General Information of Drug (ID: DM1MBYQ)

Drug Name
Ganciclovir
Synonyms
ganciclovir; 82410-32-0; Gancyclovir; Cytovene; Vitrasert; Hydroxyacyclovir; Ganciclovirum; Zirgan; RS-21592; Cymevene; HHEMG; Biolf 62; BW-759U; Ganciclovirum [Latin]; 2'-NDG; 2-Amino-9-(((1,3-dihydroxypropan-2-yl)oxy)methyl)-1H-purin-6(9H)-one; BW 759U; BIOLF-62; 2'-Nor-2'-deoxyguanosine; 9-[(1,3-Dihydroxy-2-propoxy)methyl]guanine; BW-B 759U; UNII-P9G3CKZ4P5; DRG-0018; BW 759; 9-(1,3-DIHYDROXY-PROPOXYMETHANE)GUANINE; 2-amino-9-{[(1,3-dihydroxypropan-2-yl)oxy]methyl}-6,9-dihydro-3H-purin-6-one; CCRIS 9212; GA2; Cytovene-IV; HSDB 6512
Indication
Disease Entry ICD 11 Status REF
Cytomegalovirus infection 1D82 Approved [1]
Cytomegalovirus retinitis 9B72.00 Approved [1]
Virus infection 1A24-1D9Z Approved [2]
Radiculitis N.A. Investigative [1]
Therapeutic Class
Antiviral Agents
Drug Type
Small molecular drug
Structure
3D MOL 2D MOL
#Ro5 Violations (Lipinski): 1 Molecular Weight (mw) 255.23
Logarithm of the Partition Coefficient (xlogp) -2.5
Rotatable Bond Count (rotbonds) 5
Hydrogen Bond Donor Count (hbonddonor) 4
Hydrogen Bond Acceptor Count (hbondacc) 6
ADMET Property
BDDCS Class
Biopharmaceutics Drug Disposition Classification System (BDDCS) Class 3: high solubility and low permeability [3]
Clearance
The drug present in the plasma can be removed from the body at the rate of 4.6 mL/min/kg [4]
Elimination
91% of drug is excreted from urine in the unchanged form [3]
Half-life
The concentration or amount of drug in body reduced by one-half in 2.5 - 3.6 hours [4]
Metabolism
The drug is not metabolised []
MRTD
The Maximum Recommended Therapeutic Dose (MRTD) of drug that ensured maximising efficacy and moderate side effect is 78.3591 micromolar/kg/day [5]
Unbound Fraction
The unbound fraction of drug in plasma is 0.99% [4]
Vd
The volume of distribution (Vd) of drug is 0.74 +/- 0.15 L/kg []
Water Solubility
The ability of drug to dissolve in water is measured as 6 mg/mL [3]
Chemical Identifiers
Formula
C9H13N5O4
IUPAC Name
2-amino-9-(1,3-dihydroxypropan-2-yloxymethyl)-1H-purin-6-one
Canonical SMILES
C1=NC2=C(N1COC(CO)CO)N=C(NC2=O)N
InChI
InChI=1S/C9H13N5O4/c10-9-12-7-6(8(17)13-9)11-3-14(7)4-18-5(1-15)2-16/h3,5,15-16H,1-2,4H2,(H3,10,12,13,17)
InChIKey
IRSCQMHQWWYFCW-UHFFFAOYSA-N
Cross-matching ID
PubChem CID
135398740
ChEBI ID
CHEBI:465284
CAS Number
82410-32-0
DrugBank ID
DB01004
TTD ID
D05ARP
VARIDT ID
DR00027
ACDINA ID
D00298
Combinatorial Drugs (CBD) Click to Jump to the Detailed CBD Information of This Drug
Repurposed Drugs (RPD) Click to Jump to the Detailed RPD Information of This Drug

Molecular Interaction Atlas of This Drug


Drug Therapeutic Target (DTT)
DTT Name DTT ID UniProt ID MOA REF
Herpes simplex virus DNA polymerase UL30 (HSV UL30) TTIU7X1 DPOL_HHV11 Inhibitor [6]

Drug Transporter (DTP)
DTP Name DTP ID UniProt ID MOA REF
Alanine/serine/cysteine/threonine transporter 2 (SLC1A5) DTW7AE3 AAAT_HUMAN Substrate [7]
Multidrug resistance-associated protein 5 (ABCC5) DTYVM24 MRP5_HUMAN Substrate [8]
Multidrug resistance-associated protein 4 (ABCC4) DTCSGPB MRP4_HUMAN Substrate [9]
Organic cation transporter 1 (SLC22A1) DTT79CX S22A1_HUMAN Substrate [10]
Multidrug and toxin extrusion protein 2 (SLC47A2) DT3TX4H S47A2_HUMAN Substrate [11]
Multidrug and toxin extrusion protein 1 (SLC47A1) DTZGT0P S47A1_HUMAN Substrate [11]
Breast cancer resistance protein (ABCG2) DTI7UX6 ABCG2_HUMAN Substrate [12]
Organic anion transporter 1 (SLC22A6) DTQ23VB S22A6_HUMAN Substrate [10]
Organic anion transporter 3 (SLC22A8) DTVP67E S22A8_HUMAN Substrate [13]

Drug Off-Target (DOT)
DOT Name DOT ID UniProt ID Interaction REF
Apoptosis regulator Bcl-2 (BCL2) OT9DVHC0 BCL2_HUMAN Gene/Protein Processing [14]
Cellular tumor antigen p53 (TP53) OTIE1VH3 P53_HUMAN Gene/Protein Processing [14]
E3 ubiquitin-protein ligase Mdm2 (MDM2) OTOVXARF MDM2_HUMAN Gene/Protein Processing [14]
Tumor necrosis factor (TNF) OT4IE164 TNFA_HUMAN Protein Interaction/Cellular Processes [15]
Molecular Interaction Atlas (MIA) Jump to Detail Molecular Interaction Atlas of This Drug

Drug-Drug Interaction (DDI) Information of This Drug

Coadministration of a Drug Treating the Disease Different from Ganciclovir (Comorbidity)
DDI Drug Name DDI Drug ID Severity Mechanism Comorbidity REF
Remdesivir DMBFZ6L Moderate Decreased renal excretion of Ganciclovir caused by Remdesivir mediated nephrotoxicity. 1D6YCoronavirus Disease 2019 [1D6YCoronavirus Disease 2019] [16]
Midostaurin DMI6E0R Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Midostaurin. Acute myeloid leukaemia [2A60] [16]
Idarubicin DMM0XGL Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Idarubicin. Acute myeloid leukaemia [2A60] [16]
Inotersen DMJ93CT Major Increased risk of nephrotoxicity by the combination of Ganciclovir and Inotersen. Amyloidosis [5D00] [17]
Roflumilast DMPGHY8 Moderate Additive immunosuppressive effects by the combination of Ganciclovir and Roflumilast. Asthma [CA23] [17]
Imipenem DMI9FBP Moderate Increased risk of lowers seizure threshold by the combination of Ganciclovir and Imipenem. Bacterial infection [1A00-1C4Z] [18]
Lomustine DMMWSUL Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Lomustine. Brain cancer [2A00] [16]
Eribulin DM1DX4Q Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Eribulin. Breast cancer [2C60-2C6Y] [16]
Talazoparib DM1KS78 Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Talazoparib. Breast cancer [2C60-2C6Y] [16]
Ixabepilone DM2OZ3G Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Ixabepilone. Breast cancer [2C60-2C6Y] [16]
LY2835219 DM93VBZ Moderate Additive myelosuppressive effects by the combination of Ganciclovir and LY2835219. Breast cancer [2C60-2C6Y] [16]
Pralatrexate DMAO80I Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Pralatrexate. Breast cancer [2C60-2C6Y] [16]
Palbociclib DMD7L94 Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Palbociclib. Breast cancer [2C60-2C6Y] [16]
Thiotepa DMIZKOP Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Thiotepa. Breast cancer [2C60-2C6Y] [16]
Cabazitaxel DMPAZHC Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Cabazitaxel. Breast cancer [2C60-2C6Y] [16]
Bosutinib DMTI8YE Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Bosutinib. Breast cancer [2C60-2C6Y] [16]
Aflibercept DMT3D5I Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Aflibercept. Colorectal cancer [2B91] [16]
Capecitabine DMTS85L Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Capecitabine. Colorectal cancer [2B91] [16]
Polatuzumab vedotin DMF6Y0L Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Polatuzumab vedotin. Diffuse large B-cell lymphoma [2A81] [16]
Lisocabtagene maraleucel DMP45ME Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Lisocabtagene maraleucel. Diffuse large B-cell lymphoma [2A81] [16]
Axicabtagene ciloleucel DMYHN59 Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Axicabtagene ciloleucel. Diffuse large B-cell lymphoma [2A81] [16]
Flucytosine DM13VTW Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Flucytosine. Endocarditis [BB40-BA42] [16]
Bay 80-6946 DMLOS5R Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Bay 80-6946. Follicular lymphoma [2A80] [16]
Avapritinib DMK2GZX Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Avapritinib. Gastrointestinal stromal tumour [2B5B] [16]
Colchicine DM2POTE Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Colchicine. Gout [FA25] [16]
177Lu-DOTATATE DMT8GVU Moderate Additive myelosuppressive effects by the combination of Ganciclovir and 177Lu-DOTATATE. Hepatitis virus infection [1E50-1E51] [16]
Procarbazine DMIK367 Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Procarbazine. Hodgkin lymphoma [2B30] [16]
Brentuximab vedotin DMWLC57 Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Brentuximab vedotin. Hodgkin lymphoma [2B30] [16]
Teriflunomide DMQ2FKJ Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Teriflunomide. Hyper-lipoproteinaemia [5C80] [16]
Nelarabine DMB6VEG Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Nelarabine. Leukaemia [2A60-2B33] [16]
Lurbinectedin DMEFRTZ Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Lurbinectedin. Lung cancer [2C25] [16]
Osimertinib DMRJLAT Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Osimertinib. Lung cancer [2C25] [16]
Primaquine DMWQ16I Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Primaquine. Malaria [1F40-1F45] [16]
Inotuzumab ozogamicin DMAC130 Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Inotuzumab ozogamicin. Malignant haematopoietic neoplasm [2B33] [16]
Fludarabine DMVRLT7 Moderate Increased risk of nephrotoxicity by the combination of Ganciclovir and Fludarabine. Malignant haematopoietic neoplasm [2B33] [16]
Ofatumumab DM295PR Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Ofatumumab. Mature B-cell leukaemia [2A82] [16]
Obinutuzumab DM3BVAE Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Obinutuzumab. Mature B-cell leukaemia [2A82] [16]
Idelalisib DM602WT Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Idelalisib. Mature B-cell leukaemia [2A82] [16]
GDC-0199 DMH0QKA Moderate Additive myelosuppressive effects by the combination of Ganciclovir and GDC-0199. Mature B-cell leukaemia [2A82] [16]
IPI-145 DMWA24P Moderate Additive myelosuppressive effects by the combination of Ganciclovir and IPI-145. Mature B-cell leukaemia [2A82] [16]
Acalabrutinib DM7GCVW Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Acalabrutinib. Mature B-cell lymphoma [2A85] [16]
Blinatumomab DMGECIJ Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Blinatumomab. Mature B-cell lymphoma [2A85] [16]
Ibrutinib DMHZCPO Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Ibrutinib. Mature B-cell lymphoma [2A85] [16]
Tisagenlecleucel DMM9BJD Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Tisagenlecleucel. Mature B-cell lymphoma [2A85] [16]
Mercaptopurine DMTM2IK Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Mercaptopurine. Mature B-cell lymphoma [2A85] [16]
Exjade DMHPRWG Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Exjade. Mineral absorption/transport disorder [5C64] [16]
Carfilzomib DM48K0X Moderate Increased risk of nephrotoxicity by the combination of Ganciclovir and Carfilzomib. Multiple myeloma [2A83] [16]
Panobinostat DM58WKG Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Panobinostat. Multiple myeloma [2A83] [16]
Thalidomide DM70BU5 Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Thalidomide. Multiple myeloma [2A83] [16]
Selinexor DMBD4K3 Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Selinexor. Multiple myeloma [2A83] [16]
Belantamab mafodotin DMBT3AI Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Belantamab mafodotin. Multiple myeloma [2A83] [16]
Elotuzumab DMEYHG9 Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Elotuzumab. Multiple myeloma [2A83] [16]
Daratumumab DMKCIUZ Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Daratumumab. Multiple myeloma [2A83] [16]
Melphalan DMOLNHF Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Melphalan. Multiple myeloma [2A83] [16]
Romidepsin DMT5GNL Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Romidepsin. Mycosis fungoides [2B01] [16]
Decitabine DMQL8XJ Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Decitabine. Myelodysplastic syndrome [2A37] [16]
Nilotinib DM7HXWT Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Nilotinib. Myeloproliferative neoplasm [2A20] [16]
Ruxolitinib DM7Q98D Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Ruxolitinib. Myeloproliferative neoplasm [2A20] [16]
Dasatinib DMJV2EK Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Dasatinib. Myeloproliferative neoplasm [2A20] [16]
Hydroxyurea DMOQVU9 Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Hydroxyurea. Myeloproliferative neoplasm [2A20] [16]
Omacetaxine mepesuccinate DMPU2WX Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Omacetaxine mepesuccinate. Myeloproliferative neoplasm [2A20] [16]
Busulfan DMXYJ9C Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Busulfan. Myeloproliferative neoplasm [2A20] [16]
Olaparib DM8QB1D Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Olaparib. Ovarian cancer [2C73] [16]
Rucaparib DM9PVX8 Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Rucaparib. Ovarian cancer [2C73] [16]
MK-4827 DMLYGH4 Moderate Additive myelosuppressive effects by the combination of Ganciclovir and MK-4827. Ovarian cancer [2C73] [16]
Topotecan DMP6G8T Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Topotecan. Ovarian cancer [2C73] [16]
Upadacitinib DM32B5U Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Upadacitinib. Rheumatoid arthritis [FA20] [16]
Baricitinib DM4ONW5 Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Baricitinib. Rheumatoid arthritis [FA20] [16]
Tofacitinib DMBS370 Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Tofacitinib. Rheumatoid arthritis [FA20] [16]
Golimumab DMHZV7X Major Additive immunosuppressive effects by the combination of Ganciclovir and Golimumab. Rheumatoid arthritis [FA20] [19]
Sarilumab DMOGNXY Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Sarilumab. Rheumatoid arthritis [FA20] [16]
Leflunomide DMR8ONJ Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Leflunomide. Rheumatoid arthritis [FA20] [16]
Mogamulizumab DMISH0Z Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Mogamulizumab. Sezary syndrome [2B02] [16]
PDX-101 DM6OC53 Moderate Additive myelosuppressive effects by the combination of Ganciclovir and PDX-101. Solid tumour/cancer [2A00-2F9Z] [16]
Ifosfamide DMCT3I8 Moderate Increased risk of nephrotoxicity by the combination of Ganciclovir and Ifosfamide. Solid tumour/cancer [2A00-2F9Z] [16]
Docetaxel DMDI269 Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Docetaxel. Solid tumour/cancer [2A00-2F9Z] [16]
Trabectedin DMG3Y89 Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Trabectedin. Solid tumour/cancer [2A00-2F9Z] [16]
Mitoxantrone DMM39BF Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Mitoxantrone. Solid tumour/cancer [2A00-2F9Z] [16]
LEE011 DMMX75K Moderate Additive myelosuppressive effects by the combination of Ganciclovir and LEE011. Solid tumour/cancer [2A00-2F9Z] [16]
Taxol DMUOT9V Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Taxol. Solid tumour/cancer [2A00-2F9Z] [16]
Pomalidomide DMTGBAX Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Pomalidomide. Systemic sclerosis [4A42] [16]
Plicamycin DM7C8YV Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Plicamycin. Testicular cancer [2C80] [16]
Trimetrexate DMDEA85 Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Trimetrexate. Toxoplasmosis [1F57] [16]
Procainamide DMNMXR8 Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Procainamide. Ventricular tachyarrhythmia [BC71] [16]
Tocainide DMYNMDP Moderate Additive myelosuppressive effects by the combination of Ganciclovir and Tocainide. Ventricular tachyarrhythmia [BC71] [16]
⏷ Show the Full List of 85 DDI Information of This Drug

Drug Inactive Ingredient(s) (DIG) and Formulation(s) of This Drug

DIG
DIG Name DIG ID PubChem CID Functional Classification
FD&C blue no. 2 E00446 2723854 Colorant
Hydrochloric acid E00015 313 Acidulant
Carmellose sodium E00625 Not Available Disintegrant
Ferric hydroxide oxide yellow E00539 23320441 Colorant
Magnesium stearate E00208 11177 lubricant
Povidone E00667 Not Available Binding agent; Coating agent; Disintegrant; Film/membrane-forming agent; Solubilizing agent; Suspending agent
Sodium hydroxide E00234 14798 Alkalizing agent
Soybean lecithin E00637 Not Available Other agent
Titanium dioxide E00322 26042 Coating agent; Colorant; Opacifying agent
⏷ Show the Full List of 9 Pharmaceutical Excipients of This Drug
Pharmaceutical Formulation
Formulation Name Drug Dosage Dosage Form Route
Ganciclovir 250 mg capsule 250 mg Oral Capsule Oral
Ganciclovir 500 mg capsule 500 mg Oral Capsule Oral
Ganciclovir Sodium eq 500mg base/vial injectable eq 500mg base/vial Injectable Injection
Jump to Detail Pharmaceutical Formulation Page of This Drug

References

1 Ganciclovir FDA Label
2 Natural products as sources of new drugs over the last 25 years. J Nat Prod. 2007 Mar;70(3):461-77.
3 BDDCS applied to over 900 drugs
4 Trend Analysis of a Database of Intravenous Pharmacokinetic Parameters in Humans for 1352 Drug Compounds
5 Estimating the safe starting dose in phase I clinical trials and no observed effect level based on QSAR modeling of the human maximum recommended daily dose
6 Application of real time polymerase chain reaction to the diagnosis and treatment of cytomegalovirus infection after allogeneic hematopoietic stem cell transplantation. Zhonghua Xue Ye Xue Za Zhi. 2009 Feb;30(2):77-81.
7 Amino Acid Transporter ATB0,+ as a delivery system for drugs and prodrugs. Curr Drug Targets Immune Endocr Metabol Disord. 2005 Dec;5(4):357-64.
8 Cellular export of drugs and signaling molecules by the ATP-binding cassette transporters MRP4 (ABCC4) and MRP5 (ABCC5). Drug Metab Rev. 2005;37(1):253-78.
9 Human intestinal transporter database: QSAR modeling and virtual profiling of drug uptake, efflux and interactions. Pharm Res. 2013 Apr;30(4):996-1007.
10 Human organic anion transporters and human organic cation transporters mediate renal antiviral transport. J Pharmacol Exp Ther. 2002 Mar;300(3):918-24.
11 Substrate specificity of MATE1 and MATE2-K, human multidrug and toxin extrusions/H(+)-organic cation antiporters. Biochem Pharmacol. 2007 Jul 15;74(2):359-71.
12 Side populations of glioblastoma cells are less sensitive to HSV-TK/GCV suicide gene therapy system than the non-side population. In Vitro Cell Dev Biol Anim. 2010 Jun;46(6):497-501.
13 FDA Drug Development and Drug Interactions
14 Mechanisms of thymidine kinase/ganciclovir and cytosine deaminase/ 5-fluorocytosine suicide gene therapy-induced cell death in glioma cells. Oncogene. 2005 Feb 10;24(7):1231-43. doi: 10.1038/sj.onc.1208290.
15 Sulfasalazine unveils a contact-independent HSV-TK/ganciclovir gene therapy bystander effect in malignant gliomas. Int J Oncol. 2007 Jan;30(1):283-90.
16 Cerner Multum, Inc. "Australian Product Information.".
17 Cerner Multum, Inc. "UK Summary of Product Characteristics.".
18 Product Information. Cytovene (ganciclovir). Genentech, South San Francisco, CA.
19 Product Information. Cimzia (certolizumab). UCB Pharma Inc, Smyrna, GA.