Dactinomycin

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

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
Associated Therapies
-

Evolutionary Therapy for Rhabdomyosarcoma

First Posted Date
2020-05-14
Last Posted Date
2024-11-28
Lead Sponsor
H. Lee Moffitt Cancer Center and Research Institute
Target Recruit Count
28
Registration Number
NCT04388839
Locations
🇺🇸

Connecticut Children's Medical Center, Hartford, Connecticut, United States

🇺🇸

University of Texas Southwestern Medical Center, Dallas, Texas, United States

🇺🇸

Primary Children's Medical Center/Utah, Salt Lake City, Utah, United States

and more 15 locations

Study of Paclitaxel Plus Cisplatin as the First-line Chemotherapy in High Risk Gestational Trophoblastic Tumor

First Posted Date
2015-12-24
Last Posted Date
2022-06-03
Lead Sponsor
Weiguo Lv
Target Recruit Count
214
Registration Number
NCT02639650
Locations
🇨🇳

Weiguo Lv, Hangzhou, Zhejiang, China

Combination Chemotherapy With or Without Temsirolimus in Treating Patients With Intermediate Risk Rhabdomyosarcoma

First Posted Date
2015-10-05
Last Posted Date
2024-12-05
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
325
Registration Number
NCT02567435
Locations
🇺🇸

Children's Healthcare of Atlanta - Arthur M Blank Hospital, Atlanta, Georgia, United States

🇺🇸

Atrium Health Navicent, Macon, Georgia, United States

🇺🇸

Springfield Memorial Hospital, Springfield, Illinois, United States

and more 383 locations

Risk-Adapted Focal Proton Beam Radiation and/or Surgery in Patients With Low, Intermediate and High Risk Rhabdomyosarcoma Receiving Standard or Intensified Chemotherapy

First Posted Date
2013-06-07
Last Posted Date
2024-08-09
Lead Sponsor
St. Jude Children's Research Hospital
Target Recruit Count
98
Registration Number
NCT01871766
Locations
🇺🇸

Nemours Children's Clinic, Jacksonville, Florida, United States

🇺🇸

St. Jude Children's Research Hospital, Memphis, Tennessee, United States

🇺🇸

University of Florida Proton Therapy Institute, Jacksonville, Florida, United States

and more 1 locations

International Pleuropulmonary Blastoma (PPB) Treatment and Biology Registry

First Posted Date
2011-11-03
Last Posted Date
2024-08-21
Lead Sponsor
Children's Hospitals and Clinics of Minnesota
Target Recruit Count
156
Registration Number
NCT01464606
Locations
🇺🇸

Anne K Harris, Minneapolis, Minnesota, United States

Intercontinental Multidisciplinary Registry and Treatment Optimization Study for Choroid Plexus Tumors

First Posted Date
2009-11-17
Last Posted Date
2019-08-20
Lead Sponsor
Tufts Medical Center
Target Recruit Count
27
Registration Number
NCT01014767
Locations
🇳🇿

Christchurch Hospital, Christchurch, New Zealand

🇺🇸

Tufts Medical Center, Boston, Massachusetts, United States

🇭🇺

Semmelweis University, Budapest, Hungary

and more 2 locations

A Pharmacokinetic Study of Actinomycin-D and Vincristine in Children With Cancer

Phase 4
Conditions
First Posted Date
2007-06-26
Last Posted Date
2007-06-26
Lead Sponsor
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Target Recruit Count
24
Registration Number
NCT00491946
Locations
🇺🇸

Abramson Research Center, Philadelphia, Pennsylvania, United States

Chemotherapy Combined With Radiation Therapy for Newly Diagnosed CNS AT/RT

First Posted Date
2004-06-11
Last Posted Date
2015-12-24
Lead Sponsor
Dana-Farber Cancer Institute
Target Recruit Count
25
Registration Number
NCT00084838
Locations
🇺🇸

Stanford Cancer Center, Stanford, California, United States

🇺🇸

Yale Cancer Center, New Haven, Connecticut, United States

🇺🇸

AFLAC Cancer Center and Blood Disorders Service of Children's Healthcare of Atlanta - Scottish Rite Campus, Atlanta, Georgia, United States

and more 9 locations

Vincristine, Dactinomycin, and Cyclophosphamide With or Without Radiation Therapy in Treating Patients With Newly Diagnosed Low-Risk Rhabdomyosarcoma

First Posted Date
2004-01-12
Last Posted Date
2021-11-19
Lead Sponsor
Children's Oncology Group
Target Recruit Count
390
Registration Number
NCT00075582
Locations
🇺🇸

Driscoll Children's Hospital, Corpus Christi, Texas, United States

🇺🇸

West Virginia University Charleston, Charleston, West Virginia, United States

🇺🇸

University of Chicago Comprehensive Cancer Center, Chicago, Illinois, United States

and more 160 locations
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