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

HD Melphalan and SCT in Patients With IGDD or LCDD

First Posted Date
2008-05-20
Last Posted Date
2017-04-28
Lead Sponsor
Boston Medical Center
Target Recruit Count
5
Registration Number
NCT00681044
Locations
🇺🇸

Boston University Cancer Research Center, Boston, Massachusetts, United States

Melphalan, Lenalidomide, and Dexamethasone in Treating Patients With Primary Systemic Amyloidosis

First Posted Date
2008-05-16
Last Posted Date
2017-02-20
Lead Sponsor
Boston Medical Center
Target Recruit Count
16
Registration Number
NCT00679367
Locations
🇺🇸

Boston University Cancer Research Center, Boston, Massachusetts, United States

High-Dose Chemotherapy Given Together With Peripheral Blood Stem Cell Transplant in Treating Patients With Intestinal T-Cell Lymphoma

First Posted Date
2008-05-01
Last Posted Date
2013-08-26
Lead Sponsor
Cancer Research UK
Target Recruit Count
60
Registration Number
NCT00669812
Locations
🇬🇧

Sir James Spence Institute of Child Health at Royal Victoria Infirmary, Newcastle-Upon-Tyne, England, United Kingdom

Arsenic Trioxide With Ascorbic Acid and Melphalan for Myeloma Patients

First Posted Date
2008-04-18
Last Posted Date
2013-03-04
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
48
Registration Number
NCT00661544
Locations
🇺🇸

U.T.M.D. Anderson Cancer Center, Houston, Texas, United States

A Phase I Trial of Normothermic Isolated Limb Infusion (ILI) With Melphalan Plus Buthionine Sulfoximine (BSO) in Patients With Locally Advanced Malignant Melanoma

Phase 1
Withdrawn
Conditions
First Posted Date
2008-04-18
Last Posted Date
2015-03-13
Lead Sponsor
Duke University
Registration Number
NCT00661336
Locations
🇺🇸

Duke Comprehensive Cancer Center, Durham, North Carolina, United States

🇺🇸

M. D. Anderson Cancer Center at University of Texas, Houston, Texas, United States

Trial of Two Stem Cell Doses To Reduce Transplant Induced Symptom Burden

First Posted Date
2008-04-03
Last Posted Date
2020-01-14
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
80
Registration Number
NCT00651937
Locations
🇺🇸

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

Clofarabine and High-Dose Melphalan Followed by Donor Stem Cell Transplant in Patients With Acute Myeloid Leukemia, Acute Lymphocytic Leukemia, or Myelodysplastic Syndromes

Phase 1
Completed
Conditions
First Posted Date
2008-03-21
Last Posted Date
2023-06-15
Lead Sponsor
City of Hope Medical Center
Target Recruit Count
20
Registration Number
NCT00641030
Locations
🇺🇸

City of Hope Comprehensive Cancer Center, Duarte, California, United States

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