Knowledge

Melphalan

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In August 2023, the US Food and Drug Administration approved melphalan (Hepzato) as a liver-directed treatment for adults with uveal melanoma with unresectable hepatic metastases affecting less than 50% of the liver and no extrahepatic disease, or extrahepatic disease limited to the bone, lymph
812:. In the European Union, it is indicated, in combination with other cytotoxic medicinal products, as reduced intensity conditioning treatment prior to allogeneic haematopoietic stem cell transplantation in malignant haematological diseases in adults. 1024:(EMA) adopted a positive opinion, recommending the granting of a marketing authorization for melphalan. The applicant for this medicinal product is Adienne S.r.l. S.U. Melphalan was approved for medical use in the European Union in November 2020. 1396: 796:
for the treatment of multiple myeloma; malignant lymphoma (Hodgkin, non-Hodgkin lymphoma); acute lymphoblastic and myeloblastic leukemia; childhood neuroblastoma; ovarian cancer; and mammary adenocarcinoma.
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Bergel F, Burnop VC, Stock JA (1955). "Cyto-active amino-acids and peptides. Part II. Resolution of para-substituted phenylalanines and synthesis of p-di-(2-chloroethyl)amino-DL-phenylalanine".
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Larionov LF, Khokhlov AS, Shkodinskaja EN, Vasina OS, Troosheikina VI, Novikova MA (1955). "Studies on the anti-tumour activity of p-di-(2-chloroethyl) aminophenylalanine (sarcolysine)".
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Text was copied from this source which is copyright European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
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Text was copied from this source which is copyright European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
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Bergel F, Stock JA (1954). "Cyto-active amino-acid and peptide derivatives. Part I. Substituted phenylalanines".
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InChI=1S/C13H18Cl2N2O2/c14-5-7-17(8-6-15)11-3-1-10(2-4-11)9-12(16)13(18)19/h1-4,12H,5-9,16H2,(H,18,19)/t12-/m0/s1
302: 190: 108: 3549: 2901: 1903: 1793: 1155: 377: 2823: 2806: 2681: 2445: 1823: 2555: 2151: 1362: 1332: 547: 428: 1524: 2757: 1042:"FDA-sourced list of all drugs with black box warnings (Use Download Full Results and View Query links.)" 508: 2147: 2117: 3559: 3519: 3275: 1937: 2042: 497: 3113: 3003: 2993: 1529: 1274: 1181: 1041: 1021: 3564: 3160: 2696: 1946: 878: 524: 3445: 3238: 2978: 2693: 2179: 2027: 1954: 747: 704: 138: 52: 3324: 3319: 3314: 3058: 3048: 2781: 2623: 992: 1071:"Prescription medicines: registration of new generic medicines and biosimilar medicines, 2017" 477: 3574: 2330: 1977: 1176: 740: 716: 368: 417: 3470: 3364: 2728: 2605: 2126: 437: 268: 758:. Use during pregnancy may result in harm to the fetus. Melphalan belongs to the class of 8: 3013: 2913: 2892: 2613: 2435: 2267: 1998: 1894: 736: 551: 528: 332: 323: 149: 145: 2071: 1580: 976: 867: 781: 712: 1499: 3180: 2769: 1603: 1503: 1306: 996: 862: 100: 1418: 987:). Catalytic hydrogenation produced the corresponding aniline. Heating in acid with 870:(scarring of lung tissue) including fatal outcomes (usually only with prolonged use) 3501: 3387: 3298: 3185: 2957: 2672: 2306: 2291: 2012: 1495: 1468: 1445: 1282: 848: 809: 759: 708: 564: 357: 240: 173: 893:
Irreversible bone marrow failure due to melphalan not being withdrawn early enough
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Melphalan was approved for medical use in the United States in 1964. It is on the
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nodes, subcutaneous tissues, or lung that is amenable to resection or radiation.
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provided the bischloride, and removal of the protecting groups by heating in
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World Health Organization model list of essential medicines: 21st list 2019
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https://www.accessdata.fda.gov/drugsatfda_docs/label/2023/201848s000lbl.pdf
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This article incorporates text from this source, which is in the
1131:"Evomela- melphalan injection, powder, lyophilized, for solution" 988: 912: 755: 1519: 1517: 927:, functions necessary for cells to survive. These changes cause 3329: 1672: 828: 488: 286: 3465: 1514: 1305:(76 ed.). Pharmaceutical Press. 2018. pp. 873โ€“874. 980: 617: 468: 513: 30: 883: 448: 1273: 1049: 908: 770: 766: 1327:"Evomela (Captisol-enabled melphalan HCl) for Injection" 1291:. WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO. 800:
In the United States, melphalan is used as a high-dose
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World Health Organization's List of Essential Medicines
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hematopoietic progenitor (stem) cell transplantation
1125: 1123: 1121: 1094: 1092: 1034: 376: 1462: 3541: 1399:(Press release). Delcath Systems. 14 August 2023 1149: 1118: 1089: 356: 1230:. American Society of Health-System Pharmacists 1171: 1169: 1167: 1165: 1163: 931:in both dividing and non-dividing tumor cells. 765:. It works by interfering with the creation of 331: 1018:Committee for Medicinal Products for Human Use 3570:World Health Organization essential medicines 3283: 1566: 1160: 126: 1439: 3290: 3276: 1573: 1559: 1218: 1216: 1214: 1212: 1210: 1208: 1206: 1204: 1202: 550: 527: 416: 1465:Journal of the Chemical Society (Resumed) 1442:Journal of the Chemical Society (Resumed) 1286: 436: 1303:British national formulary : BNF 76 1100:"Alkeran- melphalan tablet, film coated" 938: 750:. Other severe side effects may include 1224:"Melphalan Monograph for Professionals" 1199: 746:Common side effects include nausea and 523: 396: 99: 3542: 1267: 1075:Therapeutic Goods Administration (TGA) 1006: 979:, and this was converted to its ethyl 902: 541: 227: 3297: 3271: 1554: 1295: 1281:. Geneva: World Health Organization. 496: 476: 212: 117: 85: 792:In the European Union, melphalan is 172: 70:)-2-amino-3-{4-phenyl}propanoic acid 1842:ribonucleotide reductase inhibitors 456: 347: 13: 2008:Ribonucleotide reductase inhibitor 1964:Ribonucleotide reductase inhibitor 857:Less common side effects include: 851:causing increased risk of bleeding 263:Hydrolysis to inactive metabolites 57:Alkeran, Evomela, Phelinun, others 14: 3586: 1767:Dihydrofolate reductase inhibitor 199: 3527: 1377: 1250:"Melphalan Use During Pregnancy" 907:Melphalan chemically alters the 840:Decreased white blood cell count 587: 581: 575: 38: 29: 1525:"Phelinun: Pending EC decision" 1479: 1456: 1433: 1411: 1389: 1349: 1319: 1011: 819: 787: 674:Key:SGDBTWWWUNNDEQ-LBPRGKRZSA-N 649:c1cc(ccc1C(C(=O)O)N)N(CCCl)CCCl 1904:Thymidylate synthase inhibitor 1794:Thymidylate synthase inhibitor 1242: 1063: 593: 569: 1: 3481:Propylbenzilylcholine mustard 1824:Adenosine deaminase inhibitor 1665:Block microtubule disassembly 1500:10.1016/S0140-6736(55)92736-7 1027: 991:, followed by treatment with 824:Common side effects include: 754:and the development of other 1363:Food and Drug Administration 1333:Food and Drug Administration 934: 699:, sold under the brand name 7: 1421:. National Cancer Institute 10: 3591: 3441:Acetylethylcholine mustard 1016:On 17 September 2020, the 842:causing increased risk of 559:Chemical and physical data 3489: 3426: 3363: 3305: 3228: 3114:Omacetaxine mepesuccinate 3004:Ciltacabtagene autoleucel 2994:Brexucabtagene autoleucel 2940: 2891: 2671: 2664: 2600: 2554: 2487: 2444: 2281: 2266: 2146: 2116: 2041: 2026: 1997: 1893: 1813: 1756: 1739: 1728: 1664: 1617: 1598: 1530:European Medicines Agency 1275:World Health Organization 1182:European Medicines Agency 1022:European Medicines Agency 682: 657: 637: 615: 602: 563: 558: 539: 507: 487: 467: 447: 427: 407: 387: 367: 342: 322: 298: 293: 280: 267: 257: 247: 239: 189: 184: 159: 137: 107: 93: 75: 61: 51: 46: 37: 28: 3555:IARC Group 1 carcinogens 3408:Phenylenediamine mustard 3161:Talimogene laherparepvec 2028:Topoisomerase inhibitors 1947:DNA polymerase inhibitor 1407:– via PR Newswire. 879:Interstitial pneumonitis 849:Decreased platelet count 3446:Benzilylcholine mustard 2979:Axicabtagene ciloleucel 1583:chemotherapeutic agents 971:) was converted to its 836:suppression, including 780:. It is available as a 748:bone marrow suppression 705:chemotherapy medication 3146:Sitimagene ceradenovec 3059:Idecabtagene vicleucel 2624:Methyl aminolevulinate 993:phosphorus oxychloride 960: 3550:Chloroethyl compounds 3476:Hemicholinium mustard 3456:Decamethonium mustard 3436:Acetylcholine mustard 3365:Antineoplastic agents 2635:Porphyrin derivatives 2331:Melphalan flufenamide 1978:Hypomethylating agent 1587:antineoplastic agents 952:U.S. patent 3,032,585 946:U.S. patent 3,032,584 942: 741:injection into a vein 717:myeloblastic leukemia 3471:Ethylcholine mustard 2964:Asparagine depleters 2893:Receptor antagonists 2807:+abiraterone acetate 1473:10.1039/JR9550001223 1450:10.1039/JR9540002409 715:; lymphoblastic and 3014:Denileukin diftitox 2914:Retinoid X receptor 2614:Aminolevulinic acid 2436:Triethylenemelamine 2268:Crosslinking of DNA 1999:Deoxyribonucleotide 1938:+gimeracil/oteracil 1534:. 18 September 2020 1186:. 15 September 2020 1007:Society and culture 903:Mechanism of action 804:treatment prior to 703:among others, is a 208:(Prescription only) 25: 3413:Quinacrine mustard 3255:Never to phase III 2072:Etirinotecan pegol 1337:. 30 November 2016 1137:. 31 December 2021 1106:. 18 November 2019 977:phthalic anhydride 961: 868:Pulmonary fibrosis 863:allergic reactions 782:generic medication 713:malignant lymphoma 21: 3560:Nitrogen mustards 3515: 3514: 3299:Nitrogen mustards 3265: 3264: 3224: 3223: 3181:Tigilanol tiglate 2673:Enzyme inhibitors 2596: 2595: 2592: 2591: 2292:Nitrogen mustards 2262: 2261: 2022: 2021: 1724: 1723: 997:hydrochloric acid 763:alkylating agents 694: 693: 628:Interactive image 509:CompTox Dashboard 313: 253:25โ€“89% (By mouth) 231: 216: 203: 120: 71: 16:Chemical compound 3582: 3532: 3531: 3530: 3523: 3502:Phenoxybenzamine 3388:Cyclophosphamide 3292: 3285: 3278: 3269: 3268: 3186:Tisagenlecleucel 2958:Arsenic trioxide 2669: 2668: 2602:Photosensitizers 2393:Alkyl sulfonates 2307:Cyclophosphamide 2279: 2278: 2218:Anthracenediones 2039: 2038: 2013:Hydroxycarbamide 1754: 1753: 1737: 1736: 1615: 1614: 1575: 1568: 1561: 1552: 1551: 1545: 1543: 1541: 1539: 1521: 1512: 1511: 1494:(6882): 169โ€“71. 1483: 1477: 1476: 1460: 1454: 1453: 1437: 1431: 1430: 1428: 1426: 1415: 1409: 1408: 1406: 1404: 1393: 1387: 1381: 1380: 1376: 1374: 1372: 1367:. 14 August 2023 1353: 1347: 1346: 1344: 1342: 1323: 1317: 1316: 1299: 1293: 1292: 1290: 1271: 1265: 1264: 1262: 1260: 1246: 1240: 1239: 1237: 1235: 1220: 1197: 1195: 1193: 1191: 1173: 1158: 1153: 1147: 1146: 1144: 1142: 1127: 1116: 1115: 1113: 1111: 1096: 1087: 1086: 1084: 1082: 1067: 1061: 1060: 1058: 1056: 1046:nctr-crs.fda.gov 1038: 999:gave melphalan ( 975:by heating with 954: 948: 810:multiple myeloma 760:nitrogen mustard 709:multiple myeloma 690: 689: 630: 610: 595: 589: 583: 577: 571: 554: 543: 532: 531: 517: 515: 500: 480: 460: 440: 420: 400: 380: 360: 350: 349: 335: 311: 272: 229: 226: 221: 214: 211: 201: 198: 176: 130: 119: 116: 103: 89: 65: 42: 33: 26: 24: 20: 3590: 3589: 3585: 3584: 3583: 3581: 3580: 3579: 3565:Specialty drugs 3540: 3539: 3538: 3528: 3526: 3518: 3516: 3511: 3485: 3451:Choline mustard 3422: 3373:Aniline mustard 3359: 3301: 3296: 3266: 3261: 3260: 3245:Clinical trials 3220: 2941:Other/ungrouped 2936: 2887: 2660: 2640:Porfimer sodium 2588: 2550: 2483: 2440: 2270: 2258: 2142: 2112: 2030: 2018: 1993: 1889: 1809: 1745: 1743:antimetabolites 1741: 1740:DNA precursors/ 1732: 1730:DNA replication 1720: 1660: 1630:Vinca alkaloids 1606: 1594: 1579: 1549: 1548: 1537: 1535: 1523: 1522: 1515: 1484: 1480: 1461: 1457: 1438: 1434: 1424: 1422: 1417: 1416: 1412: 1402: 1400: 1395: 1394: 1390: 1378: 1370: 1368: 1355: 1354: 1350: 1340: 1338: 1325: 1324: 1320: 1313: 1301: 1300: 1296: 1272: 1268: 1258: 1256: 1248: 1247: 1243: 1233: 1231: 1222: 1221: 1200: 1189: 1187: 1177:"Phelinun EPAR" 1175: 1174: 1161: 1154: 1150: 1140: 1138: 1129: 1128: 1119: 1109: 1107: 1098: 1097: 1090: 1080: 1078: 1069: 1068: 1064: 1054: 1052: 1040: 1039: 1035: 1030: 1014: 1009: 950: 944: 937: 905: 822: 808:in people with 790: 685: 683: 678: 675: 670: 665: 664: 653: 650: 645: 644: 633: 608: 598: 592: 586: 580: 574: 535: 511: 503: 483: 463: 443: 423: 403: 383: 363: 346: 338: 318: 315: 306: 305: 289:(IV: 5.8โ€“21.3%) 276:1.5 ยฑ 0.8 hours 270: 249:Bioavailability 241:Pharmacokinetic 235: 219: 180: 140: 133: 17: 12: 11: 5: 3588: 3578: 3577: 3572: 3567: 3562: 3557: 3552: 3537: 3536: 3513: 3512: 3510: 3509: 3504: 3499: 3493: 3491: 3487: 3486: 3484: 3483: 3478: 3473: 3468: 3463: 3458: 3453: 3448: 3443: 3438: 3432: 3430: 3424: 3423: 3421: 3420: 3415: 3410: 3405: 3400: 3395: 3390: 3385: 3380: 3375: 3369: 3367: 3361: 3360: 3358: 3357: 3352: 3347: 3342: 3337: 3332: 3327: 3322: 3317: 3311: 3309: 3303: 3302: 3295: 3294: 3287: 3280: 3272: 3263: 3262: 3259: 3258: 3257: 3256: 3253: 3242: 3236: 3230: 3229: 3226: 3225: 3222: 3221: 3219: 3218: 3213: 3208: 3203: 3198: 3193: 3188: 3183: 3178: 3173: 3168: 3163: 3158: 3153: 3148: 3143: 3138: 3132: 3121: 3116: 3111: 3106: 3101: 3096: 3091: 3086: 3081: 3076: 3071: 3066: 3061: 3056: 3051: 3046: 3041: 3036: 3031: 3026: 3021: 3016: 3011: 3006: 3001: 2996: 2991: 2986: 2981: 2976: 2960: 2955: 2950: 2944: 2942: 2938: 2937: 2935: 2934: 2922: 2910: 2897: 2895: 2889: 2888: 2886: 2885: 2879: 2874: 2869: 2864: 2852: 2846: 2841: 2836: 2831: 2820: 2814: 2809: 2801: 2794:PARP inhibitor 2790: 2778: 2766: 2754: 2753: 2752: 2747: 2742: 2737: 2725: 2719: 2714: 2709: 2704: 2690: 2677: 2675: 2666: 2662: 2661: 2659: 2658: 2652: 2647: 2642: 2631: 2626: 2621: 2616: 2610: 2608: 2598: 2597: 2594: 2593: 2590: 2589: 2587: 2586: 2580: 2575: 2570: 2560: 2558: 2552: 2551: 2549: 2548: 2542: 2537: 2526: 2521: 2516: 2511: 2499: 2493: 2491: 2485: 2484: 2482: 2481: 2476: 2471: 2466: 2461: 2456: 2450: 2448: 2446:Platinum-based 2442: 2441: 2439: 2438: 2433: 2428: 2423: 2411: 2410: 2404: 2388: 2387: 2382: 2377: 2372: 2362: 2357: 2345: 2344: 2339: 2334: 2324: 2319: 2313: 2304: 2299: 2287: 2285: 2276: 2264: 2263: 2260: 2259: 2257: 2256: 2251: 2246: 2241: 2236: 2230: 2225: 2214: 2208: 2203: 2198: 2193: 2188: 2183: 2173: 2168: 2161:Anthracyclines 2156: 2154: 2144: 2143: 2141: 2140: 2134: 2122: 2120: 2114: 2113: 2111: 2110: 2104: 2099: 2094: 2089: 2084: 2079: 2074: 2069: 2064: 2059: 2047: 2045: 2036: 2024: 2023: 2020: 2019: 2017: 2016: 2003: 2001: 1995: 1994: 1992: 1991: 1985: 1973: 1972: 1959: 1958: 1942: 1941: 1931: 1926: 1921: 1916: 1911: 1899: 1897: 1891: 1890: 1888: 1887: 1881: 1879:Mercaptopurine 1870: 1865: 1860: 1854: 1849: 1833: 1832: 1819: 1817: 1811: 1810: 1808: 1807: 1801: 1790: 1784: 1779: 1774: 1762: 1760: 1751: 1734: 1726: 1725: 1722: 1721: 1719: 1718: 1706: 1700: 1695: 1690: 1685: 1680: 1668: 1666: 1662: 1661: 1659: 1658: 1652: 1647: 1642: 1637: 1625: 1623: 1612: 1596: 1595: 1581:Intracellular 1578: 1577: 1570: 1563: 1555: 1547: 1546: 1513: 1478: 1455: 1432: 1410: 1388: 1348: 1318: 1311: 1294: 1266: 1241: 1198: 1159: 1148: 1117: 1088: 1077:. 21 June 2022 1062: 1032: 1031: 1029: 1026: 1020:(CHMP) of the 1013: 1010: 1008: 1005: 955:(both 1962 to 936: 933: 904: 901: 900: 899: 897:Cardiac arrest 894: 891: 886: 881: 876: 871: 865: 855: 854: 853: 852: 846: 831: 821: 818: 789: 786: 735:. It is taken 733:uveal melanoma 729:adenocarcinoma 725:ovarian cancer 707:used to treat 692: 691: 680: 679: 677: 676: 673: 671: 668: 660: 659: 658: 655: 654: 652: 651: 648: 640: 639: 638: 635: 634: 632: 631: 623: 621: 613: 612: 606: 600: 599: 596: 590: 584: 578: 572: 567: 561: 560: 556: 555: 545: 537: 536: 534: 533: 520: 518: 505: 504: 502: 501: 493: 491: 485: 484: 482: 481: 473: 471: 465: 464: 462: 461: 453: 451: 445: 444: 442: 441: 433: 431: 425: 424: 422: 421: 413: 411: 405: 404: 402: 401: 393: 391: 385: 384: 382: 381: 373: 371: 365: 364: 362: 361: 353: 351: 340: 339: 337: 336: 328: 326: 320: 319: 317: 316: 314:-phenylalanine 309: 301: 300: 299: 296: 295: 291: 290: 284: 278: 277: 274: 265: 264: 261: 255: 254: 251: 245: 244: 237: 236: 234: 233: 224: 209: 195: 193: 187: 186: 182: 181: 179: 178: 165: 163: 157: 156: 154:intra-arterial 143: 141:administration 135: 134: 132: 131: 113: 111: 105: 104: 97: 91: 90: 83: 73: 72: 63: 59: 58: 55: 49: 48: 44: 43: 35: 34: 15: 9: 6: 4: 3: 2: 3587: 3576: 3573: 3571: 3568: 3566: 3563: 3561: 3558: 3556: 3553: 3551: 3548: 3547: 3545: 3535: 3525: 3524: 3521: 3508: 3505: 3503: 3500: 3498: 3495: 3494: 3492: 3488: 3482: 3479: 3477: 3474: 3472: 3469: 3467: 3464: 3462: 3459: 3457: 3454: 3452: 3449: 3447: 3444: 3442: 3439: 3437: 3434: 3433: 3431: 3429: 3425: 3419: 3416: 3414: 3411: 3409: 3406: 3404: 3401: 3399: 3396: 3394: 3391: 3389: 3386: 3384: 3381: 3379: 3376: 3374: 3371: 3370: 3368: 3366: 3362: 3356: 3353: 3351: 3348: 3346: 3343: 3341: 3338: 3336: 3333: 3331: 3328: 3326: 3323: 3321: 3318: 3316: 3313: 3312: 3310: 3308: 3304: 3300: 3293: 3288: 3286: 3281: 3279: 3274: 3273: 3270: 3254: 3252: 3249: 3248: 3246: 3243: 3240: 3237: 3235: 3232: 3231: 3227: 3217: 3214: 3212: 3209: 3207: 3204: 3202: 3199: 3197: 3194: 3192: 3189: 3187: 3184: 3182: 3179: 3177: 3174: 3172: 3169: 3167: 3164: 3162: 3159: 3157: 3154: 3152: 3149: 3147: 3144: 3142: 3139: 3136: 3133: 3131: 3127: 3126: 3122: 3120: 3117: 3115: 3112: 3110: 3107: 3105: 3102: 3100: 3097: 3095: 3092: 3090: 3089:Lurbinectedin 3087: 3085: 3082: 3080: 3077: 3075: 3072: 3070: 3067: 3065: 3062: 3060: 3057: 3055: 3052: 3050: 3047: 3045: 3042: 3040: 3037: 3035: 3032: 3030: 3027: 3025: 3022: 3020: 3017: 3015: 3012: 3010: 3007: 3005: 3002: 3000: 2997: 2995: 2992: 2990: 2987: 2985: 2982: 2980: 2977: 2974: 2970: 2966: 2965: 2961: 2959: 2956: 2954: 2951: 2949: 2946: 2945: 2943: 2939: 2932: 2928: 2927: 2923: 2920: 2916: 2915: 2911: 2908: 2904: 2903: 2899: 2898: 2896: 2894: 2890: 2883: 2880: 2878: 2875: 2873: 2870: 2868: 2865: 2863: 2859: 2857: 2853: 2850: 2847: 2845: 2842: 2840: 2837: 2835: 2832: 2830: 2826: 2825: 2821: 2818: 2815: 2813: 2810: 2808: 2805: 2802: 2800: 2796: 2795: 2791: 2788: 2784: 2783: 2779: 2776: 2772: 2771: 2767: 2764: 2760: 2759: 2755: 2751: 2748: 2746: 2743: 2741: 2738: 2736: 2733: 2732: 2731: 2730: 2726: 2723: 2720: 2718: 2715: 2713: 2710: 2708: 2705: 2703: 2699: 2698: 2695: 2691: 2688: 2684: 2683: 2679: 2678: 2676: 2674: 2670: 2667: 2663: 2656: 2653: 2651: 2648: 2646: 2643: 2641: 2637: 2636: 2632: 2630: 2627: 2625: 2622: 2620: 2617: 2615: 2612: 2611: 2609: 2607: 2603: 2599: 2584: 2581: 2579: 2576: 2574: 2571: 2569: 2565: 2562: 2561: 2559: 2557: 2556:Intercalation 2553: 2546: 2543: 2541: 2538: 2536: 2532: 2531: 2527: 2525: 2522: 2520: 2517: 2515: 2512: 2509: 2505: 2504: 2500: 2498: 2495: 2494: 2492: 2490: 2486: 2480: 2477: 2475: 2472: 2470: 2467: 2465: 2464:Dicycloplatin 2462: 2460: 2457: 2455: 2452: 2451: 2449: 2447: 2443: 2437: 2434: 2432: 2429: 2427: 2424: 2422: 2419: 2417: 2413: 2412: 2408: 2405: 2403: 2399: 2396: 2394: 2390: 2389: 2386: 2383: 2381: 2378: 2376: 2373: 2370: 2366: 2363: 2361: 2358: 2356: 2353: 2351: 2347: 2346: 2343: 2340: 2338: 2337:Prednimustine 2335: 2332: 2328: 2325: 2323: 2320: 2317: 2314: 2312: 2308: 2305: 2303: 2300: 2298: 2295: 2293: 2289: 2288: 2286: 2284: 2280: 2277: 2274: 2269: 2265: 2255: 2252: 2250: 2247: 2245: 2242: 2240: 2237: 2234: 2231: 2229: 2226: 2224: 2220: 2219: 2215: 2212: 2209: 2207: 2204: 2202: 2199: 2197: 2194: 2192: 2189: 2187: 2184: 2181: 2177: 2174: 2172: 2169: 2167: 2163: 2162: 2158: 2157: 2155: 2153: 2152:Intercalation 2149: 2145: 2138: 2135: 2133: 2129: 2128: 2124: 2123: 2121: 2119: 2115: 2108: 2105: 2103: 2100: 2098: 2095: 2093: 2090: 2088: 2085: 2083: 2080: 2078: 2075: 2073: 2070: 2068: 2065: 2063: 2060: 2058: 2054: 2053: 2049: 2048: 2046: 2044: 2040: 2037: 2034: 2029: 2025: 2014: 2010: 2009: 2005: 2004: 2002: 2000: 1996: 1989: 1986: 1984: 1980: 1979: 1975: 1974: 1970: 1966: 1965: 1961: 1960: 1956: 1955:+daunorubicin 1953: 1949: 1948: 1944: 1943: 1939: 1935: 1932: 1930: 1927: 1925: 1922: 1920: 1919:Doxifluridine 1917: 1915: 1912: 1910: 1906: 1905: 1901: 1900: 1898: 1896: 1892: 1885: 1882: 1880: 1876: 1875: 1871: 1869: 1868:Rabacfosadine 1866: 1864: 1861: 1858: 1855: 1853: 1850: 1848: 1844: 1843: 1839: 1835: 1834: 1830: 1826: 1825: 1821: 1820: 1818: 1816: 1812: 1805: 1802: 1800: 1796: 1795: 1791: 1788: 1785: 1783: 1780: 1778: 1775: 1773: 1769: 1768: 1764: 1763: 1761: 1759: 1755: 1752: 1749: 1744: 1738: 1735: 1731: 1727: 1716: 1712: 1711: 1707: 1704: 1701: 1699: 1696: 1694: 1691: 1689: 1686: 1684: 1681: 1679: 1675: 1674: 1670: 1669: 1667: 1663: 1656: 1653: 1651: 1648: 1646: 1643: 1641: 1638: 1636: 1632: 1631: 1627: 1626: 1624: 1621: 1616: 1613: 1610: 1605: 1601: 1597: 1592: 1588: 1584: 1576: 1571: 1569: 1564: 1562: 1557: 1556: 1553: 1533: 1531: 1526: 1520: 1518: 1509: 1505: 1501: 1497: 1493: 1489: 1482: 1474: 1470: 1467:: 1223โ€“1230. 1466: 1459: 1451: 1447: 1443: 1436: 1420: 1414: 1398: 1392: 1385: 1384:public domain 1366: 1364: 1358: 1352: 1336: 1334: 1328: 1322: 1314: 1312:9780857113382 1308: 1304: 1298: 1289: 1284: 1280: 1276: 1270: 1255: 1251: 1245: 1229: 1225: 1219: 1217: 1215: 1213: 1211: 1209: 1207: 1205: 1203: 1185: 1183: 1178: 1172: 1170: 1168: 1166: 1164: 1157: 1152: 1136: 1132: 1126: 1124: 1122: 1105: 1101: 1095: 1093: 1076: 1072: 1066: 1051: 1047: 1043: 1037: 1033: 1025: 1023: 1019: 1004: 1002: 998: 994: 990: 986: 982: 978: 974: 970: 966: 965:phenylalanine 958: 953: 947: 941: 932: 930: 926: 925:RNA synthesis 922: 921:DNA synthesis 918: 914: 910: 898: 895: 892: 890: 887: 885: 882: 880: 877: 875: 872: 869: 866: 864: 860: 859: 858: 850: 847: 845: 841: 838: 837: 835: 832: 830: 827: 826: 825: 817: 813: 811: 807: 803: 798: 795: 785: 783: 779: 774: 772: 768: 764: 761: 757: 753: 749: 744: 742: 738: 734: 730: 726: 722: 721:neuroblastoma 718: 714: 710: 706: 702: 698: 688: 681: 672: 667: 666: 663: 656: 647: 646: 643: 636: 629: 625: 624: 622: 619: 614: 607: 605: 601: 568: 566: 562: 557: 553: 549: 546: 544: 542:ECHA InfoCard 538: 530: 526: 525:DTXSID6020804 522: 521: 519: 510: 506: 499: 495: 494: 492: 490: 486: 479: 475: 474: 472: 470: 466: 459: 455: 454: 452: 450: 446: 439: 435: 434: 432: 430: 426: 419: 415: 414: 412: 410: 406: 399: 395: 394: 392: 390: 386: 379: 375: 374: 372: 370: 366: 359: 355: 354: 352: 345: 341: 334: 330: 329: 327: 325: 321: 308: 307: 304: 297: 292: 288: 285: 283: 279: 275: 273: 266: 262: 260: 256: 252: 250: 246: 242: 238: 232: Rx-only 225: 222: 210: 207: 197: 196: 194: 192: 188: 183: 175: 170: 167: 166: 164: 162: 158: 155: 151: 147: 144: 142: 136: 129: 124: 115: 114: 112: 110: 106: 102: 98: 96: 92: 88: 84: 82: 78: 74: 69: 64: 60: 56: 54: 50: 47:Clinical data 45: 41: 36: 32: 27: 19: 3575:Orphan drugs 3418:Spiromustine 3397: 3393:Mannomustine 3383:Chlorambucil 3378:Bendamustine 3166:Tazemetostat 3130:Alitretinoin 3123: 3049:Estramustine 3029:Elsamitrucin 3019:Eflornithine 2973:Pegaspargase 2969:Asparaginase 2962: 2931:Testolactone 2924: 2912: 2900: 2854: 2839:Panobinostat 2822: 2792: 2780: 2768: 2756: 2727: 2692: 2680: 2633: 2629:Padeliporfin 2568:Dactinomycin 2564:Streptomyces 2545:Temozolomide 2540:Mitozolomide 2528: 2519:Mitobronitol 2508:Procarbazine 2501: 2489:Nonclassical 2414: 2391: 2385:Streptozocin 2350:Nitrosoureas 2348: 2326: 2322:Chlorambucil 2316:Trofosfamide 2302:Chlormethine 2297:Bendamustine 2290: 2228:Mitoxantrone 2223:Losoxantrone 2216: 2176:Daunorubicin 2159: 2125: 2062:Camptothecin 2050: 2006: 1976: 1962: 1945: 1929:Fluorouracil 1909:Capecitabine 1902: 1872: 1836: 1822: 1792: 1787:Pralatrexate 1777:Methotrexate 1765: 1708: 1671: 1628: 1538:21 September 1536:. Retrieved 1528: 1491: 1487: 1481: 1464: 1458: 1441: 1435: 1423:. Retrieved 1413: 1401:. Retrieved 1391: 1369:. Retrieved 1360: 1351: 1339:. Retrieved 1330: 1321: 1302: 1297: 1288:10665/325771 1278: 1269: 1257:. Retrieved 1253: 1244: 1232:. Retrieved 1227: 1188:. Retrieved 1180: 1151: 1139:. Retrieved 1134: 1108:. Retrieved 1103: 1079:. Retrieved 1074: 1065: 1053:. Retrieved 1045: 1036: 1015: 1012:Legal status 1000: 984: 968: 962: 929:cytotoxicity 906: 856: 823: 820:Side effects 814: 802:conditioning 799: 791: 788:Medical uses 775: 745: 719:; childhood 700: 696: 695: 684:   269:Elimination 191:Legal status 185:Legal status 109:License data 67: 18: 3428:Neurotoxins 3241:from market 3211:Vorasidenib 3191:Trabectedin 3176:Tiazofurine 3171:Tebentafusp 3156:Tagraxofusp 3119:Plitidepsin 3094:Mitoguazone 3039:Epacadostat 3009:Demecolcine 2953:Aflibercept 2926:Sex steroid 2799:Fuzuloparib 2740:Carfilzomib 2712:Palbociclib 2702:Abemaciclib 2655:Verteporfin 2619:Efaproxiral 2535:Dacarbazine 2497:Altretamine 2479:Satraplatin 2474:Oxaliplatin 2454:Carboplatin 2431:Triaziquone 2402:Mannosulfan 2380:Ranimustine 2360:Fotemustine 2201:Pirarubicin 2186:Doxorubicin 2180:+cytarabine 2166:Aclarubicin 2127:Podophyllum 2052:Camptotheca 1983:Azacitidine 1969:Gemcitabine 1924:Floxuridine 1857:Fludarabine 1852:Clofarabine 1838:Halogenated 1829:Pentostatin 1804:Raltitrexed 1772:Aminopterin 1715:Ixabepilone 1710:Epothilones 1678:Cabazitaxel 1655:Vinorelbine 1640:Vincristine 1635:Vinblastine 1620:microtubule 1419:"Melphalan" 1403:7 September 1371:7 September 1341:7 September 973:phthalimide 943:Syntheses: 911:nucleotide 834:Bone marrow 752:anaphylaxis 611: gยทmol 548:100.005.207 478:CHEBI:28876 294:Identifiers 150:intravenous 95:MedlinePlus 62:Other names 53:Trade names 3544:Categories 3497:Dibenamine 3206:Verdinexor 3201:Venetoclax 3109:Oblimersen 3104:Navitoclax 3084:Lucanthone 3079:Lonidamine 3074:Lifileucel 3069:Ivosidenib 3064:Imetelstat 3034:Enasidenib 3024:Elesclomol 2989:Bexarotene 2984:Belzutifan 2919:Bexarotene 2907:Atrasentan 2882:Umbralisib 2877:Idelalisib 2867:Copanlisib 2849:Vorinostat 2844:Romidepsin 2834:Entinostat 2829:Belinostat 2787:Masoprocol 2775:Tiazofurin 2763:Anagrelide 2735:Bortezomib 2722:Seliciclib 2717:Ribociclib 2697:inhibitors 2687:Tipifarnib 2650:Temoporfin 2645:Talaporfin 2583:Plicamycin 2578:Mitomycins 2524:Pipobroman 2503:Hydrazines 2469:Nedaplatin 2421:Carboquone 2416:Aziridines 2407:Treosulfan 2355:Carmustine 2342:Uramustine 2311:Ifosfamide 2283:Alkylating 2244:Bisantrene 2233:Pixantrone 2206:Valrubicin 2196:Idarubicin 2191:Epirubicin 2137:Teniposide 2092:Lurtotecan 2087:Irinotecan 1988:Decitabine 1952:Cytarabine 1895:Pyrimidine 1884:Tioguanine 1874:Thiopurine 1863:Nelarabine 1847:Cladribine 1799:Pemetrexed 1782:Pemetrexed 1758:Folic acid 1698:Paclitaxel 1650:Vinflunine 1055:22 October 1028:References 963:4-Nitro-L- 917:alkylation 727:; mammary 616:3D model ( 604:Molar mass 438:Q41OR9510P 409:ChemSpider 369:IUPHAR/BPS 324:CAS Number 303:IUPAC name 259:Metabolism 3403:Mustamine 3398:Melphalan 3307:Vesicants 3251:Phase III 3239:Withdrawn 3216:Vosaroxin 3196:Veliparib 3151:Sotorasib 3141:Selinexor 3135:Tretinoin 3125:Retinoids 3054:Glasdegib 2999:Celecoxib 2948:Adagrasib 2872:Duvelisib 2862:Alpelisib 2817:Rucaparib 2804:Niraparib 2745:Oprozomib 2707:Alvocidib 2573:Bleomycin 2530:Triazenes 2514:Etoglucid 2459:Cisplatin 2375:Nimustine 2369:Semustine 2365:Lomustine 2327:Melphalan 2254:Menogaril 2249:Crisnatol 2239:Amsacrine 2211:Zorubicin 2171:Amrubicin 2132:Etoposide 2107:Topotecan 2102:Silatecan 2097:Rubitecan 2082:Gimatecan 2067:Cositecan 2057:Belotecan 1733:inhibitor 1703:Tesetaxel 1693:Ortataxel 1688:Larotaxel 1683:Docetaxel 1645:Vindesine 1259:9 October 1254:Drugs.com 1234:9 October 1228:Drugs.com 935:Synthesis 874:Hair loss 844:infection 794:indicated 697:Melphalan 498:ChEMBL852 282:Excretion 271:half-life 139:Routes of 128:Melphalan 87:Monograph 81:Drugs.com 23:Melphalan 3534:Medicine 3099:Mitotane 3044:Eribulin 2812:Olaparib 2750:Ixazomib 2426:Thiotepa 2398:Busulfan 2077:Exatecan 1914:Carmofur 1622:assembly 1585: / 1508:13243678 1444:: 2409. 1425:4 August 1277:(2019). 1190:23 April 1141:23 April 1135:DailyMed 1110:23 April 1104:DailyMed 1081:30 March 915:through 737:by mouth 687:(verify) 389:DrugBank 333:148-82-3 161:ATC code 146:By mouth 123:DailyMed 2033:S phase 1934:Tegafur 1748:S phase 1673:Taxanes 1609:M phase 989:oxirane 913:guanine 889:Itching 861:Severe 756:cancers 701:Alkeran 565:Formula 398:DB01042 344:PubChem 223:Rx-only 220:WARNING 177:) 171: ( 169:L01AA03 125::  101:a682220 3520:Portal 3355:TL-995 3350:TL-695 3345:TL-513 3340:TL-512 3335:TL-481 3330:TL-301 3234:WHO-EM 2858:(Pi3K) 1815:Purine 1618:Block 1506:  1488:Lancet 1309:  829:Nausea 739:or by 731:; and 642:SMILES 609:305.20 489:ChEMBL 458:D00369 418:405297 358:460612 287:Kidney 217: 204: 121:  3507:SY-28 3490:Other 3466:DSP-4 2770:IMPDI 2665:Other 1532:(EMA) 1365:(FDA) 1361:U.S. 1335:(FDA) 1331:U.S. 1184:(EMA) 981:ester 662:InChI 618:JSmol 469:ChEBI 3461:DMEA 2856:PIKI 2824:HDAC 2273:CCNS 1540:2020 1504:PMID 1427:2014 1405:2023 1373:2023 1343:2023 1307:ISBN 1261:2019 1236:2019 1192:2022 1143:2022 1112:2022 1083:2024 1057:2023 957:NRDC 923:and 884:Rash 769:and 449:KEGG 429:UNII 378:7620 243:data 77:AHFS 3325:HN3 3320:HN2 3315:HN1 2902:ERA 2758:PhI 2729:PrI 2694:CDK 2606:PDT 1604:MIs 1600:SPs 1591:L01 1496:doi 1492:266 1469:doi 1446:doi 1283:hdl 1050:FDA 1003:). 909:DNA 771:RNA 767:DNA 514:EPA 348:CID 310:4-- 174:WHO 3546:: 3247:: 2782:LI 2682:FI 2148:II 2118:II 1940:)) 1527:. 1516:^ 1502:. 1490:. 1359:. 1329:. 1252:. 1226:. 1201:^ 1179:. 1162:^ 1133:. 1120:^ 1102:. 1091:^ 1073:. 1048:. 1044:. 959:). 949:; 784:. 773:. 743:. 723:; 711:; 582:Cl 579:18 573:13 228:EU 213:US 206:S4 200:AU 152:, 148:, 118:US 66:(2 3522:: 3291:e 3284:t 3277:v 3137:) 3128:( 2975:) 2971:/ 2967:( 2933:) 2929:( 2921:) 2917:( 2909:) 2905:( 2884:) 2860:( 2851:) 2827:( 2819:) 2797:( 2789:) 2785:( 2777:) 2773:( 2765:) 2761:( 2724:) 2700:( 2689:) 2685:( 2657:) 2638:( 2604:/ 2585:) 2566:( 2547:) 2533:( 2510:) 2506:( 2418:: 2409:) 2400:( 2395:: 2371:) 2367:( 2352:: 2333:) 2329:( 2318:) 2309:( 2294:: 2275:) 2271:( 2235:) 2221:( 2213:) 2182:) 2178:( 2164:( 2150:+ 2139:) 2130:( 2109:) 2055:( 2043:I 2035:) 2031:( 2015:) 2011:( 1990:) 1981:( 1971:) 1967:( 1957:) 1950:( 1936:( 1907:( 1886:) 1877:( 1859:) 1845:( 1840:/ 1831:) 1827:( 1806:) 1797:( 1789:) 1770:( 1750:) 1746:( 1717:) 1713:( 1705:) 1676:( 1657:) 1633:( 1611:) 1607:( 1602:/ 1593:) 1589:( 1574:e 1567:t 1560:v 1542:. 1510:. 1498:: 1475:. 1471:: 1452:. 1448:: 1429:. 1386:. 1375:. 1345:. 1315:. 1285:: 1263:. 1238:. 1194:. 1145:. 1114:. 1085:. 1059:. 1001:3 985:2 983:( 969:1 967:( 620:) 597:2 594:O 591:2 588:N 585:2 576:H 570:C 516:) 512:( 312:L 230:: 215:: 202:: 79:/ 68:S

Index



Trade names
AHFS
Drugs.com
Monograph
MedlinePlus
a682220
License data
DailyMed
Melphalan
Routes of
administration

By mouth
intravenous
intra-arterial
ATC code
L01AA03
WHO
Legal status
S4
WARNING
Pharmacokinetic
Bioavailability
Metabolism
Elimination half-life
Excretion
Kidney
IUPAC name
CAS Number
148-82-3

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