MedPath

Mitomycins

Generic Name
Mitomycins
Brand Names
Jelmyto, Mitosol, Mutamycin
Drug Type
Small Molecule
Chemical Formula
C15H18N4O5
CAS Number
50-07-7
Unique Ingredient Identifier
50SG953SK6

Overview

Mitomycin is an antineoplastic antibiotic first isolated by Japanese microbiologists in the 1950s from cultures of Streptomyces caespitosus. It is an alkylating agent that inhibits DNA synthesis (and, at higher concentrations, RNA and protein synthesis) by cross-linking the complementary strands of the DNA double helix. Few other antibiotics have been discovered that work via this alkylating mechanism, making mitomycin relatively unique in the space of microbiota-derived therapies. Mitomycin's cross-linking activity has resulted in its approval for the treatment of a variety of cancers - the most recent of which is an April 2020 approval for its use in low-grade Upper Tract Urothelial Cancer (LG-UTUC) - as well as adjunctly to ab externo glaucoma surgeries.

Background

Mitomycin is an antineoplastic antibiotic first isolated by Japanese microbiologists in the 1950s from cultures of Streptomyces caespitosus. It is an alkylating agent that inhibits DNA synthesis (and, at higher concentrations, RNA and protein synthesis) by cross-linking the complementary strands of the DNA double helix. Few other antibiotics have been discovered that work via this alkylating mechanism, making mitomycin relatively unique in the space of microbiota-derived therapies. Mitomycin's cross-linking activity has resulted in its approval for the treatment of a variety of cancers - the most recent of which is an April 2020 approval for its use in low-grade Upper Tract Urothelial Cancer (LG-UTUC) - as well as adjunctly to ab externo glaucoma surgeries.

Indication

For treatment of malignant neoplasm of lip, oral cavity, pharynx, digestive organs, peritoneum, female breast, and urinary bladder. Also used as an adjunct to ab externo glaucoma surgery. Mitomycin is also indicated as a pyelocalyceal solution for the treatment of adults with low-grade upper tract urothelial cancer (LG-UTUC).

Associated Conditions

  • Anal Cancer
  • Bladder Cancer
  • Breast Cancer
  • Carcinoma of the Head and Neck
  • Cervical Cancer
  • Gastric Adenocarcinoma
  • Mesothelioma
  • Non-Small Cell Lung Cancer (NSCLC)
  • Pancreatic Adenocarcinoma
  • Ab externo surgery Glaucoma
  • Low-grade Upper Tract Urothelial Cancer (LG-UTUC)

FDA Approved Products

Mitomycin
Manufacturer:Hikma Pharmaceuticals USA Inc.
Route:INTRAVENOUS
Strength:40 mg in 80 mL
Approved: 2023/05/15
NDC:0143-9280
MITOMYCIN
Manufacturer:Meitheal Pharmaceuticals Inc.
Route:INTRAVENOUS
Strength:20 mg in 40 mL
Approved: 2022/09/08
NDC:71288-138
MUTAMYCIN
Manufacturer:Accord BioPharma Inc.
Route:INTRAVENOUS
Strength:40 mg in 80 mL
Approved: 2017/08/01
NDC:69448-003
MUTAMYCIN
Manufacturer:Accord BioPharma Inc.
Route:INTRAVENOUS
Strength:20 mg in 40 mL
Approved: 2017/08/01
NDC:69448-002
MUTAMYCIN
Manufacturer:Accord BioPharma Inc.
Route:INTRAVENOUS
Strength:5 mg in 10 mL
Approved: 2017/08/01
NDC:69448-001

Singapore Approved Products

No Singapore products found for this drug

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