In this study, the adsorption of Cytarabine on the surface of C20 was evaluated by density functional theory. At first, the structures of fullerene, drug, and their complexes were optimized, geometrically. Then, IR and frontier molecular orbital computations were performed on them in the vacuum and aqueous phase. The calculated adsorption energies, Gibbs free energy changes (ΔGad) and adsorption enthalpy changes (ΔHad) revealed that the adsorption process of Cytarabine is experimentally feasible, spontaneous, exothermic and non-equilibrium. The effect of temperature on the adsorption process was also checked out and the results indicated that the optimum temperature for the interaction of fullerene with the drug is 298 ˚K. The frontier molecular orbital parameters such as band gap, chemical hardness, electrophilicity, chemical potential, and charge capacity were also studied and the results proved that C20 is an ideal electroactive sensing material for fabricating novel sensors for determination of Cytarabine. The values of dipole moment have also revealed that the bioavailability and biocompatibility of the drug have also improved after adsorbing on the surface of fullerene.