Troxacitabine in acute leukemia

Ronan T Swords, F. Giles

Research output: Contribution to journalArticle

11 Scopus citations


Troxacitabine (Troxatyl; BCH-4556; (-)-2′-deoxy-3′- oxacytadine) is the first synthetic L-nucleoside enantiomer to demonstrate broad spectrum cytotoxic activity. It was obtained by exchanging the sulphur endocyclic atom with oxygen in the structure of lamivudine, following the discovery that this agent had cytotoxic, as well as anti-viral activity. The unique "unnatural" stereochemistry of troxacitabine has produced impressive cytotoxic potency against a wide range of malignancies in the laboratory which led to its selection for clinical development. The initial trials with troxacitabine have established its efficacy in both solid and haematological malignancies, including those resistant to ara-C (cytarabine). This review will consider troxacitabine in terms of its pharmacology, mode of action, pharmacokinetics, tolerability and clinical efficacy.

Original languageEnglish
Pages (from-to)219-227
Number of pages9
Issue number3
StatePublished - Jun 1 2007
Externally publishedYes



  • Acute myeloid leukaemia
  • Nucleoside analogues
  • Review
  • Troxacitabine

ASJC Scopus subject areas

  • Hematology

Cite this

Swords, R. T., & Giles, F. (2007). Troxacitabine in acute leukemia. Hematology, 12(3), 219-227.