ARRANON (NELARABINE)
October 31, 2005                                                                                zhion@zhion.com
Nelarabine (compound 506U78) is the water-soluble, 6-methoxy
analog of 9-beta-D-ara-G. Nelarabine is readily converted to
ara-G by endogenous adenosine deaminase. The half-life of
nelarabine is approximately 15 minutes compared with 2-4
hours for ara-G. The clearance of ara-G is higher in children
than in adults (0.312 vs 0.213 L x h(-1) x kg(-1)).  Severe
myelosuppression was not consistently observed. Major
responses were seen in patients with T-cell malignancies.
Patients who responded had significantly higher intracellular
ara-GTP concentrations compared with those who did not
respond. [3.7,8]


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