Mitotane drug data and news

Mitotane drug data, resources, and news articles (when available). Onconews.org provides news on cancer research. This section, which includes profiles on medicines that may or not be cancer-related is in beta form. If things run smoothly we will be releasing a new format late in the summer of 2006.

Generic name Mitotane
Brand Names/Synonyms Chlodithane; Khlodithan; Lysodren; Chlodithan; Chloditan; Mitotan; Mitotanum [INN-Latin]; Lysodren
Indication For treatment of inoperable adrenocortical tumours; Cushing's syndrome
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Description Not Available
Pharmacology Mitotane is an oral chemotherapeutic agent indicated in the treatment of inoperable adrenal cortical carcinoma of both functional and nonfunctional types. Mitotane can best be described as an adrenal cytotoxic agent, although it can cause adrenal inhibition, apparently without cellular destruction. The administration of Mitotane alters the extra-adrenal metabolism of cortisol in man; leading to a reduction in measurable 17-hydroxy corticosteroids, even though plasma levels of corticosteroids do not fall. The drug apparently causes increased formation of 6-B-hydroxyl cortisol.
Mechanism Of Action Its biochemical mechanism of action is unknown, although data are available to suggest that the drug modifies the peripheral metabolism of steroids as well as directly suppressing the adrenal cortex.
Mitotane News
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Dosage Forms TABLET
Drug_Category Antineoplastic Agents; ATC:L01XX23
Absorption About 40% oral Lysodren is absorbed
Interactions Interactions for Mitotane: Mitotane has been reported to accelerate the metabolism of warfarin by the mechanism of hepatic microsomal enzyme induction, leading to an increase in dosage requirements for warfarin. Therefore, physicians should closely monitor patients for a change in anticoagulant dosage requirements when administering Mitotane to patients on coumarin-type anticoagulants. In addition, Mitotane should be given with caution to patients receiving other drugs susceptible to the influence of hepatic enzyme induction.
Toxicity Not Available
Organisms Affected Humans and other mammals
Chemical IUPAC Name 1-chloro-2-[2,2-dichloro-1-(4-chlorophenyl)-ethyl]-benzene
Chemical Formula C14H10Cl4
Molecular Weight 320.04 g/mol
Smiles String C1=CC=C(C(=C1)C(C2=CC=C(C=C2)Cl)C(Cl)Cl)Cl
Melting Point 77 °C
Water Solubility 0.1 mg/L
State Solid
LogP/Hphobicity 6.372
Isoelectric Point Not Available
Biotransformation Hepatic and renal
Half Life 18-159 days
Protein Binding [%] 6%
RxList Link RXlist
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Drug Reference http://www.drugs.com/cons/Mitotane.html
http://www.rxlist.com/cgi/generic2/mitotane.htm
Drug Type Approved Drug
Accession No APRD00494
CAS Registry Number 53-19-0
KEGG Compound ID C07229
PubChem ID SID:148675
PharmGKB ID PA450525
SwissProt ID Not Available
GenBank ID Not Available
Drug ID Number [DIN] 463221

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