Procarbazine (Matulane)
Revision as of 20:51, 9 June 2023 by Warner-admin (talk | contribs) (Text replacement - "[[Hodgkin lymphoma|" to "[[Classical Hodgkin lymphoma|")
General information
Class/mechanism: Hydrazine derivative, alkylator; exact mechanism not understood. May inhibit transmethylation of methionine methyl groups to tRNA, interfering with protein, RNA, and DNA synthesis. May also directly damage DNA.[1][2]
Route: PO
Extravasation: n/a
For conciseness and simplicity, HemOnc.org currently will focus on treatment regimens and not list information such as: renal/hepatic dose adjustments, metabolism (including CYP450), excretion, monitoring parameters (although this will be considered for checklists), or manufacturer. Instead, for the most current information, please refer to your preferred pharmacopeias such as Micromedex, Lexicomp, UpToDate (courtesy of Lexicomp), or the prescribing information.[1]
Diseases for which it is used
- Anaplastic glioma
- CNS lymphoma
- Follicular lymphoma
- Glioblastoma
- Classical Hodgkin lymphoma
- Low-grade glioma
- Mantle cell lymphoma
Diseases for which it was used
Patient drug information
- Procarbazine (Matulane) patient drug information (Chemocare)[3]
- Procarbazine (Matulane) patient drug information (UpToDate)[4]
History of changes in FDA indication
- 1969-07-22: Initial FDA approval
- Uncertain date: Approved for use in combination with other anticancer drugs for the treatment of stage III and IV Hodgkin's disease. Matulane is used as part of the MOPP (nitrogen mustard, vincristine, procarbazine, prednisone) regimen. (Based on Young et al. 1973a, Kolygin 1976, possibly others)
Also known as
- Code names: NCI-C01810, Ro 4-6467/1
- Generic names: ibenzmethyzin hydrochloride, ibenzmethyzine hydrochloride, procarbazine hydrochloride
- Brand names: Indicarb, Matulane, Natulan, Natulanar, P-Carbazine, P-Carzine
References
Categories:
- Drugs
- Oral medications
- Triazenes
- Alkylating agents
- Human DNA synthesis inhibitors
- Anaplastic glioma medications
- CNS lymphoma medications
- Follicular lymphoma medications
- Glioblastoma medications
- Classical Hodgkin lymphoma medications
- Low-grade glioma medications
- Mantle cell lymphoma medications
- Diffuse large B-cell lymphoma medications (historic)
- Non-small cell lung cancer medications (historic)
- Small cell lung cancer medications (historic)
- FDA approved in 1969
- WHO Essential Cancer Medicine