Oxaliplatin

Generic Name
Oxaliplatin
Brand Names
-
Drug Type
Small Molecule
Chemical Formula
C8H14N2O4Pt
CAS Number
61825-94-3
Unique Ingredient Identifier
04ZR38536J
Background

Oxaliplatin is a platinum-based chemotherapy drug in the same family as cisplatin and carboplatin. Compared to cisplatin the two amine groups are replaced by diamino cyclohexane (DACH) group to provide a greater antitumor effect. However, this leads to poorer water solubility, which was compensated by the addition of the chloride moieties. Due to this chemical moiety, oxaliplatin readily undergoes non-enzymatic biotransformation, thus complicating oxaliplatin's pharmacokinetics. Like most platinum-based compounds, oxaliplatin's mechanism of action is primarily through DNA damage through DNA crosslinking, particularly intrastrand and interstrand crosslinking. However, due to the structure of oxaliplatin, its adducts make the binding of mismatch repair protein to DNA harder compared to cisplatin or carboplatin's adducts, resulting in greater cytotoxic effects. The DACH moiety also prevents cross-resistance with cisplatin and carboplatin.

Although oxaliplatin has been investigated as a monotherapy, it is typically administered in combination with fluorouracil and leucovorin, known as the FOLFOX regimen, for the treatment of colorectal cancer. This is an effective combination treatment both as a first-line treatment and in patients refractory to an initial fluorouracil and leucovorin combination. Ongoing trials have also shown promising results for oxaliplatin use in nonHodgkin’s lymphoma, breast cancer, mesothelioma, and non-small cell lung cancer.

Oxaliplatin was approved by the FDA on January 9, 2004 and is currently marketed by Sanofi-Aventis under the trademark Eloxatin®.

Indication

Oxaliplatin, in combination with infusional fluorouracil and leucovorin, is indicated for the treatment of advanced colorectal cancer and adjuvant treatment of stage III colon cancer in patients who have undergone complete resection of the primary tumor.

Associated Conditions
Advanced Colorectal Cancer, Stage III Colon Cancer
Associated Therapies
-

Capecitabine and Oxaliplatin in Treating Patients With Metastatic Breast Cancer

First Posted Date
2005-09-22
Last Posted Date
2015-12-09
Lead Sponsor
Hoosier Cancer Research Network
Target Recruit Count
25
Registration Number
NCT00216021
Locations
🇺🇸

Medical & Surgical Specialists, LLC, Galesburg, Illinois, United States

🇺🇸

Indiana University Cancer Center, Indianapolis, Indiana, United States

🇺🇸

Helen F. Graham Cancer Center, Newark, Delaware, United States

and more 8 locations

Bevacizumab, Oxaliplatin, and Docetaxel in Treating Patients With Locally Advanced Unresectable or Metastatic Stomach or Gastroesophageal Junction Cancer

First Posted Date
2005-09-22
Last Posted Date
2019-03-26
Lead Sponsor
Barbara Ann Karmanos Cancer Institute
Target Recruit Count
39
Registration Number
NCT00217581
Locations
🇺🇸

Arthur G. James Cancer Hospital and Solove Research Institute at Ohio State University Medical Center, Columbus, Ohio, United States

🇺🇸

Barbara Ann Karmanos Cancer Institute, Detroit, Michigan, United States

🇺🇸

University of Michigan Comprehensive Cancer Center, Ann Arbor, Michigan, United States

and more 1 locations

Study of Capecitabine With Irinotecan and Oxaliplatin (Eloxatin) in Advanced Colorectal Cancer

First Posted Date
2005-09-22
Last Posted Date
2013-11-25
Lead Sponsor
H. Lee Moffitt Cancer Center and Research Institute
Target Recruit Count
24
Registration Number
NCT00215982
Locations
🇺🇸

H. Lee Moffitt Cancer Center & Research Institute, Tampa, Florida, United States

🇵🇷

San Juan Veterans Hospital, Rio Piedras, Puerto Rico

Capecitabine, Oxaliplatin and Trastuzumab in Treating Patients With HER2 Positive Metastatic Breast Cancer

First Posted Date
2005-09-22
Last Posted Date
2011-05-02
Lead Sponsor
Hoosier Cancer Research Network
Target Recruit Count
11
Registration Number
NCT00216073
Locations
🇺🇸

Medical & Surgical Specialists, LLC, Galesburg, Illinois, United States

🇺🇸

Indiana University Cancer Center, Indianapolis, Indiana, United States

🇺🇸

Quality Cancer Center (MCGOP), Indianapolis, Indiana, United States

and more 8 locations

Oxaliplatin, Leucovorin Calcium, and Fluorouracil With or Without Bevacizumab in Treating Patients Who Have Undergone Surgery for Stage II Colon Cancer

First Posted Date
2005-09-22
Last Posted Date
2024-12-12
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
3610
Registration Number
NCT00217737
Locations
🇺🇸

UM Saint Joseph Medical Center, Towson, Maryland, United States

🇺🇸

Massachusetts General Hospital Cancer Center, Boston, Massachusetts, United States

🇺🇸

Saint Luke's Hospital, Maumee, Ohio, United States

and more 921 locations

Feasibility Study of mFOLFOX6 in Patients With Advanced Colorectal Cancer

Phase 2
Terminated
Conditions
First Posted Date
2005-09-21
Last Posted Date
2006-04-21
Lead Sponsor
Hokkaido Gastrointestinal Cancer Study Group
Target Recruit Count
30
Registration Number
NCT00209703
Locations
🇯🇵

Hokkaido University Hospital (Hokkaido University Graduate School of Medicine), Sapporo, Hokkaido, Japan

Phase I Trial of huA33 Plus Chemotherapy in Patients With Metastatic Colorectal Cancer

First Posted Date
2005-09-20
Last Posted Date
2022-10-10
Lead Sponsor
Ludwig Institute for Cancer Research
Target Recruit Count
20
Registration Number
NCT00199797
Locations
🇨🇭

UniversitaetsSpital Zuerich, Zurich, Switzerland

🇩🇪

Krankenhaus Nordwest, Frankfurt, Germany

Oxaliplatin and Capecitabine in the Treatment of Relapsed/Refractory Carcinoma of Unknown Primary Site

First Posted Date
2005-09-19
Last Posted Date
2013-11-11
Lead Sponsor
SCRI Development Innovations, LLC
Target Recruit Count
48
Registration Number
NCT00193609
Locations
🇺🇸

Chattanooga Oncology Hematology Associates, Chattanooga, Tennessee, United States

🇺🇸

Greenview Regional Hospital, Bowling Green, Kentucky, United States

🇺🇸

Baton Rouge General Medical Center, Baton Rouge, Louisiana, United States

and more 7 locations

A Study of Pemetrexed Plus Oxaliplatin as First Line Therapy in Advanced Gastric Carcinoma

Phase 2
Completed
Conditions
First Posted Date
2005-09-19
Last Posted Date
2007-01-26
Lead Sponsor
Eli Lilly and Company
Target Recruit Count
43
Registration Number
NCT00192088
Locations
🇮🇹

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-371-615-4559) Mon - Fri from 9 AM - 5PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician., Verona, Italy

Bevacizumab and Cetuximab in Combination With FOLFOX6 in Patients With Metastatic Colorectal Cancer

First Posted Date
2005-09-19
Last Posted Date
2022-01-11
Lead Sponsor
SCRI Development Innovations, LLC
Target Recruit Count
36
Registration Number
NCT00193219
Locations
🇺🇸

St. Louis Cancer Care, Chesterfield, Missouri, United States

🇺🇸

Jackson Oncology Associates, Jackson, Mississippi, United States

🇺🇸

Chattanooga Oncology and Hematology Associates, Chattanooga, Tennessee, United States

and more 7 locations
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