General Information of Drug (ID: DMHL7OB)

Drug Name
Uracil mustard
Synonyms
Chlorethaminacil; Demethyldopan; Desmethyldopan; Nordopan; Uracillost; Uracilmostaza; Uramustin; Uramustina; Uramustine; Uramustinum; Aminouracil mustard; Uracil lost; Uracil lost [German]; Uracil mustard [USAN]; Uracil nitrogen mustard; ENT 50439; U 8344; CB-4835; SK-19849; U-8344; Uracil mustard (TN); Uracil mustard (USAN); Uramustina [INN-Spanish]; Uramustine (INN); Uramustinum [INN-Latin]; URACIL MUSTARD (500 MG) (FOR U.S. SALE ONLY); 2,6-Dihydroxy-5-bis(2-chloroethyl)aminopyrimidine; 2,6-Dihydroxy-5-bis[2-chloroethyl]aminopyrimidine; 5-(Bis(2-chlorethyl)amino)-2,4(1H,3H)pyrimidinedione; 5-(Bis(2-chloroethyl)amino)-2,4(1H,3H)pyrimidinedione; 5-(Bis(2-chloroethyl)amino)-2,4-(1H,3H)pyrimidinedione; 5-(Bis(2-chloroethyl)amino)uracil; 5-(Di-(beta-chloroethyl)amino)uracil; 5-(Di-2-chloroethyl)aminouracil; 5-Aminouracil mustard; 5-N,N-Bis(2-chloroethyl)aminouracil; 5-[Bis(2-chlorethyl)amino]-2,4(1H,3H)pyrimidinedione; 5-[Bis(2-chloroethyl)amino]uracil; 5-[Di(2-chloroethyl)amino]uracil; 5-[Di(beta-chloroethyl)amino]uracil; 5-[Di(beta.-chloroethyl)amino]uracil; 5-[bis(2-chloroethyl)amino]-1H-pyrimidine-2,4-dione; 5-[bis(2-chloroethyl)amino]-2,4(1H,3H)-pyrimidinedione; 5-[bis(2-chloroethyl)amino]pyrimidine-2,4(1H,3H)-dione; 5-[bis(2-chloroethyl)amino]pyrimidine-2,4-diol
Indication
Disease Entry ICD 11 Status REF
Acute myeloid leukaemia 2A60 Approved [1], [2], [3]
Therapeutic Class
Anticancer Agents
Drug Type
Small molecular drug
Structure
3D MOL 2D MOL
#Ro5 Violations (Lipinski): 0 Molecular Weight (mw) 252.09
Topological Polar Surface Area (xlogp) 0.5
Rotatable Bond Count (rotbonds) 5
Hydrogen Bond Donor Count (hbonddonor) 2
Hydrogen Bond Acceptor Count (hbondacc) 3
Chemical Identifiers
Formula
C8H11Cl2N3O2
IUPAC Name
5-[bis(2-chloroethyl)amino]-1H-pyrimidine-2,4-dione
Canonical SMILES
C1=C(C(=O)NC(=O)N1)N(CCCl)CCCl
InChI
InChI=1S/C8H11Cl2N3O2/c9-1-3-13(4-2-10)6-5-11-8(15)12-7(6)14/h5H,1-4H2,(H2,11,12,14,15)
InChIKey
IDPUKCWIGUEADI-UHFFFAOYSA-N
Cross-matching ID
PubChem CID
6194
ChEBI ID
CHEBI:9884
CAS Number
66-75-1
DrugBank ID
DB00791
TTD ID
D0J9UN

Molecular Interaction Atlas of This Drug


Drug Therapeutic Target (DTT)
DTT Name DTT ID UniProt ID MOA REF
Human Deoxyribonucleic acid (hDNA) TTUTN1I NOUNIPROTAC Modulator [4]
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 Uracil mustard (Comorbidity)
DDI Drug Name DDI Drug ID Severity Mechanism Comorbidity REF
Roflumilast DMPGHY8 Moderate Additive immunosuppressive effects by the combination of Uracil mustard and Roflumilast. Asthma [CA23] [15]
Ofloxacin DM0VQN3 Minor Decreased absorption of Uracil mustard due to intestinal mucosa variation caused by Ofloxacin. Bacterial infection [1A00-1C4Z] [16]
Gemifloxacin DMHT34O Minor Decreased absorption of Uracil mustard due to intestinal mucosa variation caused by Gemifloxacin. Bacterial infection [1A00-1C4Z] [16]
Norfloxacin DMIZ6W2 Minor Decreased absorption of Uracil mustard due to intestinal mucosa variation caused by Norfloxacin. Bacterial infection [1A00-1C4Z] [16]
ABT-492 DMJFD2I Minor Decreased absorption of Uracil mustard due to intestinal mucosa variation caused by ABT-492. Bacterial infection [1A00-1C4Z] [16]
Levofloxacin DMS60RB Minor Decreased absorption of Uracil mustard due to intestinal mucosa variation caused by Levofloxacin. Bacterial infection [1A00-1C4Z] [16]
Givosiran DM5PFIJ Moderate Increased risk of nephrotoxicity by the combination of Uracil mustard and Givosiran. Inborn porphyrin/heme metabolism error [5C58] [17]
Denosumab DMNI0KO Moderate Additive immunosuppressive effects by the combination of Uracil mustard and Denosumab. Low bone mass disorder [FB83] [18]
Tecfidera DM2OVDT Moderate Additive immunosuppressive effects by the combination of Uracil mustard and Tecfidera. Multiple sclerosis [8A40] [19]
Siponimod DM2R86O Major Additive immunosuppressive effects by the combination of Uracil mustard and Siponimod. Multiple sclerosis [8A40] [17]
Fingolimod DM5JVAN Major Additive immunosuppressive effects by the combination of Uracil mustard and Fingolimod. Multiple sclerosis [8A40] [20]
Ocrelizumab DMEZ2KH Moderate Additive immunosuppressive effects by the combination of Uracil mustard and Ocrelizumab. Multiple sclerosis [8A40] [21]
Ozanimod DMT6AM2 Major Additive immunosuppressive effects by the combination of Uracil mustard and Ozanimod. Multiple sclerosis [8A40] [15]
Omacetaxine mepesuccinate DMPU2WX Moderate Additive immunosuppressive effects by the combination of Uracil mustard and Omacetaxine mepesuccinate. Myeloproliferative neoplasm [2A20] [22]
Gatifloxacin DMSL679 Minor Decreased absorption of Uracil mustard due to intestinal mucosa variation caused by Gatifloxacin. Respiratory infection [CA07-CA4Z] [16]
Canakinumab DM8HLO5 Moderate Additive immunosuppressive effects by the combination of Uracil mustard and Canakinumab. Rheumatoid arthritis [FA20] [23]
Rilonacept DMGLUQS Moderate Additive immunosuppressive effects by the combination of Uracil mustard and Rilonacept. Rheumatoid arthritis [FA20] [23]
Golimumab DMHZV7X Major Additive immunosuppressive effects by the combination of Uracil mustard and Golimumab. Rheumatoid arthritis [FA20] [24]
Leflunomide DMR8ONJ Major Additive immunosuppressive effects by the combination of Uracil mustard and Leflunomide. Rheumatoid arthritis [FA20] [25]
Anthrax vaccine DM9GSWY Moderate Antagonize the effect of Uracil mustard when combined with Anthrax vaccine. Sepsis [1G40-1G41] [26]
Azathioprine DMMZSXQ Moderate Additive immunosuppressive effects by the combination of Uracil mustard and Azathioprine. Transplant rejection [NE84] [17]
Plazomicin DMKMBES Moderate Increased risk of nephrotoxicity by the combination of Uracil mustard and Plazomicin. Urinary tract infection [GC08] [17]
Ganciclovir DM1MBYQ Moderate Additive myelosuppressive effects by the combination of Uracil mustard and Ganciclovir. Virus infection [1A24-1D9Z] [17]
Valganciclovir DMS2IUH Moderate Additive myelosuppressive effects by the combination of Uracil mustard and Valganciclovir. Virus infection [1A24-1D9Z] [17]
⏷ Show the Full List of 24 DDI Information of This Drug

References

1 URL: http://www.guidetopharmacology.org Nucleic Acids Res. 2015 Oct 12. pii: gkv1037. The IUPHAR/BPS Guide to PHARMACOLOGY in 2016: towards curated quantitative interactions between 1300 protein targets and 6000 ligands. (Ligand id: 7621).
2 Natural products as sources of new drugs over the last 25 years. J Nat Prod. 2007 Mar;70(3):461-77.
3 Drugs@FDA. U.S. Food and Drug Administration. U.S. Department of Health & Human Services. 2015
4 Excision of DNA adducts of nitrogen mustards by bacterial and mammalian 3-methyladenine-DNA glycosylases. Carcinogenesis. 1996 Apr;17(4):643-8.
5 Cisplatin and DNA repair in cancer chemotherapy.Trends Biochem Sci.1995 Oct;20(10):435-9.
6 Structures of oxaliplatin-oligonucleotide adducts from DNA.J Mass Spectrom.2012 Oct;47(10):1282-93.
7 31P NMR spectra of ethidium, quinacrine, and daunomycin complexes with poly(adenylic acid).poly(uridylic acid) RNA duplex and calf thymus DNA. Biochemistry. 1989 Apr 4;28(7):2804-12.
8 Pharmacokinetics and metabolism of ifosfamide in relation to DNA damage assessed by the COMET assay in children with cancer. Br J Cancer. 2005 May 9;92(9):1626-35.
9 O6-methylguanine-DNA methyltransferase activity and sensitivity to cyclophosphamide and cisplatin in human lung tumor xenografts. Int J Cancer. 1998 Sep 11;77(6):919-22.
10 Inhibition of carboplatin-induced DNA interstrand cross-link repair by gemcitabine in patients receiving these drugs for platinum-resistant ovarian cancer.Clin Cancer Res.2010 Oct 1;16(19):4899-905.
11 DNA intrastrand cross-link at the 5'-GA-3' sequence formed by busulfan and its role in the cytotoxic effect. Cancer Sci. 2004 May;95(5):454-8.
12 Brca2/Xrcc2 dependent HR, but not NHEJ, is required for protection against O(6)-methylguanine triggered apoptosis, DSBs and chromosomal aberrations... DNA Repair (Amst). 2009 Jan 1;8(1):72-86.
13 Structural studies of atom-specific anticancer drugs acting on DNA. Pharmacol Ther. 1999 Sep;83(3):181-215.
14 Predicting the myelotoxicity of chemotherapy: the use of pretreatment O6-methylguanine-DNA methyltransferase determination in peripheral blood mono... Melanoma Res. 2011 Dec;21(6):502-8.
15 Cerner Multum, Inc. "UK Summary of Product Characteristics.".
16 Johnson EJ, MacGowan AP, Potter MN, et al "Reduced absorption of oral ciprofloxacin after chemotherapy for haematological malignancy." J Antimicrob Chemother 25 (1990): 837-42. [PMID: 2373666]
17 Cerner Multum, Inc. "Australian Product Information.".
18 Product Information. Prolia (denosumab). Amgen USA, Thousand Oaks, CA.
19 Product Information. Vumerity (diroximel fumarate). Alkermes, Inc, Cambridge, MA.
20 Product Information. Gilenya (fingolimod). Novartis Pharmaceuticals, East Hanover, NJ.
21 Product Information. Ocrevus (ocrelizumab). Genentech, South San Francisco, CA.
22 Product Information. Synribo (omacetaxine). Teva Pharmaceuticals USA, North Wales, PA.
23 Product Information. Arcalyst (rilonacept). Regeneron Pharmaceuticals Inc, Tarrytown, NY.
24 Product Information. Cimzia (certolizumab). UCB Pharma Inc, Smyrna, GA.
25 Product Information. Arava (leflunomide). Hoechst Marion-Roussel Inc, Kansas City, MO.
26 CDC. Centers for Disease Control and Prevention/ "Recommendations of the advisory committtee on immunization practices (ACIP): use of vaccines and immune globulins in persons with altered immunocompetence." MMWR Morb Mortal Wkly Rep 42(RR-04) (1993): 1-18. [PMID: 20300058]