitizers 1818:Alkyl sulfonates 1732:Cyclophosphamide 1704: 1643:Anthracenediones 1464: 1438:Hydroxycarbamide 1179: 1162: 1040: 1000: 993: 986: 977: 970: 969: 967: 966: 960:www.cyclacel.com 952: 946: 945: 943: 942: 928: 922: 919: 908: 907: 905: 904: 894: 886: 873: 872: 870: 869: 863: 855: 849: 837: 831: 830: 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1421: 1414: 1411: 1409: 1405: 1404: 1400: 1399: 1395: 1391: 1390: 1386: 1385: 1381: 1380:+daunorubicin 1378: 1374: 1373: 1369: 1368: 1364: 1360: 1357: 1355: 1352: 1350: 1347: 1345: 1344:Doxifluridine 1342: 1340: 1337: 1335: 1331: 1330: 1326: 1325: 1323: 1321: 1317: 1310: 1307: 1305: 1301: 1300: 1296: 1294: 1293:Rabacfosadine 1291: 1289: 1286: 1283: 1280: 1278: 1275: 1273: 1269: 1268: 1264: 1260: 1259: 1255: 1251: 1250: 1246: 1245: 1243: 1241: 1237: 1230: 1227: 1225: 1221: 1220: 1216: 1213: 1210: 1208: 1205: 1203: 1200: 1198: 1194: 1193: 1189: 1188: 1186: 1184: 1180: 1177: 1174: 1169: 1163: 1160: 1156: 1152: 1141: 1137: 1136: 1132: 1129: 1126: 1124: 1121: 1119: 1116: 1114: 1111: 1109: 1106: 1104: 1100: 1099: 1095: 1094: 1092: 1088: 1081: 1078: 1076: 1073: 1071: 1068: 1066: 1063: 1061: 1057: 1056: 1052: 1051: 1049: 1046: 1041: 1038: 1035: 1030: 1026: 1022: 1017: 1013: 1009: 1001: 996: 994: 989: 987: 982: 981: 978: 961: 957: 951: 948: 937: 933: 927: 924: 918: 916: 914: 910: 899:. Summer 2016 898: 891: 885: 883: 881: 879: 875: 860: 854: 851: 848: 844: 843: 836: 833: 822: 818: 812: 809: 804: 800: 795: 790: 786: 782: 778: 774: 770: 763: 760: 749: 745: 739: 737: 735: 733: 731: 729: 727: 725: 723: 721: 719: 717: 715: 713: 711: 709: 705: 700: 696: 691: 686: 682: 678: 674: 670: 666: 659: 656: 651: 647: 643: 639: 635: 631: 627: 623: 616: 613: 606: 604: 601: 597: 594:and the U.S. 593: 588: 584: 582: 577: 570: 568: 566: 560: 556: 554: 550: 546: 541: 537: 533: 529: 524: 522: 518: 514: 509: 507: 503: 499: 495: 494:hematological 491: 483: 481: 479: 475: 471: 467: 464:. In a liver 463: 459: 455: 451: 446: 444: 440: 439:cell division 436: 435:DNA synthesis 431: 429: 425: 421: 418: 413: 411: 407: 403: 399: 389: 382: 376: 367: 362: 358: 351: 342: 338: 331: 324: 320: 319: 317: 314: 309: 302: 300: 296: 269: 267: 263: 258: 250: 246: 242: 241: 239: 230: 226: 219: 215: 214: 212: 210: 206: 199: 195: 194: 192: 190: 186: 179: 175: 174: 172: 170: 166: 159: 155: 154: 152: 150: 146: 139: 135: 134: 132: 125: 121: 114: 110: 109: 107: 105: 101: 93: 84: 80: 73: 68: 61: 60: 58: 56: 52: 47: 43: 39: 36:Clinical data 34: 30: 25: 2743:Orphan drugs 2606:Tazemetostat 2570:Alitretinoin 2563: 2474:Estramustine 2454:Elsamitrucin 2444:Eflornithine 2398:Pegaspargase 2394:Asparaginase 2387: 2356:Testolactone 2349: 2337: 2325: 2279: 2264:Panobinostat 2247: 2217: 2205: 2193: 2181: 2152: 2117: 2105: 2058: 2054:Padeliporfin 1993:Dactinomycin 1989:Streptomyces 1970:Temozolomide 1965:Mitozolomide 1953: 1944:Mitobronitol 1933:Procarbazine 1926: 1914:Nonclassical 1839: 1816: 1810:Streptozocin 1775:Nitrosoureas 1773: 1747:Chlorambucil 1741:Trofosfamide 1727:Chlormethine 1722:Bendamustine 1715: 1653:Mitoxantrone 1648:Losoxantrone 1641: 1601:Daunorubicin 1584: 1550: 1487:Camptothecin 1475: 1431: 1401: 1387: 1370: 1354:Fluorouracil 1334:Capecitabine 1327: 1297: 1261: 1247: 1217: 1212:Pralatrexate 1202:Methotrexate 1190: 1133: 1096: 1053: 963:. Retrieved 959: 950: 939:. Retrieved 935: 926: 901:. Retrieved 896: 866:. Retrieved 864:. 2015-06-24 853: 840: 835: 824:. Retrieved 820: 811: 776: 772: 762: 751:. Retrieved 747: 672: 668: 658: 625: 621: 615: 589: 585: 578: 574: 561: 557: 525: 510: 487: 458:solid tumors 447: 432: 423: 414: 398:Sapacitabine 397: 396: 385:   379:   218:CHEBI:145429 91: 45: 21:Sapacitabine 2738:Pyrimidones 2733:Nucleosides 2681:from market 2651:Vorasidenib 2631:Trabectedin 2616:Tiazofurine 2611:Tebentafusp 2596:Tagraxofusp 2554:Plitidepsin 2524:Mitoguazone 2464:Epacadostat 2434:Demecolcine 2378:Aflibercept 2351:Sex steroid 2224:Fuzuloparib 2165:Carfilzomib 2137:Palbociclib 2127:Abemaciclib 2080:Verteporfin 2044:Efaproxiral 1960:Dacarbazine 1922:Altretamine 1904:Satraplatin 1899:Oxaliplatin 1879:Carboplatin 1856:Triaziquone 1827:Mannosulfan 1805:Ranimustine 1785:Fotemustine 1626:Pirarubicin 1611:Doxorubicin 1605:+cytarabine 1591:Aclarubicin 1552:Podophyllum 1477:Camptotheca 1408:Azacitidine 1394:Gemcitabine 1349:Floxuridine 1282:Fludarabine 1277:Clofarabine 1263:Halogenated 1254:Pentostatin 1229:Raltitrexed 1197:Aminopterin 1140:Ixabepilone 1135:Epothilones 1103:Cabazitaxel 1080:Vinorelbine 1065:Vincristine 1060:Vinblastine 1045:microtubule 842:NCT01303796 526:An ongoing 470:gemcitabine 306: g·mol 113:151823-14-2 70:Identifiers 41:Other names 2712:Categories 2646:Verdinexor 2641:Venetoclax 2544:Oblimersen 2539:Navitoclax 2514:Lucanthone 2509:Lonidamine 2499:Lifileucel 2494:Ivosidenib 2489:Imetelstat 2459:Enasidenib 2449:Elesclomol 2414:Bexarotene 2409:Belzutifan 2344:Bexarotene 2332:Atrasentan 2307:Umbralisib 2302:Idelalisib 2292:Copanlisib 2274:Vorinostat 2269:Romidepsin 2259:Entinostat 2254:Belinostat 2212:Masoprocol 2200:Tiazofurin 2188:Anagrelide 2160:Bortezomib 2147:Seliciclib 2142:Ribociclib 2122:inhibitors 2112:Tipifarnib 2075:Temoporfin 2070:Talaporfin 2008:Plicamycin 2003:Mitomycins 1949:Pipobroman 1928:Hydrazines 1894:Nedaplatin 1846:Carboquone 1841:Aziridines 1832:Treosulfan 1780:Carmustine 1767:Uramustine 1736:Ifosfamide 1708:Alkylating 1669:Bisantrene 1658:Pixantrone 1631:Valrubicin 1621:Idarubicin 1616:Epirubicin 1562:Teniposide 1517:Lurtotecan 1512:Irinotecan 1413:Decitabine 1377:Cytarabine 1320:Pyrimidine 1309:Tioguanine 1299:Thiopurine 1288:Nelarabine 1272:Cladribine 1224:Pemetrexed 1207:Pemetrexed 1183:Folic acid 1123:Paclitaxel 1075:Vinflunine 965:2016-11-17 941:2016-11-20 903:2016-11-20 868:2016-11-17 826:2016-11-09 753:2016-11-17 607:References 545:toxicities 536:decitabine 521:seliciclib 466:metastatic 454:anti-tumor 450:metabolite 311:3D model ( 299:Molar mass 178:W335P73C3L 149:ChemSpider 104:CAS Number 79:IUPAC name 2691:Phase III 2679:Withdrawn 2656:Vosaroxin 2636:Veliparib 2591:Sotorasib 2581:Selinexor 2575:Tretinoin 2565:Retinoids 2479:Glasdegib 2424:Celecoxib 2373:Adagrasib 2297:Duvelisib 2287:Alpelisib 2242:Rucaparib 2229:Niraparib 2170:Oprozomib 2132:Alvocidib 1998:Bleomycin 1955:Triazenes 1939:Etoglucid 1884:Cisplatin 1800:Nimustine 1794:Semustine 1790:Lomustine 1752:Melphalan 1679:Menogaril 1674:Crisnatol 1664:Amsacrine 1636:Zorubicin 1596:Amrubicin 1557:Etoposide 1532:Topotecan 1527:Silatecan 1522:Rubitecan 1507:Gimatecan 1492:Cositecan 1482:Belotecan 1158:inhibitor 1128:Tesetaxel 1118:Ortataxel 1113:Larotaxel 1108:Docetaxel 1070:Vindesine 553:typhlitis 441:cycle at 2728:Nitriles 2529:Mitotane 2469:Eribulin 2237:Olaparib 2175:Ixazomib 1851:Thiotepa 1823:Busulfan 1502:Exatecan 1339:Carmofur 1047:assembly 1010: / 897:Cyclacel 803:22739266 699:17637678 650:10744649 642:18300755 443:G2 phase 410:leukemia 406:Cyclacel 388:(verify) 55:ATC code 1458:S phase 1359:Tegafur 1173:S phase 1098:Taxanes 1034:M phase 794:3777512 690:2360357 420:prodrug 304:490.645 266:Formula 124:PubChem 2674:WHO-EM 2283:(Pi3K) 1240:Purine 1043:Block 801:  791:  697:  687:  648:  640:  337:SMILES 198:D09722 158:135703 138:153970 2195:IMPDI 2090:Other 893:(PDF) 862:(PDF) 646:S2CID 428:CNDAC 400:is a 357:InChI 313:JSmol 209:ChEBI 94:)-one 2281:PIKI 2249:HDAC 1698:CCNS 799:PMID 695:PMID 638:PMID 565:BRCA 551:and 474:5-FU 189:KEGG 169:UNII 62:none 2327:ERA 2183:PhI 2154:PrI 2119:CDK 2031:PDT 1029:MIs 1025:SPs 1016:L01 789:PMC 781:doi 685:PMC 677:doi 630:doi 472:or 460:in 234:EPA 128:CID 2714:: 2687:: 2207:LI 2107:FI 1573:II 1543:II 1365:)) 958:. 934:. 912:^ 895:. 877:^ 819:. 797:. 787:. 777:31 775:. 771:. 746:. 707:^ 693:. 683:. 673:97 671:. 667:. 644:. 636:. 626:15 624:. 445:. 412:. 280:42 274:26 2577:) 2568:( 2400:) 2396:/ 2392:( 2358:) 2354:( 2346:) 2342:( 2334:) 2330:( 2309:) 2285:( 2276:) 2252:( 2244:) 2222:( 2214:) 2210:( 2202:) 2198:( 2190:) 2186:( 2149:) 2125:( 2114:) 2110:( 2082:) 2063:( 2029:/ 2010:) 1991:( 1972:) 1958:( 1935:) 1931:( 1843:: 1834:) 1825:( 1820:: 1796:) 1792:( 1777:: 1758:) 1754:( 1743:) 1734:( 1719:: 1700:) 1696:( 1660:) 1646:( 1638:) 1607:) 1603:( 1589:( 1575:+ 1564:) 1555:( 1534:) 1480:( 1468:I 1460:) 1456:( 1440:) 1436:( 1415:) 1406:( 1396:) 1392:( 1382:) 1375:( 1361:( 1332:( 1311:) 1302:( 1284:) 1270:( 1265:/ 1256:) 1252:( 1231:) 1222:( 1214:) 1195:( 1175:) 1171:( 1142:) 1138:( 1130:) 1101:( 1082:) 1058:( 1036:) 1032:( 1027:/ 1018:) 1014:( 999:e 992:t 985:v 968:. 944:. 906:. 871:. 829:. 805:. 783:: 756:. 701:. 679:: 652:. 632:: 424:D 315:) 292:5 289:O 286:4 283:N 277:H 271:C 236:) 232:( 92:H 88:D 46:N

Index


ATC code
IUPAC name
CAS Number
151823-14-2
PubChem
153970
ChemSpider
135703
UNII
W335P73C3L
KEGG
D09722
ChEBI
CHEBI:145429
CompTox Dashboard
DTXSID90164887
Edit this at Wikidata
Formula
Molar mass
JSmol
Interactive image
SMILES
InChI
(what is this?)
(verify)
chemotherapeutic drug
Cyclacel
leukemia
nucleoside analog

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