Clofarabine is a purine nucleoside antimetabolite that is being studied in the treatment of cancer. It is marketed as Clolar in the U.S. and Canada, or Evoltra in Europe, Australia, and New Zealand. Clofarabine is used in paediatrics to treat a type of leukaemia called relapsed or refractory acute lymphoblastic leukaemia (ALL), only after at least two other types of treatment have failed. It is not known if the drug extends life expectancy. Its potential use in acute myeloid leukaemia (AML) and juvenile myelomonocytic leukaemia (JMML) has been investigated.
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.
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Adenine Nucleotides
Antimetabolites
Antineoplastic Agents
Antineoplastic and Immunomodulating Agents
Arabinonucleosides
BCRP/ABCG2 Substrates
Drugs that are Mainly Renally Excreted
Heterocyclic Compounds, Fused-Ring
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Narrow Therapeutic Index Drugs
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Nucleic Acid Synthesis Inhibitors
Nucleic Acids, Nucleotides, and Nucleosides
Nucleoside Metabolic Inhibitor
Nucleosides
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OAT3/SLC22A8 Substrates
OAT3/SLC22A8 Substrates with a Narrow Therapeutic Index
Drug Info/Drug Targets: DrugBank 3.0: a comprehensive resource for 'omics' research on drugs. Knox C, Law V, Jewison
T, Liu P, Ly S, Frolkis A, Pon A, Banco K, Mak C, Neveu V, Djoumbou Y, Eisner R, Guo AC, Wishart DS.
Nucleic Acids Res. 2011 Jan; 39 (Database issue):D1035-41. | PMID:21059682