Antineoplastic agent

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In medicine, antineoplastic agents are "substances that inhibit or prevent the proliferation of neoplasms".[1] Generally, antineoplastic agents are for treating malignant neoplasms such as cancers and sarcomas.

Classification

This classification is based on World Health Organization's Collaborating Centre for Drug Statistics Methodology.[2]

Alkylating agents

ATC/DDD group L01A. Alkylating antineoplastic agents are a "class of drugs that differs from other alkylating agents used clinically in that they are monofunctional and thus unable to cross-link cellular macromolecules. Among their common properties are a requirement for metabolic activation to intermediates with antitumor efficacy and the presence in their chemical structures of N-methyl groups, that after metabolism, can covalently modify cellular DNA. The precise mechanisms by which each of these drugs acts to kill tumor cells are not completely understood."[3]

Nitrogen mustard analogues

ATC/DDD group L01AA.

Alkyl sulfonates

ATC/DDD group L01AB.

Ethylene imines

ATC/DDD group L01AC.

Nitrosoureas

ATC/DDD group L01AD.

Epoxides

ATC/DDD group L01AG.

Other alkylating agents

ATC/DDD group L01AX.

Antimetabolites

ATC/DDD group L01B. Antineoplastic antimetabolites are "antimetabolites that are useful in cancer chemotherapy."[4]

Folic acid analogues

ATC/DDD group L01BA.

Purine analogues

ATC/DDD group L01BB.

Pyrimidine analogues

ATC/DDD group L01BC.

Plant alkaloids and other natural products

ATC/DDD group L01C.

Vinca alkaloids and analogues

ATC/DDD group L01CA.

Podophyllotoxin derivatives

ATC/DDD group L01CB.

Colchicine derivatives

ATC/DDD group L01CC.

Taxanes

ATC/DDD group L01CD.

Other plant alkaloids and natural products

ATC/DDD group L01CX.

Cytotoxic antibiotics and related substances

ATC/DDD group L01D.

Actinomycines

ATC/DDD group L01DA.

Anthracyclines and related substances

ATC/DDD group L01DB.

Other cytotoxic antibiotics

ATC/DDD group L01DC.

Other antineoplastic agents

ATC/DDD group L01X.

Platinum compounds

ATC/DDD group L01XA.

Methylhydrazines

ATC/DDD group L01XB.

Monoclonal antibodies

ATC/DDD group L01XC.

Sensitizers used in photodynamic/radiation therapy

ATC/DDD group L01XD.

Protein kinase inhibitors

ATC/DDD group L01XE.

References