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Melphalan

Generic Name
Melphalan
Brand Names
Alkeran, Evomela, Phelinun, Pepaxti
Drug Type
Small Molecule
Chemical Formula
C13H18Cl2N2O2
CAS Number
148-82-3
Unique Ingredient Identifier
Q41OR9510P

Overview

Melphalan is a nitrogen mustard or bischloroethylamine type alkylating agent. It was first synthesized in the early 1950s by substituting L-phenylalanine for the methyl group on nitrogen mustard. Melphalan is used in the treatment of multiple myeloma and ovarian carcinoma. It is also used for high-conditioning before hematopoietic stem cell transplant. It is also used to treat uveal melanoma with unresectable hepatic metastases.

Background

Melphalan is a nitrogen mustard or bischloroethylamine type alkylating agent. It was first synthesized in the early 1950s by substituting L-phenylalanine for the methyl group on nitrogen mustard. Melphalan is used in the treatment of multiple myeloma and ovarian carcinoma. It is also used for high-conditioning before hematopoietic stem cell transplant. It is also used to treat uveal melanoma with unresectable hepatic metastases.

Indication

Melphalan is indicated for use as a high-dose conditioning treatment prior to hematopoietic stem cell transplantation in patients with multiple myeloma. It is also indicated for the palliative treatment of multiple myeloma and for the palliation of non-resectable epithelial carcinoma of the ovary. Melphalan is a component of HEPZATO KIT, a liver-directed therapy indicated for the treatment of adults with uveal melanoma with unresectable hepatic metastases affecting less than 50% of the liver and no extrahepatic disease or extrahepatic disease limited to the bone, lymph nodes, subcutaneous tissues, or lung that is amenable to resection or radiation.

Associated Conditions

  • Multiple Myeloma (MM)
  • Unresectable Liver Metastasis
  • Unresectable Ovarian Cancer (Epithelial)

FDA Approved Products

Melphalan Hydrochloride
Manufacturer:Noratech Pharmaceuticals, Inc.
Route:INTRAVENOUS
Strength:50 mg in 10 mL
Approved: 2019/09/16
NDC:71681-002
Melphalan
Manufacturer:Alvogen Inc.
Route:ORAL
Strength:2 mg in 1 1
Approved: 2014/06/12
NDC:47781-200
EVOMELA
Manufacturer:Acrotech Biopharma Inc
Route:INTRAVENOUS
Strength:50 mg in 10 mL
Approved: 2023/06/13
NDC:72893-001

Singapore Approved Products

ALKERAN TABLET 2 mg (Revised formula)
Manufacturer:Excella GmbH & Co. KG
Form:TABLET, FILM COATED
Strength:2.00 mg
Online:Yes
Approved: 2002/02/26
Approval:SIN11822P
ALKERAN FOR INJECTION 50 mg/vial
Manufacturer:GLAXO OPERATIONS UK LIMITED (Trading as Glaxo Wellcome Operations) (note: Sterile Diluent), CENEXI-LABORATOIRES THISSEN SA (note: Drug Product), CENEXI-LABORATOIRES THISSEN SA (note: Sterile Diluent)
Form:INJECTION
Strength:50 mg/vial
Online:Yes
Approved: 2002/04/10
Approval:SIN11873P

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