NCIt definition : A cytarabine congener prodrug with antineoplastic activity. Upon administration, ancitabine
is slowly hydrolyzed into cytarabine, which is converted to the active triphosphate
form and competes with deoxycytidine triphosphate for incorporation into DNA. Because
the arabinose sugar sterically hinders the rotation of the molecule within DNA, DNA
replication ceases, specifically during the S phase of the cell cycle. This agent
also inhibits DNA and RNA polymerases, resulting in a decrease in cell growth. Compared
to cytarabine, a more prolonged, consistent cytarabine-mediated therapeutic effect
may be achieved with ancitabine because of the slow hydrolytic conversion of ancitabine
to cytarabine.;