Dactinomycin
Cosmegen (dactinomycin) is a protein pharmaceutical. Dactinomycin was first approved as Cosmegen on 1982-01-01. It is used to treat choriocarcinoma, ewing sarcoma, gestational trophoblastic disease, kaposi sarcoma, and melanoma amongst others in the USA.
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Drugs Approved for Childhood Cancers
Commercial
Trade Name
FDA
EMA
Cosmegen (generic drugs available since 2017-11-09)
Drug Products
FDA
EMA
New Drug Application (NDA)
New Drug Application (NDA)
Abbreviated New Drug Application (ANDA)
Abbreviated New Drug Application (ANDA)
Dactinomycin
Tradename | Company | Number | Date | Products |
---|---|---|---|---|
COSMEGEN | Recordati | N-050682 RX | 1982-01-01 | 1 products, RLD, RS |
Labels
FDA
EMA
Brand Name | Status | Last Update |
---|---|---|
cosmegen | New Drug Application | 2021-01-12 |
dactinomycin | NDA authorized generic | 2023-01-19 |
Indications
FDA
EMA
Indication | Ontology | MeSH | ICD-10 |
---|---|---|---|
choriocarcinoma | — | D002822 | C58 |
ewing sarcoma | EFO_0000173 | D012512 | — |
gestational trophoblastic disease | — | D031901 | O01.9 |
kaposi sarcoma | — | D012514 | C46 |
melanoma | — | D008545 | — |
neuroblastoma | EFO_0000621 | D009447 | — |
retinoblastoma | — | D012175 | — |
rhabdomyosarcoma | — | D012208 | — |
soft tissue neoplasms | — | D012983 | — |
testicular neoplasms | — | D013736 | C62 |
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Agency Specific
FDA
EMA
No data
Patent Expiration
No data
HCPCS
Code | Description |
---|---|
J9120 | Injection, dactinomycin, 0.5 mg |
Clinical
Clinical Trials
47 clinical trials
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Indications Phases 3
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
---|---|---|---|---|---|---|---|---|---|
Sarcoma | D012509 | — | 8 | 8 | — | — | 16 | ||
Rhabdomyosarcoma | D012208 | 1 | 4 | 5 | — | — | 9 | ||
Embryonal rhabdomyosarcoma | D018233 | — | 1 | 4 | — | — | 5 | ||
Kidney neoplasms | D007680 | EFO_0003865 | C64 | — | 1 | 4 | — | — | 5 |
Trophoblastic neoplasms | D014328 | — | 1 | 2 | — | 1 | 4 | ||
Alveolar rhabdomyosarcoma | D018232 | — | 1 | 3 | — | — | 4 | ||
Wilms tumor | D009396 | — | 1 | 2 | — | — | 3 | ||
Hydatidiform mole | D006828 | O01 | — | — | 2 | — | — | 2 | |
Rhabdoid tumor | D018335 | — | 1 | 1 | — | — | 2 | ||
Gestational trophoblastic disease | D031901 | O01.9 | — | — | 1 | — | 1 | 2 |
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Indications Phases 1
No data
Indications Without Phase
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
---|---|---|---|---|---|---|---|---|---|
Invasive hydatidiform mole | D002820 | D39.2 | — | — | — | — | 1 | 1 | |
Ewing sarcoma | D012512 | EFO_0000173 | — | — | — | — | 1 | 1 |
Epidemiology
Epidemiological information for investigational and approved indications
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Drug
General
Drug common name | DACTINOMYCIN |
INN | dactinomycin |
Description | Actinomycin D is an actinomycin. It has a role as a mutagen. |
Classification | Protein |
Drug class | antibiotics (Streptomyces strain) |
Image (chem structure or protein) | |
Structure (InChI/SMILES or Protein Sequence) | Cc1c2oc3c(C)ccc(C(=O)N[C@@H]4C(=O)N[C@H](C(C)C)C(=O)N5CCC[C@H]5C(=O)N(C)CC(=O)N(C)[C@@H](C(C)C)C(=O)O[C@@H]4C)c3nc-2c(C(=O)N[C@@H]2C(=O)N[C@H](C(C)C)C(=O)N3CCC[C@H]3C(=O)N(C)CC(=O)N(C)[C@@H](C(C)C)C(=O)O[C@@H]2C)c(N)c1=O |
Identifiers
PDB | — |
CAS-ID | 50-76-0 |
RxCUI | 3100 |
ChEMBL ID | CHEMBL1554 |
ChEBI ID | 27666 |
PubChem CID | 457193 |
DrugBank | DB00970 |
UNII ID | 1CC1JFE158 (ChemIDplus, GSRS) |
Target
Agency Approved
No data
Alternate
No data
Variants
Clinical Variant
No data
Financial
No data
Trends
PubMed Central
Top Terms for Disease or Syndrome:
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Safety
Black-box Warning
No Black-box warning
Adverse Events
Top Adverse Reactions
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49,302 adverse events reported
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