Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Melphalan hydrochloride
Drug ID BADD_D01377
Description An alkylating nitrogen mustard that is used as an antineoplastic in the form of the levo isomer - melphalan, the racemic mixture - merphalan, and the dextro isomer - medphalan; toxic to bone marrow, but little vesicant action; potential carcinogen.
Indications and Usage For the palliative treatment of multiple myeloma and for the palliation of non-resectable epithelial carcinoma of the ovary. Has also been used alone or as part of various chemotherapeutic regimens as an adjunct to surgery in the treatment of breast cancer, alone or in combination regimens for palliative treatment of locally recurrent or unresectable in-transit metastatic melanoma of the extremities, as well as for the treatment of amyloidosis with prednisone.
Marketing Status Prescription; Discontinued
ATC Code L01AA03
DrugBank ID DB01042
KEGG ID D08173
MeSH ID D008558
PubChem ID 9927978
TTD Drug ID D00FGO
NDC Product Code 76339-111; 62207-978; 59981-016; 67457-579; 71288-112; 72611-779; 70860-214; 63323-760; 43598-392; 68554-0087; 45963-686; 54288-106; 63552-076; 43598-027; 70700-278; 72266-128; 76055-0011; 67457-215; 46439-8735; 71288-132; 63759-0020; 17337-0304; 67457-195; 68083-259; 50742-477
Synonyms Melphalan | L-PAM | Phenylalanine Mustard | Mustard, Phenylalanine | 4-(Bis(2-chloroethyl)amino)phenylalanine | Medphalan | Sarkolysin | Sarcolysine | Merphalan | Alkeran
Chemical Information
Molecular Formula C13H19Cl3N2O2
CAS Registry Number 3223-07-2
SMILES C1=CC(=CC=C1CC(C(=O)O)N)N(CCCl)CCCl.Cl
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
Chromosomal abnormalities and abnormal gene carriersTribbles homolog 3Q96RU7Not AvailableNot Available
InjuryT-lymphocyte activation antigen CD80P33681T58238Not Available
InjuryElongator complex protein 1O95163T49888Not Available
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Alopecia23.02.02.001--
Anaemia01.03.02.001--
Blood urea increased13.13.01.006--Not Available
Bronchospasm22.03.01.004; 10.01.03.012--
Cardiac arrest02.03.04.001--
Death08.04.01.001--
Dermatitis allergic23.03.04.003; 10.01.03.014--Not Available
Diarrhoea07.02.01.001--
Dyspnoea02.01.03.002; 22.02.01.004--
Feeling hot08.01.09.009--Not Available
Haemolytic anaemia01.06.03.002--Not Available
Hepatitis09.01.07.004--Not Available
Hypersensitivity10.01.03.003--
Hypotension24.06.03.002--
Interstitial lung disease22.01.02.003; 10.02.01.033--Not Available
Jaundice23.03.03.030; 09.01.01.004; 01.06.04.004--Not Available
Leukopenia01.02.02.001--Not Available
Mouth ulceration07.05.06.004--Not Available
Nausea07.01.07.001--
Oedema14.05.06.010; 08.01.07.006--Not Available
Paraesthesia17.02.06.005--
Pruritus23.03.12.001--
Pulmonary fibrosis22.01.02.006--
Rash23.03.13.001--Not Available
Rash maculo-papular23.03.13.004--
Skin necrosis23.03.03.011--Not Available
Skin ulcer24.04.03.007; 23.07.03.003--
Tachycardia02.03.02.007--Not Available
Thrombocytopenia01.08.01.002--Not Available
Urticaria23.04.02.001; 10.01.06.001--
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