Details of Drug

Drug General Information (ID: D0431)
Drug Name	Decitabine
Drug Type	Small molecule
Drug Synonymous	AzadC; Dacogen; Dezocitidine; NCGC_5ADOC; Dacogen (TN); E-7373; Decitabine (USAN/INN); Dacogen, 5-aza-2'-deoxycytidine,NSC 127716, Dacogen, DAC, Decitabine; 2'-Deoxy-5-azacytidine; 4-Amino-1-(2-deoxy-beta-D-erythro-pentofuranosyl)-1,3,5-triazin-2(1H)-one; 4-Amino-1-(2-deoxy-beta-D-erythro-pentofuranosyl)-s-triazin-2(1H)-one; 4-Amino-1-(2-deoxy-beta-D-ribofuranosyl)-1,3,5-triazin-2(1H)-one; 4-amino-1-[(2R,4S,5R)-4-hydroxy-5-(hydroxymethyl)oxolan-2-yl]-1,3,5-triazin-2-one; 5-AZAdC; 5-Aza-2′-Deoxycytidine; 5-Aza-2'-deoxycytidine; 5-Azadeoxycytidine; 5-Deoxy-2′-azacytidine; 5-aza-2-deoxycytidine; 5-aza-CdR; 5-aza-dC; 5A2dc Click to Show/Hide
Disease Class	2A37: Myelodysplastic syndrome
Therapeutic Class	Antineoplastics
Structure
Structure	3D Structure		2D Structure
Formula	C8H12N4O4
InChI	1S/C8H12N4O4/c9-7-10-3-12(8(15)11-7)6-1-4(14)5(2-13)16-6/h3-6,13-14H,1-2H2,(H2,9,11,15)/t4-,5+,6+/m0/s1
InChIKey	XAUDJQYHKZQPEU-KVQBGUIXSA-N
Canonical SMILES	C1C(C(OC1N2C=NC(=NC2=O)N)CO)O
External Link
	Pubchem ID	451668
	CAS Number	2353-33-5
	CHEBI ID	50131
	TTD ID	D0X5XU
	INTEDE ID	DR1763

Drug-Drug Interaction Network
Sunburst Graph		Legend Information AM006 Pharmacodynamic additive effects AM007 Pharmacodynamic antagonistic effects BM043 Additive immunosuppressive effects BM044 Additive myelosuppressive effects BM047 Additive thrombogenic effects BM100 Antagonize the effect of vaccine/toxoid BM105 Antagonize the effect of probiotics BM106 Diminish the response to diagnostic skin test antigens BM107 Attenuated pharmacological effects (Unspecific) BM109 Increased risk of other adverse reactions (Unspecific)
Relation Graph

Full list of drugs interacting with Decitabine
Pharmacodynamic additive effects
	Additive immunosuppressive effects					Drug Num: 68
Drug ID		Drug Name	Formula	Pubchem ID	Severity Level		Interaction Detail	REF
D0023		Adalimumab	NA	NA	Major		Inter Info	[1], [2], [3], [4], [5], [6]
D0348		Cladribine	C10H12ClN5O3	20279	Major		Inter Info	[7], [8]
D0146		Baricitinib	C16H17N7O2S	44205240	Major		Inter Info	[14], [7], [15]
D0304		Certolizumab pegol	NA	NA	Major		Inter Info	[1], [5], [6]
D0661		Fingolimod	C19H33NO2	107970	Major		Inter Info	[18]
D0736		Golimumab	NA	NA	Major		Inter Info	[1], [2], [3], [4], [5], [6]
D1211		Ozanimod	C23H24N4O3	52938427	Major		Inter Info	[7], [19]
D1474		Siponimod	C29H35F3N2O3	44599207	Major		Inter Info	[14], [21]
D1556		Teriflunomide	C12H9F3N2O2	54684141	Major		Inter Info	[25], [26]
D1600		Tofacitinib	C16H20N6O	9926791	Major		Inter Info	[27]
D1666		Upadacitinib	C17H19F3N6O	58557659	Major		Inter Info	[28]
D0614		Etanercept	NA	NA	Major		Inter Info	[1], [2], [3], [4], [5], [6]
D0802		Infliximab	NA	NA	Major		Inter Info	[1], [2], [3], [4], [5], [6]
D0900		Leflunomide	C12H9F3N2O2	3899	Major		Inter Info	[25], [26]
D1111		Natalizumab	NA	NA	Major		Inter Info	[29]
D0030		Aldesleukin	NA	NA	Moderate		Inter Info	[7], [46], [47]
D0032		Alefacept	NA	NA	Moderate		Inter Info	[22], [48], [49]
D0033		Alemtuzumab	NA	NA	Moderate		Inter Info	[50]
D0085		Anakinra	C20H23N5O7S2	146171046	Moderate		Inter Info	[51], [52], [53]
D0136		Azathioprine	C9H7N7O2S	2265	Moderate		Inter Info	[14], [7]
D0190		Bleomycin	C55H84N17O21S3+	5360373	Moderate		Inter Info	[7], [46], [47]
D0223		Busulfan	C6H14O6S2	2478	Moderate		Inter Info	[7], [46], [47]
D0260		Carboplatin	C6H12N2O4Pt	426756	Moderate		Inter Info	[7], [46], [47]
D0312		Chlorambucil	C14H19Cl2NO2	2708	Moderate		Inter Info	[7], [46], [47]
D0313		Chloramphenicol	C11H12Cl2N2O5	5959	Moderate		Inter Info	[14], [7], [54]
D0404		Cytarabine	C9H13N3O5	6253	Moderate		Inter Info	[7], [46], [47]
D0405		Cytarabine (liposomal)	C9H13N3O5	6253	Moderate		Inter Info	[7], [46], [47]
D0407		Dacarbazine	C6H10N6O	135398738	Moderate		Inter Info	[7], [46], [47]
D0429		Daunorubicin	C27H29NO10	30323	Moderate		Inter Info	[7], [46], [47]
D0157		Bendamustine	C16H21Cl2N3O2	65628	Moderate		Inter Info	[7], [46], [47]
D0246		Canakinumab	NA	NA	Moderate		Inter Info	[51], [52], [53]
D0443		Denosumab	NA	NA	Moderate		Inter Info	[63]
D0499		Dimethyl fumarate	C6H8O4	637568	Moderate		Inter Info	[64]
D0507		Diroximel fumarate	C11H13NO6	73330464	Moderate		Inter Info	[64]
D0851		Isatuximab	NA	NA	Moderate		Inter Info	[7], [46], [47]
D0962		Lurbinectedin	C41H44N4O10S	57327016	Moderate		Inter Info	[7], [46], [47]
D1085		Monomethyl fumarate	C5H6O4	5369209	Moderate		Inter Info	[64]
D1113		Naxitamab	NA	NA	Moderate		Inter Info	[7], [46], [47]
D1140		Niraparib	C19H20N4O	24958200	Moderate		Inter Info	[66]
D1162		Ocrelizumab	NA	NA	Moderate		Inter Info	[67]
D1174		Omacetaxine mepesuccinate	C29H39NO9	285033	Moderate		Inter Info	[68]
D1403		Rilonacept	NA	NA	Moderate		Inter Info	[51], [52], [53]
D1422		Roflumilast	C17H14Cl2F2N2O3	449193	Moderate		Inter Info	[7], [76]
D1487		Sodium phosphate, monobasic (p32)	NA	NA	Moderate		Inter Info	[77]
D1509		Strontium chloride Sr-89	Cl2Sr	5388879	Moderate		Inter Info	[14], [7], [78]
D1575		Thiotepa	C6H12N3PS	5453	Moderate		Inter Info	[7], [46], [47]
D1671		Ustekinumab	NA	NA	Moderate		Inter Info	[79]
D0553		Efalizumab	NA	NA	Moderate		Inter Info	[82]
D0627		Etoposide	C29H32O13	36462	Moderate		Inter Info	[7], [46], [47]
D0666		Floxuridine	C9H11FN2O5	5790	Moderate		Inter Info	[7], [46], [47]
D0675		Fluorouracil	C4H3FN2O2	3385	Moderate		Inter Info	[7], [46], [47]
D0714		Gemcitabine	C9H11F2N3O4	60750	Moderate		Inter Info	[7], [46], [47]
D0780		Hydroxyurea	CH4N2O2	3657	Moderate		Inter Info	[7], [46], [47]
D0788		Idarubicin	C26H27NO9	42890	Moderate		Inter Info	[7], [46], [47]
D0793		Imatinib	C29H31N7O	5291	Moderate		Inter Info	[7], [46], [47]
D0822		Interferon alfa-2b	C16H17Cl3I2N3NaO5S	71306834	Moderate		Inter Info	[7], [46], [47]
D0945		Lomustine	C9H16ClN3O2	3950	Moderate		Inter Info	[7], [46], [47]
D0996		Melphalan	C13H18Cl2N2O2	460612	Moderate		Inter Info	[7], [46], [47]
D1007		Mercaptopurine	C5H4N4S	667490	Moderate		Inter Info	[7], [46], [47]
D1077		Mitomycin	C15H18N4O5	5746	Moderate		Inter Info	[7], [46], [47]
D1079		Mitoxantrone	C22H28N4O6	4212	Moderate		Inter Info	[7], [46], [47]
D1193		Oxaliplatin	C8H14N2O4Pt	9887053	Moderate		Inter Info	[7], [46], [47]
D1855		Palifermin	NA	NA	Moderate		Inter Info	[87]
D1508		Streptozocin	C8H15N3O7	29327	Moderate		Inter Info	[7], [46], [47]
D1578		Tiagabine	C20H25NO2S2	60648	Moderate		Inter Info	[7], [46], [47]
D1610		Topotecan	C23H23N3O5	60700	Moderate		Inter Info	[90]
D1697		Vinblastine	C46H58N4O9	13342	Moderate		Inter Info	[7], [46], [47]
D1700		Vinorelbine	C45H54N4O8	5311497	Moderate		Inter Info	[7], [46], [47]
	Additive myelosuppressive effects					Drug Num: 5
Drug ID		Drug Name	Formula	Pubchem ID	Severity Level		Interaction Detail	REF
D0370		Clozapine	C18H19ClN4	135398737	Major		Inter Info	[7], [9], [10]
D0433		Deferiprone	C7H9NO2	2972	Major		Inter Info	[14], [16], [17]
D1443		Samarium (153Sm) lexidronam	Sm	23951	Major		Inter Info	[20]
D1676		Valganciclovir	C14H22N6O5	135413535	Moderate		Inter Info	[14], [7], [80], [81]
D0710		Ganciclovir	C9H13N5O4	135398740	Moderate		Inter Info	[14], [7], [80], [81]
	Additive thrombogenic effects					Drug Num: 1
Drug ID		Drug Name	Formula	Pubchem ID	Severity Level		Interaction Detail	REF
D1569		Thalidomide	C13H10N2O4	5426	Major		Inter Info	[30], [31], [32], [33], [34], [35], [36], [37], [38], [39], [40], [41], [42], [43], [44], [45]
	Increased risk of other adverse reactions (Unspecific)					Drug Num: 1
Drug ID		Drug Name	Formula	Pubchem ID	Severity Level		Interaction Detail	REF
D0789		Idelalisib	C22H18FN7O	11625818	Moderate		Inter Info	[65]
Pharmacodynamic antagonistic effects
	Antagonize the effect of vaccine/toxoid					Drug Num: 19
Drug ID		Drug Name	Formula	Pubchem ID	Severity Level		Interaction Detail	REF
D1744		Bacillus calmette-guerin substrain tice live antigen	NA	NA	Major		Inter Info	[11], [12], [13]
D1839		Measles virus vaccine live attenuated	NA	NA	Major		Inter Info	[11], [12], [13]
D1849		Mumps virus strain B level jeryl lynn live antigen	NA	NA	Major		Inter Info	[11], [12], [13]
D1881		Rotavirus vaccine	NA	NA	Major		Inter Info	[11], [12], [13]
D1882		Rubella virus vaccine	NA	NA	Major		Inter Info	[11], [12], [13]
D1890		Smallpox (Vaccinia) Vaccine, Live	NA	NA	Major		Inter Info	[22], [14], [23]
D1897		Talimogene laherparepvec	NA	NA	Major		Inter Info	[24]
D1922		Yellow Fever Vaccine	NA	NA	Major		Inter Info	[11], [12], [13]
D0089		Anthrax vaccine	NA	NA	Moderate		Inter Info	[22], [55], [56]
D0366		Clostridium tetani toxoid antigen (formaldehyde inactivated)	NA	NA	Moderate		Inter Info	[22], [55], [56]
D0755		Hepatitis A Vaccine	NA	NA	Moderate		Inter Info	[22], [55], [56]
D0756		Hepatitis B Vaccine (Recombinant)	NA	NA	Moderate		Inter Info	[22], [55], [56]
D0767		Human papillomavirus type 11 L1 capsid protein antigen	NA	NA	Moderate		Inter Info	[22], [55], [56]
D0803		Influenza A virus A/California/7/2009 (H1N1)-like antigen (propiolactone inactivated)	NA	NA	Moderate		Inter Info	[22], [55], [56]
D0804		Influenza A virus A/Vietnam/1194/2004 (H5N1) antigen (formaldehyde inactivated)	NA	NA	Moderate		Inter Info	[22], [55], [56]
D0999		Meningococcal polysaccharide vaccine group C	NA	NA	Moderate		Inter Info	[22], [55], [56]
D1259		Pfizer-BioNTech Covid-19 Vaccine	NA	NA	Moderate		Inter Info	[69], [22], [14], [70], [71], [72], [55], [73], [74], [75], [56]
D1662		Typhoid vaccine (inactivated)	NA	NA	Moderate		Inter Info	[22], [55], [56]
D1838		Lyme disease vaccine (recombinant OspA)	NA	NA	Moderate		Inter Info	[86]
	Antagonize the effect of probiotics					Drug Num: 1
Drug ID		Drug Name	Formula	Pubchem ID	Severity Level		Interaction Detail	REF
D1749		Bifidobacterium longum infantis	NA	NA	Moderate		Inter Info	[57], [58], [59]
	Diminish the response to diagnostic skin test antigens					Drug Num: 3
Drug ID		Drug Name	Formula	Pubchem ID	Severity Level		Interaction Detail	REF
D1765		Coccidioides immitis spherule	NA	NA	Moderate		Inter Info	[60], [61], [62]
D1912		Trichophyton mentagrophytes	NA	NA	Moderate		Inter Info	[60], [61], [62]
D1913		Tuberculin purified protein derivative	NA	NA	Moderate		Inter Info	[60], [61], [62]
	Attenuated pharmacological effects (Unspecific)					Drug Num: 3
Drug ID		Drug Name	Formula	Pubchem ID	Severity Level		Interaction Detail	REF
D0659		Filgrastim	NA	NA	Moderate		Inter Info	[83], [84], [85]
D1235		Pegfilgrastim	C27H46N4O19	70683024	Moderate		Inter Info	[88], [89]
D1446		Sargramostim	NA	NA	Moderate		Inter Info	[83], [84], [85]

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85	Product Information. Stemgen (ancestim) Amgen, Thousand Oaks, CA.
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87	Product Information. Kepivance (palifermin). Shire US Inc, Florence, KY.
88	Product Information. Brukinsa (zanubrutinib). BeiGene USA, Inc, San Mateo, CA.
89	Product Information. Neulasta (pegfilgrastim). Amgen, Thousand Oaks, CA.
90	Product Information. Hycamtin (topotecan). SmithKline Beecham, Philadelphia, PA.

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Details of Drug

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