Porfimer drug data and news

Porfimer 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 Porfimer
Brand Names/Synonyms DHE; Dhp Ether; Dihematoporphyrin Ether; Photofrin; Porfimer; Porfimer Sodium
Indication Indicated in the treatment of esophageal cancer.
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Description Not Available
Pharmacology Porfimer is a photosensitizing agent used in the photodynamic therapy (PDT) of tumors. Porfimer is indicated for the palliation of patients with completely obstructing esophageal cancer, or of patients with partially obstructing esophageal cancer who cannot be satisfactorily treated with Nd:YAG laser therapy, reduction of obstruction and palliation of symptoms in patients with completely or partially obstructing endobronchial nonsmall cell lung cancer (NSCLC), and the treatment of microinvasive endobronchial NSCLC in patients for whom surgery and radiotherapy are not indicated. The cytotoxic and antitumor actions of Porfimer are light and oxygen dependent. Tumor selectivity in treatment occurs through a combination of selective retention of Porfimer and selective delivery of light.
Mechanism Of Action Cellular damage caused by Porfimer is a consequence of the propagation of radical reactions. Radical initiation may occur after Porfimer absorbs light to form a porphyrin excited state. Spin transfer from Porfimer to molecular oxygen may then generate singlet oxygen. Subsequent radical reactions can form superoxide and hydroxyl radicals. Tumor death also occurs through ischemic necrosis secondary to vascular occlusion that appears to be partly mediated by thromboxane A2 release.
Porfimer News
(When available)

Surgery and Photodynamic Therapy in Treating Patients With ...  May 12, 2006
Patients receive porfimer sodium IV over 5-10 minutes on day 1. Patients undergo pleurectomy or pleuropneumonectomy followed by intracavitary photodynamic ... - Community Dispatch (press release)

Dosage Forms POWDER FOR SOLUTION
Drug_Category Dermatologic Agents; Antivirals; Antineoplastic Agents; ATC:L01XD01
Absorption Not Available
Interactions Interactions for Porfimer:

There have been no formal interaction studies of PHOTOFRIN® and any other drugs. However, it is possible that concomitant use of other photosensitizing agents (e.g., tetracyclines, sulfonamides, phenothiazines, sulfonylurea hypoglycemia agents, thiazide diuretics, and griseofulvin) could increase the photosensitivity reaction.

PHOTOFRIN® PDT causes direct intracellular damage by initiating radical chain reactions that damage intracellular membranes and mitochondria. Tissue damage also results from ischemia secondary to vasoconstriction, platelet activation and aggregation and clotting. Research in animals and in cell culture has suggested that many drugs could influence the effects of PDT, possible examples of which are described below. There are no human data that support or rebut these possibilities.

Compounds that quench active oxygen species or scavenge radicals, such as dimethyl sufloxide, b-carotene, ethanol, formate and mannitol would be expected to decrease PDT activity. Preclinical data also suggest that tissue ischemia, allopurinol, calcium channel blockers and some prostaglandin synthesis inhibitors could interfere with PHOTOFRIN® PDT. Drugs that decrease clotting, vasoconstriction or platelet aggregation, e.g., thromboxane A2 inhibitors, could decrease the efficacy of PDT. Glucocorticoid hormones given before or concomitant with PDT may decrease the efficacy of the treatment.

Toxicity Not Available
Organisms Affected Not Available
Chemical IUPAC Name Not Available
Chemical Formula C68H74N8O11
Molecular Weight 1179.36 g/mol
Smiles String CC1=C(C2=CC3=NC(=CC4=NC(=CC5=C(C(=C(N5)C=C1N2)C(C)OC(C)C6=C(C7=CC8=C(C(=C(N8)C=C9C(=C(C(=N9)C=C1C(=C(C(=N1)C=C6N7)C)CCC(=O)O)CCC(=O)O)C)C)C(C)O)C)C)C(=C4CCC(=O)O)C)C(=C3C)CCC(=O)O)C(C)O
Melting Point Not Available
Water Solubility Not Available
State Solid
LogP/Hphobicity 5.127
Isoelectric Point Not Available
Biotransformation Not Available
Half Life 10-452 hours
Protein Binding [%] ~90%
RxList Link RXlist
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Drug Reference http://www.drugs.com/cons/Porfimer.html
http://www.rxlist.com/cgi/generic3/photofrin.htm
Drug Type Approved Drug
Accession No APRD00078
CAS Registry Number 87806-31-3
KEGG Compound ID Not Available
PubChem ID SID:194300
PharmGKB ID PA10327
SwissProt ID Not Available
GenBank ID Not Available
Drug ID Number [DIN] 2019876

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