Drugs / Guadecitabine
last change Sep 2026 re-read 8 days ago

Guadecitabine

Oligonucleotide (other)

Developed for
acute myeloid leukemia · myelodysplastic syndrome · chronic myelomonocytic leukemia · fallopian tube carcinoma · hepatocellular carcinoma · non-small cell lung carcinoma · ovarian carcinoma · primary peritoneal carcinoma
+20 more · small cell lung carcinoma · clear cell renal carcinoma · colorectal adenocarcinoma · colorectal cancer · gallbladder adenocarcinoma · gastrointestinal stromal tumor · germ cell tumor · intrahepatic cholangiocarcinoma · localized chondrosarcoma · lung cancer · melanoma · metastatic melanoma · myeloproliferative neoplasm · ovarian cancer · pancreatic adenocarcinoma · paraganglioma · pheochromocytoma · renal cell carcinoma · testicular cancer · urothelial carcinoma
Investigated by
Astex Pharmaceuticals, Inc. · National Cancer Institute (NCI) · Van Andel Research Institute · M.D. Anderson Cancer Center · Merck Sharp & Dohme LLC · University of Southern California
+23 more · Bristol-Myers Squibb · Groupe Francophone des Myelodysplasies · Italian Network for Tumor Biotherapy Foundation · Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins · Stand Up To Cancer · Ajjai Alva, MD · Astex Therapeutics, Ltd · AstraZeneca · Big Ten Cancer Research Consortium · Catherine Shu · Fox Chase Cancer Center · Hoffmann-La Roche · Indiana University · Institute of Cancer Research, United Kingdom · Memorial Sloan Kettering Cancer Center · Mirati Therapeutics Inc. · Nasser Hanna · Northwestern University · Otsuka Pharmaceutical Co., Ltd. · Royal Marsden NHS Foundation Trust · Shadia Jalal, MD · Susan Cohan Colon Cancer Foundation · Weill Medical College of Cornell University

Trials 33

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 19 trials · 1 missed
Phase 1 NCT03257761 Feb 2018 → Sep 2021 overdue gallbladder adenocarcinoma, hepatocellular carcinoma, intrahepatic cholangiocarcinoma, pancreatic adenocarcinoma University of Southern California Active not recruiting No outcome recorded
Phase 1 NCT03085849 Dec 2017 → Nov 2018 small cell lung carcinoma Catherine Shu Completed No outcome recorded
Phase 1 NCT03220477 Aug 2017 → Jul 2026 overdue lung cancer Memorial Sloan Kettering Cancer Center Active not recruiting No outcome recorded
Phase 1 NCT02998567 Jan 2017 → Sep 2026 overdue non-small cell lung carcinoma Royal Marsden NHS Foundation Trust Active not recruiting No outcome recorded
Phase 1 NCT02892318 Oct 2016 → Dec 2019 acute myeloid leukemia Hoffmann-La Roche Completed No outcome recorded
Phase 1 NCT02608437 Oct 2015 → Oct 2016 metastatic melanoma Italian Network for Tumor Biotherapy Foundation Unknown No outcome recorded
Phase 1 NCT02429466 Apr 2015 → Jun 2018 germ cell tumor, testicular cancer Nasser Hanna Completed No outcome recorded
Phase 1 NCT02293993 Jan 2015 → Jun 2017 acute myeloid leukemia Otsuka Pharmaceutical Co., Ltd. Completed No outcome recorded
Phase 1 NCT01966289 Apr 2014 → Jun 2020 colorectal cancer Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins Completed Missed primary
Phase 1/26 trials · 2 missed
Phase 1/2 NCT03576963 Jan 2020 → Jan 2022 colorectal adenocarcinoma University of Southern California Withdrawn No outcome recorded Stop: Business
Phase 1/2 NCT03308396 Dec 2017 → Dec 2022 overdue clear cell renal carcinoma Ajjai Alva, MD Active not recruiting Missed primary
Phase 1/2 NCT03206047 Nov 2017 → Nov 2020 fallopian tube carcinoma, ovarian carcinoma, primary peritoneal carcinoma National Cancer Institute (NCI) Completed No outcome recorded
Phase 1/2 NCT02935361 Nov 2016 → Jun 2027 expected acute myeloid leukemia, chronic myelomonocytic leukemia, myelodysplastic syndrome University of Southern California Active not recruiting No outcome recorded
Phase 1/2 NCT01896856 Oct 2013 → Aug 2019 — Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins Completed No outcome recorded
Phase 1/2 NCT01261312 Jan 2011 → Jul 2016 acute myeloid leukemia, chronic myelomonocytic leukemia, myelodysplastic syndrome Astex Pharmaceuticals, Inc. Completed Missed primary
Phase 215 trials · 2 missed
Phase 2 NCT04340843 Sep 2020 → Feb 2024 overdue localized chondrosarcoma National Cancer Institute (NCI) Active not recruiting No outcome recorded
Phase 2 NCT04250246 Mar 2020 → Mar 2023 melanoma, non-small cell lung carcinoma Italian Network for Tumor Biotherapy Foundation Unknown No outcome recorded
Phase 2 NCT03913455 Jun 2019 → Apr 2021 small cell lung carcinoma Shadia Jalal, MD Completed No outcome recorded
Phase 2 NCT03454984 Nov 2018 → Sep 2020 acute myeloid leukemia, myelodysplastic syndrome Groupe Francophone des Myelodysplasies Unknown No outcome recorded
Phase 2 NCT03603964 Jul 2018 → Oct 2021 acute myeloid leukemia, myelodysplastic syndrome Astex Pharmaceuticals, Inc. Terminated No outcome recorded
Phase 2 NCT03179943 Nov 2017 → Jul 2020 overdue urothelial carcinoma Fox Chase Cancer Center Active not recruiting No outcome recorded
Phase 2 NCT03165721 Aug 2017 → Feb 2020 gastrointestinal stromal tumor, paraganglioma, pheochromocytoma, renal cell carcinoma National Cancer Institute (NCI) Terminated Missed primary Stop: Enrollment
Phase 2 NCT02901899 Nov 2016 → Apr 2020 fallopian tube carcinoma, ovarian carcinoma, primary peritoneal carcinoma Northwestern University Completed No outcome recorded
Phase 2 NCT02684162 Jun 2016 → Oct 2024 acute myeloid leukemia, chronic myelomonocytic leukemia, myelodysplastic syndrome M.D. Anderson Cancer Center Completed No outcome recorded
Phase 2 NCT03075826 Mar 2016 → Mar 2021 myeloproliferative neoplasm Weill Medical College of Cornell University Completed No outcome recorded
Phase 33 trials · 3 missed
Phase 3 NCT02920008 Mar 2017 → Jan 2020 acute myeloid leukemia Astex Pharmaceuticals, Inc. Completed Missed primary
Phase 3 NCT02907359 Jan 2017 → Mar 2020 chronic myelomonocytic leukemia, myelodysplastic syndrome Astex Pharmaceuticals, Inc. Completed Missed primary
Phase 3 NCT02348489 Mar 2015 → May 2018 acute myeloid leukemia Astex Pharmaceuticals, Inc. Completed Missed primary

News releases announcing trial results or a regulatory action · 11

DateIssuerRelease
2020-10-15 Otsuka Pharmaceutical Development & Commercialization, Inc. Results Otsuka and its subsidiary Astex announce results of phase 3, ASTRAL-2 and ASTRAL-3 trials of guadecitabine in patients with previously treated AML and MDS/CMML otsuka.co.jp ↗
Neither the ASTRAL-2 trial in patients with AML nor the ASTRAL-3 trial in patients with MDS or CMML met the primary endpoint of statistically significant (p <0.05) improvement in overall survival (OS) compared with the control arm of physicians' choice of alternative therapy.
2018-07-31 Otsuka Pharmaceutical Development & Commercialization, Inc. Results Otsuka and Astex announce results of the phase 3 ASTRAL-1 study of guadecitabine (SGI-110) in treatment-naïve AML patients ineligible to receive intense induction chemotherapy otsuka.co.jp ↗
The study did not meet its co-primary endpoints: complete response (CR) rate (p>0.04), and overall survival (OS) (p>0.01) as per the protocol analysis plan, compared with the control arm of physician's choice of azacitidine, decitabine, or low-dose cytarabine.
2015-10-06 Astex Pharmaceuticals, Inc. Regulatory Astex Pharmaceuticals Announces Orphan Drug Designation for Guadecitabine (SGI-110) in the Treatment of Acute Myeloid Leukemia astx.com ↗
FDA has granted an orphan drug designation for Astex Pharmaceuticals’ investigational drug, guadecitabine (SGI-110), in the treatment of acute myeloid leukemia (AML).
2015-08-18 Astex Pharmaceuticals, Inc. Results Astex Pharmaceuticals Announces Publication of Key Clinical Data for Guadecitabine (SGI-110) in The Lancet Oncology astx.com ↗
Importantly, potent dose-related DNA demethylation is associated with clinical responses in patients treated with guadecitabine, with responders showing significantly more demethylation than non-responders.
2014-06-16 Astex Pharmaceuticals, Inc. Results Astex Pharmaceuticals Presents Final Results of Phase 2 Study of SGI-110 in Treatment Naive Elderly Acute Myeloid Leukaemia at the European Hematology Association Meeting astx.com ↗
The primary endpoint of Overall Complete Remission (CR or CR with incomplete normal count recovery (CRi)) was achieved in 28 of 51 patients (55%).
2013-09-30 Astex Pharmaceuticals, Inc. Results Astex Pharmaceuticals Announces Oral Presentation of SGI-110 AML Data at the European Cancer Congress. astx.com ↗
The presentation showed that of the 50 heavily pre -treated Phase 1 AML patients with LINE-1 DNA methylation data, there were 5 Complete Responses, or 10% (2 CRs, 1 CRp, and 2 CRi).
2013-08-28 Astex Pharmaceuticals, Inc. Results Astex Pharmaceuticals Announces Topline Results of SGI-110 AML Phase 2 Study. astx.com ↗
Astex Pharmaceuticals, Inc. (Nasdaq:ASTX) today announced topline results from the ongoing phase 2 of SGI -110 in patients with AML and MDS.
2012-12-10 Astex Pharmaceuticals, Inc. Results Astex Pharmaceuticals Announces Results From Dose Escalation Part of SGI-110 Phase 1/2 MDS and AML Study in an Oral Presentation at ASH astx.com ↗
Of the 17 heavily pretreated relapsed/refractory AML patients who were given therapeutic doses of SGI -110 and achieved adequate hypomethylation, 5 major responses were observed.
2012-11-20 Astex Pharmaceuticals, Inc. Results Astex Pharmaceuticals Announces Oral Presentation of SGI-110 Results From Phase 1/2 MDS and AML Study at ASH astx.com ↗
clinical responses were observed in this heavily pretreated population which seem to correlate with the extent of LINE -1 hypomethylation.
2012-04-03 Astex Pharmaceuticals, Inc. Results Astex Pharmaceuticals Announces Subcutaneous SGI-110 Interim Phase 1/2 MDS and AML Data Presentation at AACR astx.com ↗
The data was presented at an oral session at the American Association for Cancer Research (AACR) 2012 Annual Meeting in Chicago, IL and was featured in a joint AACR-Stand Up To Cancer (SU2C) media forum.
2010-12-03 Astex Pharmaceuticals, Inc. Results SuperGen Announces Presentation of SGI-110 Preclinical Data at American Society of Hematology astx.com ↗
SGI-110 demonstrates sustained hypomethylation with less frequent dosing

All press releases naming this drug 20 releases

DateIssuerRelease

Evidence & citations 11 cited values

Every value below carries the sentence it was read from. 36 sources stand behind the page.

FieldValueCited text
Known as Guadecitabine ClinicalTrials.gov intervention name — accepted as the source's own label NCT04340843 ↗
22

NCT03576963 ↗

NCT04250246 ↗

NCT02998567 ↗

NCT02907359 ↗

NCT02684162 ↗

NCT02935361 ↗

NCT03220477 ↗

NCT03308396 ↗

NCT02920008 ↗

NCT02348489 ↗

Show 12 more sources

Known as Guadecitabina ChEMBL registry synonym — accepted as the source's own label CHEMBL3544916 ↗
Known as guadecitabine (SGI-110) “guadecitabine (SGI-110)” NCT04250246 ↗
Known as GUADECITABINE SODIUM ChEMBL registry synonym — accepted as the source's own label CHEMBL3544916 ↗
Known as S110 sodium salt ChEMBL registry synonym — accepted as the source's own label CHEMBL3544916 ↗
Known as SGI-110 “A Phase Ib Study of Guadecitabine (SGI-110) and Durvalumab (MEDI 4736) in Patients With Advanced Hepatocellular Carcinoma, Pancreatic Adenocarcinoma, and...” NCT03257761 ↗
14

“Guadecitabine (SGI-110) is a novel hypomethylating dinucleotide of Decitabine and deoxyguanosine resistant to degradation by cytidine deaminase.” NCT03454984 ↗

“Study of the Hypomethylating Drug Guadecitabine (SGI-110) Plus Cisplatin in Relapsed Refractory Germ Cell Tumors” NCT02429466 ↗

“Guadecitabine (SGI-110)/ASTX727 a Second Generation Hypo-Methylating Agent” NCT02998567 ↗

“SGI-110 (guadecitabine)” NCT02348489 ↗

NCT02608437 ↗

NCT02197676 ↗

NCT03165721 ↗

NCT01896856 ↗

NCT02293993 ↗

NCT03075826 ↗

Show 4 more sources

Known as Sgi-110 free acid ChEMBL registry synonym — accepted as the source's own label CHEMBL3544916 ↗
Known as SGI-110 sodium salt ChEMBL registry synonym — accepted as the source's own label CHEMBL3544916 ↗
Action Inhibit “Guadecitabine is a novel DNA methyltransferase (DNMT) inhibitor” PMID 31331399 ↗ Jul 2019
Modality Oligonucleotide (other) “Guadecitabine (SGI-110) is a novel hypomethylating dinucleotide of decitabine and deoxyguanosine resistant to degradation by cytidine deaminase.” PMID 26296954 ↗ Aug 2015
Route Subcutaneous “subcutaneously given guadecitabine” PMID 26296954 ↗ Aug 2015