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

Details

Stereochemistry ABSOLUTE
Molecular Formula C11H16N4O4
Molecular Weight 268.2691
Optical Activity ( + )
Defined Stereocenters 1 / 1
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of Dexrazoxane

SMILES

C[C@@H](CN1CC(=O)NC(=O)C1)N2CC(=O)NC(=O)C2

InChI

InChIKey=BMKDZUISNHGIBY-ZETCQYMHSA-N
InChI=1S/C11H16N4O4/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)/t7-/m0/s1

HIDE SMILES / InChI

Molecular Formula C11H16N4O4
Molecular Weight 268.2691
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 1 / 1
E/Z Centers 0
Optical Activity UNSPECIFIED

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
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
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
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)
Health Status: unhealthy
Age Group: 57 years (range: 46-76 years)
Sex: M+F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: M+F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: M+F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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:
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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:
AEs

AEs

AESignificanceDosePopulation
Thrombocytopenia grade 4, 2 patients
Disc. AE
250 mg/m2 1 times / 4 weeks multiple, intravenous
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)
Health Status: unhealthy
Age Group: 57 years (range: 46-76 years)
Sex: M+F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: M+F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: M+F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
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
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: F
Sources:
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
Multicenter randomized phase III study of the cardioprotective effect of dexrazoxane (Cardioxane) in advanced/metastatic breast cancer patients treated with anthracycline-based chemotherapy.
2006-04
Matrix metalloproteinase-2 and -9 are induced differently by doxorubicin in H9c2 cells: The role of MAP kinases and NAD(P)H oxidase.
2006-02-15
Experimental study of dexrazoxane-anthracycline combinations using the model of isolated perfused rat heart.
2006-02-08
Altered responsiveness of the guinea-pig isolated ileum to smooth muscle stimulants and to electrical stimulation after in situ ischemia.
2006-02
Late anthracycline cardiotoxicity protection by dexrazoxane (ICRF-187) in pediatric patients: echocardiographic follow-up.
2006-02
Suppression of mitoxantrone cardiotoxicity in multiple sclerosis patients by dexrazoxane.
2006-01
Treatment of anthracycline extravasation in mice with dexrazoxane with or without DMSO and hydrocortisone.
2006-01
Effect of epirubicin-based chemotherapy and dexrazoxane supplementation on QT dispersion in non-Hodgkin lymphoma patients.
2005-12
Cardioprotective effect of dexrazoxane during treatment with doxorubicin: a study using low-dose dobutamine stress echocardiography.
2005-12
Long-term serial echocardiographic examination of late anthracycline cardiotoxicity and its prevention by dexrazoxane in paediatric patients.
2005-11
Phase II study of doxorubicin and bevacizumab for patients with metastatic soft-tissue sarcomas.
2005-10-01
Combining etoposide and dexrazoxane synergizes with radiotherapy and improves survival in mice with central nervous system tumors.
2005-09-15
Amifostine and dexrazoxane enhance the rapid loss of bone mass and further deterioration of vertebrae architecture in female rats.
2005-09
Metabolism of the one-ring open metabolites of the cardioprotective drug dexrazoxane to its active metal-chelating form in the rat.
2005-09
Clinical nurse specialist and evidence-based practice: managing anthracycline extravasation.
2005-08-05
Molecular pharmacology of the interaction of anthracyclines with iron.
2005-08
Monitoring cardiac function in patients receiving doxorubicin.
2005-07
CD95/Apo-1/Fas: independent cell death induced by doxorubicin in normal cultured cardiomyocytes.
2005-07
Dexrazoxane for the prevention of cardiomyopathy in anthracycline treated pediatric cancer patients.
2005-06-15
Prediction of genotoxicity of chemical compounds by statistical learning methods.
2005-06
Metabolism of the cardioprotective drug dexrazoxane and one of its metabolites by isolated rat myocytes, hepatocytes, and blood.
2005-06
Dexrazoxane protects against myelosuppression from the DNA cleavage-enhancing drugs etoposide and daunorubicin but not doxorubicin.
2005-05-15
Myocardial content of selected elements in experimental anthracycline-induced cardiomyopathy in rabbits.
2005-04
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.
2005-03
Cardioprotective interventions for cancer patients receiving anthracyclines.
2005-01-25
The antitumor anthracyclines doxorubicin and daunorubicin do not inhibit cell growth through the formation of iron-mediated reactive oxygen species.
2005-01
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
Mitoxantrone treatment of multiple sclerosis: safety considerations.
2004-12-28
Antitumor effects of two bisdioxopiperazines against two experimental lung cancer models in vivo.
2004-12-24
Characterisation of cytotoxicity and DNA damage induced by the topoisomerase II-directed bisdioxopiperazine anti-cancer agent ICRF-187 (dexrazoxane) in yeast and mammalian cells.
2004-12-02
Can dexrazoxane reduce myocardial injury in anthracycline-treated children with acute lymphoblastic leukemia?
2004-11
[Cardiac prevention: the oncologic point of view].
2004-11
Evaluating the role of dexrazoxane as a cardioprotectant in cancer patients receiving anthracyclines.
2004-11
The iron chelating cardioprotective prodrug dexrazoxane does not affect the cell growth inhibitory effects of bleomycin.
2004-11
Accelerated approval of oncology products: a decade of experience.
2004-10-20
Concurrent therapies that protect against doxorubicin-induced cardiomyopathy.
2004-10
Feasibility and pharmacokinetic study of infusional dexrazoxane and dose-intensive doxorubicin administered concurrently over 96 h for the treatment of advanced malignancies.
2004-09
The effect of dexrazoxane on myocardial injury in doxorubicin-treated children with acute lymphoblastic leukemia.
2004-07-08
[Dexrazoxane in patients with B-lymphomas or acute leukemias in the 2nd complete remission enables further therapy with cardiotoxic anthracyclines over recommended cumulative doses].
2004-06
[Dexrazoxane and cardiotoxicity in repeatedly treated patients].
2004-06
Rabbit model for in vivo study of anthracycline-induced heart failure and for the evaluation of protective agents.
2004-06
Dexrazoxane for anthracycline extravasation and GM-CSF for skin ulceration and wound healing.
2004-05
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).
2004-04
Cardiotoxicity of cytotoxic drugs.
2004-04
Anaphylaxis to dexrazoxane (ICRF-187) following three previous uncomplicated infusions.
2004-02
Iron chelators in cancer chemotherapy.
2004
Protection against acute adriamycin-induced cardiotoxicity by garlic: role of endogenous antioxidants and inhibition of TNF-alpha expression.
2003-12-20
Protein profiling in daunorubicin-induced cardiomyopathy.
2003-09
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.
Substance Class Chemical
Created
by admin
on Mon Mar 31 17:54:09 GMT 2025
Edited
by admin
on Mon Mar 31 17:54:09 GMT 2025
Record UNII
048L81261F
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
Dexrazoxane
EMA EPAR   HSDB   INN   MART.   USAN   VANDF   WHO-DD  
INN   USAN  
Official Name English
ADR-529
Preferred Name English
(+)-1,2-BIS(3,5-DIOXOPIPERAZIN-1-YL)PROPANE
Systematic Name English
Dexrazoxane [WHO-DD]
Common Name English
dexrazoxane [INN]
Common Name English
DEXRAZOXANE [USAN]
Common Name English
RAZOXANE, (S)-
Common Name English
RAZOXANE, D-
Common Name English
DEXRAZOXANE [MART.]
Common Name English
DEXRAZOXANE [HSDB]
Common Name English
DEXRAZOXANE [JAN]
Common Name English
DEXRAZOXANE [VANDF]
Common Name English
2,6-PIPERAZINEDIONE, 4,4'-(1-METHYL-1,2-ETHANEDIYL)BIS-, (S)-
Common Name English
NSC-169780
Code English
DEXRAZOXANE [EMA EPAR]
Common Name English
ICRF-187
Code English
RAZOXANE (+)-FORM [MI]
Common Name English
(+)-(S)-4,4'-PROPYLENEDI-2,6-PIPERAZINEDIONE
Systematic Name English
Classification Tree Code System Code
WHO-ATC V03AF02
Created by admin on Mon Mar 31 17:54:10 GMT 2025 , Edited by admin on Mon Mar 31 17:54:10 GMT 2025
NDF-RT N0000180854
Created by admin on Mon Mar 31 17:54:09 GMT 2025 , Edited by admin on Mon Mar 31 17:54:09 GMT 2025
FDA ORPHAN DRUG 181103
Created by admin on Mon Mar 31 17:54:10 GMT 2025 , Edited by admin on Mon Mar 31 17:54:10 GMT 2025
FDA ORPHAN DRUG 63291
Created by admin on Mon Mar 31 17:54:10 GMT 2025 , Edited by admin on Mon Mar 31 17:54:10 GMT 2025
WHO-VATC QV03AF02
Created by admin on Mon Mar 31 17:54:09 GMT 2025 , Edited by admin on Mon Mar 31 17:54:09 GMT 2025
EU-Orphan Drug EU/3/01/059
Created by admin on Mon Mar 31 17:54:10 GMT 2025 , Edited by admin on Mon Mar 31 17:54:10 GMT 2025
NCI_THESAURUS C62357
Created by admin on Mon Mar 31 17:54:10 GMT 2025 , Edited by admin on Mon Mar 31 17:54:10 GMT 2025
Code System Code Type Description
USAN
Z-72
Created by admin on Mon Mar 31 17:54:10 GMT 2025 , Edited by admin on Mon Mar 31 17:54:10 GMT 2025
PRIMARY
CAS
24584-09-6
Created by admin on Mon Mar 31 17:54:09 GMT 2025 , Edited by admin on Mon Mar 31 17:54:09 GMT 2025
PRIMARY
ChEMBL
CHEMBL1738
Created by admin on Mon Mar 31 17:54:10 GMT 2025 , Edited by admin on Mon Mar 31 17:54:10 GMT 2025
PRIMARY
DAILYMED
048L81261F
Created by admin on Mon Mar 31 17:54:10 GMT 2025 , Edited by admin on Mon Mar 31 17:54:10 GMT 2025
PRIMARY
PUBCHEM
71384
Created by admin on Mon Mar 31 17:54:10 GMT 2025 , Edited by admin on Mon Mar 31 17:54:10 GMT 2025
PRIMARY
NSC
169780
Created by admin on Mon Mar 31 17:54:10 GMT 2025 , Edited by admin on Mon Mar 31 17:54:10 GMT 2025
PRIMARY
NCI_THESAURUS
C1333
Created by admin on Mon Mar 31 17:54:10 GMT 2025 , Edited by admin on Mon Mar 31 17:54:10 GMT 2025
PRIMARY
LACTMED
Dexrazoxane
Created by admin on Mon Mar 31 17:54:10 GMT 2025 , Edited by admin on Mon Mar 31 17:54:10 GMT 2025
PRIMARY
SMS_ID
100000085432
Created by admin on Mon Mar 31 17:54:10 GMT 2025 , Edited by admin on Mon Mar 31 17:54:10 GMT 2025
PRIMARY
MERCK INDEX
m9511
Created by admin on Mon Mar 31 17:54:10 GMT 2025 , Edited by admin on Mon Mar 31 17:54:10 GMT 2025
PRIMARY Merck Index
DRUG BANK
DB00380
Created by admin on Mon Mar 31 17:54:10 GMT 2025 , Edited by admin on Mon Mar 31 17:54:10 GMT 2025
PRIMARY
HSDB
7319
Created by admin on Mon Mar 31 17:54:10 GMT 2025 , Edited by admin on Mon Mar 31 17:54:10 GMT 2025
PRIMARY
EPA CompTox
DTXSID3040647
Created by admin on Mon Mar 31 17:54:10 GMT 2025 , Edited by admin on Mon Mar 31 17:54:10 GMT 2025
PRIMARY
RXCUI
42736
Created by admin on Mon Mar 31 17:54:10 GMT 2025 , Edited by admin on Mon Mar 31 17:54:10 GMT 2025
PRIMARY RxNorm
EVMPD
SUB07046MIG
Created by admin on Mon Mar 31 17:54:10 GMT 2025 , Edited by admin on Mon Mar 31 17:54:10 GMT 2025
PRIMARY
FDA UNII
048L81261F
Created by admin on Mon Mar 31 17:54:10 GMT 2025 , Edited by admin on Mon Mar 31 17:54:10 GMT 2025
PRIMARY
IUPHAR
7330
Created by admin on Mon Mar 31 17:54:10 GMT 2025 , Edited by admin on Mon Mar 31 17:54:10 GMT 2025
PRIMARY
INN
6544
Created by admin on Mon Mar 31 17:54:10 GMT 2025 , Edited by admin on Mon Mar 31 17:54:10 GMT 2025
PRIMARY
CHEBI
50223
Created by admin on Mon Mar 31 17:54:10 GMT 2025 , Edited by admin on Mon Mar 31 17:54:10 GMT 2025
PRIMARY
WIKIPEDIA
DEXRAZOXANE
Created by admin on Mon Mar 31 17:54:10 GMT 2025 , Edited by admin on Mon Mar 31 17:54:10 GMT 2025
PRIMARY
DRUG CENTRAL
839
Created by admin on Mon Mar 31 17:54:10 GMT 2025 , Edited by admin on Mon Mar 31 17:54:10 GMT 2025
PRIMARY
Related Record Type Details
RACEMATE -> ENANTIOMER
SALT/SOLVATE -> PARENT
Related Record Type Details
ACTIVE MOIETY