美法侖
化合物
美法侖(Melphalan,台灣常稱為威克瘤注射劑)是一種化學療法,用於治療多發性骨髓瘤、卵巢癌、黑色素瘤和澱粉樣變[7]。可以口服或靜脈注射[7]。
臨床資料 | |
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商品名 | Alkeran, Evomela, Phelinun, others |
其他名稱 | (2S)-2-amino-3-{4-[bis(2-chloroethyl)amino]phenyl}propanoic acid |
AHFS/Drugs.com | Monograph |
MedlinePlus | a682220 |
核准狀況 | |
給藥途徑 | 口服給藥, 靜脈注射, 動脈內注射 |
ATC碼 | |
法律規範狀態 | |
法律規範 | |
藥物動力學數據 | |
生物利用度 | 25–89% (口服) |
藥物代謝 | 水解成無活性代謝物 |
生物半衰期 | 1.5 ± 0.8 小時 |
排泄途徑 | 腎 (IV: 5.8–21.3%) |
識別資訊 | |
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CAS號 | 148-82-3 |
PubChem CID | |
IUPHAR/BPS | |
DrugBank | |
ChemSpider | |
UNII | |
KEGG | |
ChEBI | |
ChEMBL | |
CompTox Dashboard (EPA) | |
ECHA InfoCard | 100.005.207 |
化學資訊 | |
化學式 | C13H18Cl2N2O2 |
摩爾質量 | 305.20 g·mol−1 |
3D模型(JSmol) | |
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常見副作用包括噁心和骨髓抑制[7]。其他嚴重副作用包括可能產生嚴重過敏反應和引發其他癌症[7]。孕期使用可能會對嬰兒有害[8]。它屬於氮芥類的烷化劑[7]。作用機轉是干擾DNA和RNA的產生[7]。
美法侖於 1964 年在美國取得醫療使用許可[7]。名列世界衛生組織基本藥物標準清單[9]。已有學名藥流通於市[10]。
參考文獻
編輯- ^ Prescription medicines: registration of new generic medicines and biosimilar medicines, 2017. Therapeutic Goods Administration (TGA). 21 June 2022 [30 March 2024].
- ^ Alkeran- melphalan tablet, film coated. DailyMed. 18 November 2019 [23 April 2022].
- ^ Evomela- melphalan injection, powder, lyophilized, for solution. DailyMed. 31 December 2021 [23 April 2022].
- ^ Evomela (Captisol-enabled melphalan HCl) for Injection. U.S. Food and Drug Administration (FDA). 30 November 2016 [7 September 2023].
- ^ https://www.accessdata.fda.gov/drugsatfda_docs/label/2023/201848s000lbl.pdf [裸網址]
- ^ Phelinun EPAR. European Medicines Agency (EMA). 15 September 2020 [23 April 2022]. Text was copied from this source which is copyright European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
- ^ 7.0 7.1 7.2 7.3 7.4 7.5 7.6 Melphalan Monograph for Professionals. Drugs.com. American Society of Health-System Pharmacists. [9 October 2019].
- ^ Melphalan Use During Pregnancy. Drugs.com. [9 October 2019]. (原始內容存檔於9 October 2019). 互聯網檔案館的存檔,存檔日期9 October 2019.
- ^ World Health Organization. World Health Organization model list of essential medicines: 21st list 2019. Geneva: World Health Organization. 2019. WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO.
- ^ British national formulary : BNF 76 76. Pharmaceutical Press. 2018: 873–874. ISBN 9780857113382.