A list of chemotherapeutic nucleosidic analog prodrugs.
Name | Structure | Statusa | Parent drug | Linker | Targeted cancer | |
---|---|---|---|---|---|---|
Capecitabine | FDA approved (1998) | • Fluorouracil | • Amide bond | • Colonic neoplasms | 36 | |
EMA approved (2001) | • Breast neoplasms | |||||
• Colorectal neoplasms | ||||||
• Stomach neoplasms | ||||||
Thymectacin | Clinical trials | • Brivudine | • Phosphate ester bond | • Cancers overexpressing the thymidylate synthase enzyme | 80 and 81 | |
Phase I/II | ||||||
LY2334737 | Clinical trials | • Gemcitabine | • Amide bond | • Malignant solid tumors | 82 | |
Phase I | • Metastatic tumors | |||||
CP-4126 | Clinical trials | • Gemcitabine | • Carboxyl ester bond | • Advanced adenocarcinoma of pancreas | 83 | |
Phase I/II | ||||||
Nuc-1031 | Clinical trials | • Gemcitabine | • Phosphate ester bond | • Ovarian cancer | 84 | |
Phase I/II/III | • Biliary tract cancer | |||||
• Gallbladder cancer | ||||||
• Cholangiocarcinoma | ||||||
• Ampullary cancer | ||||||
Sapacitabine | Clinical trials | • Cndac (deoxycytidine analog) | • Amide bond | • Myelodysplastic syndromes | 85 | |
Phase I/II/III | • Acute myeloid leukemia | |||||
Guadecitabine (SGI-110) | 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 | Preclinical | • Acylcovir | • Phosphodiester bond | • Pancreatic tumor | 87 |
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).