TABLE 3

Proposed structures of bendamustine metabolites in human urine, formed by the main metabolic conversions and arranged by structure of the benzimidazole/butyric acid moiety

Metabolic conversionBendamustine
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γ-Hydroxybendamustine
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N-Desmethylbendamustine
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HydrolysisEmbedded ImageEmbedded ImageEmbedded ImageEmbedded ImageEmbedded Image
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Cysteine and cysteine-derived conjugationsEmbedded Image
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N-Dealkylation/oxidationEmbedded ImageEmbedded ImageEmbedded Image
Phosphate conjugationEmbedded ImageEmbedded ImageEmbedded Image
Creatinine/uric acid conjugationEmbedded ImageEmbedded Image