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Doxorubicin

Alias: Adriamycin; Hydroxydaunorubicin; ADR; DOX. Code name: FI106; chloridrato de doxorrubicina. Adriamycin; Adriacin; Adriblastina; Adriblastine; Adrimedac; DOXOCELL; Doxolem; Doxorubin; Farmiblastina; Rubex. Abbreviations: ADM; Adria;
Cat No.:V2644 Purity: =99.37%
Doxorubicin (Adriamycin; NSC-123127; FI-106; Adriblastine; Adrimedac) is a naturally occuring anthracycline antibiotic isolated from the bacterium Streptomyces peucetius var.
Doxorubicin
Doxorubicin Chemical Structure CAS No.: 23214-92-8
Product category: Topoisomerase
This product is for research use only, not for human use. We do not sell to patients.
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Other Forms of Doxorubicin:

  • Doxorubicin HCl (adriamycin; NSC 123127)
Official Supplier of:
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Top Publications Citing lnvivochem Products
InvivoChem's Doxorubicin has been cited by 1 publication
Purity & Quality Control Documentation

Purity: =99.37%

Purity: ≥98%

Product Description

Doxorubicin (Adriamycin; NSC-123127; FI-106; Adriblastine; Adrimedac) is a naturally occuring anthracycline antibiotic isolated from the bacterium Streptomyces peucetius var. caesius with potent anticancer activity and was approved as an anticancer chemotherapeutic medication. This is an inhibitor of DNA topoisomerase II that can cause apoptosis and damage to DNA in tumor cells. Danunorubicin's hydroxylated congener is called doxorubicin. In order to stop DNA replication and ultimately stop protein synthesis, doxorubicin works by intercalating between base pairs in the DNA helix. Doxorubicin also inhibits the enzyme topoisomerase II.

Biological Activity I Assay Protocols (From Reference)
Targets
Topoisomerase I ( IC50 = 0.8 μM ); Topoisomerase II ( IC50 = 2.67 μM ); Daunorubicins/Doxorubicins; HIV-1
ln Vitro

In vitro activity: Doxorubicin, an antibiotic anthracycline, is widely believed to exhibit its anti-tumor activity on two basic levels: it modifies DNA and generates free radicals to cause DNA damage that causes cancer cells to undergo apoptosis. Doxorubicin inhibits DNA topoisomerase II (TOP2) and can intercalate into DNA strands to prevent DNA synthesis. When cells are multiplying quickly and expressing a lot of TOP2, doxorubicin works best. Additionally, doxorubicin can cause apoptosis by releasing cytochrome c from the mitochondria, ceramide (which activates p53 or other downstream pathways like JNK), the degradation of Akt by serine threonine proteases, an increase in the production of FasL (death receptor Fas/CD95 ligand) mRNA, and an increase in free radical production. The doxorubicin-resistant breast cancer cell line MCF7/Dx exhibits suppression of resistance upon pre-treatment with GSNO (nitrosoglutathione), which is accompanied by increased protein glutathionylation and doxorubicin accumulation in the nucleus. Elevated cyclin G2 (CycG2) expression and protein phosphorylation in the ATM, ATM, and Rad3-related (ATR) signaling pathways are responsible for doxorubicin-induced G2/M checkpoint arrest. In mouse embryonic fibroblasts (MEFs) and cardiomyocytes, doxorubicin inhibits AMP-activated protein kinase (AMPK), leading to SIRT1 dysfunction, p53 accumulation, and increased cell death. These effects can be further sensitized by pre-inhibition of AMPK. Doxorubicin causes a noticeable heat shock response, and in neuroblastoma cells, it increases the apoptotic effect by either inhibiting or silencing heat shock proteins. When administered in nanomolar doses to neuroblastoma cells, doxorubicin causes a dose-dependent over-ubiquitination of a particular set of proteins without any detectable proteasome inhibition. It also causes a decrease in the activity of ubiquitinated enzymes like lactate dehydrogenase and α-enolase, whose protein ubiquitination patterns resemble those of the proteasome inhibitor bortezomib, suggesting that Doxorubicin may also cause protein damage.

ln Vivo
The most effective method for reducing the size of MB231 tumors and extending the survival of mice in vivo is to combine doxorubicin with adenoviral MnSOD (AdMnSOD) and 1,3-bis(2-chloroethyl)-1-nitrosourea (BCNU). Doxorubicin is indispensable in the treatment of solid tumors in childhood, soft tissue sarcomas, osteosarcomas, Kaposi's sarcoma, oesophageal carcinomas, Hodgkin and non-Hodgkin lymphomas, and solid tumors of the breast and esophagus. However, its use is restricted by the toxic side effects, both acute and chronic.
Enzyme Assay
Purified human DNA topoisomerase I was assayed quantitatively by enzyme titrations with supercoiled pHC624 DNA in the presence of 0-2.0 microM doxorubicin. Supercoiled and relaxed DNAs were resolved by agarose gel electrophoresis in the presence of ethidium bromide, and the percentage of conversion of supercoiled DNA to relaxed DNA was quantified by scanning microdensitometry. The inhibition of DNA topoisomerase I activity was measured at varying concentrations of doxorubicin. Doxorubicin inhibited enzyme activity at an IC50 value (the concentration required to inhibit 50% of the total activity) of 0.8 microM. Similar inhibition was observed for daunomycin, a structurally related anthracycline antitumor drug. These results indicate that anthracyclines inhibit human DNA topoisomerase I activity at concentrations that cause DNA damage and cytotoxicity in vivo[3].
Cell Assay
Three 96-well U-bottom microplates with a suspension of Hela cells (3×104 cell/mL) dispensed in 160 μL are then incubated for 24 hours at 37°C in a fully humidified atmosphere with 5% CO2. In plate 1, 200 μL of final volume is filled with serial dilutions of doxorubicin (20 μL; final concentration, 0.1-2 μM) and simvastatin (20 μL; final concentration, 0.25-2 μM) before an additional 72 hours of incubation. 40 μL of each drug's serial dilution—doxorubicin or simvastatin—are added to plates 2 and 3. The medium is aspirated and the cells are cleaned in PBS after a 24-hour incubation period. Then, to reach a final volume of 200 μL, serial dilutions of the other medication (40 μL) are added, and the mixture is incubated for 48 hours. Separate positive controls (40 μL in each well) consisting of doxorubicin and simvastatin are employed, while the negative controls consist solely of solvent-treated cells. A 20 μL MTT solution (5 mg/mL in PBS) is added to each well, and the cells are incubated for three hours in order to assess cell survival. Afterwards, 150 μL of DMSO is added to the medium, and the solution is pipetted repeatedly to completely dissolve the formazan crystals. In the next step, an ELISA plate reader measures absorbance at 540 nm. Three assays are conducted, one for each drug concentration, using four or eight wells. Doxorubicin's cytotoxic/cytostatic effect is quantified and expressed as relative viability (% control). It is assumed that 100% of the cells in the negative control will survive. * Relative viability = (background absorbance - experimental absorbance) / (background absorbance - absorbance of untreated controls)× 100%[4].
Animal Protocol
Mice: Three to four-week-old male athymic nude mice are used. Subcutaneous injection of PC3 cells (4×106) is administered to mice via the flanks. When the volumes of the xenografts reached approximately 100 mm3, the animals with tumors were randomly assigned to treatment groups, with five or six mice per group. Digital calipers are used to measure tumors and the formula Volume=Width2×Length×0.52 is used to calculate the volume of the tumor, with width denoting its shorter dimensions. Therapy is given as prescribed with vehicle (PBS with 0.1% BSA), Doxorubicin (2–8 mg/kg), Apo2L/TRAIL (500 μg/animal), or a mix of 4 mg/kg Doxorubicin and 500 μg Apo2L/TRAIL. Doxorubicin is delivered systemically, while Apo2L/TRAIL is delivered intra-tumorally or systemically. Every therapy is administered just once. Every day, mice are observed for indications of negative consequences, such as lethargic behavior and disheveled look. Looks like the treatments were well received. Every data point has its mean±SEM computed. Student t-tests are used to analyze differences between treatment groups. When P is less than 0.05, differences are deemed significant. Rats: Thirty-year-old man A total of ten Doxorubicin schedules—Doxorubicin schedule 1 (n = ten), Doxorubicin schedule 2 (n = ten), and Doxorubicin schedule 3 (n = ten)—are randomly assigned to Sprague-Dawley rats weighing 250–300 g. 10 mg/kg is the total dose of doxorubicin for all treatment regimens. One intraperitoneal injection of doxorubicin (10 mg/kg) is administered as part of Schedule 1. Doxorubicin injections intraperitoneally (10 mg/kg) for ten days in a row are part of Schedule 2. Schedule 2 calls for ten intraperitoneal injections of doxorubicin (1 mg/kg) spaced ten days apart. Schedule 3 calls for five weeks of weekly intraperitoneal injections of doxorubicin at a dose of two milligrams per kilogram. As long as there are at least three rats in each group, blood pressure and cardiac function are measured in all surviving animals prior to the first Doxorubicin treatment and once a week after the start of Doxorubicin treatment.
ADME/Pharmacokinetics
Absorption, Distribution and Excretion
Following a 10 mg/m2 administration of liposomal doxorubicin in patients with AIDS-related Kaposi's Sarcoma, the Cmax and AUC values were calculated to be 4.12 ± 0.215 μg/mL and 277 ± 32.9 μg/mL•h respectively.
Approximately 40% of the dose appears in the bile in 5 days, while only 5% to 12% of the drug and its metabolites appear in the urine during the same time period. In urine, <3% of the dose was recovered as doxorubicinol over 7 days.
The steady-state distribution volume of doxorubicin ranges from 809 L/m2 to 1214 L/m2.
The plasma clearance of doxorubicin ranges from 324 mL/min/m2 to 809 mL/min/m2 by metabolism and biliary excretion. Sexual differences in doxorubicin were also observed, with men having a higher clearance compared to women (1088 mL/min/m2 versus 433 mL/min/m2). Following the administration of doses ranging from 10 mg/m2 to 75 mg/m2 of doxorubicin hydrochloride, the plasma clearance was estimated to be 1540 mL/min/m2 in children greater than 2 years of age and 813 mL/min/m2 in infants younger than 2 years of age.
Nonencapsulated doxorubicin hydrochloride is not stable in gastric acid, and animal studies indicate that the drug undergoes little, if any, absorption from the GI tract. The drug is extremely irritating to tissues and, therefore, must be administered iv. Following iv infusion of a single 10- or 20-mg/sq m dose of liposomal doxorubicin hydrochloride in patients with AIDS-related Kaposi's sarcoma, average peak plasma doxorubicin (mostly bound to liposomes) concentrations are 4.33 or 10.1 ug/mL, respectively, following a 15-minute infusion and 4.12 or 8.34 ug/mL, respectively, following a 30-minute infusion. Following iv infusion over 15 minutes of a 40-mg/sq m dose of liposomal doxorubicin hydrochloride in adults with AIDS-related Kaposi's, peak plasma concentrations averaged 20.1 ug/mL.
Nonencapsulated (conventional) doxorubicin hydrochloride exhibits linear pharmacokinetics; PEG-stabilized liposomal doxorubicin hydrochloride also exhibits dose-proportional, linear pharmacokinetics over a dosage range of 10-20 mg/sq m. The pharmacokinetics of liposomally encapsulated doxorubicin at a dose of 50 mg/sq m have been reported to be nonlinear. At a dose of 50 mg/sq m, a longer elimination half-life and lower clearance compared to those observed with a 20 mg/sq m dose are expected, with greater-than-proportional increases in area under the plasma concentration-time curve. Encapsulation of doxorubicin hydrochloride in PEG-stabilized (Stealth) liposomes substantially alters the pharmacokinetics of the drug relative to conventional iv formulations (ie, nonencapsulated drug), with resultant decreased distribution into the peripheral compartment, increased distribution into Kaposi's lesions, and decreased plasma clearance.
Doxorubicin administered as a conventional injection is widely distributed in the plasma and in tissues. As early as 30 seconds after iv administration, doxorubicin is present in the liver, lungs, heart, and kidneys. Doxorubicin is absorbed by cells and binds to cellular components, particularly to nucleic acids. The volume of distribution of doxorubicin hydrochloride administered iv as a conventional injection is about 700-1100 L/sq m. Nonencapsulated doxorubicin is approximately 50-85% bound to plasma proteins...
Doxorubicin hydrochloride administered iv as the liposomally encapsulated drug distributes into Kaposi's sarcoma lesions to a greater extent than into healthy skin. Following iv administration of a single 20-mg/sq m dose of liposomal doxorubicin hydrochloride, doxorubicin concentrations in Kaposi's sarcoma lesions were 19 (range: 3-53)-fold higher than those observed in healthy skin; however, blood concentrations in the lesions or in healthy skin were not considered. In addition, distribution of doxorubicin into Kaposi's sarcoma lesions following iv administration of liposomally encapsulated drug was 5.2-11.4 times greater than that following iv administration of comparable doses of a conventional (nonencapsulated) injection. The mechanism by which liposomal encapsulation enhances doxorubicin distribution into Kaposi's sarcoma lesions has not been elucidated fully, but similar PEG-stabilized liposomes containing colloidal gold as a marker have been shown to enter Kaposi's sarcoma-like lesions in animals. Extravasation of the liposomes also may occur by passage of the particles through endothelial cell gaps present in Kaposi's sarcoma. Once within the lesions, the drug presumably is released locally as the liposomes degrade and become permeable in situ.
For more Absorption, Distribution and Excretion (Complete) data for DOXORUBICIN (16 total), please visit the HSDB record page.
Metabolism / Metabolites
Doxorubicin is capable of undergoing 3 metabolic routes: one-electron reduction, two-electron reduction, and deglycosidation. However, approximately half of the dose is eliminated from the body unchanged. The two-electron reduction is the major metabolic pathway of doxorubicin. In this pathway, doxorubicin is reduced to doxorubicinol, a secondary alcohol, by various enzymes, including Alcohol dehydrogenase [NADP(+)], Carbonyl reductase [NADPH] 1, Carbonyl reductase [NADPH] 3, and Aldo-keto reductase family 1 member C3. The one-electron reduction is facilitated by several oxidoreductase, both cytosolic and mitochondrial, to form a doxirubicin-semiquinone radical. These enzymes include mitochondrial and cystolic NADPH dehydrogenates, xanthine oxidase, and nitric oxide synthases. This semiquinone metabolite can be re-oxidized to doxorubicin, although with the concurrent formation of reactive oxygen species (ROS) and hydrogen peroxide. It is the ROS generating through this pathway that contributes most to the doxorubicin-related adverse effects, particularly cardiotoxicity, rather than through doxorubicin semiquinone formation. Deglycosidation is a minor metabolic pathway, since it only accounts for 1 to 2% of doxorubicin metabolism. Under the catalysis of cytoplasmic NADPH quinone dehydrogenase, xanthine oxidase, NADPH-cytochrome P450 reductase, doxorubicin can either be reduced to doxorubicin deoxyaglycone or hydrolyzed to doxorubicin hydroxyaglycone.
Nonencapsulated doxorubicin is metabolized by NADPH-dependent aldoketoreductases to the hydrophilic 13-hydroxyl metabolite doxorubicinol, which exhibits antineoplastic activity and is the major metabolite; these reductases are present in most if not all cells, but particularly in erythrocytes, liver, and kidney. Although not clearly established, doxorubicinol also appears to be the moiety responsible for the cardiotoxic effects of the drug. Undetectable or low plasma concentrations (ie, 0.8-26.2 ng/mL) of doxorubicinol have been reported following iv administration of a single 10- to 50-mg/sq m dose of doxorubicin hydrochloride as a PEG-stabilized liposomal injection; it remains to be established whether such liposomally encapsulated anthracyclines are less cardiotoxic than conventional (nonencapsulated) drug, and the usual precautions for unencapsulated drug currently also should be observed for the liposomal preparation. Substantially reduced or absent plasma concentrations of the usual major metabolite of doxorubicin observed with the PEG-stabilized liposomal injection suggests that either the drug is not released appreciably from the liposomes as they circulate or that some doxorubicin may be released but that the rate of doxorubicinol elimination greatly exceeds the release rate; doxorubicin hydrochloride encapsulated in liposomes that have not been PEG-stabilized is metabolized to doxorubicinol.
Other metabolites, which are therapeutically inactive, include the poorly water-soluble aglycones, doxorubicinone (adriamycinone) and 7-deoxydoxorubicinone (17-deoxyadriamycinone), and conjugates. The aglycones are formed in microsomes by NADPH-dependent, cytochrome reductase-mediated cleavage of the amino sugar moiety. The enzymatic reduction of doxorubicin to 7-deoxyaglycones is important to the cytotoxic effect of the drug since it results in hydroxyl radicals that cause extensive cell damage and death. With nonencapsulated doxorubicin, more than 20% of the total drug in plasma is present as metabolites as soon as 5 minutes after a dose, 70% in 30 minutes, 75% in 4 hours, and 90% in 24 hours.
... At least 6 metabolites have been identified, the principal one being adriamycinol. This product results from redn of the keto group on C13 by an enzyme found in leukocytes and erythrocytes, and presumably in malignant tissues.
Doxorubicin is converted to doxorubicinol, to aglycones, and to other derivatives
For more Metabolism/Metabolites (Complete) data for DOXORUBICIN (6 total), please visit the HSDB record page.
Doxorubicin is capable of undergoing 3 metabolic routes: one-electron reduction, two-electron reduction, and deglycosidation. However, approximately half of the dose is eliminated from the body unchanged. Two electron reduction yields doxorubicinol, a secondary alcohol. This pathway is considered the primary metabolic pathway. The one electron reduction is facilitated by several oxidoreductases to form a doxirubicin-semiquinone radical. These enzymes include mitochondrial and cystolic NADPH dehydrogenates, xanthine oxidase, and nitric oxide synthases. Deglycosidation is a minor metabolic pathway (1-2% of the dose undergoes this pathway). The resultant metabolites are deoxyaglycone or hydroxyaglycone formed via reduction or hydrolysis respectively. Enzymes that may be involved with this pathway include xanthine oxidase, NADPH-cytochrome P450 reductase, and cytosolic NADPH dehydrogenase.
Route of Elimination: 40% of the dose appears in bile in 5 days. 5-12% of the drug and its metabolites appears in urine during the same time period. <3% of the dose recovered in urine was doxorubicinol.
Half Life: Terminal half life = 20 - 48 hours.
Biological Half-Life
The terminal half-life of doxorubicin ranges from 20 hours to 48 hours. The distribution half-life of doxorubicin is approximately 5 minutes. For the liposomal formulation, the first-phase and second-phase half-lives were calculated to be 4.7 ± 1.1 and 52.3 ± 5.6 hours respectively for a 10 mg/m2 of doxorubicin in patients with AIDS-Related Kaposi’s Sarcoma.
Plasma concentrations of nonencapsulated doxorubicin and its metabolites decline in a biphasic or triphasic manner. In the first phase of the triphasic model, nonencapsulated doxorubicin is rapidly metabolized, presumably by a first-pass effect through the liver. It appears that most of this metabolism is completed before the entire dose is administered. In the triphasic model, nonencapsulated doxorubicin and its metabolites are rapidly distributed into the extravascular compartment with a plasma half-life of approximately 0.2-0.6 hours for doxorubicin and 3.3 hours for its metabolites. This is followed by relatively prolonged plasma concentrations of doxorubicin and its metabolites, probably resulting from tissue binding. During the second phase, the plasma half-life of nonencapsulated doxorubicin is 16.7 hours and that of its metabolites is 31.7 hours. In the biphasic model, the initial distribution t1/2 has been reported to average about 5-10 minutes, and the terminal elimination t1/2 has been reported to average about 30 hours.
Plasma concentrations of liposomally encapsulated doxorubicin hydrochloride appear to decline in a biphasic manner. Following iv administration of a single 10- to 40-mg/sq m dose of doxorubicin hydrochloride as a liposomal injection in patients with AIDS-related Kaposi's sarcoma, the initial plasma half-life (t1/2 alpha) of doxorubicin averaged 3.76-5.2 hours while the terminal elimination half-life (t1/2 beta) averaged 39.1-55 hours.
The initial distribution half-life of approximately 5 minutes suggests rapid tissue uptake of doxorubicin, while its slow elimination from tissues is reflected by a terminal half-life of 20 to 48 hours.
Plasma T/2 of Adriamycin is about 17 hr in patient, whereas that of its metabolites is about 32 hr.
Toxicity/Toxicokinetics
Toxicity Summary
Doxorubicin has antimitotic and cytotoxic activity through a number of proposed mechanisms of action: Doxorubicin forms complexes with DNA by intercalation between base pairs, and it inhibits topoisomerase II activity by stabilizing the DNA-topoisomerase II complex, preventing the religation portion of the ligation-religation reaction that topoisomerase II catalyzes.
Toxicity Data
LD50: 21 800 ug/kg (Subcutaneous, Rat) (A308)
Interactions
There have been a number of reports in the literature that describe an increase in cardiotoxicity when doxorubicin is co-administered with paclitaxel. Two published studies report that initial administration of paclitaxel infused over 24 hours followed by doxorubicin administered over 48 hours resulted in a significant decrease in doxorubicin clearance with more profound neutropenic and stomatitis episodes than the reverse sequence of administration.
In a published study, progesterone was given intravenously to patients with advanced malignancies (ECOG PS<2) at high doses (up to 10 g over 24 hours) concomitantly with a fixed doxorubicin dose (60 mg/sq m) via bolus injection. Enhanced doxorubicin-induced neutropenia and thrombocytopenia were observed.
A study of the effects of verapamil on the acute toxicity of doxorubicin in mice revealed higher initial peak concentrations of doxorubicin in the heart with a higher incidence and severity of degenerative changes in cardiac tissue resulting in a shorter survival.
The addition of cyclosporine to doxorubicin may result in increases in AUC for both doxorubicin and doxorubicinol possibly due to a decrease in clearance of parent drug and a decrease in metabolism of doxorubicinol. Literature reports suggest that adding cyclosporine to doxorubicin results in more profound and prolonged hematologic toxicity than doxorubicin alone. Coma and/or seizures have also been described.
For more Interactions (Complete) data for DOXORUBICIN (16 total), please visit the HSDB record page.
Non-Human Toxicity Values
LD50 Rat ip 16 mg/kg
LD50 Rat iv 12.6 mg/kg
LD50 Mouse oral 570 mg/kg
LD50 Mouse ip 10,700 ug/kg
For more Non-Human Toxicity Values (Complete) data for DOXORUBICIN (8 total), please visit the HSDB record page.
References

[1]. Targeting DNA topoisomerase II in cancer chemotherapy.Nat Rev Cancer. 2009 May;9(5):338-50.

[2]. Synthesis, cytotoxicity, and DNA topoisomerase II inhibitory activity of benzofuroquinolinediones. Bioorg Med Chem. 2007 Feb 15;15(4):1651-8.

[3]. Doxorubicin inhibits human DNA topoisomerase I. Cancer Chemother Pharmacol. 1992;30(2):123-5.

[4]. Cytotoxic evaluation of doxorubicin in combination with simvastatin against human cancer cells. Res Pharm Sci. 2010 Jul;5(2):127-33.

[5]. Doxorubicin increases the effectiveness of Apo2L/TRAIL for tumor growth inhibition of prostate cancerxenografts. BMC Cancer. 2005 Jan 7;5:2.

[6]. Doxorubicin cardiotoxicity in the rat: an in vivo characterization. J Am Assoc Lab Anim Sci. 2007 Jul;46(4):20-32.

[7]. Elimination of HIV-1 infection by treatment with a doxorubicin-conjugated anti-envelope antibody. AIDS. 2006;20(15):1911-1915.

Additional Infomation
Therapeutic Uses
Antibiotics; Antineoplastic Agents
Doxorubicin has been used successfully to produce regression in disseminated neoplastic conditions such as acute lymphoblastic leukemia, acute myeloblastic leukemia, Wilms' tumor, neuroblastoma, soft tissue and bone sarcomas, breast carcinoma, ovarian carcinoma, transitional cell bladder carcinoma, thyroid carcinoma, gastric carcinoma, Hodgkin's disease, malignant lymphoma and bronchogenic carcinoma in which the small cell histologic type is the most responsive compared to other cell types. /Included in US Product label/
Doxorubicin is also indicated for use as a component of adjuvant therapy in women with evidence of axillary lymph node involvement following resection of primary breast cancer. /Included in US product label/
DOXIL (doxorubicin hydrochloride, liposomal) is an anthracycline topoisomerase inhibitor indicated for ovarian cancer after failure of platinum-based chemotherapy. /Included in US product label/
For more Therapeutic Uses (Complete) data for DOXORUBICIN (7 total), please visit the HSDB record page.
Drug Warnings
/BOXED WARNING/ WARNING: CARDIOMYOPATHY. Myocardial damage, including acute left ventricular failure can occur with doxorubicin hydrochloride. The risk of cardiomyopathy is proportional to the cumulative exposure with incidence rates from 1% to 20% for cumulative doses ranging from 300 mg/sq m to 500 mg/sq m when doxorubicin hydrochloride is administered every 3 weeks. The risk of cardiomyopathy is further increased with concomitant cardiotoxic therapy. Assess LVEF before and regularly during and after treatment with doxorubicin hydrochloride.
/BOXED WARNING/ WARNING: SECONDARY MALIGNANCIES. Secondary acute myelogenous leukemia (AML) and myelodysplastic syndrome (MDS) occur at a higher incidence in patients treated with anthracyclines, including doxorubicin hydrochloride
/BOXED WARNING/ WARNING: EXTRAVASATION AND TISSUE NECROSIS. Extravasation of doxorubicin hydrochloride can result in severe local tissue injury and necrosis requiring wide excision of the affected area and skin grafting. Immediately terminate the drug and apply ice to the affected area.
/BOXED WARNING/ WARNING: SEVERE MYELOSUPPRESSION. Severe myelosuppression resulting in serious infection, septic shock, requirement for transfusions, hospitalization, and death may occur.
For more Drug Warnings (Complete) data for DOXORUBICIN (65 total), please visit the HSDB record page.
Pharmacodynamics
Doxorubicin is a cytotoxic, cell-cycle non-specific anthracycline antibiotic. It is generally thought to exert its antitumor effect by destabilizing DNA structures through intercalation, thus introducing DNA strand breakages and damages. Not only does it alter the transcriptomes of the cells, failure in repairing DNA structures can also initiate the apoptotic pathways. Additionally, doxorubicin intercalation can also interfere with vital enzyme activity, such as topoisomerase II, DNA polymerase, and RNA polymerase, leading to cell cycle arrests. Finally, doxorubicin can also generate cytotoxic reactive oxygen species to exert cellular damages.
These protocols are for reference only. InvivoChem does not independently validate these methods.
Physicochemical Properties
Molecular Formula
C27H29NO11
Molecular Weight
543.52
Exact Mass
543.17
Elemental Analysis
C, 59.66; H, 5.38; N, 2.58; O, 32.38.
CAS #
23214-92-8
Related CAS #
25316-40-9 (HCl); 23214-92-8 (Doxorubicin free base)
PubChem CID
31703
Appearance
Deep-red to black solid powder
Density
1.61 g/cm3
Melting Point
205ºC
Flash Point
443.8ºC
Vapour Pressure
9.64E-28mmHg at 25°C
Index of Refraction
1.709
LogP
1.503
Hydrogen Bond Donor Count
6
Hydrogen Bond Acceptor Count
12
Rotatable Bond Count
5
Heavy Atom Count
39
Complexity
977
Defined Atom Stereocenter Count
6
SMILES
[H][C@@]1(O[C@H]2C[C@](O)(C(CO)=O)CC(C2=C3O)=C(O)C4=C3C(C5=C(OC)C=CC=C5C4=O)=O)O[C@@H](C)[C@@H](O)[C@@H](N)C1
InChi Key
AOJJSUZBOXZQNB-TZSSRYMLSA-N
InChi Code
InChI=1S/C27H29NO11/c1-10-22(31)13(28)6-17(38-10)39-15-8-27(36,16(30)9-29)7-12-19(15)26(35)21-20(24(12)33)23(32)11-4-3-5-14(37-2)18(11)25(21)34/h3-5,10,13,15,17,22,29,31,33,35-36H,6-9,28H2,1-2H3/t10-,13-,15-,17-,22+,27-/m0/s1
Chemical Name
(7S,9S)-7-[(2R,4S,5S,6S)-4-amino-5-hydroxy-6-methyloxan-2-yl]oxy-6,9,11-trihydroxy-9-(2-hydroxyacetyl)-4-methoxy-8,10-dihydro-7H-tetracene-5,12-dione
Synonyms
Adriamycin; Hydroxydaunorubicin; ADR; DOX. Code name: FI106; chloridrato de doxorrubicina. Adriamycin; Adriacin; Adriblastina; Adriblastine; Adrimedac; DOXOCELL; Doxolem; Doxorubin; Farmiblastina; Rubex. Abbreviations: ADM; Adria;
HS Tariff Code
2934.99.9001
Storage

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

Shipping Condition
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
Solubility Data
Solubility (In Vitro)
DMSO: 20~100 mg/mL (34.5~184 mM)
Water: <1 mg/mL
Ethanol: <1 mg/mL
Solubility (In Vivo)
Note: Listed below are some common formulations that may be used to formulate products with low water solubility (e.g. < 1 mg/mL), you may test these formulations using a minute amount of products to avoid loss of samples.

Injection Formulations
(e.g. IP/IV/IM/SC)
Injection Formulation 1: DMSO : Tween 80: Saline = 10 : 5 : 85 (i.e. 100 μL DMSO stock solution 50 μL Tween 80 850 μL Saline)
*Preparation of saline: Dissolve 0.9 g of sodium chloride in 100 mL ddH ₂ O to obtain a clear solution.
Injection Formulation 2: DMSO : PEG300Tween 80 : Saline = 10 : 40 : 5 : 45 (i.e. 100 μL DMSO 400 μLPEG300 50 μL Tween 80 450 μL Saline)
Injection Formulation 3: DMSO : Corn oil = 10 : 90 (i.e. 100 μL DMSO 900 μL Corn oil)
Example: Take the Injection Formulation 3 (DMSO : Corn oil = 10 : 90) as an example, if 1 mL of 2.5 mg/mL working solution is to be prepared, you can take 100 μL 25 mg/mL DMSO stock solution and add to 900 μL corn oil, mix well to obtain a clear or suspension solution (2.5 mg/mL, ready for use in animals).
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Injection Formulation 4: DMSO : 20% SBE-β-CD in saline = 10 : 90 [i.e. 100 μL DMSO 900 μL (20% SBE-β-CD in saline)]
*Preparation of 20% SBE-β-CD in Saline (4°C,1 week): Dissolve 2 g SBE-β-CD in 10 mL saline to obtain a clear solution.
Injection Formulation 5: 2-Hydroxypropyl-β-cyclodextrin : Saline = 50 : 50 (i.e. 500 μL 2-Hydroxypropyl-β-cyclodextrin 500 μL Saline)
Injection Formulation 6: DMSO : PEG300 : castor oil : Saline = 5 : 10 : 20 : 65 (i.e. 50 μL DMSO 100 μLPEG300 200 μL castor oil 650 μL Saline)
Injection Formulation 7: Ethanol : Cremophor : Saline = 10: 10 : 80 (i.e. 100 μL Ethanol 100 μL Cremophor 800 μL Saline)
Injection Formulation 8: Dissolve in Cremophor/Ethanol (50 : 50), then diluted by Saline
Injection Formulation 9: EtOH : Corn oil = 10 : 90 (i.e. 100 μL EtOH 900 μL Corn oil)
Injection Formulation 10: EtOH : PEG300Tween 80 : Saline = 10 : 40 : 5 : 45 (i.e. 100 μL EtOH 400 μLPEG300 50 μL Tween 80 450 μL Saline)


Oral Formulations
Oral Formulation 1: Suspend in 0.5% CMC Na (carboxymethylcellulose sodium)
Oral Formulation 2: Suspend in 0.5% Carboxymethyl cellulose
Example: Take the Oral Formulation 1 (Suspend in 0.5% CMC Na) as an example, if 100 mL of 2.5 mg/mL working solution is to be prepared, you can first prepare 0.5% CMC Na solution by measuring 0.5 g CMC Na and dissolve it in 100 mL ddH2O to obtain a clear solution; then add 250 mg of the product to 100 mL 0.5% CMC Na solution, to make the suspension solution (2.5 mg/mL, ready for use in animals).
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Oral Formulation 3: Dissolved in PEG400
Oral Formulation 4: Suspend in 0.2% Carboxymethyl cellulose
Oral Formulation 5: Dissolve in 0.25% Tween 80 and 0.5% Carboxymethyl cellulose
Oral Formulation 6: Mixing with food powders


Note: Please be aware that the above formulations are for reference only. InvivoChem strongly recommends customers to read literature methods/protocols carefully before determining which formulation you should use for in vivo studies, as different compounds have different solubility properties and have to be formulated differently.

 (Please use freshly prepared in vivo formulations for optimal results.)
Preparing Stock Solutions 1 mg 5 mg 10 mg
1 mM 1.8399 mL 9.1993 mL 18.3986 mL
5 mM 0.3680 mL 1.8399 mL 3.6797 mL
10 mM 0.1840 mL 0.9199 mL 1.8399 mL

*Note: Please select an appropriate solvent for the preparation of stock solution based on your experiment needs. For most products, DMSO can be used for preparing stock solutions (e.g. 5 mM, 10 mM, or 20 mM concentration); some products with high aqueous solubility may be dissolved in water directly. Solubility information is available at the above Solubility Data section. Once the stock solution is prepared, aliquot it to routine usage volumes and store at -20°C or -80°C. Avoid repeated freeze and thaw cycles.

Calculator

Molarity Calculator allows you to calculate the mass, volume, and/or concentration required for a solution, as detailed below:

  • Calculate the Mass of a compound required to prepare a solution of known volume and concentration
  • Calculate the Volume of solution required to dissolve a compound of known mass to a desired concentration
  • Calculate the Concentration of a solution resulting from a known mass of compound in a specific volume
An example of molarity calculation using the molarity calculator is shown below:
What is the mass of compound required to make a 10 mM stock solution in 5 ml of DMSO given that the molecular weight of the compound is 350.26 g/mol?
  • Enter 350.26 in the Molecular Weight (MW) box
  • Enter 10 in the Concentration box and choose the correct unit (mM)
  • Enter 5 in the Volume box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 17.513 mg appears in the Mass box. In a similar way, you may calculate the volume and concentration.

Dilution Calculator allows you to calculate how to dilute a stock solution of known concentrations. For example, you may Enter C1, C2 & V2 to calculate V1, as detailed below:

What volume of a given 10 mM stock solution is required to make 25 ml of a 25 μM solution?
Using the equation C1V1 = C2V2, where C1=10 mM, C2=25 μM, V2=25 ml and V1 is the unknown:
  • Enter 10 into the Concentration (Start) box and choose the correct unit (mM)
  • Enter 25 into the Concentration (End) box and select the correct unit (mM)
  • Enter 25 into the Volume (End) box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 62.5 μL (0.1 ml) appears in the Volume (Start) box
g/mol

Molecular Weight Calculator allows you to calculate the molar mass and elemental composition of a compound, as detailed below:

Note: Chemical formula is case sensitive: C12H18N3O4  c12h18n3o4
Instructions to calculate molar mass (molecular weight) of a chemical compound:
  • To calculate molar mass of a chemical compound, please enter the chemical/molecular formula and click the “Calculate’ button.
Definitions of molecular mass, molecular weight, molar mass and molar weight:
  • Molecular mass (or molecular weight) is the mass of one molecule of a substance and is expressed in the unified atomic mass units (u). (1 u is equal to 1/12 the mass of one atom of carbon-12)
  • Molar mass (molar weight) is the mass of one mole of a substance and is expressed in g/mol.
/

Reconstitution Calculator allows you to calculate the volume of solvent required to reconstitute your vial.

  • Enter the mass of the reagent and the desired reconstitution concentration as well as the correct units
  • Click the “Calculate” button
  • The answer appears in the Volume (to add to vial) box
In vivo Formulation Calculator (Clear solution)
Step 1: Enter information below (Recommended: An additional animal to make allowance for loss during the experiment)
Step 2: Enter in vivo formulation (This is only a calculator, not the exact formulation for a specific product. Please contact us first if there is no in vivo formulation in the solubility section.)
+
+
+

Calculation results

Working concentration mg/mL;

Method for preparing DMSO stock solution mg drug pre-dissolved in μL DMSO (stock solution concentration mg/mL). Please contact us first if the concentration exceeds the DMSO solubility of the batch of drug.

Method for preparing in vivo formulation:Take μL DMSO stock solution, next add μL PEG300, mix and clarify, next addμL Tween 80, mix and clarify, next add μL ddH2O,mix and clarify.

(1) Please be sure that the solution is clear before the addition of next solvent. Dissolution methods like vortex, ultrasound or warming and heat may be used to aid dissolving.
             (2) Be sure to add the solvent(s) in order.

Clinical Trial Information
A Study of N9 Chemotherapy in Children With Neuroblastoma
CTID: NCT04947501
PhaseEarly Phase 1    Status: Active, not recruiting
Date: 2024-12-02
Individualized Response Assessment to Heated Intraperitoneal Chemotherapy (HIPEC) for the Treatment of Peritoneal Carcinomatosis From Ovarian, Colorectal, Appendiceal, or Peritoneal Mesothelioma Histologies
CTID: NCT04847063
Phase: Phase 1    Status: Recruiting
Date: 2024-12-02
A Study of E7386 in Combination With Other Anticancer Drug(s) in Participants With Solid Tumor
CTID: NCT04008797
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-12-02
A Study to Evaluate the Safety and Efficacy of Glofitamab in Combination With Rituximab (R) Plus Cyclophosphamide, Doxorubicin, Vincristine, and Prednisone (CHOP) in Circulating Tumor (ct)DNA High-Risk Patients With Untreated Diffuse Large B-Cell Lymphoma
CTID: NCT04980222
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-12-02
Dinutuximab With Chemotherapy, Surgery and Stem Cell Transplantation for the Treatment of Children With Newly Diagnosed High Risk Neuroblastoma
CTID: NCT06172296
Phase: Phase 3    Status: Recruiting
Date: 2024-12-02
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Interest of Post-operative Chemotherapy in Patients With Localised Uterine Leiomyosarcoma Suspected of Having a High Risk of Recurrence Based on a Biological Test Performed on the Tumour
CTID: NCT06524583
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-12-02


A Phase 2 Study of Ruxolitinib With Chemotherapy in Children With Acute Lymphoblastic Leukemia
CTID: NCT02723994
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-11-29
Pomalidomide and Dose-Adjusted EPOCH +/- Rituximab for HIV-Associated Lymphomas
CTID: NCT05389423
Phase: Phase 1    Status: Suspended
Date: 2024-11-27
A Study of BV-AVD in People With Bulky Hodgkin Lymphoma
CTID: NCT06377566
Phase: Phase 2    Status: Recruiting
Date: 2024-11-27
Adding an Immunotherapy Drug, MEDI4736 (Durvalumab), to the Usual Chemotherapy Treatment (Paclitaxel, Cyclophosphamide, and Doxorubicin) for Stage II-III Breast Cancer
CTID: NCT06058377
Phase: Phase 3    Status: Recruiting
Date: 2024-11-27
A Trial to Learn if Odronextamab is Safe and Well-Tolerated and How Well it Works Compared to Rituximab Combined With Different Types of Chemotherapy for Participants With Follicular Lymphoma
CTID: NCT06091254
Phase: Phase 3    Status: Recruiting
Date: 2024-11-27
A Trial to Learn if Odronextamab Combined With Chemotherapy is Safe and Well-Tolerated and How Well it Works Compared to Rituximab Combined With Chemotherapy for Adult Participants With Follicular Lymphoma
CTID: NCT06097364
Phase: Phase 3    Status: Recruiting
Date: 2024-11-26
Radiotherapy Followed by Tiselizumab Combined With RCHOP in Previously Untreated Bulky Follicular Lymphoma
CTID: NCT06704555
Phase: Phase 2    Status: Recruiting
Date: 2024-11-26
Total Therapy XVII for Newly Diagnosed Patients With Acute Lymphoblastic Leukemia and Lymphoma
CTID: NCT03117751
Phase: Phase 2/Phase 3    Status: Active, not recruiting
Date: 2024-11-26
An Open-Label Study Comparing Glofitamab and Polatuzumab Vedotin + Rituximab, Cyclophosphamide, Doxorubicin, and Prednisone Versus Pola-R-CHP in Previously Untreated Patients With Large B-Cell Lymphoma
CTID: NCT06047080
Phase: Phase 3    Status: Recruiting
Date: 2024-11-25
A Study to Compare How Well Odronextamab Combined With Chemotherapy Works and How Safe it is Against Rituximab Combined With Chemotherapy, in Patients With Previously Untreated Diffuse Large B-cell Lymphoma
CTID: NCT06091865
Phase: Phase 3    Status: Recruiting
Date: 2024-11-25
Virotherapy and Natural History Study of KHSV-Associated Multricentric Castleman s Disease With Correlates of Disease Activity
CTID: NCT00092222
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-11-25
A Study to Evaluate the Safety and Therapeutic Activity of GI-102 As a Single Agent and in Combination with Conventional Anti-cancer Drugs, Pembrolizumab or Trastuzumab Deruxtecan(T-DXd) in Patients with Advanced Solid Tumors (KEYNOTE-G08)
CTID: NCT05824975
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-11-25
Study of Axicabtagene Ciloleucel Versus Standard of Care Therapy in Participants With Relapsed/Refractory Follicular Lymphoma
CTID: NCT05371093
Phase: Phase 3    Status: Recruiting
Date: 2024-11-22
Sacituzumab Tirumotecan (MK-2870) in Post Platinum and Post Immunotherapy Endometrial Cancer (MK-2870-005)
CTID: NCT06132958
Phase: Phase 3    Status: Recruiting
Date: 2024-11-22
TATE Versus TACE in Intermediate Stage HCC
CTID: NCT03145558
Phase: Phase 2    Status: Terminated
Date: 2024-11-22
Safety Study of Rituximab (SC) Administered in Participants With CD20+ DLBCL or CD20+ Follicular NHL Grade 1 to 3A
CTID: NCT02406092
Phase: Phase 3    Status: Completed
Date: 2024-11-21
Adcetris (Brentuximab Vedotin), Combination Chemotherapy, and Radiation Therapy in Treating Younger Patients With Stage IIB, IIIB and IV Hodgkin Lymphoma
CTID: NCT01920932
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-11-21
Study to Compare the Effectiveness and Safety of Golcadomide Plus R-CHOP vs Placebo Plus R-CHOP in Participants With Previously Untreated High-risk Large B-cell Lymphoma
CTID: NCT06356129
Phase: Phase 3    Status: Recruiting
Date: 2024-11-21
Measuring if Immunotherapy Plus Chemotherapy is Better Than Chemotherapy Alone for Patients With Aggressive Poorly Differentiated Sarcomas
CTID: NCT06422806
Phase: Phase 3    Status: Recruiting
Date: 2024-11-21
Safety and Efficacy of Pembrolizumab (MK-3475) in Children and Young Adults With Classical Hodgkin Lymphoma (MK-3475-667/KEYNOTE-667)
CTID: NCT03407144
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-11-20
Lurbinectedin + Doxorubicin In Leiomyosarcoma
CTID: NCT05099666
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-11-20
A(B)VD Followed by Nivolumab as Frontline Therapy for Higher Risk Patients With Classical Hodgkin Lymphoma (HL)
CTID: NCT03033914
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-11-20
N10: A Study of Reduced Chemotherapy and Monoclonal Antibody (mAb)-Based Therapy in Children With Neuroblastoma
CTID: NCT06528496
Phase: Phase 2    Status: Recruiting
Date: 2024-11-20
Study of Safety and Efficacy of Pembrolizumab and Chemotherapy in Participants With Newly Diagnosed Classical Hodgkin Lymphoma (cHL) (MK-3475-C11/KEYNOTE-C11)
CTID: NCT05008224
Phase: Phase 2    Status: Completed
Date: 2024-11-20
Tafasitamab, Retifanlimab, and Rituximab in Combination With Standard Therapy for the Treatment of Diffuse Large B-cell Lymphoma
CTID: NCT05455697
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-11-20
A Study to Evaluate the Efficacy and Safety of Golcadomide in Combination With Rituximab in Participants With Newly Diagnosed Advanced Stage Follicular Lymphoma
CTID: NCT06425302
Phase: Phase 2    Status: Recruiting
Date: 2024-11-19
Study of Pembrolizumab (MK-3475) Versus Placebo in Combination With Neoadjuvant Chemotherapy & Adjuvant Endocrine Therapy in the Treatment of Early-Stage Estrogen Receptor-Positive, Human Epidermal Growth Factor Receptor 2-Negative (ER+/HER2-) Breast Cancer (MK-3475-756/KEYNOTE-756)
CTID: NCT03725059
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-11-19
Study of Lurbinectedin in Combination With Doxorubicin Versus Doxorubicin Alone as First-line Treatment in Participants With Metastatic Leiomyosarcoma
CTID: NCT06088290
Phase: Phase 2/Phase 3    Status: Recruiting
Date: 2024-11-18
Tazemetostat Plus CHOP in 1L T-cell Lymphoma
CTID: NCT06692452
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-11-18
Brightline-1: A Study to Compare Brigimadlin (BI 907828) With Doxorubicin in People With a Type of Cancer Called Dedifferentiated Liposarcoma
CTID: NCT05218499
Phase: Phase 2/Phase 3    Status: Active, not recruiting
Date: 2024-11-18
Combination Chemotherapy With or Without Bortezomib in Treating Younger Patients With Newly Diagnosed T-Cell Acute Lymphoblastic Leukemia or Stage II-IV T-Cell Lymphoblastic Lymphoma
CTID: NCT02112916
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-11-13
Chemotherapy With or Without Trastuzumab After Surgery in Treating Women With Invasive Breast Cancer
CTID: NCT01275677
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-11-13
Radiation Therapy With or Without Combination Chemotherapy or Pazopanib Before Surgery in Treating Patients With Newly Diagnosed Non-rhabdomyosarcoma Soft Tissue Sarcomas That Can Be Removed by Surgery
CTID: NCT02180867
Phase: Phase 2/Phase 3    Status: Active, not recruiting
Date: 2024-11-13
Study of Pembrolizumab (MK-3475) Plus Chemotherapy vs Placebo Plus Chemotherapy as Neoadjuvant Therapy and Pembrolizumab vs Placebo as Adjuvant Therapy in Participants With Triple Negative Breast Cancer (TNBC) (MK-3475-522/KEYNOTE-522)
CTID: NCT03036488
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-11-12
Neoadjuvant Pembrolizumab + Decitabine Followed by Std Neoadj Chemo for Locally Advanced HER2- Breast Ca
CTID: NCT02957968
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-11-12
Trastuzumab Deruxtecan (T-DXd) Alone or in Sequence With THP, Versus Standard Treatment (ddAC-THP), in HER2-positive Early Breast Cancer
CTID: NCT05113251
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-11-08
Vaccination of High Risk Breast Cancer Patients
CTID: NCT02229084
Phase: Phase 1/Phase 2    Status: Completed
Date: 2024-11-07
Vaccination of Triple Negative Breast Cancer Patients
CTID: NCT02938442
Phase: Phase 1/Phase 2    Status: Completed
Date: 2024-11-07
PACIFIC: Primary Mediastinal Large B-cell Lymphoma Treated with Antibody Therapy, Checkpoint Inhibitor in Frontline with ImmunoChemotherapy
CTID: NCT04745949
Phase: Phase 2    Status: Recruiting
Date: 2024-11-06
Brentuximab Vedotin and Nivolumab in Treating Patients With Early Stage Classic Hodgkin Lymphoma
CTID: NCT03712202
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-11-06
Clinical Trial of Brentuximab Vedotin in Classical Hodgkin Lymphoma
CTID: NCT03646123
Phase: Phase 2    Status: Terminated
Date: 2024-11-05
A Study to Evaluate Adverse Events and Change in Disease Activity of Subcutaneous (SC) Epcoritamab As Monotherapy or Combined With Standard of Care Therapies in Adult Participants in China With B-Cell Non-Hodgkin Lymphoma
CTID: NCT05201248
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-11-05
Study to Compare Axicabtagene Ciloleucel With Standard of Care Therapy as First-line Treatment in Participants With High-risk Large B-cell Lymphoma
CTID: NCT05605899
Phase: Phase 3    Status: Recruiting
Date: 2024-11-05
A Study To Evaluate the Efficacy and Safety Of Atezolizumab or Placebo in Combination With Neoadjuvant Doxorubicin + Cyclophosphamide Followed By Paclitaxel + Trastuzumab + Pertuzumab In Early Her2-Positive Breast Cancer
CTID: NCT03726879
Phase: Phase 3    Status: Completed
Date: 2024-11-05
Study of Subcutaneous Epcoritamab in Combination With Intravenous Rituximab and Oral Lenalidomide (R2) to Assess Adverse Events and Change in Disease Activity in Adult Participants With Previously Untreated Follicular Lymphoma
CTID: NCT06191744
Phase: Phase 3    Status: Recruiting
Date: 2024-11-05
Study of Sacituzumab Govitecan Versus Treatment of Physician's Choice in Participants With Endometrial Cancer After Platinum-Based Chemotherapy and Immunotherapy (ASCENT-GYN-01/GOG-3104/ENGOT-en26)
CTID: NCT06486441
Phase: Phase 3    Status: Recruiting
Date: 2024-11-05
Androgen Deprivation Therapy in Advanced Salivary Gland Cancer
CTID: NCT01969578
Phase: Phase 2    Status: Completed
Date: 2024-11-05
A Study of Polatuzumab Vedotin, Rituximab and Dose Attenuated CHP in Older Patients with DLBCL
CTID: NCT04594798
Phase: Phase 2    Status: Recruiting
Date: 2024-11-05
Using MRI-Guided Laser Heat Ablation to Induce Disruption of the Peritumoral Blood Brain Barrier to Enhance Delivery and Efficacy of Treatment of Pediatric Brain Tumors
CTID: NCT02372409
Phase: Phase 2    Status: Terminated
Date: 2024-11-01
Polatuzumab Vedotin in Combination With Chemotherapy in Subjects With Richter's Transformation
CTID: NCT04679012
Phase: Phase 2    Status: Recruiting
Date: 2024-10-31
L-DOS47 Plus Doxorubicin in Advanced Pancreatic Cancer
CTID: NCT04203641
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-10-31
Shorter Chemo-Immunotherapy Without Anthracycline Drugs for Early-Stage Triple Negative Breast Cancer
CTID: NCT05929768
Phase: Phase 3    Status: Recruiting
Date: 2024-10-31
Brentuximab Vedotin in Early Stage Hodgkin Lymphoma
CTID: NCT04685616
Phase: Phase 3    Status: Recruiting
Date: 2024-10-30
Nivolumab With Standard of Care Chemotherapy for Peripheral T Cell Lymphomas
CTID: NCT03586999
Phase: Phase 1/Phase 2    Status: Completed
Date: 2024-10-29
Study of Safety and Efficacy of Iberdomide (CC-220) and CC-99282 Combined With R-CHOP to Treat Lymphoma
CTID: NCT04884035
Phase: Phase 1    Status: Recruiting
Date: 2024-10-26
Inotuzumab Ozogamicin and Frontline Chemotherapy in Treating Young Adults With Newly Diagnosed B Acute Lymphoblastic Leukemia
CTID: NCT03150693
Phase: Phase 3    Status: Suspended
Date: 2024-10-26
Bortezomib with Gemcitabine/Doxorubicin in Patients with Urothelial Cancer and Other Solid Tumors
CTID: NCT00479128
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-10-26
A Study of Combination Chemotherapy for Patients With Newly Diagnosed DAWT and Relapsed FHWT
CTID: NCT04322318
Phase: Phase 2    Status: Recruiting
Date: 2024-10-26
Panitumumab and Pembrolizumab in Combination With Neoadjuvant Chemotherapy for the Treatment of Stage III-IV Triple Negative Breast Cancer
CTID: NCT05177796
Phase: Phase 2    Status: Withdrawn
Date: 2024-10-24
Cisplatin vs. Doxorubicin/Cyclophosphamide in BrCa
CTID: NCT01670500
Phase: Phase 2    Status: Completed
Date: 2024-10-24
A Study of Glofitamab in Combination With Rituximab or Obinutuzumab Plus Cyclophosphamide, Doxorubicin, Vincristine, and Prednisone (CHOP), or Polatuzumab Vedotin Plus Rituximab, Cyclophosphamide, Doxorubicin, and Prednisone (CHP) in Participants With Non-Hodgkin Lymphomas or With DLBCL
CTID: NCT03467373
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-10-22
Lenalidomide Combined With Modified DA-EPOCH and Rituximab (EPOCH-R2) in Primary Effusion Lymphoma or KSHV-associated Large Cell Lymphoma
CTID: NCT02911142
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-10-18
Imatinib Mesylate and Combination Chemotherapy in Treating Patients With Newly Diagnosed Philadelphia Chromosome Positive Acute Lymphoblastic Leukemia
CTID: NCT03007147
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-10-18
Testing a Standardized Approach to Surgery and Chemotherapy for Type I Pleuropulmonary Blastoma or the Addition of an Anti-cancer Drug, Topotecan, to the Usual Treatment for Types II and III Pleuropulmonary Blastoma
CTID: NCT06647953
Phase: Phase 3    Status: Not yet recruiting
Date: 2024-10-18
Dinutuximab, Sargramostim, and Combination Chemotherapy in Treating Patients With Newly Diagnosed High-Risk Neuroblastoma
CTID: NCT03786783
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-10-17
Study Of Ruxolitinib (INCB018424) With Preoperative Chemotherapy For Triple Negative Inflammatory Breast Cancer
CTID: NCT02876302
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-10-17
Therapeutic Trial for Patients With Ewing Sarcoma Family of Tumor and Desmoplastic Small Round Cell Tumors
CTID: NCT01946529
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-10-17
A Study of Daratumumab and Dose-Adjusted EPOCH in Plasmablastic Lymphoma
CTID: NCT04139304
PhaseEarly Phase 1    Status: Active, not recruiting
Date: 2024-10-16
A Phase III Randomised Study to Evaluate Dato-DXd and Durvalumab for Neoadjuvant/Adjuvant Treatment of Triple-Negative or Hormone Receptor-low/HER2-negative Breast Cancer
CTID: NCT06112379
Phase: Phase 3    Status: Recruiting
Date: 2024-10-15
A Study of Zilovertamab Vedotin (MK-2140) in Combination With Cyclophosphamide, Doxorubicin, and Prednisone Plus Rituximab or Rituximab Biosimilar (Truxima) (R-CHP) in Participants With Diffuse Large B-Cell Lymphoma (DLBCL) (MK-2140-007)
CTID: NCT05406401
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-10-15
Testing the Addition of the Anti-cancer Drug Venetoclax and/or the Anti-cancer Immunotherapy Blinatumomab to the Usual Chemotherapy Treatment for Infants With Newly Diagnosed KMT2A-rearranged or KMT2A-non-rearranged Leukemia
CTID: NCT06317662
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-10-15
Implantable Microdevice for the Delivery of Drugs and Their Effect on Tumors in Patients With Metastatic or Recurrent Sarcoma
CTID: NCT04199026
PhaseEarly Phase 1    Status: Not yet recruiting
Date: 2024-10-15
Study of Mosunetuzumab Plus Lenalidomide Compared to Anti-CD20 Anti-body + Chemotherapy in Follicular Lymphoma FLIPI2-5
CTID: NCT06284122
Phase: Phase 3    Status: Recruiting
Date: 2024-10-15
Cisplatin and Combination Chemotherapy in Treating Children and Young Adults With Hepatoblastoma or Liver Cancer After Surgery
CTID: NCT03533582
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-10-15
Study of Tucatinib and Doxil in Participants with Human Epidermal Growth Factor Receptor 2 Positive (HER2+) Metastatic Breast Cancer
CTID: NCT05748834
Phase: Phase 2    Status: Recruiting
Date: 2024-10-15
A Study of Brentuximab Vedotin and CHP in Frontline Treatment of PTCL With Less Than 10% CD30 Expression
CTID: NCT04569032
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-10-15
A Study Comparing the Combination of Dasatinib and Chemotherapy Treatment With or Without Blinatumomab for Children, Adolescents, and Young Adults With Philadelphia Chromosome Positive (Ph+) or Philadelphia Chromosome-Like (Ph-Like) ABL-Class B-Cell Acute Lymphoblastic Leukemia (B-ALL)
CTID: NCT06124157
Phase: Phase 3    Status: Not yet recruiting
Date: 2024-10-10
Optimization of Therapy in Adult Patients with Newly Diagnosed Acute Lymphoblastic Leukemia or Lymphoblastic Lymphoma by Individualised, Targeted and Intensified Treatment
CTID: NCT02881086
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-10-10
2015-12: a Study Exploring the Use of Early and Late Consolidation/Maintenance Therapy
CTID: NCT03004287
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-10-09
Study of Tazemetostat in Newly Diagnosed Diffuse Large B Cell and Follicular Lymphoma Patients Treated by Chemiotherapy
CTID: NCT02889523
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-10-09
A Study of Doxorubicin Plus Olaratumab (LY3012207) in Participants With Advanced or Metastatic Soft Tissue Sarcoma
CTID: NCT02451943
Phase: Phase 3    Status: Completed
Date: 2024-10-08
A Phase II, Single-center, Single-arm Study Evaluating the Safety and Efficacy of Golidocitinib in the Management of Newly Diagnosed Peripheral T Cell Lymphoma Patients (GOLDEN Study) and Correlative Study
CTID: NCT06630091
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-10-08
A Study Comparing the Efficacy and Safety of Polatuzumab Vedotin With Rituximab-Cyclophosphamide, Doxorubicin, and Prednisone (R-CHP) Versus Rituximab-Cyclophosphamide, Doxorubicin, Vincristine, and Prednisone (R-CHOP) in Participants With Diffuse Large B-Cell Lymphoma
CTID: NCT03274492
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-10-04
Paclitaxel + Trastuzumab + Pertuzumab as Pre-Op for Inflammatory BrCa
CTID: NCT01796197
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-10-01
Polatuzumab Vedotin and Combination Chemotherapy With or Without Glofitamab for the Treatment of Untreated Aggressive Large B-cell Lymphoma
CTID: NCT04231877
Phase: Phase 1    Status: Recruiting
Date: 2024-10-01
First Line Chemotherapy for Classical Hodgkin Lymphoma in Russia (HL-Russia-1)
CTID: NCT04638790
Phase: Phase 3    Status: Recruiting
Date: 2024-09-27
A Combination of Acalabrutinib With R-CHOP in Subjects With Previously Untreated Non-GCB DLBCL (ACE-LY-312)
CTID: NCT04529772
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-09-27
Pembrolizumab Followed by Chemotherapy for the Treatment of Patients With Classical Hodgkin Lymphoma
CTID: NCT06164275
Phase: Phase 2    Status: Recruiting
Date: 2024-09-27
Chemotherapy (DA-EPOCH+/-R) and Targeted Therapy (Tafasitamab) for the Treatment of Newly-Diagnosed Philadelphia Chromosome Negative B Acute Lymphoblastic Leukemia
CTID: NCT05453500
Phase: Phase 2    Status: Recruiting
Date: 2024-09-26
Brentuximab Vedotin for Newly Diagnosed cHL in Chinese CAYA Based on PET/CT Assessment
CTID: NCT06563245
Phase: Phase 2/Phase 3    Status: Not yet recruiting
Date: 2024-09-26
Everolimus After (Chemo)Embolization for Liver Metastases From Digestive Endocrine Tumors
CTID: NCT01678664
Phase: Phase 2    Status: Completed
Date: 2024-09-25
Comparison of TP and TAC Regimens in Neoadjuvant Treatment of TNBC
CTID: NCT04664972
Phase: Phase 2    Status: Completed
Date: 2024-09-20
Phase IB Study to Evaluate the Safety of Selinexor (KPT-330) in Combination with Multiple Standard Chemotherapy or Immunotherapy Agents in Patients with Advanced Malignancies
CTID: NCT02419495
Phase: Phase 1    Status: Terminated
Date: 2024-09-19
A Clinical Study of the Anti-cancer Effects of an Investigational Therapy or Chemotherapy in Patients with Recurring Uterine Cancer
CTID: NCT06340568
Phase: Phase 3    Status: Not yet recruiting
Date: 2024-09-19
PET Dynamics to Response-Adapted Neoadjuvant Therapy in TNBC
CTID: NCT06245889
Phase: Phase 2    Status: Recruiting
Date: 2024-09-19
Venetoclax, SL-401, and Chemotherapy for the Treatment of Blastic Plasmacytoid Dendritic Cell Neoplasm
CTID: NCT04216524
Phase: Phase 2    Status: Recruiting
Date: 2024-09-19
Ruxolitinib Phosphate or Dasatinib With Chemotherapy in Treating Patients With Relapsed or Refractory Philadelphia Chromosome-Like Acute Lymphoblastic Leukemia
CTID: NCT02420717
Phase: Phase 2    Status: Terminated
Date: 2024-09-19
Prevention of Anthracycline-Induced Cardiac Dysfunction With Dexrazoxane in Patients With Diffuse Large-B Cell Lymphoma
CTID: NCT06220032
Phase: Phase 3    Status: Recruiting
Date: 2024-09-19
A Study of Pertuzumab in Addition to Chemotherapy and Trastuzumab as Adjuvant Therapy in Participants With Human Epidermal Growth Receptor 2 (HER2)-Positive Primary Breast Cancer
CTID: NCT01358877
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-09-19
Venetoclax Basket Trial for High Risk Hematologic Malignancies
CTID: NCT05292664
Phase: Phase 1    Status: Recruiting
Date: 2024-09-19
S1314, Co-expression Extrapolation (COXEN) Program to Predict Chemotherapy Response in Patients With Bladder Cancer
CTID: NCT02177695
Phase: Phase 2    Status: Completed
Date: 2024-09-19
A Phase 2 Study of Eribulin Followed by AC as Preoperative Therapy for HER2-negative Inflammatory Breast Cancer
CTID: NCT02623972
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-09-19
NRSTS2021, A Risk Adapted Study Evaluating Maintenance Pazopanib, Limited Margin, Dose-Escalated Radiation Therapy and Selinexor in Non-Rhabdomyosarcoma Soft Tissue Sarcoma (NRSTS)
CTID: NCT06239272
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-09-19
Loncastuximab Tesirine in Combination with DA-EPOCH-R in Patients with Previously Untreated Aggressive B-cell Lymphoid Malignancies
CTID: NCT05270057
Phase: Phase 1    Status: Recruiting
Date: 2024-09-19
Mosunetuzumab and Polatuzumab Vedotin With Split-Dose CHP Chemotherapy for Elderly Patients With Diffuse Large B-Cell Lymphoma
CTID: NCT06594939
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-09-19
A Phase I/II Study of Lenalidomide and Obinutuzumab With CHOP for Diffuse Large B Cell Lymphoma
CTID: NCT02529852
Phase: Phase 1/Phase 2    Status: Completed
Date: 2024-09-19
Combination Chemotherapy With or Without Ganitumab in Treating Patients With Newly Diagnosed Metastatic Ewing Sarcoma
CTID: NCT02306161
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-09-05
A Two-Arm Study to Evaluate the Pharmacokinetics, Efficacy, and Safety of Subcutaneous Administration of the Fixed-Dose Combination of Pertuzumab and Trastuzumab in Combination With Chemotherapy in Chinese Participants With HER2-Positive Early Breast Cancer
CTID: NCT04024462
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-09-05
A Study to Evaluate Change in Disease Activity of Subcutaneous (SC) Epcoritamab Combined With Intravenous and Oral Rituximab, Cyclophosphamide, Doxorubicin Hydrochloride, Vincristine, and Prednisone (R-CHOP) or R-CHOP in Adult Participants With Newly Diagnosed Diffuse Large B-Cell Lymphoma (DLBCL)
CTID: NCT05578976
Phase: Phase 3    Status: Recruiting
Date: 2024-09-04
Study of Fruquintinib Plus Sintilimab for Treatment of Advanced Endometrial Cancer
CTID: NCT06584032
Phase: Phase 3    Status: Not yet recruiting
Date: 2024-09-04
Safety and Efficacy of Anti-CD47, ALX148 in Combination With Liposomal Doxorubicin and Pembrolizumab in Recurrent Platinum-resistant Ovarian Cancer
CTID: NCT05467670
Phase: Phase 2    Status: Recruiting
Date: 2024-08-27
Neoadjuvant TIL- and Response-Adapted Chemoimmunotherapy for TNBC
CTID: NCT05645380
Phase: Phase 2    Status: Recruiting
Date: 2024-08-26
Heated Intra-peritoneal Chemotherapy With Doxorubicin and Cisplatin for Abdominal for Pelvic Tumors in Pediatric Patients
CTID: NCT04213794
PhaseEarly Phase 1    Status: Active, not recruiting
Date: 2024-08-26
Doxorubicin Plus Dual Checkpoint Blockade for Soft Tissue Sarcomas
CTID: NCT04028063
Phase: Phase 2    Status: Recruiting
Date: 2024-08-23
A Study of AZD0486 Monotherapy or in Combination With Other Anti-Cancer Agents for Mature B-Cell Malignancies
CTID: NCT06564038
Phase: Phase 1/Phase 2    Status: Not yet recruiting
Date: 2024-08-21
International Pleuropulmonary Blastoma (PPB) Treatment and Biology Registry
CTID: NCT01464606
Phase: N/A    Status: Active, not recruiting
Date: 2024-08-21
Study of ThermoDox With Standardized Radiofrequency Ablation (RFA) for Treatment of Hepatocellular Carcinoma (HCC)
CTID: NCT02112656
Phase: Phase 3    Status: Completed
Date: 2024-08-20
Palbociclib in Combination With Chemotherapy in Treating Children With Relapsed Acute Lymphoblastic Leukemia (ALL) or Lymphoblastic Lymphoma (LL)
CTID: NCT03792256
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-08-16
Treatment of Newly Diagnosed Acute Lymphoblastic Leukemia in Children and Adolescents
CTID: NCT03020030
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-08-15
Trial of Sunitinib and/or Nivolumab Plus Chemotherapy in Advanced Soft Tissue and Bone Sarcomas
CTID: NCT03277924
Phase: Phase 1/Phase 2    Status: Completed
Date: 2024-08-13
A Study Using Risk Factors to Determine Treatment for Children With Favorable Histology Wilms Tumors (FHWT)
CTID: NCT06401330
Phase: Phase 3    Status: Not yet recruiting
Date: 2024-08-12
A Multicentre, Parallel Arm, Open-label Trial of Frontline R-CHOP/Pola-RCHP and Glofitamab in Younger, Higher Risk Patients With Diffuse Large B Cell Lymphoma (DLBCL)
CTID: NCT04914741
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-08-12
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Biological Data
  • Doxorubicin
    AdMnSOD infection + BCNU sensitized cells to adriamycin and radiation.Cancer Res.2009 May 15;69(10):4294-300.
  • Doxorubicin

    AdMnSOD infection plus BCNU sensitized the antitumor effect of adriamycin in vivo and increased animal survival.Cancer Res.2009 May 15;69(10):4294-300.
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