Drug Type Small molecule drug |
Synonyms 4-amino-1-beta-D-ribofuranosyl-s-triazin-2(1H)-one, 5-azacytidine, 5-AZC + [20] |
Target |
Action inhibitors |
Mechanism DNMT1 inhibitors(DNA (cytosine-5)-methyltransferase 1 inhibitors), DNA methylation inhibitors, Epigenetic drug |
Therapeutic Areas |
Originator Organization |
Active Organization |
Inactive Organization |
License Organization |
Drug Highest PhaseApproved |
First Approval Date United States (19 May 2004), |
RegulationOrphan Drug (United States), Orphan Drug (Japan), Orphan Drug (South Korea), Accelerated assessment (European Union), Priority Review (China) |
Molecular FormulaC8H12N4O5 |
InChIKeyNMUSYJAQQFHJEW-KVTDHHQDSA-N |
CAS Registry320-67-2 |
| KEGG | Wiki | ATC | Drug Bank |
|---|---|---|---|
| D03021 | Azacitidine |
| Indication | Country/Location | Organization | Date |
|---|---|---|---|
| Juvenile Myelomonocytic Leukemia | United States | 20 May 2022 | |
| Myeloproliferative Disorders | European Union | 24 Mar 2020 | |
| Myeloproliferative Disorders | Iceland | 24 Mar 2020 | |
| Myeloproliferative Disorders | Liechtenstein | 24 Mar 2020 | |
| Myeloproliferative Disorders | Norway | 24 Mar 2020 | |
| Philadelphia chromosome positive chronic myelogenous leukemia | China | 24 Apr 2017 | |
| High Risk Myelodysplastic Syndrome | Australia | 30 Nov 2009 | |
| Acute Myeloid Leukemia | European Union | 17 Dec 2008 | |
| Acute Myeloid Leukemia | Iceland | 17 Dec 2008 | |
| Acute Myeloid Leukemia | Liechtenstein | 17 Dec 2008 | |
| Acute Myeloid Leukemia | Norway | 17 Dec 2008 | |
| Chronic Myelomonocytic Leukemia | European Union | 17 Dec 2008 | |
| Chronic Myelomonocytic Leukemia | Iceland | 17 Dec 2008 | |
| Chronic Myelomonocytic Leukemia | Liechtenstein | 17 Dec 2008 | |
| Chronic Myelomonocytic Leukemia | Norway | 17 Dec 2008 | |
| Myelodysplastic Syndromes | United States | 19 May 2004 |
| Indication | Highest Phase | Country/Location | Organization | Date |
|---|---|---|---|---|
| Immunoblastic Lymphadenopathy | Phase 3 | Japan | 06 Nov 2018 | |
| Thrombocytopenia | Phase 3 | United States | 26 Apr 2013 | |
| Thrombocytopenia | Phase 3 | Australia | 26 Apr 2013 | |
| Thrombocytopenia | Phase 3 | Belgium | 26 Apr 2013 | |
| Thrombocytopenia | Phase 3 | Brazil | 26 Apr 2013 | |
| Thrombocytopenia | Phase 3 | Canada | 26 Apr 2013 | |
| Thrombocytopenia | Phase 3 | Czechia | 26 Apr 2013 | |
| Thrombocytopenia | Phase 3 | Denmark | 26 Apr 2013 | |
| Thrombocytopenia | Phase 3 | Finland | 26 Apr 2013 | |
| Thrombocytopenia | Phase 3 | France | 26 Apr 2013 |
Phase 2 | 57 | (Arm A: Acute Myeloid Leukemia (AML)) | xxyyinmvio = idmnfnucjd rxaehyqsrz (sbgnvpzona, hgkseckajj - fjzcfndcsr) View more | - | 10 Dec 2025 | ||
(Arm B: High risk Myleodysplastic Syndrome (MDS)) | xxyyinmvio = rktzmnbipz rxaehyqsrz (sbgnvpzona, zdzsvsmbzy - hbqewugzhg) View more | ||||||
Not Applicable | 12 | HDAC inhibitor, azacytidine, venetoclax and dexamethasone | nyqebjgosl(vzrmnkonvo) = All patients had at least one adverse event, and the most commonly reported ≥3 grade hematological adverse events included neutropenia (50%), thrombocytopenia (41.7%) and anemia (25%). The incidence of liver function damage and kidney function damage is small, which are 16.7% and 8.3% respectively. The main gastrointestinal adverse events were nausea and vomiting (83.3%). A total of 5 patients developed pneumonia (41.7%), among which 1 patient in ETP group developed ≥3 grade pneumonia and ≥3 grade sepsis; no adverse events of cardiovascular system were reported. syepgamggu (mquutjwfeu ) View more | Positive | 06 Dec 2025 | ||
Not Applicable | Acute Myeloid Leukemia First line | 870 | mkmavyoyar(zgkaeoupdx) = a consistently higher % time at home was observed in patients treated with CPX-351 (range: 80.4% to 97.6%) vs VEN-AZA (range: 74.7% to 90.2%), typically ~5-10% higher per month (monthly difference range: +3.5 to +11.9%). tsxgtxplpi (othtnclqla ) View more | Positive | 06 Dec 2025 | ||
VEN-AZA | |||||||
Phase 2 | acute leukemia Maintenance | 58 | osdyybbful(jvqihmnrpf) = dxudcqhnby vwaxrwjmfk (ahcvpuklhl, 51.4 - 78.1) View more | Positive | 06 Dec 2025 | ||
Not Applicable | Acute Myeloid Leukemia with FLT3/ITD Mutation FLT3-ITD mutation | 48 | (FLT3-ITD mutated AML + Refractory/Relapsed disease or persistent MRD) | zoeacutfdd(ngamkxngka) = etubgkbxgj ykjyalvjoc (fahiuzgern, 3.8 - 21.0) View more | Positive | 06 Dec 2025 | |
Not Applicable | 668 | Intensive Chemotherapy | itfftoalos(oyhfkhvbca) = eommmwashh uglhcovijj (ytbnsabxfp ) View more | Positive | 06 Dec 2025 | ||
AZA+VEN | itfftoalos(oyhfkhvbca) = ujtoaqczcs uglhcovijj (ytbnsabxfp ) View more | ||||||
Phase 1/2 | 49 | clmnjyfswb(vnyonuqxxh) = naryduovqr pdopkyrtcd (rcchhirybg, 48.3 - 76.6) View more | Positive | 06 Dec 2025 | |||
Phase 2 | 200 | AZA priming for all courses | obttmswsqs(kvbexhseew) = flcqbzrlst dtqibmzpfl (npfdmjfvbx ) View more | Positive | 06 Dec 2025 | ||
DAC priming for all courses | obttmswsqs(kvbexhseew) = hgpjwzeodf dtqibmzpfl (npfdmjfvbx ) View more | ||||||
Not Applicable | - | 150 | EPO | rflyjgtlkn(cftasjuisg) = 5 patients nxsktkoork (fadwumemik ) | Positive | 06 Dec 2025 | |
Not Applicable | 37 | XAB regimen | onlozddsze(yrwgiahtmu) = fewxnqbdhq kanlpauiiq (hfifgdmggr ) View more | Positive | 06 Dec 2025 | ||
XAB regimen | onlozddsze(yrwgiahtmu) = ctxqtlssqs kanlpauiiq (hfifgdmggr ) |





