Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C11H16N4O4.ClH |
Molecular Weight | 304.73 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 1 / 1 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
Cl.C[C@@H](CN1CC(=O)NC(=O)C1)N2CC(=O)NC(=O)C2
InChI
InChIKey=BIFMNMPSIYHKDN-FJXQXJEOSA-N
InChI=1S/C11H16N4O4.ClH/c1-7(15-5-10(18)13-11(19)6-15)2-14-3-8(16)12-9(17)4-14;/h7H,2-6H2,1H3,(H,12,16,17)(H,13,18,19);1H/t7-;/m0./s1
DescriptionSources: https://www.ncbi.nlm.nih.gov/pubmed/19536310Curator's Comment: description was created based on several sources, including http://www.accessdata.fda.gov/drugsatfda_docs/label/2014/020212s017lbl.pdf
Sources: https://www.ncbi.nlm.nih.gov/pubmed/19536310
Curator's Comment: description was created based on several sources, including http://www.accessdata.fda.gov/drugsatfda_docs/label/2014/020212s017lbl.pdf
Dexrazoxane is a cardioprotective drug used in patients with breast cancer to reduce cardiomyopathy associated with doxorubicin administration. Dexrazoxane is believed to act by two mechanisms: it inhibits DNA topoisomerase II and acts as a chelator for iron ions.
CNS Activity
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL2094255 Sources: https://www.ncbi.nlm.nih.gov/pubmed/19536310 |
13.0 µM [IC50] | ||
Target ID: CHEMBL2363058 |
17.4 null [pKi] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Secondary | ZINECARD Approved UseZinecard is indicated for reducing the incidence and severity of cardiomyopathy associated with doxorubicin administration in women with metastatic breast cancer who have received a cumulative doxorubicin dose of 300 mg/m2 and who will continue to receive doxorubicin therapy to maintain tumor control. Launch Date1995 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
337 μM EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/29273587 |
60 mg/kg single, intraperitoneal dose: 60 mg/kg route of administration: Intraperitoneal experiment type: SINGLE co-administered: |
DEXRAZOXANE plasma | Oryctolagus cuniculus population: HEALTHY age: ADULT sex: FEMALE food status: FASTED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
838 μM × h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/29273587 |
60 mg/kg single, intraperitoneal dose: 60 mg/kg route of administration: Intraperitoneal experiment type: SINGLE co-administered: |
DEXRAZOXANE plasma | Oryctolagus cuniculus population: HEALTHY age: ADULT sex: FEMALE food status: FASTED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
2.5 h |
500 mg/m² single, intravenous dose: 500 mg/m² route of administration: Intravenous experiment type: SINGLE co-administered: DOXORUBICIN |
DEXRAZOXANE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE food status: UNKNOWN |
|
2 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/29273587 |
60 mg/kg single, intraperitoneal dose: 60 mg/kg route of administration: Intraperitoneal experiment type: SINGLE co-administered: |
DEXRAZOXANE plasma | Oryctolagus cuniculus population: HEALTHY age: ADULT sex: FEMALE food status: FASTED |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
100% |
500 mg/m² single, intravenous dose: 500 mg/m² route of administration: Intravenous experiment type: SINGLE co-administered: DOXORUBICIN |
DEXRAZOXANE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
250 mg/m2 1 times / 4 weeks multiple, intravenous (total) MTD Dose: 250 mg/m2, 1 times / 4 weeks Route: intravenous Route: multiple Dose: 250 mg/m2, 1 times / 4 weeks Sources: |
unhealthy, 57 years (range: 46-76 years) n = 22 Health Status: unhealthy Condition: advanced malignancies Age Group: 57 years (range: 46-76 years) Sex: M+F Population Size: 22 Sources: |
Disc. AE: Thrombocytopenia... AEs leading to discontinuation/dose reduction: Thrombocytopenia (grade 4, 2 patients) Sources: |
900 mg/m2 1 times / 3 weeks multiple, intravenous Highest studied dose Dose: 900 mg/m2, 1 times / 3 weeks Route: intravenous Route: multiple Dose: 900 mg/m2, 1 times / 3 weeks Co-administed with:: doxorubicin(60 mg/m^2; 1/3 week) Sources: |
unhealthy, adult n = 6 Health Status: unhealthy Condition: advanced malignancies Age Group: adult Sex: M+F Population Size: 6 Sources: |
DLT: Neutropenia... |
600 mg/m2 1 times / 3 weeks multiple, intravenous RP2D Dose: 600 mg/m2, 1 times / 3 weeks Route: intravenous Route: multiple Dose: 600 mg/m2, 1 times / 3 weeks Co-administed with:: doxorubicin(60 mg/m^2; 1/3 week) Sources: |
unhealthy, adult n = 9 Health Status: unhealthy Condition: advanced malignancies Age Group: adult Sex: M+F Population Size: 9 Sources: |
DLT: Neutropenia... |
500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 102 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 102 Sources: |
Other AEs: Alopecia, Nausea... Other AEs: Alopecia (100%) Sources: Nausea (51%) Vomiting (42%) Malaise and fatigue (48%) Anorexia (27%) Stomatitis (26%) Fever (22%) Infection (19%) Diarrhea (14%) Injection site pain (13%) Sepsis (12%) Neurotoxicity (10%) Erythema (4%) Phlebitis (3%) Esophagitis (3%) Hemorrhage (3%) Extravasation (3%) Urticaria (2%) Administration site recall reaction (1%) |
500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 413 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 413 Sources: |
Other AEs: Alopecia, Nausea... Other AEs: Alopecia (94%) Sources: Nausea (77%) Vomiting (59%) Malaise and fatigue (61%) Anorexia (42%) Stomatitis (34%) Fever (34%) Infection (23%) Diarrhea (21%) Injection site pain (12%) Sepsis (17%) Neurotoxicity (17%) Erythema (5%) Phlebitis (6%) Esophagitis (6%) Dysphagia (8%) Hemorrhage (2%) Extravasation (1%) Urticaria (2%) Administration site recall reaction (1%) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Thrombocytopenia | grade 4, 2 patients Disc. AE |
250 mg/m2 1 times / 4 weeks multiple, intravenous (total) MTD Dose: 250 mg/m2, 1 times / 4 weeks Route: intravenous Route: multiple Dose: 250 mg/m2, 1 times / 4 weeks Sources: |
unhealthy, 57 years (range: 46-76 years) n = 22 Health Status: unhealthy Condition: advanced malignancies Age Group: 57 years (range: 46-76 years) Sex: M+F Population Size: 22 Sources: |
Neutropenia | 4 patients DLT |
900 mg/m2 1 times / 3 weeks multiple, intravenous Highest studied dose Dose: 900 mg/m2, 1 times / 3 weeks Route: intravenous Route: multiple Dose: 900 mg/m2, 1 times / 3 weeks Co-administed with:: doxorubicin(60 mg/m^2; 1/3 week) Sources: |
unhealthy, adult n = 6 Health Status: unhealthy Condition: advanced malignancies Age Group: adult Sex: M+F Population Size: 6 Sources: |
Neutropenia | 4 patients DLT |
600 mg/m2 1 times / 3 weeks multiple, intravenous RP2D Dose: 600 mg/m2, 1 times / 3 weeks Route: intravenous Route: multiple Dose: 600 mg/m2, 1 times / 3 weeks Co-administed with:: doxorubicin(60 mg/m^2; 1/3 week) Sources: |
unhealthy, adult n = 9 Health Status: unhealthy Condition: advanced malignancies Age Group: adult Sex: M+F Population Size: 9 Sources: |
Administration site recall reaction | 1% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 102 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 102 Sources: |
Neurotoxicity | 10% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 102 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 102 Sources: |
Alopecia | 100% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 102 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 102 Sources: |
Sepsis | 12% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 102 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 102 Sources: |
Injection site pain | 13% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 102 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 102 Sources: |
Diarrhea | 14% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 102 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 102 Sources: |
Infection | 19% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 102 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 102 Sources: |
Urticaria | 2% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 102 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 102 Sources: |
Fever | 22% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 102 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 102 Sources: |
Stomatitis | 26% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 102 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 102 Sources: |
Anorexia | 27% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 102 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 102 Sources: |
Esophagitis | 3% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 102 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 102 Sources: |
Extravasation | 3% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 102 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 102 Sources: |
Hemorrhage | 3% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 102 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 102 Sources: |
Phlebitis | 3% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 102 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 102 Sources: |
Erythema | 4% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 102 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 102 Sources: |
Vomiting | 42% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 102 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 102 Sources: |
Malaise and fatigue | 48% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 102 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 102 Sources: |
Nausea | 51% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 102 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 102 Sources: |
Administration site recall reaction | 1% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 413 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 413 Sources: |
Extravasation | 1% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 413 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 413 Sources: |
Injection site pain | 12% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 413 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 413 Sources: |
Neurotoxicity | 17% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 413 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 413 Sources: |
Sepsis | 17% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 413 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 413 Sources: |
Hemorrhage | 2% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 413 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 413 Sources: |
Urticaria | 2% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 413 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 413 Sources: |
Diarrhea | 21% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 413 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 413 Sources: |
Infection | 23% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 413 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 413 Sources: |
Fever | 34% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 413 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 413 Sources: |
Stomatitis | 34% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 413 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 413 Sources: |
Anorexia | 42% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 413 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 413 Sources: |
Erythema | 5% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 413 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 413 Sources: |
Vomiting | 59% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 413 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 413 Sources: |
Esophagitis | 6% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 413 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 413 Sources: |
Phlebitis | 6% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 413 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 413 Sources: |
Malaise and fatigue | 61% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 413 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 413 Sources: |
Nausea | 77% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 413 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 413 Sources: |
Dysphagia | 8% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 413 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 413 Sources: |
Alopecia | 94% | 500 mg/m2 1 times / day multiple, intravenous Recommended Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Co-administed with:: doxorubicin(50 mg/m^2) Sources: fluorouracil cyclophosphamide |
unhealthy, adult n = 413 Health Status: unhealthy Condition: breast cancer Age Group: adult Sex: F Population Size: 413 Sources: |
PubMed
Title | Date | PubMed |
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Protection against acute adriamycin-induced cardiotoxicity by garlic: role of endogenous antioxidants and inhibition of TNF-alpha expression. | 2003 Dec 20 |
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Protein profiling in daunorubicin-induced cardiomyopathy. | 2003 Sep |
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Iron chelators in cancer chemotherapy. | 2004 |
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Synthesis and characterization of the biological activity of the cisplatin analogs, cis-PtCl(2)(dexrazoxane) and cis-PtCl(2)(levrazoxane), of the topoisomerase II inhibitors dexrazoxane (ICRF-187) and levrazoxane (ICRF-186). | 2004 Apr |
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Cardiotoxicity of cytotoxic drugs. | 2004 Apr |
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Characterisation of cytotoxicity and DNA damage induced by the topoisomerase II-directed bisdioxopiperazine anti-cancer agent ICRF-187 (dexrazoxane) in yeast and mammalian cells. | 2004 Dec 2 |
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Antitumor effects of two bisdioxopiperazines against two experimental lung cancer models in vivo. | 2004 Dec 24 |
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Mitoxantrone treatment of multiple sclerosis: safety considerations. | 2004 Dec 28 |
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Anaphylaxis to dexrazoxane (ICRF-187) following three previous uncomplicated infusions. | 2004 Feb |
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The effect of dexrazoxane on myocardial injury in doxorubicin-treated children with acute lymphoblastic leukemia. | 2004 Jul 8 |
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[Dexrazoxane in patients with B-lymphomas or acute leukemias in the 2nd complete remission enables further therapy with cardiotoxic anthracyclines over recommended cumulative doses]. | 2004 Jun |
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[Dexrazoxane and cardiotoxicity in repeatedly treated patients]. | 2004 Jun |
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Rabbit model for in vivo study of anthracycline-induced heart failure and for the evaluation of protective agents. | 2004 Jun |
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Dexrazoxane for anthracycline extravasation and GM-CSF for skin ulceration and wound healing. | 2004 May |
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Can dexrazoxane reduce myocardial injury in anthracycline-treated children with acute lymphoblastic leukemia? | 2004 Nov |
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[Cardiac prevention: the oncologic point of view]. | 2004 Nov |
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Evaluating the role of dexrazoxane as a cardioprotectant in cancer patients receiving anthracyclines. | 2004 Nov |
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The iron chelating cardioprotective prodrug dexrazoxane does not affect the cell growth inhibitory effects of bleomycin. | 2004 Nov |
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Concurrent therapies that protect against doxorubicin-induced cardiomyopathy. | 2004 Oct |
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Accelerated approval of oncology products: a decade of experience. | 2004 Oct 20 |
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Feasibility and pharmacokinetic study of infusional dexrazoxane and dose-intensive doxorubicin administered concurrently over 96 h for the treatment of advanced malignancies. | 2004 Sep |
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The prevention and management of cardiovascular complications of chemotherapy in patients with cancer. | 2005 |
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Dexrazoxane : a review of its use for cardioprotection during anthracycline chemotherapy. | 2005 |
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Anthracycline-induced cardiotoxicity in children with cancer: strategies for prevention and management. | 2005 |
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Myocardial content of selected elements in experimental anthracycline-induced cardiomyopathy in rabbits. | 2005 Apr |
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Molecular pharmacology of the interaction of anthracyclines with iron. | 2005 Aug |
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Effect of epirubicin-based chemotherapy and dexrazoxane supplementation on QT dispersion in non-Hodgkin lymphoma patients. | 2005 Dec |
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Cardioprotective effect of dexrazoxane during treatment with doxorubicin: a study using low-dose dobutamine stress echocardiography. | 2005 Dec |
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The antitumor anthracyclines doxorubicin and daunorubicin do not inhibit cell growth through the formation of iron-mediated reactive oxygen species. | 2005 Jan |
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Cardioprotective interventions for cancer patients receiving anthracyclines. | 2005 Jan 25 |
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Monitoring cardiac function in patients receiving doxorubicin. | 2005 Jul |
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CD95/Apo-1/Fas: independent cell death induced by doxorubicin in normal cultured cardiomyocytes. | 2005 Jul |
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Prediction of genotoxicity of chemical compounds by statistical learning methods. | 2005 Jun |
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Metabolism of the cardioprotective drug dexrazoxane and one of its metabolites by isolated rat myocytes, hepatocytes, and blood. | 2005 Jun |
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Dexrazoxane for the prevention of cardiomyopathy in anthracycline treated pediatric cancer patients. | 2005 Jun 15 |
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Gender-dependent reductions in vertebrae length, bone mineral density and content by doxorubicin are not reduced by dexrazoxane in young rats: effect on growth plate and intervertebral discs. | 2005 Mar |
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Dexrazoxane protects against myelosuppression from the DNA cleavage-enhancing drugs etoposide and daunorubicin but not doxorubicin. | 2005 May 15 |
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Long-term serial echocardiographic examination of late anthracycline cardiotoxicity and its prevention by dexrazoxane in paediatric patients. | 2005 Nov |
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Phase II study of doxorubicin and bevacizumab for patients with metastatic soft-tissue sarcomas. | 2005 Oct 1 |
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Amifostine and dexrazoxane enhance the rapid loss of bone mass and further deterioration of vertebrae architecture in female rats. | 2005 Sep |
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Metabolism of the one-ring open metabolites of the cardioprotective drug dexrazoxane to its active metal-chelating form in the rat. | 2005 Sep |
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Combining etoposide and dexrazoxane synergizes with radiotherapy and improves survival in mice with central nervous system tumors. | 2005 Sep 15 |
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Clinical nurse specialist and evidence-based practice: managing anthracycline extravasation. | 2005 Sep-Oct |
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Multicenter randomized phase III study of the cardioprotective effect of dexrazoxane (Cardioxane) in advanced/metastatic breast cancer patients treated with anthracycline-based chemotherapy. | 2006 Apr |
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Altered responsiveness of the guinea-pig isolated ileum to smooth muscle stimulants and to electrical stimulation after in situ ischemia. | 2006 Feb |
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Late anthracycline cardiotoxicity protection by dexrazoxane (ICRF-187) in pediatric patients: echocardiographic follow-up. | 2006 Feb |
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Matrix metalloproteinase-2 and -9 are induced differently by doxorubicin in H9c2 cells: The role of MAP kinases and NAD(P)H oxidase. | 2006 Feb 15 |
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Experimental study of dexrazoxane-anthracycline combinations using the model of isolated perfused rat heart. | 2006 Feb 8 |
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Suppression of mitoxantrone cardiotoxicity in multiple sclerosis patients by dexrazoxane. | 2006 Jan |
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Treatment of anthracycline extravasation in mice with dexrazoxane with or without DMSO and hydrocortisone. | 2006 Jan |
Sample Use Guides
The recommended dosage ratio of dexrazoxane to doxorubicin is 10:1 (e.g., 500 mg/m2 dexrazoxane to 50 mg/m2 doxorubicin). Do not administer doxorubicin before dexrazoxane.
Route of Administration:
Intravenous
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/22429609
Human osteoblasts P2 cells and Human ginigiva fibroblasts P2 cells were treated with zoledronic acid (50 umol/L) and the cytoprotectant dexrazoxane (600 umol/L). At that concentration dexrazoxane showed significant cytoprotective effect.
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EMA ASSESSMENT REPORTS |
SAVENE (AUTHORIZED: EXTRAVASTATION OF DIAGNOSTIC AND THERAPEUTIC MATERIALS)
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C62357
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FDA ORPHAN DRUG |
441314
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Dexrazoxane hydrochloride
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ACTIVE MOIETY
SUBSTANCE RECORD