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Clofarabine is a second-generation purine nucleoside antimetabolite used primarily as an antineoplastic agent. It is approved for the treatment of pediatric patients (ages 1 to 21) with relapsed or refractory acute lymphoblastic leukemia (ALL) after at least two prior regimens[3][5]. The drug acts by inhibiting ribonucleotide reductase and DNA polymerase, leading to inhibition of DNA synthesis and repair, which induces apoptosis in rapidly dividing malignant cells[7]. It has also been studied in other hematologic malignancies such as acute myeloid leukemia (AML), juvenile myelomonocytic leukemia (JMML), and various lymphomas[1][10]. Clofarabine is administered intravenously.
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