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)

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

Clinical Trials

Title
Posted
Study ID
Phase
Status
Sponsor
2024/10/18
Phase 3
Recruiting
2024/05/06
Phase 3
Recruiting
2024/03/13
Phase 2
Completed
2023/09/08
Not Applicable
Recruiting
2023/09/05
Phase 2
Recruiting
2023/09/01
Phase 2
Recruiting
2022/03/31
Phase 3
Recruiting
2021/08/06
Phase 3
Active, not recruiting
2020/11/12
Phase 1
Recruiting
2020/09/24
Not Applicable
Recruiting
xiang yang

FDA Drug Approvals

Approved Product
Manufacturer
NDC Code
Route
Strength
Effective Date
XGen Pharmaceuticals DJB, Inc.
39822-2100
INTRAVENOUS
0.5 mg in 1 mL
2/23/2021
Eugia US LLC
55150-431
INTRAVENOUS
0.5 mg in 1 mL
12/20/2023
Hisun Pharmaceuticals USA, Inc.
42658-008
INTRAVENOUS
0.5 mg in 1 1
9/17/2020
Prasco Laboratories
66993-489
INTRAVENOUS
0.5 mg in 1 mL
1/18/2024
Recordati Rare Diseases, Inc.
55292-811
INTRAVENOUS
0.5 mg in 1 mL
1/18/2024
Meitheal Pharmaceuticals Inc.
71288-129
INTRAVENOUS
0.5 mg in 1 mL
8/31/2020
AuroMedics Pharma LLC
55150-928
INTRAVENOUS
0.5 mg in 1 mL
8/11/2022

EMA Drug Approvals

Approved Product
Authorization Holder
Status
Issued Date
No EMA approvals found for this drug.

HSA Drug Approvals

Approved Product
Manufacturer
Approval Number
Dosage Form
Strength
Approval Date
K. U. DACTINOMYCIN FOR INJECTION 0.5 mg/vial
SIN10989P
INJECTION, POWDER, FOR SOLUTION
0.5 mg/vial
6/25/1999

NMPA Drug Approvals

Approved Product
Company
Approval Number
Drug Type
Dosage Form
Approval Date
Dactinomycin for Injection
国药准字H31021714
化学药品
注射剂
7/20/2020
Dactinomycin for Injection
国药准字H20023504
化学药品
注射剂
6/23/2020

PPB Drug Approvals

Approved Product
Registration No.
Company
Licence No.
Strength
Registration Date
No PPB approvals found for this drug.

TGA Drug Approvals

Approved Product
ARTG ID
Sponsor
Registration Type
Status
Registration Date
Cosmegen dactinomycin (actinomycin D) 0.5mg injection
10463
Medicine
A
7/22/1991

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