Drugs / Dexrazoxane
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Dexrazoxane

Small molecule targets TOP2B

Developed for
chemotherapy-induced toxicity · congenital heart disease · diffuse large B-cell lymphoma · sarcoma · acute myocardial infarction · angiosarcoma · B-cell acute lymphoblastic leukemia · breast cancer
+13 more · cancer of unknown primary site · epithelioid sarcoma · fibrosarcoma · leiomyosarcoma · liposarcoma · malignant peripheral nerve sheath tumor · mixed phenotype acute leukemia · multiple sclerosis · myxofibrosarcoma · poisoning · synovial sarcoma · T-cell acute lymphoblastic leukemia · undifferentiated pleomorphic sarcoma
Investigated by
National Cancer Institute (NCI) · Children's Oncology Group · Valerio Therapeutics · Amsterdam UMC, location VUmc · Beth Israel Deaconess Medical Center · Boston Children's Hospital
+20 more · Children's Cancer Group · City of Hope Medical Center · Dana-Farber Cancer Institute · Dell Children's Medical Center of Central Texas · Fudan University · HOVON Foundation · Kissei Pharmaceutical Co., Ltd. · M.D. Anderson Cancer Center · Medical City Children's Hospital · Memorial Sloan Kettering Cancer Center · Mylan Pharmaceuticals Inc · National Heart, Lung, and Blood Institute (NHLBI) · PD Dr. Andrew Chan · Rohan Dharmakumar · The Dutch Network for Cardiovascular Research (WCN) · UMC Utrecht · Universita degli Studi di Milano-Bicocca · University of Arkansas · University of Texas at Austin · Washington University School of Medicine

Regulatory milestones approvals, filings & regulatory actions · 5 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Label expansion US (FDA) TOTECT — 2020-11-02 fda.gov ↗
Filed Japan (PMDA) — anthracycline extravasation tissue injury 2013-01-30

“アントラサイクリン系抗悪性腫瘍剤の静脈内投与時の血管外漏出による組織障害を治療する薬剤「デクスラゾキサン」(一般名)について、このたび製造販売承認申請を行いました” kissei.co.jp ↗

Approved EU (EMA) Savene — 2006-07-27 europa.eu ↗
Label expansion US (FDA) ZINECARD — 2002-10-31 fda.gov ↗
Approved US (FDA) ZINECARD — 1995-05-26 fda.gov ↗

Trials 23

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 15 trials
Phase 1 NCT03930680 Sep 2021 → Jun 2024 — University of Arkansas Completed No outcome recorded
Phase 1 NCT04997291 Apr → Oct 2021 congenital heart disease University of Texas at Austin Unknown No outcome recorded
Phase 1 NCT02519335 Sep 2014 → Mar 2017 congenital heart disease Medical City Children's Hospital Terminated No outcome recorded
Phase 1 NCT00039481 Nov 2002 → Oct 2005 chemotherapy-induced toxicity, childhood malignant neoplasm National Cancer Institute (NCI) Completed No outcome recorded
Phase 1 NCT00550901 Feb 2001 → Jul 2007 cancer of unknown primary site City of Hope Medical Center Completed No outcome recorded
Phase 1/21 trial
Phase 1/2 NCT01596088 ? → Jan 2014 chemotherapy-induced toxicity Kissei Pharmaceutical Co., Ltd. Completed No outcome recorded
Phase 28 trials
Phase 2 NCT07654426 Oct 2026 → Dec 2030 expected chemotherapy-induced toxicity, diffuse large B-cell lymphoma Beth Israel Deaconess Medical Center Not yet recruiting No outcome recorded
Phase 2 NCT07502521 Aug 2025 → Feb 2026 acute myocardial infarction Rohan Dharmakumar Completed No outcome recorded
Phase 2 NCT03589729 Sep 2018 → Dec 2027 expected Philadelphia-positive myelogenous leukemia, blast phase chronic myelogenous leukemia, BCR-ABL1 positive, myelodysplastic syndrome, myeloid sarcoma M.D. Anderson Cancer Center Recruiting No outcome recorded
Phase 2 NCT02584309 Feb 2016 → Jul 2022 angiosarcoma, epithelioid sarcoma, fibrosarcoma, leiomyosarcoma +5 Washington University School of Medicine Completed No outcome recorded
Phase 2 NCT01627938 Apr 2012 → Apr 2015 multiple sclerosis PD Dr. Andrew Chan Unknown No outcome recorded
Phase 2 NCT00955890 Jun 2009 → Feb 2012 breast cancer Fudan University Terminated No outcome recorded Stop: Enrollment
Phase 2 NCT00003667 Sep 1998 → Aug 2000 sarcoma Memorial Sloan Kettering Cancer Center Completed No outcome recorded
Phase 2 NCT00001335 Apr 1993 → Jan 2002 Ewing sarcoma, neuroblastoma, rhabdomyosarcoma National Cancer Institute (NCI) Completed No outcome recorded
Phase 2/32 trials
Phase 2/3 NCT00548704 Apr 2002 → Aug 2005 — Valerio Therapeutics Completed No outcome recorded
Phase 2/3 NCT00548561 Jun 2001 → Jul 2003 chemotherapy-induced toxicity Valerio Therapeutics Completed No outcome recorded
Phase 37 trials · 1 met primary
Phase 3 NCT06220032 Aug 2024 → Dec 2028 expected diffuse large B-cell lymphoma HOVON Foundation Recruiting No outcome recorded
Phase 3 NCT03007147 Aug 2017 → Jun 2026 overdue B-cell acute lymphoblastic leukemia, T-cell acute lymphoblastic leukemia, mixed phenotype acute leukemia Children's Oncology Group Active not recruiting No outcome recorded
Phase 3 NCT00016276 May 2001 → Mar 2005 female breast carcinoma, inflammatory breast carcinoma, poisoning National Cancer Institute (NCI) Terminated No outcome recorded
Phase 3 NCT00003937 Sep 1999 → Mar 2004 chemotherapy-induced toxicity, sarcoma Children's Oncology Group Completed No outcome recorded
Phase 3 NCT00005578 Mar 1997 → Oct 2004 chemotherapy-induced toxicity, lymphoma Children's Oncology Group Completed No outcome recorded
Phase 3 NCT00002827 Oct 1996 → Oct 2004 chemotherapy-induced toxicity, lymphoma Children's Oncology Group Completed No outcome recorded
Phase 3 NCT00165087 Jan 1996 → Sep 2006 childhood acute lymphoblastic leukemia Dana-Farber Cancer Institute Terminated Met primary
Comparator or background therapy32 trials
Phase 1 NCT05858710 Background Apr 2023 → Jan 2025 soft tissue sarcoma Thermosome GmbH Completed No outcome recorded
Phase 1 NCT05292664 Background Mar 2023 → Jul 2028 expected acute leukemia of ambiguous lineage, acute lymphoblastic leukemia, lymphoblastic lymphoma, myelodysplastic syndrome +1 Andrew E. Place, MD Recruiting No outcome recorded
Phase 1 NCT01606878 Background Apr 2013 → Dec 2018 anaplastic large cell lymphoma, childhood malignant neoplasm, neuroblastoma Children's Oncology Group Completed No outcome recorded
Phase 1 NCT01523977 Background Nov 2011 → Jan 2017 acute lymphoblastic leukemia Dana-Farber Cancer Institute Completed No outcome recorded
Phase 1 NCT01258634 Background Jul 2010 → Nov 2011 osteosarcoma, respiratory system cancer University of Chicago Terminated No outcome recorded Stop: Enrollment

News releases announcing trial results or a regulatory action · 2

DateIssuerRelease
2014-01-17 Kissei Pharmaceutical Co., Ltd. Regulatory アントラサイクリン系抗悪性腫瘍剤の血管外漏出治療薬 「サビーン®点滴静注用500mg」 製造販売承認取得のお知らせ kissei.co.jp ↗
キッセイ薬品工業株式会社(本社:長野県松本市、代表取締役社長:神澤陸雄)は、本日、アントラサイクリン系抗悪性腫瘍剤の血管外漏出による組織障害を抑制する治療薬「サビーン ® 点滴静注用500mg」(一般名:デクスラゾキサン、以下本剤)の製造販売承認を取得しましたのでお知らせ致します。
2013-01-30 Kissei Pharmaceutical Co., Ltd. Regulatory アントラサイクリン系抗悪性腫瘍剤血管外漏出治療剤「デクスラゾキサン」 国内における製造販売承認申請のお知らせ kissei.co.jp ↗
キッセイ薬品工業株式会社(本社:長野県松本市、代表取締役社長:神澤陸雄)は、アントラサイクリン系抗悪性腫瘍剤の静脈内投与時の血管外漏出による組織障害を治療する薬剤「デクスラゾキサン」(一般名)について、このたび製造販売承認申請を行いましたのでお知らせ致します。

Evidence & citations 23 cited values

Every value below carries the sentence it was read from. 58 sources stand behind the page.

FieldValueCited text
Known as Dexrazoxane “* Dexrazoxane: administered at a dose of 10:1, before doxorubicin only in adults.” NCT01696669 ↗
44

“(Dexrazoxane : 300 mg/m2/dose Day 1 and 2, where is available)” NCT04478292 ↗

“Dexrazoxane 900 mg/m\^2 IV (30 minutes prior to doxorubicin)” NCT00038142 ↗

NCT07654426 ↗

NCT04997291 ↗

NCT07502521 ↗

NCT01871766 ↗

NCT01231906 ↗

NCT00003937 ↗

NCT00980460 ↗

NCT03020030 ↗

Show 34 more sources

Known as ADR-529 ClinicalTrials.gov intervention name — accepted as the source's own label NCT00001335 ↗
Known as ADR-529 HYDROCHLORIDE ChEMBL registry synonym — accepted as the source's own label CHEMBL1738 ↗
Known as Cardioxan ChEMBL registry synonym — accepted as the source's own label CHEMBL1738 ↗
Known as Cardioxane ChEMBL registry synonym — accepted as the source's own label CHEMBL1738 ↗
Known as Cardioxane (Dexrazoxane) “Cardioxane® (Dexrazoxane)” NCT01627938 ↗
Known as Dexrazoxane for Injection “Dexrazoxane for Injection” NCT00955890 ↗
Known as Dexrazoxane hcl ChEMBL registry synonym — accepted as the source's own label CHEMBL1738 ↗
Known as Dexrazoxane hydrochloride “doxorubicin hydrochloride and dexrazoxane hydrochloride IV continuously over 96 hours.” NCT00544778 ↗
13

“dexrazoxane hydrochloride IV continuously over 96 hours beginning on day 1” NCT00550901 ↗

“Drug: Dexrazoxane hydrochloride” NCT00955890 ↗

“Drug: dexrazoxane hydrochloride” NCT00003937 ↗

“Drug: dexrazoxane hydrochloride” NCT00077285 ↗

“Drug: dexrazoxane hydrochloride” NCT00002827 ↗

NCT00742924 ↗

NCT03589729 ↗

NCT00334867 ↗

NCT01230983 ↗

NCT00016276 ↗

Show 3 more sources

Known as dexrazoxane injection “dexrazoxane injection” NCT00955890 ↗
Known as Dexrazoxano ChEMBL registry synonym — accepted as the source's own label CHEMBL1738 ↗
Known as ICRF-187 ChEMBL registry synonym — accepted as the source's own label CHEMBL1738 ↗
Known as ICRF-187 HYDROCHLORIDE ChEMBL registry synonym — accepted as the source's own label CHEMBL1738 ↗
Known as KDX-0811 “A Phase I/II Study of KDX-0811(Dexrazoxane) in the Treatment of Accidental Extravasation of Anthracycline Anti-cancer Agents” NCT01596088 ↗
Known as NSC-169780 ChEMBL registry synonym — accepted as the source's own label CHEMBL1738 ↗
Known as Savene “BACKGROUND: The purpose of this study was to assess the efficacy and tolerability of i.v. dexrazoxane [Savene (EU), Totect (US)] as acute antidote in biopsy-verified...” PMID 17185744 ↗ Dec 2006
Known as Topotect “A Clinical Trial on Topotect® (Dexrazoxane) in the Treatment of Accidental Extravasation of Anthracyclines” NCT00548704 ↗
Known as Totect “BACKGROUND: The purpose of this study was to assess the efficacy and tolerability of i.v. dexrazoxane [Savene (EU), Totect (US)] as acute antidote in biopsy-verified...” PMID 17185744 ↗ Dec 2006
Known as Zinecard ClinicalTrials.gov intervention name — accepted as the source's own label NCT00410488 ↗
Action Inhibit “Topoisomerase II Inhibitor” NCT07654426 ↗
Modality Small molecule — CHEMBL1738 ↗
Route Intravenous “Given IV” NCT00002827 ↗
Target TOP2B “dexrazoxane is also a catalytic inhibitor of topoisomerase 2b (Top2b), a key mediator of doxorubicin toxicity.” PMID 40317097 ↗ May 2025