chlorambucil
Trade name: Leukeran
Approved
Mar 18, 1957
Chlorambucil is a bifunctional 12 alkylating agent of the nitrogen mustard type that has been found active against selected human 13 neoplastic diseases. Chlorambucil alkylates and cross-links DNA during all phases of the cell cycle, inducing DNA damage via three different methods of covalent adduct generation with double-helical DNA. Bone marrow suppression (anemia, neutropenia, thrombocytopenia) is the most commonly occurring side effect of chlorambucil. There are no known drug/drug interactions with chlorambucil. — NCATS
Clinical trial activity
51 trials · 59 clinical orgs · 4 marketing orgs
Earliest trial started Nov 1, 1993 (NCT00003639)
Timeline
1950s
- Mar 18, 1957
Earliest FDA Approval
- Mar 18, 1957
Aspen Pharmaceuticals — NDA Secondary Org
- Mar 18, 1957
Woodward — Marketing Organization
- Mar 18, 1957
Woodward — NDA Secondary Org
- Mar 18, 1957
Waylis Therap — Marketing Organization
1990s
- Jan 1, 1993
Earliest Phase 3 Sponsor(trial)
Indications
Approved for
Studied for
- Glomerulonephritis, Membranous · Phase 3
- Glomerulosclerosis, Focal Segmental · Phase 3
- Leukemia · Phase 3
- Leukemia, Lymphocytic, Chronic, B-Cell · Phase 4
- Lymphoma · Phase 3
- Lymphoma, B-Cell, Marginal Zone · Phase 3
- Lymphoma, Large-Cell, Immunoblastic · Phase 2
- Lymphoma, Mantle-Cell · Phase 2
- Lymphoma, Non-Hodgkin · Phase 1
- Neoplasms · Phase 3
- Pancreatic Neoplasms · Phase 2
- Stomach Neoplasms · Phase 3
- Waldenstrom Macroglobulinemia · Phase 3
Mechanism of action
- DNAINHIBITOR
DNA inhibitor
Alkylating agent
Approval history
- approvedPriority reviewMar 18, 1957
Chemistry & pharmacology
SMILES
OC(=O)CCCC1=CC=C(C=C1)N(CCCl)CCCl- Mol. weight
- 304.212 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Achiral Molecule
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
Sources
- WikipediaChlorambucil ↗
- NCATS18D0SL7309 ↗
- ChEMBLCHEMBL515 ↗
Also known as
- 4-[p-[bis(2-chloroethyl)amino]phenyl]butyric acid
- 4-[p-[bis(2-chloroethyl)amino]phenyl]butyric acid
- 4-(p-bis(beta-chloroethyl)aminophenyl)butyric acid
- 4-(p-bis(beta-chloroethyl)aminophenyl)butyric acid
- 4-(p-bis(β-chloroethyl)aminophenyl)butyric acid
- 4-(p-bis(β-chloroethyl)aminophenyl)butyric acid
- ambochlorin
- ambochlorin
- ambochlorin
- amboclorin
- chlorambucil
- chlorambucil
- chlorambucil
- chlorambucil
- chlorambucil
- chlorambucil
- chlorambucil
- chlorambucil
- chlorambucil
- chlorambucil
- chlorambucil
- chloraminophen
- chloraminophen
- chloraminophene
- chlorbutin
- chlorbutin
- chlorbutin
- chlorobutine
- gamma-[p-di(2-chloroethyl)aminophenyl]butyric acid
- gamma-[p-di(2-chloroethyl)aminophenyl]butyric acid
- leukeran
- leukeran
- leukeran
- n,n-di-2-chloroethyl-gamma-p-aminophenylbutyric acid
- n,n-di-2-chloroethyl-gamma-p-aminophenylbutyric acid
- n,n-di-2-chloroethyl-γ-p-aminophenylbutyric acid
- n,n-di-2-chloroethyl-γ-p-aminophenylbutyric acid
- phenylbutyric acid nitrogen mustard
- phenylbutyric acid nitrogen mustard
- γ-[p-di(2-chloroethyl)aminophenyl]butyric acid
- γ-[p-di(2-chloroethyl)aminophenyl]butyric acid
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06319456 | Phase 3 | Apr 7, 2024 | Ascentage Pharma Group Inc., Chinese Academy of Medical Sciences |
| NCT04692740 | Phase 2 | Dec 18, 2020 | Ospedale San Raffaele, Vita-Salute University of Milano. Italy |
| NCT04578613 | Phase 3 | Oct 20, 2020 | Beijing InnoCare Pharma Tech Co., Ltd. |
| NCT04075292 | Phase 3 | Mar 19, 2020 | AstraZeneca, Chinese Academy of Medical Sciences |
| NCT03462719 | Phase 3 | Apr 17, 2018 | Johnson and Johnson, Pharmacyclics |
| NCT02612311 | Phase 3 | Jan 1, 2016 | TG Therapeutics, Inc. |
| NCT02336048 | Phase 1 | Jun 26, 2015 | Roche |
| NCT02475681 | Phase 3 | Jun 1, 2015 | Acerta Pharma |
| NCT01980875 | Phase 3 | Apr 1, 2015 | Gilead Sciences |
| NCT02242942 | Phase 3 | Dec 31, 2014 | AbbVie, German CLL Study Group, Roche |
| NCT02264574 | Phase 3 | Oct 1, 2014 | Pharmacyclics |
| NCT02100852 | Phase 1 | Mar 1, 2014 | TG Therapeutics, Inc. |
| NCT01808599 | Phase 2 | Dec 1, 2013 | International Extranodal Lymphoma Study Group, Ospedale S. Giovanni Bellinzona |
| NCT01905943 | Phase 3 | Nov 30, 2013 | Roche |
| NCT01868893 | Phase 2 | Aug 1, 2013 | Genentech |
| NCT01808326 | Phase 2 | Apr 1, 2013 | GlaxoSmithKline |
| NCT01722487 | Phase 3 | Mar 1, 2013 | Johnson and Johnson, Pharmacyclics |
| NCT01724346 | Phase 3 | Jan 1, 2013 | Johnson and Johnson, Pharmacyclics |
| NCT01563055 | Phase 2 | Apr 1, 2012 | GlaxoSmithKline |
| NCT01678430 | Phase 3 | Dec 1, 2011 | Chugai, GlaxoSmithKline, Napo Pharmaceuticals, University of Liverpool |
Organizations
Research & Development (59)
Marketing (5)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Aspen Pharmaceuticals | For profit | NDA2 | Mar 18, 1957 |
| Burroughs Wellcome | For profit | NDA | — |
| Waylis Therap | For profit | MKTG | Mar 18, 1957 |
| Woodward | For profit | MKTG | Mar 18, 1957 |
| Woodward | For profit | NDA2 | Mar 18, 1957 |