MedPath

Bendamustine

Generic Name
Bendamustine
Brand Names
Belrapzo, Bendeka, Treanda, Vivimusta
Drug Type
Small Molecule
Chemical Formula
C16H21Cl2N3O2
CAS Number
16506-27-7
Unique Ingredient Identifier
9266D9P3PQ

Overview

Bendamustine is a nitrogen mustard drug indicated for use in the treatment of chronic lymphocytic leukemia (CLL) and indolent B-cell non-Hodgkin lymphoma (NHL) that has progressed during or within six months of treatment with rituximab or a rituximab-containing regimen. Bendamustine is a bifunctional mechlorethamine derivative capable of forming electrophilic alkyl groups that covalently bond to other molecules. Through this function as an alkylating agent, bendamustine causes intra- and inter-strand crosslinks between DNA bases resulting in cell death. It is active against both active and quiescent cells, although the exact mechanism of action is unknown.

Background

Bendamustine is a nitrogen mustard drug indicated for use in the treatment of chronic lymphocytic leukemia (CLL) and indolent B-cell non-Hodgkin lymphoma (NHL) that has progressed during or within six months of treatment with rituximab or a rituximab-containing regimen. Bendamustine is a bifunctional mechlorethamine derivative capable of forming electrophilic alkyl groups that covalently bond to other molecules. Through this function as an alkylating agent, bendamustine causes intra- and inter-strand crosslinks between DNA bases resulting in cell death. It is active against both active and quiescent cells, although the exact mechanism of action is unknown.

Indication

Bendamustine is indicated for use in the treatment of chronic lymphocytic leukemia (CLL) and indolent B-cell non-Hodgkin lymphoma (NHL) that has progressed during or within six months of treatment with rituximab or a rituximab-containing regimen.

Associated Conditions

  • Chronic Lymphocytic Leukemia
  • Follicular Non-Hodgkin's Lymphoma Refractory
  • Refractory Hodgkin Lymphoma
  • Refractory Mantle Cell Lymphoma
  • Waldenström's Macroglobulinemia (WM)
  • Recurrent multiple myeloma
  • Refractory indolent B cell non-hodgkin lymphoma

Clinical Trials

Title
Posted
Study ID
Phase
Status
Sponsor
2025/06/04
Phase 2
Not yet recruiting
2025/05/14
Phase 3
Recruiting
2025/05/08
Phase 2
Not yet recruiting
Sun Yat-sen University
2025/04/24
Not Applicable
Not yet recruiting
2025/04/04
Phase 3
Not yet recruiting
2025/03/03
Phase 2
Not yet recruiting
Christine Ryan
2025/02/26
Phase 3
Recruiting
2025/01/07
Phase 4
Not yet recruiting
Xiuhua Sun
2025/01/03
Phase 2
Not yet recruiting
Sun Yat-sen University
2024/08/20
Phase 2
Not yet recruiting

FDA Drug Approvals

Approved Product
Manufacturer
NDC Code
Route
Strength
Effective Date
Accord Healthcare, Inc.
16729-251
INTRAVENOUS
100 mg in 20 mL
12/8/2022
Accord Healthcare, Inc.
16729-250
INTRAVENOUS
25 mg in 5 mL
12/8/2022
Cephalon, LLC
63459-390
INTRAVENOUS
25 mg in 5 mL
10/27/2022
Cephalon, LLC
63459-396
INTRAVENOUS
180 mg in 2 mL
10/27/2022
Apotex Corp
60505-6095
INTRAVENOUS
25 mg in 1 1
6/20/2023
Slayback Pharma LLC
71225-120
INTRAVENOUS
25 mg in 1 mL
12/7/2022
Apotex Corp
60505-6096
INTRAVENOUS
100 mg in 1 1
6/20/2023
BluePoint Laboratories
68001-571
INTRAVENOUS
25 mg in 5 mL
3/29/2024
Meitheal Pharmaceuticals Inc.
71288-103
INTRAVENOUS
100 mg in 20 mL
6/5/2023
Eagle Pharmaceuticals, Inc
42367-521
INTRAVENOUS
100 mg in 1 1
5/9/2019

EMA Drug Approvals

Approved Product
Authorization Holder
Status
Issued Date
No EMA approvals found for this drug.

HSA Drug Approvals

Approved Product
Manufacturer
Approval Number
Dosage Form
Strength
Approval Date
BEMUNAT POWDER FOR CONCENTRATE FOR SOLUTION FOR INFUSION 100 MG/VIAL USP
SIN15258P
INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION
100.00 mg
6/5/2017
BEMUNAT POWDER FOR CONCENTRATE FOR SOLUTION FOR INFUSION 25 MG/VIAL USP
SIN15257P
INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION
25.00mg
6/5/2017

NMPA Drug Approvals

Approved Product
Company
Approval Number
Drug Type
Dosage Form
Approval Date
Bendamustine Hydrochloride for Injection
国药准字H20249779
化学药品
注射剂
12/25/2024
Bendamustine Hydrochloride for Injection
国药准字H20249778
化学药品
注射剂
12/25/2024
Bendamustine Hydrochloride for Injection
国药准字H20253886
化学药品
注射剂
4/15/2025
Bendamustine Hydrochloride for Injection
国药准字H20244529
化学药品
注射剂
7/30/2024
Bendamustine Hydrochloride for Injection
国药准字H20213019
化学药品
注射剂
1/12/2021
Bendamustine Hydrochloride for Injection
国药准字HJ20180087
化学药品
注射剂
8/1/2023
Bendamustine Hydrochloride for Injection
国药准字H20213967
化学药品
注射剂
12/31/2021
Bendamustine Hydrochloride for Injection
国药准字H20227059
化学药品
注射剂
4/27/2022
Bendamustine Hydrochloride for Injection
国药准字H20244923
化学药品
注射剂
9/19/2024
Bendamustine Hydrochloride for Injection
国药准字H20213749
化学药品
注射剂
9/24/2021
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