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Nitrosoureas Antimetabolites
→ identified N-methyl-N-nitroguanidine as having → useful drugs used in antimetabolite therapy are
activity against L1210 leukemia purines, pyrimidines, folates, and related
compounds
Individual agents for Alkylating Agents → enzyme inhibition at active, allosteric, or
Mechlorethamine HCl (Mustargen) related sites
→ treatment of Hodgkin’s lymphoma.
It is part of MOPP regimen (vincristine, 5-Fluorouracil
procarbazine, and prednisone) → breast cancer,colorectal cancer, stomach
→used topically in the treatment of mycosis cancer, pancreatic cancer, and topical use in
fungoide basal cell cancer of the skin
Chlorambucil → drug interaction with Leucovorin
→treatment of Hodgkin’s lymphoma, and chronic Capecitabine
lymphocytic leukemia in combination with → fluoropyrimidine carbamate prodrug form of
prednisone 5-fluorouracil
Melphalan → treat breast cancer and colorectal cancer
Cyclophosphamide Cytarabine
→ Wilms tumor; Coadministration of mesna is →treatment of acute myelogenous leukemia and
recommended CML
→ Cryptothethya crypta
Ifosfamide Floxuridine
→ treat metastatic GI adenocarcinoma
Gemcitabine
→ a potent radiosensitizer, and it increases the inca alkaloids are extracted from the leaves of
V
cytotoxicity of cisplatin Catharanthus roseus (periwinkle)
→ treat bladder cancer, breast cancer, pancreatic
cancer, and NSCLC Vinblastine
Cladribine → part of the ABVD (adriamycin, bleomycin,
Fludarabine vinblastine, and dacarbazine) regimen used in the
Mercaptopurine treatment of Hodgkin’s lymphoma
→ treatment of lymphoblastic leukemia, acute Vincristine
lymphocytic leukemia, and Crohn disease → multidrug regime for Hodgkin’s and
→ use of xanthine oxidase inhibitors such as non-Hodgkin’s lymphoma
allopurinol can enhance the potency of → It has also been utilized in treating pediatric
mercaptopurine cancer.
Thioguanine Vinorelbine
→ treat acute nonlymphocytic leukemia → is the most lipophilic of the vinca alkaloids
Pentostatin
Methotrexate Taxanes
→ inhibition of DHFR leading to a depletion of → taxol (or paclitaxel) isolated from the bark of
critical reduced folates the pacific yew tree
→ breast cancer, bladder cancer, colorectal
cancer, and head and neck cancer Paclitaxel
Pemetrexed →major toxicity seen with paclitaxel is a
Trimetrexate dose-limiting myelosuppression that normally
treat colorectal cancer, head and neck cancer as presents as neutropenia
well as NSCLC
Hydroxyurea Ixabepilone
used to treat myelogenous leukemia, ovarian → is the semisynthetic amide analog of
cancer, and essential thrombocytosis epothilone B that is isolated from the
myxobacterium Sorangium cellulosum
Antibiotics
Dactinomycin Mitomycin C
→ treatment of rhabdomyosarcoma and Wilms → was isolated from Streptomyces
tumor in children as well as in the treatment of caespitosus
choriocarcinoma, Ewing sarcoma, Kaposi
sarcoma, and testicular carcinoma. Protein Kinase Inhibitor
Imatinib
Epipodophyllotoxins are semisynthetic →treatment of CML, gastrointestinal stromal
derivatives of podophyllotoxin, which is isolated tumors (GIST) that express Kit and acute
from the mayapple (mandrake) root and lymphoplastic leukemia that is positive for the
functions as an inhibitor of microtubule Philadelphia chromosome.
Etoposide acts on topoisomerase II Geftinib
→treatment of NSCLC for those patients who
Camptothecins are inhibitors of have failed to respond to platinum-based
topoisomerase I and isolated from therapies
Camptotheca acuminata →inhibitor of the TK of EGF-R and possibly other
TK
Bleomycin is a glycopeptide antibiotic complex
isolated from Streptomyces verticillus