Details
Stereochemistry | ACHIRAL |
Molecular Formula | C6H6O4.Pt.2H3N |
Molecular Weight | 371.254 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
N.N.[Pt++].[O-]C(=O)C1(CCC1)C([O-])=O
InChI
InChIKey=OLESAACUTLOWQZ-UHFFFAOYSA-L
InChI=1S/C6H8O4.2H3N.Pt/c7-4(8)6(5(9)10)2-1-3-6;;;/h1-3H2,(H,7,8)(H,9,10);2*1H3;/q;;;+2/p-2
Carboplatin is an organoplatinum compound that possesses antineoplastic activity. Carboplatin is an intravenously administered platinum coordination complex and alkylating agent, which is used as a chemotherapeutic agent for the treatment of various cancers, mainly of advanced ovarian. Carboplatin is indicated for the palliative treatment of patients with ovarian carcinoma recurrent after prior chemotherapy, including patients who have been previously treated with cisplatin. In addition this drug can be used to treat others cancers. Carboplatin therapy is associated with a low rate of transient serum aminotransferase elevations and with rare instances of clinically apparent liver injury. Carboplatin, like cisplatin, produces predominantly interstrand DNA cross-links rather than DNA-protein cross-links. This effect is apparently cell-cycle nonspecific. The aquation of carboplatin, which is thought to produce the active species, occurs at a slower rate than in the case of cisplatin. Despite this difference, it appears that both carboplatin and cisplatin induce equal numbers of drug-DNA cross-links, causing equivalent lesions and biological effects.
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL2311221 Sources: https://www.ncbi.nlm.nih.gov/pubmed/7599137 |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
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Primary | CARBOPLATIN Approved UseInitial Treatment of Advanced Ovarian Carcinoma: Carboplatin injection is indicated for the initial treatment of advanced ovarian carcinoma in established combination with other approved chemotherapeutic agents. One established combination regimen consists of carboplatin and cyclophosphamide. Two randomized controlled studies conducted by the NCIC and SWOG with carboplatin versus cisplatin, both in combination with cyclophosphamide, have demonstrated equivalent overall survival between the two groups. There is limited statistical power to demonstrate equivalence in overall pathologic complete response rates and long-term survival (≥3 years) because of the small number of patients with these outcomes: the small number of patients with residual tumor <2 cm after initial surgery also limits the statistical power to demonstrate equivalence in this subgroup. Secondary Treatment of Advanced Ovarian Carcinoma. Carboplatin is indicated for the palliative treatment of patients with ovarian carcinoma recurrent after prior chemotherapy, including patients who have been previously treated with cisplatin. Within the group of patients previously treated with cisplatin, those who have developed progressive disease while receiving cisplatin therapy may have a decreased response rate. Launch Date2007 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
38.99 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/3283185 |
375 mg/m² single, intravenous dose: 375 mg/m² route of administration: Intravenous experiment type: SINGLE co-administered: |
CARBOPLATIN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
197.71 μg × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/3283185 |
375 mg/m² single, intravenous dose: 375 mg/m² route of administration: Intravenous experiment type: SINGLE co-administered: |
CARBOPLATIN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
39.81 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/3283185 |
375 mg/m² single, intravenous dose: 375 mg/m² route of administration: Intravenous experiment type: SINGLE co-administered: |
CARBOPLATIN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
100% |
CARBOPLATIN plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
550 mg/m2 1 times / 4 weeks multiple, intraperitoneal Dose: 550 mg/m2, 1 times / 4 weeks Route: intraperitoneal Route: multiple Dose: 550 mg/m2, 1 times / 4 weeks Sources: |
unhealthy, 54.2 years (range: 36.9-77.3 years) n = 47 Health Status: unhealthy Condition: ovarian carcinoma Age Group: 54.2 years (range: 36.9-77.3 years) Sex: F Population Size: 47 Sources: |
|
600 mg/m2 single, intravenous MTD Dose: 600 mg/m2 Route: intravenous Route: single Dose: 600 mg/m2 Sources: |
unhealthy, 60 years (range: 21 - 80 years) n = 2 Health Status: unhealthy Age Group: 60 years (range: 21 - 80 years) Sex: M+F Population Size: 2 Sources: |
Other AEs: Thrombocytopenia... |
160 mg/m2 1 times / week multiple, intravenous Highest studied dose Dose: 160 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 160 mg/m2, 1 times / week Sources: |
unhealthy, > 60 years n = 93 Health Status: unhealthy Condition: ovarian carcinoma Age Group: > 60 years Sex: F Population Size: 93 Sources: |
|
210 mg/m2 1 times / week multiple, intravenous MTD Dose: 210 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 210 mg/m2, 1 times / week Sources: |
unhealthy, children Health Status: unhealthy Condition: solid tumors Age Group: children Sex: M+F Sources: |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Thrombocytopenia | 2 patients | 600 mg/m2 single, intravenous MTD Dose: 600 mg/m2 Route: intravenous Route: single Dose: 600 mg/m2 Sources: |
unhealthy, 60 years (range: 21 - 80 years) n = 2 Health Status: unhealthy Age Group: 60 years (range: 21 - 80 years) Sex: M+F Population Size: 2 Sources: |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
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Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
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Sources: https://pubmed.ncbi.nlm.nih.gov/19378397/ Page: - |
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Sources: https://pubmed.ncbi.nlm.nih.gov/19378397/ Page: - |
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Sources: https://pubmed.ncbi.nlm.nih.gov/19378397/ Page: - |
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Sources: https://pubmed.ncbi.nlm.nih.gov/19378397/ Page: - |
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Sources: https://pubmed.ncbi.nlm.nih.gov/19378397/ Page: - |
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Sources: https://pubmed.ncbi.nlm.nih.gov/19378397/ Page: - |
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Sources: https://pubmed.ncbi.nlm.nih.gov/19378397/ Page: - |
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Sources: https://pubmed.ncbi.nlm.nih.gov/19378397/ Page: - |
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Sources: https://pubmed.ncbi.nlm.nih.gov/19378397/ Page: - |
no | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/16914559/ Page: - |
no | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/16914559/ Page: - |
no |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://pubmed.ncbi.nlm.nih.gov/16914559/ Page: - |
no | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/16914559/ Page: - |
no | |||
Page: - |
yes |
PubMed
Title | Date | PubMed |
---|---|---|
Carboplatin: the clinical spectrum to date. | 1985 Sep |
|
Mechanism of cytotoxicity of anticancer platinum drugs: evidence that cis-diamminedichloroplatinum(II) and cis-diammine-(1,1-cyclobutanedicarboxylato)platinum(II) differ only in the kinetics of their interaction with DNA. | 1986 Apr |
Patents
Sample Use Guides
Single-Agent Therapy: Carboplatin injection, as a single agent, has been shown to be effective in patients with recurrent ovarian carcinoma at a dosage of 360 mg/m2 IV on day 1 every 4 weeks. In general, however, single intermittent courses of carboplatin should not be repeated until the neutrophil count is at least 2,000 and the platelet count is at least 100,000.
Combination Therapy with Cyclophosphamide: In the chemotherapy of advanced ovarian cancer, an effective combination for previously untreated patients consists of: Carboplatin―300 mg/m2 IV on day 1 every 4 weeks for 6 cycles. Cyclophosphamide―600 mg/m2 IV on day 1 every 4 weeks for 6 cycles.
Route of Administration:
Intravenous
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/22596241
Ovarian cancer cell lines (n=36) were treated with carboplatin, cisplatin, paclitaxel, or carboplatin-paclitaxel (CPTX). For each cell line, IC(50) levels were quantified and pre-treatment gene expression analyses were performed. Drug dilutions initially consisted of 1.5-fold serial dilutions from a maximum concentration of 100 μℳ. The cells were incubated with the drug for 72 h to ensure all cell lines underwent a minimum of two doublings. It was found, that characterisation of gene expression signatures in ovarian cancer (OVCA) patients may be useful for characterisng responses to treatment and also in developing an understanding of the biology that drives clinical outcome and survival. Furthermore, it was identified BAD, APC/C, and CREB was key players in the cytotoxicity of carboplatin, cisplatin, and paclitaxel in OVCA cell lines, and was suggested that targeted therapies against regulators of these proteins may be worthy of study in chemoresistant OVCAs.
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Classification Tree | Code System | Code | ||
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LIVERTOX |
NBK548565
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WHO-ESSENTIAL MEDICINES LIST |
8.2
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WHO-VATC |
QL01XA02
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NDF-RT |
N0000175073
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EU-Orphan Drug |
EU/3/18/2043
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WHO-ATC |
L01XA02
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NCI_THESAURUS |
C1450
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N0000175413
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Carboplatin
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m3093
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41575-94-4
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ACTIVE MOIETY