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
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)
Associated Therapies
Conditioning regimens for allogeneic stem cell transplantation therapy

Auto Transplant High Dose Melphalan vs High Dose Melphalan+Bortezomib in Pts With Multiple Myeloma Age 65 Years or Older

Phase 2
Terminated
Conditions
Interventions
First Posted Date
2011-10-17
Last Posted Date
2023-11-28
Lead Sponsor
Hackensack Meridian Health
Target Recruit Count
63
Registration Number
NCT01453088
Locations
🇺🇸

Hackensack University Medical Center, Hackensack, New Jersey, United States

🇺🇸

Lombardi Comprehensive Cancer Center at Georgetown University Medical Center, Washington, District of Columbia, United States

Vorinostat With Gemcitabine, Busulfan, and Melphalan With Stem Cell Transplant (SCT) in Relapsed or Refractory Lymphoid Malignancies

First Posted Date
2011-08-22
Last Posted Date
2015-11-18
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
78
Registration Number
NCT01421173
Locations
🇺🇸

University of Texas MD Anderson Cancer Center, Houston, Texas, United States

A Randomized Trial to Compare Busulfan + Melphalan 140 mg/m2 With Melphalan 200 mg/m2 as Preparative Regimen for Autologous Hematopoietic Stem Cell Transplantation for Multiple Myeloma

First Posted Date
2011-08-10
Last Posted Date
2020-04-21
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
205
Registration Number
NCT01413178
Locations
🇺🇸

University of Texas MD Anderson Cancer Center, Houston, Texas, United States

Reduced Intensity Double Umbilical Cord Blood Transplantation

First Posted Date
2011-08-03
Last Posted Date
2019-01-23
Lead Sponsor
Massachusetts General Hospital
Target Recruit Count
33
Registration Number
NCT01408563
Locations
🇺🇸

Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States

🇺🇸

Massachusetts General Hospital, Boston, Massachusetts, United States

🇺🇸

Dana-Farber Cancer Institute, Boston, Massachusetts, United States

Intra-arterial Chemotherapy With Melphalan for the Treatment of Retinoblastoma (RTB) in Advanced Intraocular Stage

Phase 2
Terminated
Conditions
Interventions
First Posted Date
2011-07-13
Last Posted Date
2016-08-02
Lead Sponsor
Hospital Sant Joan de Deu
Target Recruit Count
5
Registration Number
NCT01393769
Locations
🇪🇸

Hospital Sant Joan de Déu, Esplugues de Llobregat, Barcelona, Spain

Cord Blood Transplantation for Patients With Cancer

First Posted Date
2011-05-24
Last Posted Date
2015-04-30
Lead Sponsor
University of Chicago
Target Recruit Count
1
Registration Number
NCT01359254
Locations
🇺🇸

University of Chicago, Chicago, Illinois, United States

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