clofarabine
Trade name: clolar
Approved
Dec 28, 2004
Clofarabine is a anti-cancer drug which was approved by FDA for the treatment of pediatric patients with relapsed or refractory acute lymphoblastic leukemia. After crossing the cell membrane the drug is rapidly metabolized by deoxycytidine kinase to diphosphate and triphosphate metabolites and these metabolites reversibly inhibit hRNR by binding to alpha subunit. Also the triphosphate is incorporated to DNA where it acts as a chain terminator. — NCATS
Clinical trial activity
170 trials · 114 clinical orgs · 19 marketing orgs
Earliest trial started Feb 1, 1999 (NCT00028418)
Timeline
1990s
- Jan 1, 1999
Earliest Phase 1 Sponsor(trial)
2000s
2010s
- Mar 4, 2016
Zydus Discovery DMCC — Marketing Organization
- May 9, 2017
Abon Pharmaceuticals — Marketing Organization
- Nov 6, 2017
Amneal Pharmaceuticals — Marketing Organization
- Nov 6, 2017
Dr. Reddy's Laboratories — Marketing Organization
- Nov 6, 2017
Mylan — Marketing Organization
- Nov 6, 2017
PHARMOBEDIENT — Marketing Organization
- Dec 6, 2017
MSN Laboratories — Marketing Organization
- Sep 14, 2018
Ingenus Pharmaceuticals — Marketing Organization
- Sep 14, 2018
Novast Labs — Marketing Organization
- Oct 31, 2018
Gland Pharma Ltd — Marketing Organization
- Oct 31, 2018
Fosun — Marketing Organization
- Dec 27, 2018
Hospira — Marketing Organization
- Dec 27, 2018
Pfizer — Marketing Organization
- Feb 22, 2019
Accord Research — Marketing Organization
2020s
- Oct 23, 2020
Meitheal — Marketing Organization
- Oct 23, 2020
Eu Yan Sang — Marketing Organization
- Oct 3, 2022
Eugia Pharma — Marketing Organization
- Jan 3, 2025
ScinoPharm Taiwan — Marketing Organization
Indications
Studied for
- Adenocarcinoma · Early Phase 1
- Adrenoleukodystrophy · Phase 2
- Anemia, Aplastic · Phase 2
- Anemia, Refractory · Phase 2
- Bone Marrow Cells · Phase 1/Phase 2
- Bone Marrow Diseases · Phase 1
- Bone Marrow Failure Disorders · Phase 2
- Bone Marrow Transplantation · Phase 3
- Burkitt Lymphoma · Phase 2
- Carcinoma · Early Phase 1
- Carcinoma, Transitional Cell · Phase 1/Phase 2
- Crohn Disease · Phase 1/Phase 2
- Drug-Related Side Effects and Adverse Reactions · Phase 2
- Gangliosidosis, GM1 · Phase 2
- Graft vs Host Disease · Phase 2
- Hematologic Neoplasms · Phase 2
- Hematopoietic Stem Cell Transplantation · Phase 2
- Hemoglobinopathies · Phase 2
- Histiocytosis, Langerhans-Cell · Phase 2
- Hodgkin Disease · Phase 2
- Intestinal Neoplasms · Phase 1/Phase 2
- Leukemia · Phase 3
- Leukemia, B-Cell · Phase 2
- Leukemia, Biphenotypic, Acute · Phase 2
- Leukemia, Lymphocytic, Chronic, B-Cell · Phase 3
- Leukemia, Lymphoid · Phase 2
- Leukemia-Lymphoma, Adult T-Cell · Phase 2
- Leukemia, Monocytic, Acute · Phase 3
- Leukemia, Myelogenous, Chronic, BCR-ABL Positive · Phase 2
- Leukemia, Myeloid · Phase 2
- Leukemia, Myeloid, Acute · Phase 3
- Leukemia, Myeloid, Chronic, Atypical, BCR-ABL Negative · Phase 2
- Leukemia, Myelomonocytic, Acute · Phase 3
- Leukemia, Myelomonocytic, Chronic · Phase 2
- Leukemia, Myelomonocytic, Juvenile · Phase 2
- Leukemia, Prolymphocytic · Phase 1/Phase 2
- Leukemia, Promyelocytic, Acute · Phase 1
- Leukemia, T-Cell · Phase 2
- Leukodystrophy, Globoid Cell · Phase 2
- Leukodystrophy, Metachromatic · Phase 2
- Lymphohistiocytosis, Hemophagocytic · Phase 2
- Lymphoma · Phase 2
- Lymphoma, B-Cell · Phase 2
- Lymphoma, B-Cell, Marginal Zone · Phase 1/Phase 2
- Lymphoma, Follicular · Phase 1/Phase 2
- Lymphoma, Large B-Cell, Diffuse · Phase 2
- Lymphoma, Large-Cell, Anaplastic · Phase 1/Phase 2
- Lymphoma, Large-Cell, Immunoblastic · Phase 2
- Lymphoma, Mantle-Cell · Phase 1/Phase 2
- Lymphoma, Non-Hodgkin · Phase 2
- Lymphoma, T-Cell · Phase 1/Phase 2
- Lymphoma, T-Cell, Peripheral · Phase 1/Phase 2
- Lymphoproliferative Disorders · Phase 1
- Metabolic Diseases · Phase 2
- Mucolipidoses · Phase 2
- Mucopolysaccharidosis III · Phase 2
- Multiple Myeloma · Phase 2
- Myelodysplastic-Myeloproliferative Diseases · Phase 1
- Myelodysplastic Syndromes · Phase 2/Phase 3
- Myeloproliferative Disorders · Phase 2
- Neoplasm, Residual · Phase 2
- Neutropenia · Phase 1
- Osteopetrosis · Phase 2
- Precursor B-Cell Lymphoblastic Leukemia-Lymphoma · Phase 3
- Precursor Cell Lymphoblastic Leukemia-Lymphoma · Phase 3
- Preleukemia · Phase 1/Phase 2
- Primary Myelofibrosis · Phase 2
- Sandhoff Disease · Phase 2
- Sarcoma, Myeloid · Phase 2
- Stem Cell Transplantation · Phase 3
- Tay-Sachs Disease · Phase 2
- Testicular Neoplasms · Phase 3
- Transplantation · Phase 3
- Wolman Disease · Phase 2
Mechanism of action
- DNA polymerase (alpha/delta/epsilon)INHIBITOR
DNA polymerase (alpha/delta/epsilon) inhibitor
- DNA polymerase alpha catalytic subunit (POLA1) ↗
- DNA polymerase delta subunit 4 (POLD4) ↗
- DNA polymerase delta subunit 3 (POLD3) ↗
- DNA polymerase delta catalytic subunit (POLD1) ↗
- DNA polymerase delta subunit 2 (POLD2) ↗
- DNA polymerase epsilon catalytic subunit A (POLE) ↗
- DNA polymerase alpha subunit B (POLA2) ↗
- DNA primase small subunit (PRIM1) ↗
- DNA primase large subunit (PRIM2) ↗
- DNA polymerase epsilon subunit 2 (POLE2) ↗
- DNA polymerase epsilon subunit 3 (POLE3) ↗
- DNAINHIBITOR
DNA inhibitor
Ribonucleoside-diphosphate reductase RR1 inhibitor
M1 subunit is binding site
Approval history
- approvedPriority reviewAcceleratedFast trackDec 28, 2004
Chemistry & pharmacology
SMILES
NC1=NC(Cl)=NC2=C1N=CN2[C@@H]3O[C@H](CO)[C@@H](O)[C@@H]3F- Mol. weight
- 303.677 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Parenteral
- Availability
- Prescription Only
Oral
No
Parenteral
Yes
Topical
No
Sources
- WikipediaClofarabine ↗
- NCATS762RDY0Y2H ↗
- ChEMBLCHEMBL1750 ↗
Also known as
- 2-chloro-2'-arabino-fluoro-2'-deoxyadenosine
- 2-chloro-2'-fluoroarabino-2'-deoxyadenosine
- 2-chloro-9-(2-deoxy-2-fluoroarabinofuranosyl)adenine
- 2-chloro-9-(2-deoxy-2-fluoro-beta-d-arabinofuranosyl)adenine
- 2-chloro-9-(2-deoxy-2-fluoro-beta-d-arabinofuranosyl)adenine
- 2-chloro-9-(2'-deoxy-2'-fluoro-beta-d-arabinofuranosyl)adenine
- 2-chloro-9-(2'-deoxy-2'-fluoro-beta-d-arabinofuranosyl)adenine
- 2-chloro-9-(2-deoxy-2-fluoro-beta-d-arbinofuranosyl)adenine
- (2r,3r,4s,5r)-5-(6-amino-2-chloropurin-9-yl)-4-fluoro-2-(hydroxymethyl)oxolan-3-ol
- (2r,3r,4s,5r)-5-(6-amino-2-chloropurin-9-yl)-4-fluoro-2-(hydroxymethyl)oxolan-3-ol
- cafda
- cafda
- cl-f-ara-a
- cl-f-ara-a
- cl-f-ara-a
- clofarabin
- clofarabin
- clofarabina
- clofarabina
- clofarabine
- clofarabine
- clofarabine
- clofarabine
- clofarabine
- clofarabine
- clofarabine
- clofarabine
- clofarabine
- clofarabine
- clofarabine
- clofarabine
- clofarabinum
- clofarabinum
- clofarex
- clofarex
- clofarex
- clofarex
- clolar
- clolar
- clolar
- clolar
- cloloar
- evoltra
- evoltra
- evoltra
- evoltra
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06986382 | Phase 1/Phase 2 (Phase 2) | Jul 31, 2025 | Stanford University |
| NCT07022834 | Phase 2 | Jun 1, 2025 | Sichuan University |
| NCT06252870 | Phase 2 | Jul 18, 2024 | University of Angers, University of Nantes, University of Western Brittany |
| NCT07034053 | Phase 1/Phase 2 (Phase 2) | Oct 24, 2023 | Medical University of Vienna |
| NCT05917405 | Phase 2 | Sep 14, 2023 | University of Nantes |
| NCT05569512 | Phase 1/Phase 2 (Phase 2) | Oct 6, 2022 | GlycoMimetics, Inc., Harvard University |
| NCT05477589 | Phase 3 | Jun 7, 2022 | University of Gothenburg, Utrecht University, Vastra Gotaland Region |
| NCT05065736 | Early Phase 1 (Phase 1) | Mar 31, 2022 | Case Western Reserve University, University of Rochester |
| NCT04994808 | Phase 2 | Jan 1, 2022 | Medexus, University of Washington |
| NCT04989335 | Phase 2 | Aug 2, 2021 | Race Oncology Ltd, Tel Aviv University |
| NCT04644016 | Phase 2 | Nov 20, 2020 | Memorial Sloan-Kettering Cancer Center |
| NCT07156435 | Phase 1 | Nov 6, 2020 | Jazz Pharmaceuticals, Princess Maxima Center for Pediatric Oncology |
| NCT04220008 | Phase 2 | Jun 1, 2020 | National Cancer Institute (NCI), University of Texas at Houston |
| NCT04002115 | Phase 2 | Jul 31, 2019 | Pennsylvania State University |
| NCT03615105 | Phase 2 | Jul 25, 2018 | Memorial Sloan-Kettering Cancer Center |
| NCT03615144 | Phase 2 | Jul 23, 2018 | Memorial Sloan-Kettering Cancer Center |
| NCT03263767 | Phase 2 | Jan 31, 2018 | University of Nantes |
| NCT03136146 | Phase 2 | Jun 1, 2017 | University of Texas at Houston |
| NCT03096782 | Phase 2 | Jun 1, 2017 | Mesoblast, Inc., University of Texas at Houston |
| NCT02518750 | Phase 2 | Nov 23, 2016 | Novartis, Spectrum Pharmaceuticals, St. Jude Children's Hospital |
Organizations
Research & Development (114)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Genzyme | For profit | 60 | 15 | 3 | 2002 |
| University of Texas at Houston | Academic/Hospital | 33 | 31 | 3 | 1999 |
| National Cancer Institute (NCI) | Government | 32 | 4 | 4 | 2005 |
| St. Jude Children's Hospital | Academic/Hospital | 11 | 11 | 4 | 2005 |
| University of Washington | Academic/Hospital | 9 | 7 | 2 | 2006 |
| Harvard University | Academic/Hospital | 7 | 7 | 2 | 2008 |
| University of Nantes | Academic/Hospital | 7 | 6 | 2 | 2009 |
| University of Minnesota | Academic/Hospital | 5 | 5 | 2 | 2006 |
| Cornell University | Academic/Hospital | 4 | 4 | 2 | 2006 |
| University of Rochester | Academic/Hospital | 4 | 0 | 2 | 2006 |
| Assisi Foundation | Academic/Hospital | 3 | 0 | 2 | 2007 |
| Baylor University | Academic/Hospital | 3 | 2 | 1 | 2005 |
| City of Hope National Medical Center | Academic/Hospital | 3 | 2 | 2 | 2007 |
| Gruppo Italiano Malattie EMatologiche dell'Adulto | Academic/Hospital | 3 | 2 | 1 | 2008 |
| Johns Hopkins University | Academic/Hospital | 3 | 2 | 1 | 2005 |
| Memorial Sloan-Kettering Cancer Center | Academic/Hospital | 3 | 3 | 1 | 2018 |
| Northwestern University | Academic/Hospital | 3 | 2 | 2 | 2009 |
| Ohio State University | Academic/Hospital | 3 | 0 | 2 | 2004 |
| Pennsylvania State University | Academic/Hospital | 3 | 3 | 2 | 2007 |
| University of Alabama, Birmingham | Academic/Hospital | 3 | 1 | 2 | 2004 |
Marketing (24)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Abon Pharmaceuticals | For profit | MKTG | May 9, 2017 |
| Accord Research | For profit | MKTG | Feb 22, 2019 |
| Amneal Pharmaceuticals | For profit | MKTG | Nov 6, 2017 |
| Amneal Pharmaceuticals | For profit | SYN | Nov 6, 2017 |
| Dr. Reddy's Laboratories | For profit | SYN | Nov 6, 2017 |
| Dr. Reddy's Laboratories | For profit | MKTG | Nov 6, 2017 |
| Eu Yan Sang | For profit | MKTG | Oct 23, 2020 |
| Eugia Pharma | For profit | MKTG | Oct 3, 2022 |
| Fosun | For profit | MKTG | Oct 31, 2018 |
| Genzyme | For profit | NDA | Dec 28, 2004 |
| Gland Pharma Ltd | For profit | MKTG | Oct 31, 2018 |
| Gland Pharma Ltd | For profit | SYN | Oct 31, 2018 |
| Hospira | For profit | SYN | Dec 27, 2018 |
| Hospira | For profit | MKTG | Dec 27, 2018 |
| Ingenus Pharmaceuticals | For profit | MKTG | Sep 14, 2018 |
| MSN Laboratories | For profit | SYN | Dec 6, 2017 |
| MSN Laboratories | For profit | MKTG | Dec 6, 2017 |
| Meitheal | For profit | MKTG | Oct 23, 2020 |
| Mylan | For profit | MKTG | Nov 6, 2017 |
| Novast Labs | For profit | MKTG | Sep 14, 2018 |
| PHARMOBEDIENT | For profit | MKTG | Nov 6, 2017 |
| Pfizer | For profit | MKTG | Dec 27, 2018 |
| ScinoPharm Taiwan | For profit | MKTG | Jan 3, 2025 |
| Zydus Discovery DMCC | For profit | MKTG | Mar 4, 2016 |