Details
| Stereochemistry | RACEMIC |
| Molecular Formula | C7H15Cl2N2O2P |
| Molecular Weight | 261.086 |
| Optical Activity | ( + / - ) |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
ClCCNP1(=O)OCCCN1CCCl
InChI
InChIKey=HOMGKSMUEGBAAB-UHFFFAOYSA-N
InChI=1S/C7H15Cl2N2O2P/c8-2-4-10-14(12)11(6-3-9)5-1-7-13-14/h1-7H2,(H,10,12)
| Molecular Formula | C7H15Cl2N2O2P |
| Molecular Weight | 261.086 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ACHIRAL |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Optical Activity | NONE |
Ifosfamide (IF) is a widely used antitumor prodrug. It is in the oxazaphosphorine class of alkylating agents, and it is effective against solid tumors. Ifosfamide mechanism of crosslinking DNA plays a major role in preventing cancer cells from proliferating. Ifosfamide is approved by FDA for the treatment of germ cell testicular cancer.
CNS Activity
Sources: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3253870/
Curator's Comment: Ifosfamide crosses the blood-brain barrier and may cause encephalopathy.
Originator
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL2311221 |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | IFEX Approved UseIfosfamide injection, used in combination with certain other approved antineoplastic agents, is indicated for third line chemotherapy of germ cell testicular cancer. It should be used in combination with a prophylactic agent for hemorrhagic cystitis, such as mesna. Launch Date1988 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
346 μM EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/9528844 |
3 g/m² single, intravenous dose: 3 g/m² route of administration: Intravenous experiment type: SINGLE co-administered: |
IFOSFAMIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
200 μM EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/1795004 |
1.5 g/m² single, oral dose: 1.5 g/m² route of administration: Oral experiment type: SINGLE co-administered: |
IFOSFAMIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
203 μM EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/1795004 |
1.5 g/m² single, intravenous dose: 1.5 g/m² route of administration: Intravenous experiment type: SINGLE co-administered: |
IFOSFAMIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
2197 mM × h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/9528844 |
3 g/m² single, intravenous dose: 3 g/m² route of administration: Intravenous experiment type: SINGLE co-administered: |
IFOSFAMIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
1360 μM × h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/1795004 |
1.5 g/m² single, oral dose: 1.5 g/m² route of administration: Oral experiment type: SINGLE co-administered: |
IFOSFAMIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
1520 μM × h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/1795004 |
1.5 g/m² single, intravenous dose: 1.5 g/m² route of administration: Intravenous experiment type: SINGLE co-administered: |
IFOSFAMIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
7.54 mM × h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/8339288 |
3 g/m² 1 times / day multiple, intravenous dose: 3 g/m² route of administration: Intravenous experiment type: MULTIPLE co-administered: |
IFOSFAMIDE plasma | Homo sapiens population: UNHEALTHY age: CHILD sex: FEMALE / MALE food status: UNKNOWN |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
4.33 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/9528844 |
3 g/m² single, intravenous dose: 3 g/m² route of administration: Intravenous experiment type: SINGLE co-administered: |
IFOSFAMIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
5 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/1795004 |
1.5 g/m² single, oral dose: 1.5 g/m² route of administration: Oral experiment type: SINGLE co-administered: |
IFOSFAMIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
5.6 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/1795004 |
1.5 g/m² single, intravenous dose: 1.5 g/m² route of administration: Intravenous experiment type: SINGLE co-administered: |
IFOSFAMIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
2.12 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/8339288 |
3 g/m² 1 times / day multiple, intravenous dose: 3 g/m² route of administration: Intravenous experiment type: MULTIPLE co-administered: |
IFOSFAMIDE plasma | Homo sapiens population: UNHEALTHY age: CHILD sex: FEMALE / MALE food status: UNKNOWN |
Funbound
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
100% |
unknown |
IFOSFAMIDE plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
| Dose | Population | Adverse events |
|---|---|---|
18 g/m2 1 times / day multiple, intravenous MTD Dose: 18 g/m2, 1 times / day Route: intravenous Route: multiple Dose: 18 g/m2, 1 times / day Sources: |
unhealthy, 45 |
DLT: Neutropenia, Infection... Dose limiting toxicities: Neutropenia (grade 4, 83.3%) Sources: Infection (severe, 33.3%) Thrombocytopenia (grade 4, 66.7%) |
2.25 g/m2 1 times / day multiple, intravenous MTD Dose: 2.25 g/m2, 1 times / day Route: intravenous Route: multiple Dose: 2.25 g/m2, 1 times / day Sources: |
unhealthy, 45 |
DLT: Neutropenia, Febrile neutropenia... Dose limiting toxicities: Neutropenia (grade 4, 66.7%) Sources: Febrile neutropenia (grade 5, 33.3%) Thrombocytopenia (grade 4, 66.7%) Anemia (grade 4, 66.7%) |
1.2 g/m2 1 times / day multiple, intravenous Recommended Dose: 1.2 g/m2, 1 times / day Route: intravenous Route: multiple Dose: 1.2 g/m2, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
Disc. AE: Nephrotoxicity, Renal failure... AEs leading to discontinuation/dose reduction: Nephrotoxicity (severe) Sources: Renal failure (severe) Cystitis hemorrhagic (severe) |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Thrombocytopenia | grade 4, 66.7% DLT |
18 g/m2 1 times / day multiple, intravenous MTD Dose: 18 g/m2, 1 times / day Route: intravenous Route: multiple Dose: 18 g/m2, 1 times / day Sources: |
unhealthy, 45 |
| Neutropenia | grade 4, 83.3% DLT |
18 g/m2 1 times / day multiple, intravenous MTD Dose: 18 g/m2, 1 times / day Route: intravenous Route: multiple Dose: 18 g/m2, 1 times / day Sources: |
unhealthy, 45 |
| Infection | severe, 33.3% DLT |
18 g/m2 1 times / day multiple, intravenous MTD Dose: 18 g/m2, 1 times / day Route: intravenous Route: multiple Dose: 18 g/m2, 1 times / day Sources: |
unhealthy, 45 |
| Anemia | grade 4, 66.7% DLT |
2.25 g/m2 1 times / day multiple, intravenous MTD Dose: 2.25 g/m2, 1 times / day Route: intravenous Route: multiple Dose: 2.25 g/m2, 1 times / day Sources: |
unhealthy, 45 |
| Neutropenia | grade 4, 66.7% DLT |
2.25 g/m2 1 times / day multiple, intravenous MTD Dose: 2.25 g/m2, 1 times / day Route: intravenous Route: multiple Dose: 2.25 g/m2, 1 times / day Sources: |
unhealthy, 45 |
| Thrombocytopenia | grade 4, 66.7% DLT |
2.25 g/m2 1 times / day multiple, intravenous MTD Dose: 2.25 g/m2, 1 times / day Route: intravenous Route: multiple Dose: 2.25 g/m2, 1 times / day Sources: |
unhealthy, 45 |
| Febrile neutropenia | grade 5, 33.3% DLT, Disc. AE |
2.25 g/m2 1 times / day multiple, intravenous MTD Dose: 2.25 g/m2, 1 times / day Route: intravenous Route: multiple Dose: 2.25 g/m2, 1 times / day Sources: |
unhealthy, 45 |
| Cystitis hemorrhagic | severe Disc. AE |
1.2 g/m2 1 times / day multiple, intravenous Recommended Dose: 1.2 g/m2, 1 times / day Route: intravenous Route: multiple Dose: 1.2 g/m2, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Nephrotoxicity | severe Disc. AE |
1.2 g/m2 1 times / day multiple, intravenous Recommended Dose: 1.2 g/m2, 1 times / day Route: intravenous Route: multiple Dose: 1.2 g/m2, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Renal failure | severe Disc. AE |
1.2 g/m2 1 times / day multiple, intravenous Recommended Dose: 1.2 g/m2, 1 times / day Route: intravenous Route: multiple Dose: 1.2 g/m2, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
Drug as perpetrator
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Sources: https://pubmed.ncbi.nlm.nih.gov/9157990/ |
yes | |||
| yes |
Drug as victim
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
| no | ||||
| no | ||||
| no | ||||
| poor | ||||
| yes | ||||
| yes | ||||
| yes | ||||
| yes | ||||
| yes | ||||
| yes | ||||
| yes | ||||
| yes | ||||
| yes | ||||
| yes | ||||
Page: 28.0 |
yes | no (co-administration study) Comment: Coadministration of ifosfamide with ketoconazole or rifampin did not produce changes inthe pharmacokinetics of the parent or metabolites that may result in an increased benefit of ifosfamidetherapy. (https://pubmed.ncbi.nlm.nih.gov/11503007/) Page: 28.0 |
||
Page: 28.0 |
yes | no (co-administration study) Comment: Coadministration of ifosfamide with ketoconazole or rifampin did not produce changes inthe pharmacokinetics of the parent or metabolites that may result in an increased benefit of ifosfamidetherapy. (https://pubmed.ncbi.nlm.nih.gov/11503007/) Page: 28.0 |
PubMed
| Title | Date | PubMed |
|---|---|---|
| A novel alkylating agent, glufosfamide, enhances the activity of gemcitabine in vitro and in vivo. | 2007-08 |
|
| High-dose melphalan, etoposide, total-body irradiation, and autologous stem-cell reconstitution as consolidation therapy for high-risk Ewing's sarcoma does not improve prognosis. | 2001-06-01 |
|
| A randomised phase II study on neo-adjuvant chemotherapy for 'high-risk' adult soft-tissue sarcoma. | 2001-06 |
|
| Importance of surgery as salvage treatment after high dose chemotherapy failure in germ cell tumors. | 2001-06 |
|
| A preclinical model for experimental chemotherapy of human head and neck cancer. | 2001-06 |
|
| Microencapsulated cell-mediated treatment of inoperable pancreatic carcinoma. | 2001-05-19 |
|
| Outcomes of treatment of children and adolescents with recurrent non-Hodgkin's lymphoma and Hodgkin's disease with dexamethasone, etoposide, cisplatin, cytarabine, and l-asparaginase, maintenance chemotherapy, and transplantation: Children's Cancer Group Study CCG-5912. | 2001-05-01 |
|
| Histologic response of high-grade nonmetastatic osteosarcoma of the extremity to chemotherapy,. | 2001-05 |
|
| Gemcitabine and vinorelbine as second-line therapy in non-small-cell lung cancer after prior treatment with taxane+platinum-based regimens. | 2001-05 |
|
| Haemoperfusion combined with haemodialysis in ifosfamide intoxication. | 2001-05 |
|
| Topoisomerase IIalpha and other drug resistance markers in advanced non-small cell lung cancer. | 2001-05 |
|
| Local hyperthermia, radiation, and chemotherapy in recurrent breast cancer is feasible and effective except for inflammatory disease. | 2001-04-01 |
|
| Phase II study of paclitaxel, ifosfamide, and carboplatin in patients with recurrent or metastatic head and neck squamous cell carcinoma. | 2001-04-01 |
|
| Salvage chemotherapy in relapsed germ cell tumors. | 2001-04 |
|
| Treatment of patients with metastatic germ cell tumors relapsing after high-dose chemotherapy. | 2001-04 |
|
| [Post-operative neoadjuvant chemotherapy before radiotherapy as compared to immediate radiotherapy followed by maintenance chemotherapy in the treatment of medulloblastoma in childhood: results of German prospective randomised trial HIT'91]. | 2001-04 |
|
| [Pigmented villonodular synovitis: apropos of 3 cases]. | 2001-04 |
|
| A three-drug regimen (gemcitabine, ifosfamide and cisplatin) for advanced non-small-cell lung cancer. | 2001-04 |
|
| Modified dorsalis pedis flap for coverage of a pretibial pressure sore after hip rotationplasty. | 2001-04 |
|
| Localized Ewing tumor of bone: final results of the cooperative Ewing's Sarcoma Study CESS 86. | 2001-03-15 |
|
| Tumor oxygenation after radiotherapy, chemotherapy, and/or hyperthermia predicts tumor free survival. | 2001-03-15 |
|
| Immunoglobulin D myeloma presenting as an extraosseous soft tissue tumor. | 2001-03 |
|
| [Surgical treatment of non-small cell lung cancer with mediastinal node invasion. A retrospective study]. | 2001-03 |
|
| Necrotic, rather than apoptotic, cell death caused by cytochrome P450-activated ifosfamide. | 2001-03 |
|
| Primary breast tumor levels of suspected molecular determinants of cellular sensitivity to cyclophosphamide, ifosfamide, and certain other anticancer agents as predictors of paired metastatic tumor levels of these determinants. Rational individualization of cancer chemotherapeutic regimens. | 2001-03 |
|
| A phase II study of dose-intense ifosfamide plus epirubicin with hematopoietic growth factors for the treatment of patients with advanced soft tissue sarcomas; a novel sequential schedule. | 2001-03 |
|
| Gemcitabine for the treatment of non-small-cell lung cancer. | 2001-03 |
|
| Ifosfamide and mitoxantrone in the treatment of recurrent and/or metastatic squamous cell carcinoma of the head and neck. | 2001-03 |
|
| Intrasellar rhabdomyosarcoma: case report. | 2001-03 |
|
| [A case of primary malignant hemangiopericytoma of the lung with marked response to combination chemotherapy with cisplatin, ifosfamide and gemcitabine]. | 2001-03 |
|
| Phase I trial of ifosfamide and 24-h infusional paclitaxel in pelvic malignancies: a Gynecologic Oncology Group study. | 2001-03 |
|
| Metastatic osteosarcoma to the liver after treatment for synovial sarcoma: a case report. | 2001-03 |
|
| The current status of docetaxel for advanced non-small cell lung cancer. | 2001-02 |
|
| Phase II study of a high-dose ifosfamide-based chemotherapy regimen with growth factor rescue in recurrent aggressive NHL. High response rates and limited toxicity, but limited impact on long-term survival. | 2001-02 |
|
| Sustained response of sarcomatoid renal-cell carcinoma to MAID chemotherapy: case report and review of the literature. | 2001-02 |
|
| Chemotherapy agents in transitional cell carcinoma: the old and the new. | 2001-02 |
|
| PBPC mobilization with paclitaxel, ifosfamide, and G-CSF with or without amifostine: results of a prospective randomized trial. | 2001-02 |
|
| A comparison of methods of loco-regional chemotherapy combined with systemic chemotherapy as neo-adjuvant treatment of osteosarcoma of the extremity. | 2001-02 |
|
| Neoadjuvant chemotherapy for high grade osteosarcoma of the extremities: long-term results for patients treated according to the Rizzoli IOR/OS-3b protocol. | 2001-02 |
|
| [Addisonian crisis as first manifestation of adrenal gland insufficiency in patient diagnosed with lung cancer]. | 2001-01 |
|
| [Prostatic angiosarcoma: report of a new case]. | 2001-01 |
|
| Clinical pharmacokinetics and pharmacodynamics of ifosfamide and its metabolites. | 2001-01 |
|
| Vinorelbine-based regimens as salvage treatment in patients with advanced non-small cell lung cancer: two parallel multicenter phase II trials. | 2001 |
|
| A phase II study of weekly alternating chemotherapy in extensive-stage small cell lung cancer. | 2001 |
|
| The efficacy of combination chemotherapy including intraperitoneal cisplatinum and mitoxantrone with intravenous ifosfamide in patients with FIGO stage I C ovarian carcinoma. | 2001 |
|
| Malignant mixed mullerian tumor of the ovary: report of four cases. | 2001 |
|
| Treatment of ruptured undifferentiated sarcoma of the liver in children: a report of two cases and review of the literature. | 2001 |
|
| Carnitine protects mitochondria and removes toxic acyls from xenobiotics. | 2001 |
|
| Paclitaxel by 72-hour continuous infusion followed by bolus intravenous ifosfamide or epirubicin: results of two phase I studies. | 2001 |
|
| Comparison of double and triple high-dose chemotherapy with autologous blood stem cell transplantation in patients with metastatic breast cancer. | 2001 |
Sample Use Guides
30-min infusion at a dose of 1.2 grams per m2 per day for 5 consecutive days
Route of Administration:
Intravenous
In Vitro Use Guide
Sources: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1968886/
Human testicular germ cell tumour lines H 12.1 and 2102 EP were treated with ifosfamide at 50 mg kg-1 day-1.
| Substance Class |
Chemical
Created
by
admin
on
Edited
Wed Apr 02 09:52:31 GMT 2025
by
admin
on
Wed Apr 02 09:52:31 GMT 2025
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| Record UNII |
UM20QQM95Y
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| Record Status |
Validated (UNII)
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| Classification Tree | Code System | Code | ||
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NCI_THESAURUS |
C697
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WHO-VATC |
QL01AA06
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WHO-ATC |
L01AA06
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FDA ORPHAN DRUG |
17786
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NDF-RT |
N0000175558
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WHO-ESSENTIAL MEDICINES LIST |
8.2
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NDF-RT |
N0000000236
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LIVERTOX |
NBK548567
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FDA ORPHAN DRUG |
8585
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3690
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7201
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SUB08125MIG
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DB01181
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1421
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100000083681
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3778-73-2
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UM20QQM95Y
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C564
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1336205
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109724
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2865
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IFOSFAMIDE
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m6207
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5657
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D007069
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Ifosfamide
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223-237-3
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7023
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CHEMBL1024
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UM20QQM95Y
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| Related Record | Type | Details | ||
|---|---|---|---|---|
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METABOLIC ENZYME -> SUBSTRATE | |||
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METABOLIC ENZYME -> SUBSTRATE |
| Related Record | Type | Details | ||
|---|---|---|---|---|
|
METABOLITE INACTIVE -> PARENT |
Found in erythrocytes too
PLASMA
|
||
|
METABOLITE INACTIVE -> PARENT |
|
||
|
METABOLITE -> PARENT |
Found in erythrocytes
PLASMA
|
||
|
METABOLITE ACTIVE -> PARENT |
PLASMA
|
||
|
METABOLITE INACTIVE -> PARENT |
Found in erythrocytes
PLASMA
|
||
|
|
METABOLITE INACTIVE -> PARENT | |||
|
METABOLITE INACTIVE -> PARENT |
|
||
|
METABOLITE -> PARENT |
Found in erythrocytes too
PLASMA
|
||
|
METABOLITE -> PARENT |
In serum
|
||
|
METABOLITE TOXIC -> PARENT |
MINOR
PLASMA
|
||
|
|
METABOLITE -> PARENT |
PLASMA
|
||
|
METABOLITE ACTIVE -> PRODRUG |
labile intermediate
|
| Related Record | Type | Details | ||
|---|---|---|---|---|
|
IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
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||
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
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|
IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
|
||
|
IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
|
||
|
IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
|
| Related Record | Type | Details | ||
|---|---|---|---|---|
|
ACTIVE MOIETY |
| Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
|---|---|---|---|---|---|---|
| Biological Half-life | PHARMACOKINETIC |
|
|
|||