Details
| Stereochemistry | ABSOLUTE |
| Molecular Formula | C15H18N4O5 |
| Molecular Weight | 334.3272 |
| Optical Activity | UNSPECIFIED |
| Defined Stereocenters | 4 / 4 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
CO[C@]12[C@H]3N[C@H]3CN1C4=C([C@H]2COC(N)=O)C(=O)C(N)=C(C)C4=O
InChI
InChIKey=NWIBSHFKIJFRCO-WUDYKRTCSA-N
InChI=1S/C15H18N4O5/c1-5-9(16)12(21)8-6(4-24-14(17)22)15(23-2)13-7(18-13)3-19(15)10(8)11(5)20/h6-7,13,18H,3-4,16H2,1-2H3,(H2,17,22)/t6-,7+,13+,15-/m1/s1
| Molecular Formula | C15H18N4O5 |
| Molecular Weight | 334.3272 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ABSOLUTE |
| Additional Stereochemistry | No |
| Defined Stereocenters | 4 / 4 |
| E/Z Centers | 0 |
| Optical Activity | UNSPECIFIED |
DescriptionSources: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=3a1300e9-ca6e-4713-b41a-bb913aed3287Curator's Comment: description was created based on several sources, including:
http://www.drugbank.ca/drugs/DB00305
http://www.accessdata.fda.gov/drugsatfda_docs/label/2014/022572s003lbl.pdf
https://en.wikipedia.org/wiki/Mitomycins
Sources: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=3a1300e9-ca6e-4713-b41a-bb913aed3287
Curator's Comment: description was created based on several sources, including:
http://www.drugbank.ca/drugs/DB00305
http://www.accessdata.fda.gov/drugsatfda_docs/label/2014/022572s003lbl.pdf
https://en.wikipedia.org/wiki/Mitomycins
The mitomycins are a family of aziridine-containing natural products isolated from Streptomyces caespitosus or Streptomyces lavendulae. One of these compounds, mitomycin C, finds use as a chemotherapeutic agent by virtue of its antitumour activity. Mitomycin C has also been used topically rather than intravenously in several areas. The first is cancers, particularly bladder cancers and intraperitoneal tumours. It is now well known that a single instillation of this agent within 6 hours of bladder tumor resection can prevent recurrence. The second is in eye surgery where mitomycin C 0.02% is applied topically to prevent scarring during glaucoma filtering surgery and to prevent haze after PRK or LASIK; mitomycin C has also been shown to reduce fibrosis in strabismus surgery. The third is in esophageal and tracheal stenosis where application of mitomycin C onto the mucosa immediately following dilatation will decrease re-stenosis by decreasing the production of fibroblasts and scar tissue. Mitomycin C is a potent DNA crosslinker. A single crosslink per genome has shown to be effective in killing bacteria. This is accomplished by reductive activation of mitomycin to form a mitosene, which reacts successively via N-alkylation of two DNA bases. Both alkylations are sequence specific for a guanine nucleoside in the sequence 5'-CpG-3'. Potential bis-alkylating heterocylic quinones were synthetised in order to explore their antitumoral activities by bioreductive alkylation. Mitomycin is also used as a chemotherapeutic agent in glaucoma surgery.
CNS Activity
Sources: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4146259/
Curator's Comment: An intact blood-brain barrier in the brain and spinal cord prevented mitomycin C from producing adverse effects in the central nervous system. Within the spinal canal, spinal nerves and the spinal cord are connected by the ventral and dorsal roots. The spinal nerve is part of the peripheral nervous system and is not protected from mitomycin C by the blood-brain barrier
Originator
Curator's Comment: In 1956, Hata isolated mitomycin-A & mitomycin-B from Steptomyces caespitosus that had antibiotic & antitumour activities. Dr Hata along with Dr Shigetoshi Wakagi from Kyowa Hakko Kogyo company later reported the isolation of mitomycin-C from the same fermentation broth at a higher pH and that this compound had much higher antitumour activity. After the success of intravesical therapy using Thiotepa in 1961 by Jones and Swinney, Dr Shida and his colleagues reported in a Japanese journal the use of mitomycin C.
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL2311221 Sources: http://www.drugbank.ca/drugs/DB00305 |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Secondary | MITOSOL Approved Useis an antimetabolite indicated as an adjunct to ab externo glaucoma surgery Launch Date2012 |
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| Palliative | MITOMYCIN Approved UseMitomycin for Injection is not recommended as single-agent, primary therapy. It has been shown to be useful in the therapy of disseminated adenocarcinoma of the stomach or pancreas in proven combinations with other approved chemotherapeutic agents and as palliative treatment when other modalities have failed. Mitomycin is not recommended to replace appropriate surgery and/or radiotherapy. Launch Date2012 |
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| Palliative | MITOMYCIN Approved UseMitomycin for Injection is not recommended as single-agent, primary therapy. It has been shown to be useful in the therapy of disseminated adenocarcinoma of the stomach or pancreas in proven combinations with other approved chemotherapeutic agents and as palliative treatment when other modalities have failed. Mitomycin is not recommended to replace appropriate surgery and/or radiotherapy. Launch Date2012 |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
773 μg × h/L EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/3097025 |
10 mg/m² single, intravenous dose: 10 mg/m² route of administration: Intravenous experiment type: SINGLE co-administered: |
MITOMYCIN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
630 μg × h/L EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/6411336 |
10 mg/m² single, intravenous dose: 10 mg/m² route of administration: Intravenous experiment type: SINGLE co-administered: |
MITOMYCIN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
54 min EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/3097025 |
10 mg/m² single, intravenous dose: 10 mg/m² route of administration: Intravenous experiment type: SINGLE co-administered: |
MITOMYCIN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
50 min EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/6411336 |
10 mg/m² single, intravenous dose: 10 mg/m² route of administration: Intravenous experiment type: SINGLE co-administered: |
MITOMYCIN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
Funbound
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
76% |
MITOMYCIN plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
| Dose | Population | Adverse events |
|---|---|---|
3.2 mg/m2 1 times / day multiple, intravenous MTD Dose: 3.2 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 3.2 mg/m2, 1 times / day Sources: |
unhealthy, 36.2 - 68.0 Health Status: unhealthy Age Group: 36.2 - 68.0 Sex: M+F Sources: |
|
4 mg/m2 1 times / day multiple, intravenous Studied dose Dose: 4 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 4 mg/m2, 1 times / day Sources: |
unhealthy, 36.2 - 68.0 Health Status: unhealthy Age Group: 36.2 - 68.0 Sex: M+F Sources: |
DLT: Dysphagia, Mucositis... Dose limiting toxicities: Dysphagia (grade 3, 16.7%) Sources: Mucositis (grade 3, 33.3%) |
6 mg/m2 1 times / 4 weeks multiple, intravenous MTD Dose: 6 mg/m2, 1 times / 4 weeks Route: intravenous Route: multiple Dose: 6 mg/m2, 1 times / 4 weeks Sources: |
unhealthy, 53-71 |
DLT: Febrile neutropenia, Hyponatremia... Dose limiting toxicities: Febrile neutropenia (grade 4, 33.3%) Sources: Hyponatremia (grade 3, 33.3%) |
15 mg/m2 single, intravenous Recommended Dose: 15 mg/m2 Route: intravenous Route: single Dose: 15 mg/m2 Sources: |
unhealthy Health Status: unhealthy Sources: |
Disc. AE: Bone marrow depression, Thrombocytopenia... AEs leading to discontinuation/dose reduction: Bone marrow depression Sources: Thrombocytopenia Leukopenia Hemolytic uremic syndrome |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Dysphagia | grade 3, 16.7% DLT |
4 mg/m2 1 times / day multiple, intravenous Studied dose Dose: 4 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 4 mg/m2, 1 times / day Sources: |
unhealthy, 36.2 - 68.0 Health Status: unhealthy Age Group: 36.2 - 68.0 Sex: M+F Sources: |
| Mucositis | grade 3, 33.3% DLT |
4 mg/m2 1 times / day multiple, intravenous Studied dose Dose: 4 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 4 mg/m2, 1 times / day Sources: |
unhealthy, 36.2 - 68.0 Health Status: unhealthy Age Group: 36.2 - 68.0 Sex: M+F Sources: |
| Hyponatremia | grade 3, 33.3% DLT |
6 mg/m2 1 times / 4 weeks multiple, intravenous MTD Dose: 6 mg/m2, 1 times / 4 weeks Route: intravenous Route: multiple Dose: 6 mg/m2, 1 times / 4 weeks Sources: |
unhealthy, 53-71 |
| Febrile neutropenia | grade 4, 33.3% DLT |
6 mg/m2 1 times / 4 weeks multiple, intravenous MTD Dose: 6 mg/m2, 1 times / 4 weeks Route: intravenous Route: multiple Dose: 6 mg/m2, 1 times / 4 weeks Sources: |
unhealthy, 53-71 |
| Bone marrow depression | Disc. AE | 15 mg/m2 single, intravenous Recommended Dose: 15 mg/m2 Route: intravenous Route: single Dose: 15 mg/m2 Sources: |
unhealthy Health Status: unhealthy Sources: |
| Hemolytic uremic syndrome | Disc. AE | 15 mg/m2 single, intravenous Recommended Dose: 15 mg/m2 Route: intravenous Route: single Dose: 15 mg/m2 Sources: |
unhealthy Health Status: unhealthy Sources: |
| Leukopenia | Disc. AE | 15 mg/m2 single, intravenous Recommended Dose: 15 mg/m2 Route: intravenous Route: single Dose: 15 mg/m2 Sources: |
unhealthy Health Status: unhealthy Sources: |
| Thrombocytopenia | Disc. AE | 15 mg/m2 single, intravenous Recommended Dose: 15 mg/m2 Route: intravenous Route: single Dose: 15 mg/m2 Sources: |
unhealthy Health Status: unhealthy Sources: |
PubMed
| Title | Date | PubMed |
|---|---|---|
| The mouse lymphoma assay detects recombination, deletion, and aneuploidy. | 2009-05 |
|
| A stable and sensitive testing system for potential carcinogens based on DNA damage-induced gene expression in human HepG2 cell. | 2009-02 |
|
| Differential expression of TP53 associated genes in Fanconi anemia cells after mitomycin C and hydroxyurea treatment. | 2008-10-30 |
|
| Vesicoenteric, vesicovaginal, vesicocutaneous fistula -an unusual complication with intravesical mitomycin. | 2008-10 |
|
| Ex vivo chemosensitivity testing and gene expression profiling predict response towards adjuvant gemcitabine treatment in pancreatic cancer. | 2008-09-02 |
|
| Splicing and splice factor SRp55 participate in the response to DNA damage by changing isoform ratios of target genes. | 2008-08-15 |
|
| Hemolytic uremic syndrome. | 2008-07 |
|
| Mitomycin C induces apoptosis in cultured corneal fibroblasts derived from type II granular corneal dystrophy corneas. | 2008-06-30 |
|
| Mdm2 as a sensitive and mechanistically informative marker for genotoxicity induced by benzo[a]pyrene and dibenzo[a,l]pyrene. | 2008-04 |
|
| [Expression of survivin mRNA and protein in mitomycin-treated hepatoma carcinoma Hepa1-6 cells]. | 2008-02 |
|
| Mitomycin C induces multidrug resistance in glaucoma surgery. | 2008-02 |
|
| Capecitabine in combination with docetaxel and mitomycin C in patients with pre-treated tumours: results of an extended phase-I trial. | 2007-12-03 |
|
| Gene signatures developed from patient tumor explants grown in nude mice to predict tumor response to 11 cytotoxic drugs. | 2007-09-20 |
|
| The apoptotic effect of intercalating agents on HPV-negative cervical cancer C-33A cells. | 2007-07 |
|
| Mitomycin-DNA adducts induce p53-dependent and p53-independent cell death pathways. | 2007-06-15 |
|
| Expression of X-linked inhibitor of apoptosis protein and its effect on chemotherapeutic sensitivity of bladder carcinoma. | 2007-06 |
|
| Methylation of Ras association domain family protein 1, isoform A correlated with proliferation and drug resistance in hepatocellular carcinoma cell line SMMC-7721. | 2007-05 |
|
| Calreticulin exposure dictates the immunogenicity of cancer cell death. | 2007-01 |
|
| Comparison of the mutagenic potential of 17 physical and chemical agents analyzed by the flow cytometry mutation assay. | 2006-12-01 |
|
| Re-evaluation of tumor-specific cytotoxicity of mitomycin C, bleomycin and peplomycin. | 2006-11-11 |
|
| [Effect of adenovirus-mediated mutant exogenous P27kip1 gene expression on the chemosensitivities of cholangiocarcinoma cell line]. | 2006-10-01 |
|
| Influence of antitumor drugs on the expression of Fas system in SW480 colon cancer cells. | 2006-10 |
|
| Stable formation of mutated p53 multimers in a Chinese hamster cell line causes defective p53 nuclear localization and abrogates its residual function. | 2006-08-15 |
|
| Arsenite pretreatment enhances the cytotoxicity of mitomycin C in human cancer cell lines via increased NAD(P)H quinone oxidoreductase 1 expression. | 2006-08-01 |
|
| Mitomycin C induces apoptosis via Fas/FasL dependent pathway and suppression of IL-18 in cervical carcinoma cells. | 2006-06-08 |
|
| Effect of prophylactic and therapeutic mitomycin C on corneal apoptosis, cellular proliferation, haze, and long-term keratocyte density in rabbits. | 2006-06 |
|
| Gene expression profiling of 30 cancer cell lines predicts resistance towards 11 anticancer drugs at clinically achieved concentrations. | 2006-04-01 |
|
| Effects of mitomycin-C on normal dermal fibroblasts. | 2006-04 |
|
| O(6)-methylguanine DNA-methyltransferase (MGMT) overexpression in melanoma cells induces resistance to nitrosoureas and temozolomide but sensitizes to mitomycin C. | 2006-03-01 |
|
| TCDD as a biological response modifier for Mitomycin C: oxygen tension affects enzyme activation, reactive oxygen species and cell death. | 2006-02-23 |
|
| Influence of chemotherapeutic agents and cytokines on the expression of 5-fluorouracil-associated enzymes in human colon cancer cell lines. | 2006-02 |
|
| Drug-induced thrombotic microangiopathy. | 2005-12 |
|
| Mitomycin-C induces the apoptosis of human Tenon's capsule fibroblast by activation of c-Jun N-terminal kinase 1 and caspase-3 protease. | 2005-10 |
|
| Trypan blue identifies antimetabolite treatment area in trabeculectomy. | 2005-09 |
|
| Tumor suppressor gene Runx3 sensitizes gastric cancer cells to chemotherapeutic drugs by downregulating Bcl-2, MDR-1 and MRP-1. | 2005-08-10 |
|
| Human aldehyde dehydrogenase 3A1 inhibits proliferation and promotes survival of human corneal epithelial cells. | 2005-07-29 |
|
| Chloramphenicol-induced mitochondrial stress increases p21 expression and prevents cell apoptosis through a p21-dependent pathway. | 2005-07-15 |
|
| Apoptosis of human gastric cancer SGC-7901 cells induced by mitomycin combined with sulindac. | 2005-03-28 |
|
| Otologic effects of topical mitomycin C: phase I-evaluation of ototoxicity. | 2005-03 |
|
| Enhanced cytotoxicity of bioreductive antitumor agents with dimethyl fumarate in human glioblastoma cells. | 2005-02 |
|
| In vitro effect of cyclosporin A, mitomycin C and prednisolone on cell kinetics in cultured human umbilical vein endothelial cells. | 2005 |
|
| Effect of in vitro and in vivo treatment with mitomycin C on activities of CYP2D1/2, CYP2C11, and CYP1A2 in rat liver. | 2004-11 |
|
| Therapeutic effects of Lycium barbarum polysaccharide (LBP) on mitomycin C (MMC)-induced myelosuppressive mice. | 2004-10 |
|
| Glomerular tuft ballooning in mitomycin-C-induced renal impairment. | 1992 |
|
| [Microangiopathic hemolytic anemia associated with mitomycin-C treatment]. | 1991-12 |
|
| [Calcified bladder lesions secondary to the instillation of mitomycin C]. | 1991-11 |
|
| [Eosinophilic cystitis as a special form of response to mitomycin C. Analysis and comments on our cases]. | 1991-10 |
|
| [Effect of intraarterial noradrenaline-induced hypertensive chemotherapy of hepatic metastasis in gastric cancer]. | 1991-08 |
|
| Case report: topical DMSO for mitomycin-C-induced skin ulceration. | 1991-05-01 |
|
| Metabolism of mitomycin C by DT-diaphorase: role in mitomycin C-induced DNA damage and cytotoxicity in human colon carcinoma cells. | 1990-12-01 |
Patents
Sample Use Guides
In Vivo Use Guide
Curator's Comment: Is intended for topical application to the surgical site of glaucoma filtration surgery. It is not intended for intraocular administration. If intraocular administration occurs, cell death leading to corneal infarction, retinal infarction, and ciliary body atrophy may result. One more route of administration: Mitomycin should be given intravenously only, using care to avoid extravasation of the compound. If extravasation occurs, cellulitis, ulceration, and slough may result. Each vial contains mitomycin 20 mg and mannitol 40 mg or mitomycin 40 mg and mannitol 80 mg. To administer, add Sterile Water for Injection, 40 mL or 80 mL respectively. Shake to dissolve. If product does not dissolve immediately, allow to stand at room temperature until solution is obtained | https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=3a1300e9-ca6e-4713-b41a-bb913aed3287
Sponges provided within the Mitosol ® Kit should be fully saturated with the entire reconstituted contents. A treatment area approximating 10 mm x 6 mm +/- 2 mm should be treated with the Mitosol®.
Route of Administration:
Topical
In Vitro Use Guide
Sources: http://www.ncbi.nlm.nih.gov/pubmed/26884968
The molecular mechanism of differentiation interruption by mitomycin C in the Non-small-cell lung cancer (NSCLC) line A549 was investigated. High dosage of mitomycin C (300 µM) could significantly inhibit cell proliferation (P < 0.05) by 48.39 ± 3.32% (P < 0.05), under which cell shrinkage and disruption were observed
| Substance Class |
Chemical
Created
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50SG953SK6
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Validated (UNII)
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FDA ORPHAN DRUG |
312510
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FDA ORPHAN DRUG |
251407
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NCI_THESAURUS |
C663
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NDF-RT |
N0000000236
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NDF-RT |
N0000175558
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FDA ORPHAN DRUG |
305610
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FDA ORPHAN DRUG |
445114
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WHO-VATC |
QL01DC03
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LIVERTOX |
NBK547991
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FDA ORPHAN DRUG |
73493
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IARC | Mitomycin C | ||
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WHO-ATC |
L01DC03
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3239
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100000080898
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7089
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200-008-6
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DB00305
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CHEMBL105
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MITOMYCIN
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
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