MedPath

Dactinomycin

Generic Name
Dactinomycin
Brand Names
Cosmegen
Drug Type
Small Molecule
Chemical Formula
C62H86N12O16
CAS Number
50-76-0
Unique Ingredient Identifier
1CC1JFE158

Overview

A compound composed of a two cyclic peptides attached to a phenoxazine that is derived from streptomyces parvullus. It binds to DNA and inhibits RNA synthesis (transcription), with chain elongation more sensitive than initiation, termination, or release. As a result of impaired mRNA production, protein synthesis also declines after dactinomycin therapy. (From AMA Drug Evaluations Annual, 1993, p2015)

Background

A compound composed of a two cyclic peptides attached to a phenoxazine that is derived from streptomyces parvullus. It binds to DNA and inhibits RNA synthesis (transcription), with chain elongation more sensitive than initiation, termination, or release. As a result of impaired mRNA production, protein synthesis also declines after dactinomycin therapy. (From AMA Drug Evaluations Annual, 1993, p2015)

Indication

For the treatment of Wilms' tumor, childhood rhabdomyosarcoma, Ewing's sarcoma and metastatic, nonseminomatous testicular cancer as part of a combination chemotherapy and/or multi-modality treatment regimen

Associated Conditions

  • Ewing's Sarcoma
  • Gestational Trophoblastic Neoplasia
  • Osteosarcoma
  • Ovarian Cancer
  • Rhabdomyosarcomas
  • Wilms' tumor
  • Metastatic nonseminomatous Testicular cancer

FDA Approved Products

Dactinomycin
Manufacturer:Prasco Laboratories
Route:INTRAVENOUS
Strength:0.5 mg in 1 mL
Approved: 2024/01/18
NDC:66993-489
DACTINOMYCIN
Manufacturer:AuroMedics Pharma LLC
Route:INTRAVENOUS
Strength:0.5 mg in 1 mL
Approved: 2022/08/11
NDC:55150-928
dactinomycin
Manufacturer:XGen Pharmaceuticals DJB, Inc.
Route:INTRAVENOUS
Strength:0.5 mg in 1 mL
Approved: 2021/02/23
NDC:39822-2100
Dactinomycin
Manufacturer:Hisun Pharmaceuticals USA, Inc.
Route:INTRAVENOUS
Strength:0.5 mg in 1 1
Approved: 2020/09/17
NDC:42658-008
Cosmegen
Manufacturer:Recordati Rare Diseases, Inc.
Route:INTRAVENOUS
Strength:0.5 mg in 1 mL
Approved: 2024/01/18
NDC:55292-811

Singapore Approved Products

K. U. DACTINOMYCIN FOR INJECTION 0.5 mg/vial
Manufacturer:KOREA UNITED PHARMACEUTICAL INC
Form:INJECTION, POWDER, FOR SOLUTION
Strength:0.5 mg/vial
Online:Yes
Approved: 1999/06/25
Approval:SIN10989P

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