Gemcitabine
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Also known as GemcitabinaGemzarLY-188011LY188011NSC-613327gemicitabine2',2'-difluorodeoxycytidine2',2'-difluoro-2deoxycytidineSID1248935552',2'-difluoro-2'-deoxycytidineGemcitabinGemcitabineGemcitabine HCl
Summary
Gemcitabine (CHEMBL888) is an approved small-molecule antineoplastic agent (ATC L01BC05) targeting RRM1 and RRM2; indicated across 114 conditions including neoplasm and exocrine pancreatic carcinoma; with CIViC clinical evidence for 39 variant-indication associations (e.g. RRM1 Underexpression in lung non-small cell carcinoma).
At a glance
- Status: Approved (max clinical phase 4)
- Modality: Small molecule
- ATC class: L01BC05
- Targets: 2 (RRM1, RRM2)
- Indications: 114 conditions
- Clinical trials: 1,976
- Precision-oncology evidence (CIViC): 39 variant–indication associations
- Chemistry: 263.2 Da · C9H11F2N3O4
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL888 |
| Name | Gemcitabine |
| Type | Small molecule |
| Max phase | 4 |
| FDA approved | yes |
| PubChem CID | 60750 |
| ChEBI | CHEBI:175901 |
| ATC | L01BC05 |
| Molecular formula | C9H11F2N3O4 |
| Molecular weight | 263.2 |
| InChIKey | SDUQYLNIPVEERB-QPPQHZFASA-N |
SMILES: C1=CN(C(=O)N=C1N)[C@H]2C([C@@H]([C@H](O2)CO)O)(F)F
IUPAC name: 4-amino-1-[(2R,4R,5R)-3,3-difluoro-4-hydroxy-5-(hydroxymethyl)oxolan-2-yl]pyrimidin-2-one
ChEBI definition: A 2’-deoxycytidine having geminal fluoro substituents in the 2’-position. An inhibitor of ribonucleotide reductase, gemcitabine is used in the treatment of various carcinomas, particularly non-small cell lung cancer, pancreatic cancer, bladder cancer and breast cancer.
Pharmacological roles (ChEBI): antineoplastic agent, antiviral drug, immunosuppressive agent, photosensitizing agent, DNA synthesis inhibitor, prodrug, EC 1.17.4.1 (ribonucleoside-diphosphate reductase) inhibitor, radiosensitizing agent.
Other ChEBI roles (chemical / environmental): antimetabolite, environmental contaminant, xenobiotic.
Also known as: Gemcitabina, Gemcitabine, Gemzar, LY-188011, LY188011, NSC-613327, gemicitabine, 2’,2’-difluorodeoxycytidine, 2’,2’-difluoro-2deoxycytidine, gemcitabine, GEMCITABINE, SID124893555
Parent form; salt/anhydrous children: CHEMBL1637
Patent coverage: 44,499 distinct patent families (175,134 SureChEMBL compound mentions), from 1 matched compound structure(s). Mentions count patents naming the compound (not distinct inventions), so promiscuous / reference molecules inflate the mention figure — families are the dedup metric.
Targets
Targets
Primary targets (GtoPdb curated mechanism): the Cancer dependency column is the DepMap CRISPR fitness signal (% of screened cell lines dependent on the target).
| Gene | Target | Action | pAffinity | Cancer dependency | UniProt |
|---|---|---|---|---|---|
| RRM1 | ribonucleotide reductase catalytic subunit M1 | Inhibition | 100% (common-essential) | P23921 | |
| RRM2 | ribonucleotide reductase regulatory subunit M2 | Inhibition | 99.8% (common-essential) | P31350 |
Broader ChEMBL bioactivity targets: 3 (assay-derived). Sample: Equilibrative nucleoside transporter 1, cGMP-inhibited 3’,5’-cyclic phosphodiesterase 3A, 3’,5’-cyclic-AMP phosphodiesterase 4D.
Bioactivity
ChEMBL activities: 1 potent at pChembl ≥ 5 of 3 total. Top 30 by potency (10 = 0.1 nM, 6 = 1 µM):
| Target | pChembl | Type | Value | Unit | Activity ID |
|---|---|---|---|---|---|
| SLC29A1 | 6.72 | IC50 | 190 | nM | CHEMBL_ACT_22751049 |
Target pathways
Aggregated over 2 target gene(s): RRM1, RRM2.
Top Reactome pathways
3 total, by targets touching each:
| Pathway | Targets | Genes |
|---|---|---|
| Interconversion of nucleotide di- and triphosphates | 2 | RRM1, RRM2 |
| G1/S-Specific Transcription | 1 | RRM2 |
| Transcriptional Regulation by E2F6 | 1 | RRM2 |
Dominant GO biological processes
| GO term | Targets |
|---|---|
| DNA repair | 2 |
| ribonucleoside diphosphate metabolic process | 2 |
| deoxyribonucleotide biosynthetic process | 2 |
| 2’-deoxyribonucleotide biosynthetic process | 2 |
| protein heterotetramerization | 2 |
| positive regulation of G1/S transition of mitotic cell cycle | 2 |
| DNA synthesis involved in DNA repair | 1 |
| pyrimidine nucleobase metabolic process | 1 |
| mitochondrial DNA replication | 1 |
| male gonad development | 1 |
| response to ionizing radiation | 1 |
| positive regulation of G2/M transition of mitotic cell cycle | 1 |
| cell proliferation in forebrain | 1 |
| retina development in camera-type eye | 1 |
| positive regulation of G0 to G1 transition | 1 |
Indications & clinical
Indications
114 indications (2 at ChEMBL trial phase 4). Phase below is the highest clinical-trial phase recorded for this drug against each disease — not the molecule’s overall approval status (that is in the Summary).
| Indication | Trial phase | MONDO | EFO |
|---|---|---|---|
| neoplasm | 4 | MONDO:0005070 | EFO:0000616 |
| exocrine pancreatic carcinoma | 3 | MONDO:0005192 | EFO:0002618 |
| non-small cell lung carcinoma | 3 | MONDO:0005233 | EFO:0003060 |
| pancreatic neoplasm | 3 | MONDO:0021040 | EFO:0003860 |
| biliary tract neoplasm | 3 | MONDO:0005304 | EFO:0003891 |
| breast carcinoma | 3 | MONDO:0004989 | EFO:0000305 |
| lymphoma | 3 | MONDO:0005062 | EFO:0000574 |
| cholangiocarcinoma | 3 | MONDO:0019087 | EFO:0005221 |
| sarcoma | 3 | MONDO:0005089 | EFO:0000691 |
| ovarian carcinoma | 3 | MONDO:0005140 | EFO:0001075 |
| urinary bladder neoplasm | 3 | MONDO:0004987 | EFO:0000294 |
| ovarian neoplasm | 3 | MONDO:0021068 | EFO:0003893 |
| cervical carcinoma | 3 | MONDO:0005131 | EFO:0001061 |
| carcinoma | 3 | MONDO:0004993 | EFO:0000313 |
| neoplasm of mature B-cells | 3 | MONDO:0004949 | EFO:0000096 |
| hepatocellular carcinoma | 3 | MONDO:0007256 | EFO:0000182 |
| Hodgkins lymphoma | 3 | MONDO:0004952 | EFO:0000183 |
| peripheral T-cell lymphoma, not otherwise specified | 3 | MONDO:0004964 | EFO:0000211 |
| angioimmunoblastic T-cell lymphoma | 3 | MONDO:0004977 | EFO:0000255 |
| diffuse large B-cell lymphoma | 3 | MONDO:0018905 | EFO:0000403 |
| mesothelioma | 3 | MONDO:0005065 | EFO:0000588 |
| squamous cell carcinoma | 3 | MONDO:0005096 | EFO:0000707 |
| squamous cell lung carcinoma | 3 | MONDO:0005097 | EFO:0000708 |
| malignant pleural mesothelioma | 3 | MONDO:0005112 | EFO:0000770 |
| breast neoplasm | 3 | MONDO:0021100 | EFO:0003869 |
| nasopharyngeal neoplasm | 3 | MONDO:0005375 | EFO:0004252 |
| gallbladder neoplasm | 3 | MONDO:0021253 | EFO:0004606 |
| non-Hodgkin lymphoma | 3 | MONDO:0018908 | EFO:0005952 |
| fallopian tube carcinoma | 3 | MONDO:0006206 | EFO:1000251 |
| peritoneal neoplasm | 3 | MONDO:0006901 | EFO:1001100 |
| gallbladder carcinoma | 3 | MONDO:0003220 | EFO:1001956 |
| intrahepatic cholangiocarcinoma | 3 | MONDO:0003210 | EFO:1001961 |
| soft tissue sarcoma | 3 | MONDO:0018078 | EFO:1001968 |
| triple-negative breast carcinoma | 3 | MONDO:0005494 | EFO:0005537 |
| urothelial carcinoma | 3 | MONDO:0040679 | EFO:0008528 |
| hepatoblastoma | 3 | MONDO:0018666 | EFO:1000292 |
| fallopian tube neoplasm | 3 | MONDO:0021092 | MONDO:0002158 |
| ovarian cancer | 3 | MONDO:0008170 | MONDO:0008170 |
| lung neoplasm | 3 | MONDO:0021117 | MONDO:0008903 |
| follicular lymphoma | 3 | MONDO:0018906 | MONDO:0018906 |
| nasal cavity and paranasal sinus lethal midline granuloma | 3 | MONDO:0006828 | MONDO:0019472 |
| mature T-cell and NK-cell non-Hodgkin lymphoma | 3 | MONDO:0000430 | MONDO:0000430 |
| head and neck squamous cell carcinoma | 3 | MONDO:0010150 | EFO:0000181 |
| cervical adenocarcinoma | 3 | MONDO:0005153 | EFO:0001416 |
| malignant pancreatic neoplasm | 3 | MONDO:0009831 | EFO:1000359 |
| female reproductive organ cancer | 3 | MONDO:0001416 | EFO:1001331 |
| pancreatic ductal adenocarcinoma | 3 | MONDO:0005184 | MONDO:0005184 |
| nasopharyngeal carcinoma | 3 | MONDO:0015459 | MONDO:0015459 |
| small cell lung carcinoma | 2 | MONDO:0008433 | EFO:0000702 |
| adenocarcinoma | 2 | MONDO:0004970 | EFO:0000228 |
| acute lymphoblastic leukemia | 2 | MONDO:0004967 | EFO:0000220 |
| colorectal adenocarcinoma | 2 | MONDO:0005008 | EFO:0000365 |
| germ cell tumor | 2 | MONDO:0005040 | EFO:0000514 |
| leiomyosarcoma | 2 | MONDO:0005058 | EFO:0000564 |
| osteosarcoma | 2 | MONDO:0009807 | EFO:0000637 |
| renal cell carcinoma | 2 | MONDO:0005086 | EFO:0000681 |
| melanoma | 2 | MONDO:0005105 | EFO:0000756 |
| plasma cell myeloma | 2 | MONDO:0009693 | EFO:0001378 |
| medulloblastoma | 2 | MONDO:0007959 | EFO:0002939 |
| anaplastic large cell lymphoma | 2 | MONDO:0020325 | EFO:0003032 |
| lung large cell carcinoma | 2 | MONDO:0003050 | EFO:0003050 |
| testicular cancer | 2 | MONDO:0005447 | EFO:0005088 |
| head and neck cancer | 2 | MONDO:0005627 | EFO:0006859 |
| rectal cancer | 2 | MONDO:0006519 | EFO:1000657 |
| mantle cell lymphoma | 2 | MONDO:0018876 | EFO:1001469 |
| lung adenocarcinoma | 2 | MONDO:0005061 | EFO:0000571 |
| anxiety | 2 | MONDO:0011918 | EFO:0005230 |
| biliary tract disorder | 2 | MONDO:0004868 | EFO:0009534 |
| bile duct neoplasm | 2 | MONDO:0021662 | MONDO:0003059 |
| endometrium neoplasm | 2 | MONDO:0021251 | MONDO:0011962 |
| T-cell non-Hodgkin lymphoma | 2 | MONDO:0015760 | MONDO:0015760 |
| colonic neoplasm | 2 | MONDO:0005401 | MONDO:0021063 |
| kidney cancer | 2 | MONDO:0002367 | MONDO:0002367 |
| Ewing sarcoma | 2 | MONDO:0012817 | EFO:0000174 |
| gastrointestinal stromal tumor | 2 | MONDO:0011719 | MONDO:0011719 |
| central nervous system cancer | 2 | MONDO:0002714 | EFO:0000326 |
| bone neoplasm | 2 | MONDO:0019060 | EFO:0003820 |
| urethra neoplasm | 2 | MONDO:0021239 | EFO:0003846 |
| bile duct carcinoma | 2 | MONDO:0005496 | EFO:0005540 |
| bone cancer | 2 | MONDO:0002129 | EFO:1000350 |
| olfactory neuroblastoma | 2 | MONDO:0006329 | EFO:1000407 |
| colorectal neoplasm | 2 | MONDO:0005335 | MONDO:0005575 |
| glioma | 2 | MONDO:0021042 | MONDO:0100342 |
| leukemia | 1 | MONDO:0005059 | EFO:0000565 |
| primary cutaneous T-cell non-Hodgkin lymphoma | 1 | MONDO:0000607 | EFO:0002913 |
| synovial sarcoma | 1 | MONDO:0010434 | EFO:0001376 |
| gastric neoplasm | 1 | MONDO:0021085 | MONDO:0001056 |
| brain cancer | 1 | MONDO:0001657 | MONDO:0001657 |
| acute myeloid leukemia | 1 | MONDO:0018874 | EFO:0000222 |
| diffuse intrinsic pontine glioma | 0 | MONDO:0006033 | EFO:1000026 |
24 further indication records had no mapped disease name (EFO/MeSH-only) or were duplicates, and are omitted.
Clinical trials
Total trials: 1,976.
Phase distribution
(phase/status distribution below is over 1,600 sampled trials of the 1,976 total).
| Phase | Trials |
|---|---|
| PHASE2 | 931 |
| PHASE3 | 355 |
| PHASE1/PHASE2 | 240 |
| PHASE2/PHASE3 | 51 |
| PHASE4 | 14 |
| PHASE1 | 9 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT06457503 | PHASE4 | RECRUITING | A Study of Toripalimab in Combination With Cisplatin and Gemcitabine in Participants With Recurrent Metastatic Nasopharyngeal Cancer |
| NCT06820255 | PHASE4 | RECRUITING | DDR Genes Alteration and Response to Platinum-based Chemotherapy in Advanced Urothelial Cancer. |
| NCT07302841 | PHASE4 | NOT_YET_RECRUITING | Tunlametinib + AG + Cetuximab β as First-Line Therapy for Advanced Pancreatic Cancer |
| NCT00642733 | PHASE4 | TERMINATED | A Study of First Line Treatment With Tarceva (Erlotinib) in Combination With Gemcitabine in Patients With Locally Advanced Unresectable or Metastatic Pancreatic Cancer |
| NCT01336192 | PHASE4 | UNKNOWN | Maintenance Gemcitabine in the Chinese Advanced Lung Cancer |
| NCT01501136 | PHASE4 | UNKNOWN | Treatment of Natural Killer/T Cell Lymphoma-I/II |
| NCT01501149 | PHASE4 | UNKNOWN | Treatment of Natural Killer/T Cell Lymphoma-Ⅲ/Ⅳ |
| NCT02299765 | PHASE4 | TERMINATED | Intercalating and Maintenance Gefitinib in Combination With Chemotherapy for Advanced EGFR-mutant NSCLC |
| NCT02812992 | PHASE4 | COMPLETED | Geriatric Assessment Directed Trial to Evaluate Gemcitabine +/- Nab-paclitaxel in Elderly Pancreatic Cancer Patients |
| NCT02996214 | PHASE4 | UNKNOWN | Paclitaxel Liposome for Squamous Non-Small-cell Lung Cancer Study(LIPUSU) |
| NCT03071822 | PHASE4 | UNKNOWN | Combination Chemotherapy Including Cisplatin, Ifosfamide, Gemcitabine, L-asparaginase, Etoposide and Dexamethasone as Treatment of Newly Diagnosed and Relapsed/Refractory Peripheral T Cell Lymphomas |
| NCT04040491 | PHASE4 | UNKNOWN | PD-1 Antibody, Chidamide, Lenalidomide and Gemcitabine for Peripheral T-cell Lymphoma |
| NCT04999878 | PHASE4 | UNKNOWN | A Prospective Clinical Study of Ruxolitinib and Etoposide Combined With DDGP Regimen (RUE-DDGP) in Induction Therapy of T/NK Cell Lymphoma-associated Hemophagocytic Syndrome. |
| NCT05723991 | PHASE4 | UNKNOWN | Study of Disitamab Vedotin Combined With Gemcitabine in Neoadjuvant Treatment of Urothelial Carcinoma |
| NCT02170090 | PHASE3 | ACTIVE_NOT_RECRUITING | Adjuvant Chemotherapy With Gemcitabine and Cisplatin Compared to Standard of Care After Curative Intent Resection of Biliary Tract Cancer |
| NCT02446600 | PHASE3 | ACTIVE_NOT_RECRUITING | Testing the Use of A Single Drug (Olaparib) or the Combination of Two Drugs (Cediranib and Olaparib) Compared to the Usual Chemotherapy for Women With Platinum Sensitive Ovarian, Fallopian Tube, or Primary Peritoneal Cancer |
| NCT02453282 | PHASE3 | ACTIVE_NOT_RECRUITING | Phase III Open Label First Line Therapy Study of MEDI 4736 (Durvalumab) With or Without Tremelimumab Versus SOC in Non Small-Cell Lung Cancer (NSCLC) |
| NCT02460887 | PHASE3 | ACTIVE_NOT_RECRUITING | The Role of Induction Gemcitabine and Cisplatin in Locoregionally Advanced Nasopharyngeal Carcinoma in the Era of IMRT |
| NCT02486718 | PHASE3 | ACTIVE_NOT_RECRUITING | Study to Assess Safety and Efficacy of Atezolizumab (MPDL3280A) Compared to Best Supportive Care Following Chemotherapy in Patients With Lung Cancer [IMpower010] |
| NCT02516241 | PHASE3 | ACTIVE_NOT_RECRUITING | Study of MEDI4736 (Durvalumab) With or Without Tremelimumab Versus Standard of Care Chemotherapy in Urothelial Cancer |
| NCT02542293 | PHASE3 | ACTIVE_NOT_RECRUITING | Study of Durvalumab With Tremelimumab Versus SoC as 1st Line Therapy in Metastatic Non Small-Cell Lung Cancer (NSCLC) (NEPTUNE) |
| NCT02641847 | PHASE2/PHASE3 | ACTIVE_NOT_RECRUITING | TA(E)C-GP Versus A(E)C-T for the High Risk TNBC Patients and Validation of the mRNA-lncRNA Signature |
| NCT02867865 | PHASE2/PHASE3 | ACTIVE_NOT_RECRUITING | Perioperative Therapy Preoperative Chemotherapy Versus Chemoradiotherapy in Locally Advanced Gall Bladder Cancers |
| NCT03003962 | PHASE3 | ACTIVE_NOT_RECRUITING | Study of Durvalumab Alone or Chemotherapy for Patients With Advanced Non Small-Cell Lung Cancer (PEARL) |
| NCT03017326 | PHASE3 | ACTIVE_NOT_RECRUITING | Paediatric Hepatic International Tumour Trial |
| NCT03036098 | PHASE3 | ACTIVE_NOT_RECRUITING | Study of Nivolumab in Combination With Ipilimumab or Standard of Care Chemotherapy Compared to the Standard of Care Chemotherapy Alone in Treatment of Participants With Untreated Inoperable or Metastatic Urothelial Cancer |
| NCT03164616 | PHASE3 | ACTIVE_NOT_RECRUITING | Study of Durvalumab + Tremelimumab With Chemotherapy or Durvalumab With Chemotherapy or Chemotherapy Alone for Patients With Lung Cancer (POSEIDON). |
| NCT03178552 | PHASE2/PHASE3 | ACTIVE_NOT_RECRUITING | A Study to Evaluate the Efficacy and Safety of Multiple Targeted Therapies as Treatments for Participants With Non-Small Cell Lung Cancer (NSCLC) |
| NCT03257033 | PHASE3 | RECRUITING | Intra-arterial Gemcitabine vs. IV Gemcitabine and Nab-Paclitaxel Following Radiotherapy for LAPC |
| NCT03425643 | PHASE3 | ACTIVE_NOT_RECRUITING | Efficacy and Safety of Pembrolizumab (MK-3475) With Platinum Doublet Chemotherapy as Neoadjuvant/Adjuvant Therapy for Participants With Resectable Stage II, IIIA, and Resectable IIIB (T3-4N2) Non-small Cell Lung Cancer (MK-3475-671/KEYNOTE-671) |
| NCT03456076 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study Comparing Adjuvant Alectinib Versus Adjuvant Platinum-Based Chemotherapy in Patients With ALK Positive Non-Small Cell Lung Cancer |
| NCT03478488 | PHASE3 | ACTIVE_NOT_RECRUITING | Programmed Death Ligand (PD-L1) Combined With Chemotherapy for Patients With BTC |
| NCT03533582 | PHASE3 | ACTIVE_NOT_RECRUITING | Cisplatin and Combination Chemotherapy in Treating Children and Young Adults With Hepatoblastoma or Liver Cancer After Surgery |
| NCT03661320 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study to Compare Chemotherapy Alone Versus Chemotherapy Plus Nivolumab or Nivolumab and BMS-986205, Followed by Continued Therapy After Surgery With Nivolumab or Nivolumab and BMS-986205 in Participants With Muscle Invasive Bladder Cancer |
| NCT03682068 | PHASE3 | ACTIVE_NOT_RECRUITING | Study of Durvalumab Given With Chemotherapy, Durvalumab in Combination With Tremelimumab Given With Chemotherapy, or Chemotherapy in Patients With Unresectable Urothelial Cancer |
| NCT03703375 | PHASE3 | ACTIVE_NOT_RECRUITING | Efficacy and Safety of Oral Azacitidine (CC-486) Compared to Investigator’s Choice Therapy in Patients With Relapsed or Refractory Angioimmunoblastic T Cell Lymphoma |
| NCT03732677 | PHASE3 | ACTIVE_NOT_RECRUITING | Durvalumab+ Gemcitabine/Cisplatin (Neoadjuvant Treatment) and Durvalumab (Adjuvant Treatment) in Patients With MIBC |
| NCT03734029 | PHASE3 | ACTIVE_NOT_RECRUITING | Trastuzumab Deruxtecan (DS-8201a) Versus Investigator’s Choice for HER2-low Breast Cancer That Has Spread or Cannot be Surgically Removed [DESTINY-Breast04] |
| NCT03775265 | PHASE3 | ACTIVE_NOT_RECRUITING | Chemoradiotherapy With or Without Atezolizumab in Treating Patients With Localized Muscle Invasive Bladder Cancer |
| NCT03800134 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study of Neoadjuvant/Adjuvant Durvalumab for the Treatment of Patients With Resectable Non-small Cell Lung Cancer |
Clinical evidence (CIViC)
Variant × indication × effect (39 predictive associations from 41 curated evidence items):
| Variant | Indication | Effect | Therapy | Level | CIViC |
|---|---|---|---|---|---|
| RRM1 Underexpression | Lung Non-small Cell Carcinoma | Sensitivity/Response | Gemcitabine + Cisplatin | CIViC B | EID2905 +1 |
| RRM1 Underexpression | Pancreatic Cancer | Sensitivity/Response | Gemcitabine | CIViC B | EID5506 +1 |
| BRCA1 Mutation | Pancreatic Cancer | Sensitivity/Response | Cisplatin + Gemcitabine + Veliparib | CIViC B | EID5932 |
| BRCA2 Mutation | Pancreatic Cancer | Sensitivity/Response | Cisplatin + Gemcitabine + Veliparib | CIViC B | EID5933 |
| ERBB2 Overexpression | Pancreatic Cancer | Sensitivity/Response | Trastuzumab + Gemcitabine | CIViC B | EID5956 |
| ERCC1 Underexpression | Lung Non-small Cell Carcinoma | Sensitivity/Response | Gemcitabine + Carboplatin | CIViC B | EID10142 |
| ERCC1 Underexpression | Lung Non-small Cell Carcinoma | Sensitivity/Response | Cisplatin + Gemcitabine | CIViC B | EID6431 |
| FGFR3 Mutation | Urinary Bladder Cancer | Sensitivity/Response | Cisplatin + Gemcitabine | CIViC B | EID7566 |
| IGF2 Overexpression | Pancreatic Adenocarcinoma | Sensitivity/Response | Ganitumab + Gemcitabine | CIViC B | EID7000 |
| RRM1 Underexpression | Lung Non-small Cell Carcinoma | Sensitivity/Response | Carboplatin + Gemcitabine | CIViC B | EID10143 |
| RRM1 Underexpression | Lung Non-small Cell Carcinoma | Sensitivity/Response | Paclitaxel + Gemcitabine + Cisplatin | CIViC B | EID12044 |
| RRM1 Underexpression | Lung Non-small Cell Carcinoma | Sensitivity/Response | Gemcitabine | CIViC B | EID5530 |
| RRM1 Underexpression | Lung Non-small Cell Carcinoma | Sensitivity/Response | Paclitaxel + Vinorelbine + Gemcitabine | CIViC B | EID5599 |
| RRM1 Underexpression | Lung Non-small Cell Carcinoma | Sensitivity/Response | Platinum Compound + Gemcitabine | CIViC B | EID6434 |
| RRM1 Underexpression | Lung Non-small Cell Carcinoma | Sensitivity/Response | Cisplatin + Gemcitabine | CIViC B | EID6436 |
| SLC29A1 Overexpression | Pancreatic Adenocarcinoma | Sensitivity/Response | Gemcitabine | CIViC B | EID10145 |
| SMAD4 Underexpression | Lung Non-small Cell Carcinoma | Sensitivity/Response | Gemcitabine | CIViC B | EID6437 |
| TP53 Mutation | Pancreatic Cancer | Sensitivity/Response | Gemcitabine | CIViC B | EID8282 |
| WEE1 RS3910384 | Lung Non-small Cell Carcinoma | Sensitivity/Response | Platinum Compound + Gemcitabine | CIViC B | EID814 |
| XRCC1 R194W | Lung Non-small Cell Carcinoma | Sensitivity/Response | Docetaxel + Gemcitabine + Vinorelbine | CIViC B | EID659 |
| ERCC1 Overexpression | Lung Non-small Cell Carcinoma | Resistance | Nedaplatin + Gemcitabine | CIViC B | EID6435 |
| KRAS Exon 2 Mutation | Pancreatic Cancer | Resistance | Erlotinib + Gemcitabine | CIViC B | EID1219 |
| KRAS G12/G13 | Pancreatic Adenocarcinoma | Resistance | Trametinib + Gemcitabine | CIViC B | EID622 |
| ERCC1 Expression | Bladder Carcinoma | Paclitaxel + Cisplatin + Gemcitabine | CIViC B | EID6438 | |
| CIP2A Underexpression | Pancreatic Ductal Adenocarcinoma | Sensitivity/Response | Gemcitabine | CIViC D | EID1118 |
| FANCC Loss-of-function | Pancreatic Cancer | Sensitivity/Response | Cisplatin + Melphalan + Chlorambucil + Mitomycin + Gemcitabine | CIViC D | EID1307 |
| HSPB1 EXPRESSION | Pancreatic Ductal Adenocarcinoma | Sensitivity/Response | Gemcitabine | CIViC D | EID939 |
| NRG1 Expression | Lung Non-small Cell Carcinoma | Sensitivity/Response | Cisplatin + Gemcitabine + Carboplatin + Paclitaxel | CIViC D | EID779 |
| RB1 Loss-of-function | Triple-receptor Negative Breast Cancer | Sensitivity/Response | Gemcitabine | CIViC D | EID12329 |
| MAGEH1 EXPRESSION | Bile Duct Adenocarcinoma | Resistance | Gemcitabine | CIViC D | EID950 |
+9 more predictive associations (showing top 30 by level).
Pharmacology
Pharmacogenomics
No CPIC/DPWG dosing guideline, but PharmGKB curates 90 clinical and 295 variant annotation(s) for this drug (gene-keyed; see PharmGKB).
Related molecules
Related molecules
Molecules sharing ≥1 of this drug’s curated primary targets, merged from two biobtree sources and ranked by shared-target count, then clinical phase: ChEMBL clinical-stage candidates (development phase ≥2) and PubChem drug-class bioactivity (approved / known drugs acting on the target). Deduplicated by drug name; the drug’s own salt forms are excluded. Note: for a drug with few primary targets a shared-target match can reflect off-target / promiscuous binding rather than the same therapeutic mechanism — the phase ordering surfaces bona-fide therapeutics first.
4 molecules share ≥1 primary target. Top 4 by shared-target count:
| Molecule | Source | Status | Shared targets |
|---|---|---|---|
| TRIAPINE | ChEMBL | Phase 3 | RRM1, RRM2 |
| Clofarabine | PubChem | Approved | RRM1, RRM2 |
| Fludarabine | PubChem | Approved | RRM1, RRM2 |
| Hydroxyurea | PubChem | Approved | RRM1, RRM2 |
Related Atlas pages
- Genes: RRM1, RRM2
- Diseases: neoplasm, exocrine pancreatic carcinoma, non-small cell lung carcinoma, pancreatic neoplasm, biliary tract neoplasm, breast carcinoma, lymphoma, cholangiocarcinoma, sarcoma, ovarian carcinoma, urinary bladder neoplasm, ovarian neoplasm, cervical carcinoma, carcinoma, neoplasm of mature B-cells, hepatocellular carcinoma, Hodgkins lymphoma, peripheral T-cell lymphoma, not otherwise specified, angioimmunoblastic T-cell lymphoma, diffuse large B-cell lymphoma, mesothelioma, squamous cell carcinoma, squamous cell lung carcinoma, malignant pleural mesothelioma, breast neoplasm, nasopharyngeal neoplasm, gallbladder neoplasm, non-Hodgkin lymphoma, fallopian tube carcinoma, peritoneal neoplasm, gallbladder carcinoma, intrahepatic cholangiocarcinoma, soft tissue sarcoma, triple-negative breast carcinoma, urothelial carcinoma, hepatoblastoma, fallopian tube neoplasm, ovarian cancer, lung neoplasm, follicular lymphoma, nasal cavity and paranasal sinus lethal midline granuloma, mature T-cell and NK-cell non-Hodgkin lymphoma, head and neck squamous cell carcinoma, cervical adenocarcinoma, malignant pancreatic neoplasm, female reproductive organ cancer, pancreatic ductal adenocarcinoma, nasopharyngeal carcinoma, urinary bladder carcinoma, pancreatic adenocarcinoma, bile duct adenocarcinoma
- Drugs: Triapine, Clofarabine, Fludarabine, Hydroxyurea
- Biomarker genes: CIP2A, HSPB1, MAGEH1, RB1, SLC29A1, SMAD4, TP53