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. 2021 Feb 22;3(8):2157–2179. doi: 10.1039/d0na01084g

A list of chemotherapeutic nucleosidic analog prodrugs.

Name Structure Statusa Parent drug Linker Targeted cancer
Capecitabine graphic file with name d0na01084g-u14.jpg FDA approved (1998) • Fluorouracil • Amide bond • Colonic neoplasms 36
EMA approved (2001) • Breast neoplasms
• Colorectal neoplasms
• Stomach neoplasms
Thymectacin graphic file with name d0na01084g-u15.jpg Clinical trials • Brivudine • Phosphate ester bond • Cancers overexpressing the thymidylate synthase enzyme 80 and 81
Phase I/II
LY2334737 graphic file with name d0na01084g-u16.jpg Clinical trials • Gemcitabine • Amide bond • Malignant solid tumors 82
Phase I • Metastatic tumors
CP-4126 graphic file with name d0na01084g-u17.jpg Clinical trials • Gemcitabine • Carboxyl ester bond • Advanced adenocarcinoma of pancreas 83
Phase I/II
Nuc-1031 graphic file with name d0na01084g-u18.jpg Clinical trials • Gemcitabine • Phosphate ester bond • Ovarian cancer 84
Phase I/II/III • Biliary tract cancer
• Gallbladder cancer
• Cholangiocarcinoma
• Ampullary cancer
Sapacitabine graphic file with name d0na01084g-u19.jpg Clinical trials • Cndac (deoxycytidine analog) • Amide bond • Myelodysplastic syndromes 85
Phase I/II/III • Acute myeloid leukemia
Guadecitabine (SGI-110) graphic file with name d0na01084g-u20.jpg Clinical trials • Decitabine • Phosphate ester bond • Small cell lung cancer 79 and 86
Phase I/II/III • Ovarian cancer
• Hepatocellular carcinoma
• Acute myeloid leukemia
ACV-TP-T graphic file with name d0na01084g-u21.jpg Preclinical • Acylcovir • Phosphodiester bond • Pancreatic tumor 87
a

Trial status was verified by the NIH – U.S. National Library of Medicine clinical trials database (http://www.clinicaltrials.gov). Approval status was verified by the European Medicines Agency (http://www.ema.europa.eu) and the US Food and Drug Administration (http://www.fda.gov).