U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

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
Structure of DEXRAZOXANE HYDROCHLORIDE

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

HIDE SMILES / InChI

Description
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.

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
13.0 µM [IC50]
17.4 null [pKi]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Secondary
ZINECARD

Approved Use

Zinecard 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 Date

1995
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
337 μM
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

AUC

ValueDoseCo-administeredAnalytePopulation
838 μM × h
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

T1/2

ValueDoseCo-administeredAnalytePopulation
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
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

Funbound

ValueDoseCo-administeredAnalytePopulation
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

Doses

DosePopulationAdverse 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...
Dose limiting toxicities:
Neutropenia (4 patients)
Sources:
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...
Dose limiting toxicities:
Neutropenia (4 patients)
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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%)
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%)
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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%)
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%)
Sources:
AEs

AEs

AESignificanceDosePopulation
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
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)
fluorouracil
cyclophosphamide
Sources:
unhealthy, adult
n = 413
Health Status: unhealthy
Condition: breast cancer
Age Group: adult
Sex: F
Population Size: 413
Sources:
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
Protection against acute adriamycin-induced cardiotoxicity by garlic: role of endogenous antioxidants and inhibition of TNF-alpha expression.
2003 Dec 20
Protein profiling in daunorubicin-induced cardiomyopathy.
2003 Sep
Iron chelators in cancer chemotherapy.
2004
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
Cardiotoxicity of cytotoxic drugs.
2004 Apr
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
Antitumor effects of two bisdioxopiperazines against two experimental lung cancer models in vivo.
2004 Dec 24
Mitoxantrone treatment of multiple sclerosis: safety considerations.
2004 Dec 28
Anaphylaxis to dexrazoxane (ICRF-187) following three previous uncomplicated infusions.
2004 Feb
The effect of dexrazoxane on myocardial injury in doxorubicin-treated children with acute lymphoblastic leukemia.
2004 Jul 8
[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
[Dexrazoxane and cardiotoxicity in repeatedly treated patients].
2004 Jun
Rabbit model for in vivo study of anthracycline-induced heart failure and for the evaluation of protective agents.
2004 Jun
Dexrazoxane for anthracycline extravasation and GM-CSF for skin ulceration and wound healing.
2004 May
Can dexrazoxane reduce myocardial injury in anthracycline-treated children with acute lymphoblastic leukemia?
2004 Nov
[Cardiac prevention: the oncologic point of view].
2004 Nov
Evaluating the role of dexrazoxane as a cardioprotectant in cancer patients receiving anthracyclines.
2004 Nov
The iron chelating cardioprotective prodrug dexrazoxane does not affect the cell growth inhibitory effects of bleomycin.
2004 Nov
Concurrent therapies that protect against doxorubicin-induced cardiomyopathy.
2004 Oct
Accelerated approval of oncology products: a decade of experience.
2004 Oct 20
Feasibility and pharmacokinetic study of infusional dexrazoxane and dose-intensive doxorubicin administered concurrently over 96 h for the treatment of advanced malignancies.
2004 Sep
The prevention and management of cardiovascular complications of chemotherapy in patients with cancer.
2005
Dexrazoxane : a review of its use for cardioprotection during anthracycline chemotherapy.
2005
Anthracycline-induced cardiotoxicity in children with cancer: strategies for prevention and management.
2005
Myocardial content of selected elements in experimental anthracycline-induced cardiomyopathy in rabbits.
2005 Apr
Molecular pharmacology of the interaction of anthracyclines with iron.
2005 Aug
Effect of epirubicin-based chemotherapy and dexrazoxane supplementation on QT dispersion in non-Hodgkin lymphoma patients.
2005 Dec
Cardioprotective effect of dexrazoxane during treatment with doxorubicin: a study using low-dose dobutamine stress echocardiography.
2005 Dec
The antitumor anthracyclines doxorubicin and daunorubicin do not inhibit cell growth through the formation of iron-mediated reactive oxygen species.
2005 Jan
Cardioprotective interventions for cancer patients receiving anthracyclines.
2005 Jan 25
Monitoring cardiac function in patients receiving doxorubicin.
2005 Jul
CD95/Apo-1/Fas: independent cell death induced by doxorubicin in normal cultured cardiomyocytes.
2005 Jul
Prediction of genotoxicity of chemical compounds by statistical learning methods.
2005 Jun
Metabolism of the cardioprotective drug dexrazoxane and one of its metabolites by isolated rat myocytes, hepatocytes, and blood.
2005 Jun
Dexrazoxane for the prevention of cardiomyopathy in anthracycline treated pediatric cancer patients.
2005 Jun 15
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
Dexrazoxane protects against myelosuppression from the DNA cleavage-enhancing drugs etoposide and daunorubicin but not doxorubicin.
2005 May 15
Long-term serial echocardiographic examination of late anthracycline cardiotoxicity and its prevention by dexrazoxane in paediatric patients.
2005 Nov
Phase II study of doxorubicin and bevacizumab for patients with metastatic soft-tissue sarcomas.
2005 Oct 1
Amifostine and dexrazoxane enhance the rapid loss of bone mass and further deterioration of vertebrae architecture in female rats.
2005 Sep
Metabolism of the one-ring open metabolites of the cardioprotective drug dexrazoxane to its active metal-chelating form in the rat.
2005 Sep
Combining etoposide and dexrazoxane synergizes with radiotherapy and improves survival in mice with central nervous system tumors.
2005 Sep 15
Clinical nurse specialist and evidence-based practice: managing anthracycline extravasation.
2005 Sep-Oct
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
Altered responsiveness of the guinea-pig isolated ileum to smooth muscle stimulants and to electrical stimulation after in situ ischemia.
2006 Feb
Late anthracycline cardiotoxicity protection by dexrazoxane (ICRF-187) in pediatric patients: echocardiographic follow-up.
2006 Feb
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
Experimental study of dexrazoxane-anthracycline combinations using the model of isolated perfused rat heart.
2006 Feb 8
Suppression of mitoxantrone cardiotoxicity in multiple sclerosis patients by dexrazoxane.
2006 Jan
Treatment of anthracycline extravasation in mice with dexrazoxane with or without DMSO and hydrocortisone.
2006 Jan
Patents

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
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.
Name Type Language
DEXRAZOXANE HYDROCHLORIDE
ORANGE BOOK   VANDF   WHO-DD  
Common Name English
DEXRAZOXANE HYDROCHLORIDE [VANDF]
Common Name English
RAZOXANE (+)-FORM HYDROCHLORIDE [MI]
Common Name English
ZINECARD
Brand Name English
Dexrazoxane hydrochloride [WHO-DD]
Common Name English
2,6-PIPERAZINEDIONE, 4,4'-((1S)-1-METHYL-1,2-ETHANEDIYL)BIS-, HYDROCHLORIDE (1:1)
Systematic Name English
ICRF-187 HYDROCHLORIDE
Code English
(+)-RAZOXANE HYDROCHLORIDE
Common Name English
RAZOXANE HYDROCHLORIDE, (S)-
Common Name English
TOTECT
Brand Name English
DEXRAZOXANE HCL
Common Name English
ADR-529 HYDROCHLORIDE
Code English
SAVENE
Brand Name English
CARDIOXAN
Brand Name English
2,6-PIPERAZINEDIONE, 4,4'-(1-METHYL-1,2-ETHANEDIYL)BIS-, HYDROCHLORIDE, (S)-
Common Name English
CARDIOXANE
Brand Name English
DEXRAZOXANE HYDROCHLORIDE [ORANGE BOOK]
Common Name English
Classification Tree Code System Code
EMA ASSESSMENT REPORTS SAVENE (AUTHORIZED: EXTRAVASTATION OF DIAGNOSTIC AND THERAPEUTIC MATERIALS)
Created by admin on Fri Dec 15 15:56:42 GMT 2023 , Edited by admin on Fri Dec 15 15:56:42 GMT 2023
NCI_THESAURUS C62357
Created by admin on Fri Dec 15 15:56:42 GMT 2023 , Edited by admin on Fri Dec 15 15:56:42 GMT 2023
FDA ORPHAN DRUG 441314
Created by admin on Fri Dec 15 15:56:42 GMT 2023 , Edited by admin on Fri Dec 15 15:56:42 GMT 2023
Code System Code Type Description
FDA UNII
5346058Q7S
Created by admin on Fri Dec 15 15:56:42 GMT 2023 , Edited by admin on Fri Dec 15 15:56:42 GMT 2023
PRIMARY
RXCUI
1294534
Created by admin on Fri Dec 15 15:56:42 GMT 2023 , Edited by admin on Fri Dec 15 15:56:42 GMT 2023
PRIMARY RxNorm
WIKIPEDIA
Dexrazoxane hydrochloride
Created by admin on Fri Dec 15 15:56:42 GMT 2023 , Edited by admin on Fri Dec 15 15:56:42 GMT 2023
PRIMARY
NCI_THESAURUS
C66945
Created by admin on Fri Dec 15 15:56:42 GMT 2023 , Edited by admin on Fri Dec 15 15:56:42 GMT 2023
PRIMARY
EVMPD
SUB01631MIG
Created by admin on Fri Dec 15 15:56:42 GMT 2023 , Edited by admin on Fri Dec 15 15:56:42 GMT 2023
PRIMARY
CHEBI
50224
Created by admin on Fri Dec 15 15:56:42 GMT 2023 , Edited by admin on Fri Dec 15 15:56:42 GMT 2023
PRIMARY
MERCK INDEX
m9511
Created by admin on Fri Dec 15 15:56:42 GMT 2023 , Edited by admin on Fri Dec 15 15:56:42 GMT 2023
PRIMARY Merck Index
DAILYMED
5346058Q7S
Created by admin on Fri Dec 15 15:56:42 GMT 2023 , Edited by admin on Fri Dec 15 15:56:42 GMT 2023
PRIMARY
DRUG BANK
DBSALT001028
Created by admin on Fri Dec 15 15:56:42 GMT 2023 , Edited by admin on Fri Dec 15 15:56:42 GMT 2023
PRIMARY
EPA CompTox
DTXSID60164152
Created by admin on Fri Dec 15 15:56:42 GMT 2023 , Edited by admin on Fri Dec 15 15:56:42 GMT 2023
PRIMARY
CAS
149003-01-0
Created by admin on Fri Dec 15 15:56:42 GMT 2023 , Edited by admin on Fri Dec 15 15:56:42 GMT 2023
NON-SPECIFIC STOICHIOMETRY
ChEMBL
CHEMBL1738
Created by admin on Fri Dec 15 15:56:42 GMT 2023 , Edited by admin on Fri Dec 15 15:56:42 GMT 2023
PRIMARY
PUBCHEM
6918223
Created by admin on Fri Dec 15 15:56:42 GMT 2023 , Edited by admin on Fri Dec 15 15:56:42 GMT 2023
PRIMARY
SMS_ID
100000090557
Created by admin on Fri Dec 15 15:56:42 GMT 2023 , Edited by admin on Fri Dec 15 15:56:42 GMT 2023
PRIMARY
CAS
1263283-43-7
Created by admin on Fri Dec 15 15:56:42 GMT 2023 , Edited by admin on Fri Dec 15 15:56:42 GMT 2023
PRIMARY