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4-hydroxycyclophosphamide metabolite cyclophosphamide mafosfamide alsachim cas hydroxycyclophosphamide molecular formula cytochrome p450 calcitonins nonlinear pharmacokinetics chemotherapy side effect reaction activation tautomer endogenous extracellular nitrogen mustard azacycle organopnictogen compound organooxygen organohalogen azacyclic decomposition 3d rendering chemical molecule structural structure skeletal metabolism biosynthesis mechanism catabolism biosynthetic hmdb intermediate substrate derivative metabolic