Details
| Stereochemistry | ACHIRAL |
| Molecular Formula | C6H10N6O.C6H8O7 |
| Molecular Weight | 374.3067 |
| Optical Activity | NONE |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 1 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
CN(C)\N=N\C1=C(N=CN1)C(N)=O.OC(=O)CC(O)(CC(O)=O)C(O)=O
InChI
InChIKey=UKLSKIDEWQXQJZ-ASTDGNLGSA-N
InChI=1S/C6H10N6O.C6H8O7/c1-12(2)11-10-6-4(5(7)13)8-3-9-6;7-3(8)1-6(13,5(11)12)2-4(9)10/h3H,1-2H3,(H2,7,13)(H,8,9);13H,1-2H2,(H,7,8)(H,9,10)(H,11,12)/b11-10+;
| Molecular Formula | C6H8O7 |
| Molecular Weight | 192.1235 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ACHIRAL |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Optical Activity | NONE |
| Molecular Formula | C6H10N6O |
| Molecular Weight | 182.1832 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ACHIRAL |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 1 |
| Optical Activity | NONE |
Dacarbazine (DTIC), also known as imidazole carboxamide, is an antineoplastic agent, which is used in the treatment of metastatic malignant melanoma. In addition, this drug also is indicated for Hodgkin’s disease as a second-line therapy when used in combination with other effective agents. Dacarbazine works by methylating guanine at the O-6 and N-7 positions. Guanine is one of the four nucleotides that makes up DNA. The alkylated DNA strands stick together such that cell division becomes impossible. This affects cancer cells more than healthy cells because cancer cells divide faster. Dacarbazine is bioactivated in liver by demethylation to "MTIC" and then to diazomethane, which is an alkylating agent. Symptoms of anorexia, nausea, and vomiting are the most frequently noted of all toxic reactions. Over 90% of patients are affected with the initial few doses.
CNS Activity
Originator
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL2311221 Sources: https://www.ncbi.nlm.nih.gov/pubmed/24284332 |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | DTIC-DOME Approved UseDacarbazine for Injection USP is indicated in the treatment of metastatic malignant melanoma. In addition, Dacarbazine for Injection USP is also indicated for Hodgkin's disease as a secondary-line therapy when used in combination with other effective agents. Launch Date1975 |
|||
| Primary | DTIC-DOME Approved UseDacarbazine for Injection USP is indicated in the treatment of metastatic malignant melanoma. In addition, Dacarbazine for Injection USP is also indicated for Hodgkin's disease as a secondary-line therapy when used in combination with other effective agents. Launch Date1975 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
6.2 μg/mL |
750 mg/m² single, intravenous dose: 750 mg/m² route of administration: Intravenous experiment type: SINGLE co-administered: |
DACARBAZINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
14.8 μM × min |
750 mg/m² single, intravenous dose: 750 mg/m² route of administration: Intravenous experiment type: SINGLE co-administered: |
DACARBAZINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
41.4 min |
750 mg/m² single, intravenous dose: 750 mg/m² route of administration: Intravenous experiment type: SINGLE co-administered: |
DACARBAZINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
Funbound
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
95% |
DACARBAZINE plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
| Dose | Population | Adverse events |
|---|---|---|
1000 mg/m2 1 times / 3 weeks multiple, intravenous Highest studied dose Dose: 1000 mg/m2, 1 times / 3 weeks Route: intravenous Route: multiple Dose: 1000 mg/m2, 1 times / 3 weeks Sources: |
unhealthy, 34–79 |
Disc. AE: Cerebral ischemia... AEs leading to discontinuation/dose reduction: Cerebral ischemia (grade 4, 33%) Sources: |
800 mg/m2 1 times / 3 weeks multiple, intravenous MTD Dose: 800 mg/m2, 1 times / 3 weeks Route: intravenous Route: multiple Dose: 800 mg/m2, 1 times / 3 weeks Sources: |
unhealthy, 34–79 |
DLT: Thrombocytopenia... Disc. AE: Thrombocytopenia... Dose limiting toxicities: Thrombocytopenia (grade 2, 6.25%) AEs leading todiscontinuation/dose reduction: Thrombocytopenia (grade 1, 6.25%) Sources: |
1000 mg/m2 1 times / 3 weeks multiple, intravenous Highest studied dose Dose: 1000 mg/m2, 1 times / 3 weeks Route: intravenous Route: multiple Dose: 1000 mg/m2, 1 times / 3 weeks Sources: |
unhealthy, 40–65 |
Other AEs: Neutropenia, Fatigue... Other AEs: Neutropenia (grade 4, 2.2%) Sources: Fatigue (grade 4, 2.2%) |
250 mg/m2 1 times / day multiple, intravenous Recommended Dose: 250 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 250 mg/m2, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
Disc. AE: Leukopenia, Thrombocytopenia... AEs leading to discontinuation/dose reduction: Leukopenia (grade 3-5) Sources: Thrombocytopenia (grade 3-5) Anemia (sometimes) Hematopoiesis impaired Hepatotoxicity (grade 3-5, 0.01%) Hepatic vein thrombosis (grade 3-5, 0.01%) Necrosis hepatocellular (grade 3-5, 0.01%) Anaphylaxis |
850 mg/m2 1 times / 3 weeks multiple, intravenous Recommended Dose: 850 mg/m2, 1 times / 3 weeks Route: intravenous Route: multiple Dose: 850 mg/m2, 1 times / 3 weeks Sources: |
unhealthy |
Disc. AE: Anemia, Leukopenia... AEs leading to discontinuation/dose reduction: Anemia (mild) Sources: Leukopenia (grade 3-5) Thrombocytopenia (grade 3-5) Hepatotoxicity (grade 3-5) Hepatic vein thrombosis (grade 3-5) |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Cerebral ischemia | grade 4, 33% Disc. AE |
1000 mg/m2 1 times / 3 weeks multiple, intravenous Highest studied dose Dose: 1000 mg/m2, 1 times / 3 weeks Route: intravenous Route: multiple Dose: 1000 mg/m2, 1 times / 3 weeks Sources: |
unhealthy, 34–79 |
| Thrombocytopenia | grade 1, 6.25% Disc. AE |
800 mg/m2 1 times / 3 weeks multiple, intravenous MTD Dose: 800 mg/m2, 1 times / 3 weeks Route: intravenous Route: multiple Dose: 800 mg/m2, 1 times / 3 weeks Sources: |
unhealthy, 34–79 |
| Thrombocytopenia | grade 2, 6.25% DLT |
800 mg/m2 1 times / 3 weeks multiple, intravenous MTD Dose: 800 mg/m2, 1 times / 3 weeks Route: intravenous Route: multiple Dose: 800 mg/m2, 1 times / 3 weeks Sources: |
unhealthy, 34–79 |
| Fatigue | grade 4, 2.2% | 1000 mg/m2 1 times / 3 weeks multiple, intravenous Highest studied dose Dose: 1000 mg/m2, 1 times / 3 weeks Route: intravenous Route: multiple Dose: 1000 mg/m2, 1 times / 3 weeks Sources: |
unhealthy, 40–65 |
| Neutropenia | grade 4, 2.2% | 1000 mg/m2 1 times / 3 weeks multiple, intravenous Highest studied dose Dose: 1000 mg/m2, 1 times / 3 weeks Route: intravenous Route: multiple Dose: 1000 mg/m2, 1 times / 3 weeks Sources: |
unhealthy, 40–65 |
| Anaphylaxis | Disc. AE | 250 mg/m2 1 times / day multiple, intravenous Recommended Dose: 250 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 250 mg/m2, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Hematopoiesis impaired | Disc. AE | 250 mg/m2 1 times / day multiple, intravenous Recommended Dose: 250 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 250 mg/m2, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Hepatic vein thrombosis | grade 3-5, 0.01% Disc. AE |
250 mg/m2 1 times / day multiple, intravenous Recommended Dose: 250 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 250 mg/m2, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Hepatotoxicity | grade 3-5, 0.01% Disc. AE |
250 mg/m2 1 times / day multiple, intravenous Recommended Dose: 250 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 250 mg/m2, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Necrosis hepatocellular | grade 3-5, 0.01% Disc. AE |
250 mg/m2 1 times / day multiple, intravenous Recommended Dose: 250 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 250 mg/m2, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Leukopenia | grade 3-5 Disc. AE |
250 mg/m2 1 times / day multiple, intravenous Recommended Dose: 250 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 250 mg/m2, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Thrombocytopenia | grade 3-5 Disc. AE |
250 mg/m2 1 times / day multiple, intravenous Recommended Dose: 250 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 250 mg/m2, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Anemia | sometimes Disc. AE |
250 mg/m2 1 times / day multiple, intravenous Recommended Dose: 250 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 250 mg/m2, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Hepatic vein thrombosis | grade 3-5 Disc. AE |
850 mg/m2 1 times / 3 weeks multiple, intravenous Recommended Dose: 850 mg/m2, 1 times / 3 weeks Route: intravenous Route: multiple Dose: 850 mg/m2, 1 times / 3 weeks Sources: |
unhealthy |
| Hepatotoxicity | grade 3-5 Disc. AE |
850 mg/m2 1 times / 3 weeks multiple, intravenous Recommended Dose: 850 mg/m2, 1 times / 3 weeks Route: intravenous Route: multiple Dose: 850 mg/m2, 1 times / 3 weeks Sources: |
unhealthy |
| Leukopenia | grade 3-5 Disc. AE |
850 mg/m2 1 times / 3 weeks multiple, intravenous Recommended Dose: 850 mg/m2, 1 times / 3 weeks Route: intravenous Route: multiple Dose: 850 mg/m2, 1 times / 3 weeks Sources: |
unhealthy |
| Thrombocytopenia | grade 3-5 Disc. AE |
850 mg/m2 1 times / 3 weeks multiple, intravenous Recommended Dose: 850 mg/m2, 1 times / 3 weeks Route: intravenous Route: multiple Dose: 850 mg/m2, 1 times / 3 weeks Sources: |
unhealthy |
| Anemia | mild Disc. AE |
850 mg/m2 1 times / 3 weeks multiple, intravenous Recommended Dose: 850 mg/m2, 1 times / 3 weeks Route: intravenous Route: multiple Dose: 850 mg/m2, 1 times / 3 weeks Sources: |
unhealthy |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
OverviewOther
| Other Inhibitor | Other Substrate | Other Inducer |
|---|---|---|
Drug as perpetrator
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Page: 208.0 |
no |
Drug as victim
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Page: 2195.0 |
no | |||
Page: 2195.0 |
no | |||
Page: abstract |
yes | |||
Page: abstract |
yes | |||
Page: abstract |
yes |
PubMed
| Title | Date | PubMed |
|---|---|---|
| A correlation between the in vitro drug toxicity of drugs to cell lines that express human P450s and their propensity to cause liver injury in humans. | 2014-01 |
|
| Glucocorticoid-dependent expression of O(6)-methylguanine-DNA methyltransferase gene modulates dacarbazine-induced hepatotoxicity in mice. | 2010-06 |
|
| Impairment of APE1 function enhances cellular sensitivity to clinically relevant alkylators and antimetabolites. | 2009-06 |
|
| Meta-analysis of ifosfamide-based combination chemotherapy in advanced soft tissue sarcoma. | 2008-06 |
|
| Cerebellar dysfunction caused by procarbazine and consumption of excessive amount of bananas. | 2008-06 |
|
| Unexpected clinical outcome in a patient with liver and brain metastasis from melanoma. | 2008-05-29 |
|
| Double-blind randomized phase II study of the combination of sorafenib and dacarbazine in patients with advanced melanoma: a report from the 11715 Study Group. | 2008-05-01 |
|
| Influence of therapy on the antioxidant status in patients with melanoma. | 2008-04 |
|
| The "old drug" dacarbazine as a second/third line chemotherapy in advanced soft tissue sarcomas. | 2008-04 |
|
| Plitidepsin has a dual effect inhibiting cell cycle and inducing apoptosis via Rac1/c-Jun NH2-terminal kinase activation in human melanoma cells. | 2008-03 |
|
| Glut-1 as a therapeutic target: increased chemoresistance and HIF-1-independent link with cell turnover is revealed through COMPARE analysis and metabolomic studies. | 2008-03 |
|
| Phase III comparison of vitespen, an autologous tumor-derived heat shock protein gp96 peptide complex vaccine, with physician's choice of treatment for stage IV melanoma: the C-100-21 Study Group. | 2008-02-20 |
|
| Hodgkin lymphoma presenting with various immunologic abnormalities, including autoimmune hepatitis, Hashimoto's thyroiditis, autoimmune hemolytic anemia, and immune thrombocytopenia. | 2008-02 |
|
| Multicenter phase II study of chemoimmunotherapy in the treatment of metastatic melanoma. | 2008-02 |
|
| The management of desmoids in patients with familial adenomatous polyposis (FAP). | 2008 |
|
| Adjuvant chemotherapy with doxorubicin and dacarbazine has no effect in recurrence-free survival of malignant phyllodes tumors of the breast. | 2007-11-07 |
|
| CD69 on CD56+ NK cells and response to chemoimmunotherapy in metastatic melanoma. | 2007-11 |
|
| Results of a multicenter randomized study to evaluate the safety and efficacy of combined immunotherapy with interleukin-2, interferon-{alpha}2b and histamine dihydrochloride versus dacarbazine in patients with stage IV melanoma. | 2007-10 |
|
| Comparison of a treatment strategy combining CCI-779 plus DTIC versus DTIC monotreatment in human melanoma in SCID mice. | 2007-10 |
|
| Biochemotherapy of metastatic melanoma in patients with or without recently diagnosed brain metastases. | 2007-09-15 |
|
| Durable complete responses with high-dose bolus interleukin-2 in patients with metastatic melanoma who have experienced progression after biochemotherapy. | 2007-09-01 |
|
| Chemoimmunotherapy for cutaneous melanoma with dacarbazine and epifocal contact sensitizers: results of a nationwide survey of the German Dermatologic Co-operative Oncology Group. | 2007-07 |
|
| Hemorrhagic cystitis in a patient receiving conventional doses of dacarbazine for metastatic malignant melanoma: case report and review of the literature. | 2007-06 |
|
| Combined treatment with Ad-hTRAIL and DTIC or SAHA is associated with increased mitochondrial-mediated apoptosis in human melanoma cell lines. | 2007-06 |
|
| Single-agent interleukin-2 in the treatment of metastatic melanoma. | 2007-02 |
|
| Resection in the popliteal fossa for metastatic melanoma. | 2007-01-19 |
|
| Interleukin-2-based biochemotherapy for patients with stage IV melanoma: long-term survivors outside a clinical trial setting. | 2007 |
|
| Serum VEGF-C is associated with metastatic site in patients with malignant melanoma. | 2007 |
|
| Alkylating benzamides with melanoma cytotoxicity: experimental chemotherapy in a mouse melanoma model. | 2006-12 |
|
| Chemoimmunotherapy with dacarbazine, cisplatin, interferon-alpha2b and interleukin-2 versus two cycles of dacarbazine followed by chemoimmunotherapy in patients with metastatic melanoma: a randomised phase II study of the European Organization for Research and Treatment of Cancer Melanoma Group. | 2006-11 |
|
| Bcl-2 antisense (oblimersen sodium) plus dacarbazine in patients with advanced melanoma: the Oblimersen Melanoma Study Group. | 2006-10-10 |
|
| Intralesional therapy of metastatic spreading melanoma with beta-interferon. | 2006-09 |
|
| Long-term survival in metastatic melanoma patients treated with sequential biochemotherapy: report of a Phase II study. | 2006-08-31 |
|
| Phase II multicenter study of neoadjuvant biochemotherapy for patients with stage III malignant melanoma. | 2006-07-01 |
|
| [Hypersensitivity to dacarbazine in patients with metastatic malignant melanoma]. | 2006-02 |
|
| Long-term survival benefit after adjuvant treatment of cutaneous melanoma with dacarbazine and low dose natural interferon alpha: A controlled, randomised multicentre trial. | 2006 |
|
| Alterations in the expression of the apurinic/apyrimidinic endonuclease-1/redox factor-1 (APE/Ref-1) in human melanoma and identification of the therapeutic potential of resveratrol as an APE/Ref-1 inhibitor. | 2005-12 |
|
| Artesunate in the treatment of metastatic uveal melanoma--first experiences. | 2005-12 |
|
| Organ- and treatment-specific local response rates to systemic and local treatment modalities in stage IV melanoma. | 2005-11 |
|
| A retrospective study of biochemotherapy for metastatic melanoma: the importance of dose intensity. | 2005-10 |
|
| Dacarbazine, cisplatin, and interferon-alfa-2b with or without interleukin-2 in metastatic melanoma: a randomized phase III trial (18951) of the European Organisation for Research and Treatment of Cancer Melanoma Group. | 2005-09-20 |
|
| Sarcomatoid renal cell carcinoma with a chromophobe component producing beta-human chorionic gonadotropin. | 2005-09 |
|
| Thalidomide enhances the anti-tumor activity of standard chemotherapy in a human melanoma xenotransplatation model. | 2005-08 |
|
| Dana-Farber Cancer Institute studies in advanced sarcoma. | 1990-02 |
|
| [Hepatic veno-occlusive disease caused by Deticene: a cause of acute hypovolemic shock]. | 1990 |
|
| Hepatic vascular toxicity of dacarbazine (DTIC): not a rare complication. | 1989-05 |
|
| Fatal hepatic vascular toxicity of DTIC. Is it really a rare event? | 1988-05-15 |
|
| Peripheral DTIC neurotoxicity: a case report. | 1987 |
|
| [DTIC: effect on fibrinolysis and thrombocyte function]. | 1986-10 |
|
| Cardiomyopathy after widely separated courses of adriamycin exacerbated by actinomycin-D and mithramycin. | 1975-11 |
Patents
Sample Use Guides
Malignant Melanoma: the recommended dosage is 2 to 4.5 mg/kg/day for 10 days. Treatment may be repeated at 4 week intervals
Hodgkin's Disease: The recommended dosage of Dacarbazine for Injection, USP in the treatment of Hodgkin’s disease is 150 mg/square meter body surface/day for 5 days, in combination with other effective drugs. Treatment may be repeated every 4 weeks.5 An alternative recommended dosage is 375 mg/square meter body surface on day 1, in combination with other effective drugs, to be repeated every 15 days
Route of Administration:
Intravenous
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/21868520
The effect of alkyating agent dacarbazine (DTIC) and imexon, alone and in combination, was evaluated for growth inhibition (MTT), radiolabeled drug uptake, cellular thiol content (HPLC), and DNA strand breaks (Comet assay). Growth inhibition in vitro was additive with the two drugs. There was no effect on drug uptake or on the number of DNA strand breaks. There was a >75% reduction in cellular glutathione and cysteine with imexon but not DTIC. Co-administration of the two drugs in mice caused an increase in the area under the curve of both drugs, but the combination was not effective in reducing human A375 melanoma tumors in vivo.
| Substance Class |
Chemical
Created
by
admin
on
Edited
Mon Mar 31 21:26:15 GMT 2025
by
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on
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| Record UNII |
9UYU348NIF
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| Record Status |
Validated (UNII)
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| Record Version |
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ACTIVE MOIETY |