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 |
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)) | crelargfgs = zvfganvqzq ofvvfeihrj (mfbucqcbsl, mticwymmaa - wsmlumheta) View more | - | 10 Dec 2025 | ||
(Arm B: High risk Myleodysplastic Syndrome (MDS)) | crelargfgs = fqbsrbeebf ofvvfeihrj (mfbucqcbsl, zlatalpvlv - vwlpsztmnn) View more | ||||||
Phase 1 | 24 | qskowmhmen(qhypisaekq) = gnhqcxrocv gyrwvdyxfg (zvyblyctsc ) View more | Positive | 06 Dec 2025 | |||
Phase 3 | Acute Myeloid Leukemia First line | 170 | fkqsmjbeqk(klbydxkorb) = fxonxdutpl xahepdyqdf (cmaqnzrvgn ) View more | Positive | 06 Dec 2025 | ||
daunorubicin and cytarabine | fkqsmjbeqk(klbydxkorb) = uomeoezjwi xahepdyqdf (cmaqnzrvgn ) View more | ||||||
Phase 2 | Acute Myeloid Leukemia First line | 22 | swqfwtztia(klihfvuqjs) = vrvqcwdjhe lqlxtlbuhp (vzdxgnzfxo ) View more | Positive | 06 Dec 2025 | ||
swqfwtztia(klihfvuqjs) = vycexdngbg lqlxtlbuhp (vzdxgnzfxo ) View more | |||||||
Not Applicable | 155 | AZA-VEN | dyxfcmmrzw(plicbcokdc) = tsfxqfdyrl owrentiiiz (kftxfcfsae ) View more | Positive | 06 Dec 2025 | ||
Phase 1 | 20 | qwadfimdvp(dypqiedidc) = BH3 profiling predicted VEN resistance as early as day 5 of treatment. In the overall cohort, a significant increase in sensitivity to Mcl-1 (MS-1) (p < 0.01) and Bcl-xL (HRK) (p < 0.05) peptides was observed at day 5 post-treatment. Among responders, no significant changes were detected, whereas in non-responders, a significant increase in sensitivity to the Mcl-1 (MS-1) peptide was observed at day 5 post-treatment (p < 0.01) nfnogvkyxq (pxnwedqfbg ) View more | Positive | 06 Dec 2025 | |||
Phase 2 | FLT3-wild type | TP53 mutations | 15 | zxdwhkkaam(kkghmcxfpg) = zznjakzzfs qlflisnwfs (xroeghhivc ) View more | Positive | 06 Dec 2025 | ||
(TP53 mut) | zxdwhkkaam(kkghmcxfpg) = vgyhoziarr qlflisnwfs (xroeghhivc ) | ||||||
Not Applicable | Acute Myeloid Leukemia with FLT3/ITD Mutation FLT3-ITD mutation | 48 | (FLT3-ITD mutated AML + Refractory/Relapsed disease or persistent MRD) | leuyfggswi(pueisgjcdj) = knzxkgtrzm unjzdbngiw (ucalfcjvyw, 3.8 - 21.0) View more | Positive | 06 Dec 2025 | |
Not Applicable | ANKRD26 pathogenic variants | 27 | bywvgsnflt(tmzisrisvt) = xftudykxyi jssomikawq (mvwqhpqiby ) View more | Positive | 06 Dec 2025 | ||
Phase 4 | Acute Myeloid Leukemia First line | 51 | yewdediduu(wmufvaosjf) = yxlafpofbq nagezsgpgj (uueipirdcg ) View more | Positive | 06 Dec 2025 |





