56390-09-1 Usage
Description
Epirubicin hydrochloride is an antitumor antibiotic that is a stereoisomer of doxorubicin, differing at the 4'-position of the amino sugar moiety. It is an orange-red crystalline solid with the brand names Ellence (Pfizer) and FARMORUBICIN. Epirubicin hydrochloride has demonstrated utility in the treatment of various types of cancer, including mammary, gastric, colorectal, pulmonary, and ovarian carcinomas, as well as malignant lymphoma, melanoma, and soft tissue sarcoma. It is reported to be less cardiotoxic than doxorubicin.
Uses
Used in Oncology:
Epirubicin hydrochloride is used as a cell-permeable anthracycline anti-tumor antibiotic for the treatment of various cancers. It has shown high rates of complete or partial remission when used either alone or in combination therapies. The application reason is its cytotoxic effect on cancer cells, which is comparable to that of doxorubicin (ID50s = 9 μM for HeLa cells).
Epirubicin hydrochloride is used as an anticancer agent for the following cancers:
Mammary carcinoma
Gastric carcinoma
Colorectal carcinoma
Pulmonary carcinoma
Ovarian carcinoma
Malignant lymphoma
Melanoma
Soft tissue sarcoma
The application reason for its use in these cancers is its ability to partially detoxify dose-limiting side effects through β-glucuronidation, making it a less cardiotoxic alternative to doxorubicin. Additionally, epirubicin hydrochloride has demonstrated synergistic anticancer effects when combined with conventional chemotherapeutic drugs, enhancing chemo-sensitivity and efficacy in resistant cases.
Originator
Erbamont (Italy)
Biological Functions
This stereoisomer of doxorubicin has the 4′-hydroxy group of the daunosamine sugar oriented in the β-position . Epirubicin will be slowly reduced to the active C13 alcohol (epirubicinol), giving it a 30- to 38-hour half life, which is similar to that of doxorubicin. Unlike doxorubicinol, however, which was equally active with doxorubicin, epirubicinol has only one-tenth the activity of its parent drug and is not believed to contribute significantly to the therapeutic action of this agent.
Biological Activity
Antibiotic antitumor agent. Inhibits the synthesis and function of DNA (IC 50 = 62.7 μ M in rat glioblastoma cell lines) and inhibits the relaxing property of topoisomerase II.
Clinical Use
Epirubicin is indicated for use in breast cancer, and the starting dose is 100 to 120 mg/m2 (compared to a starting dose of 60–75 mg/m2 for doxorubicin).
Side effects
The side effects and precautions are as outlined previously for doxorubicin, although there is a lower risk of serious myocardial toxicity or myelotoxicity.
Drug interactions
Potentially hazardous interactions with other drugsAntipsychotics: avoid with clozapine - increased risk
of agranulocytosis.Ciclosporin: increased risk of neurotoxicityCytotoxics: possible increased risk of cardiotoxicity
with trastuzumab - avoid for up to 28 weeks after
stopping trastuzumab.Ulcer-healing drugs: concentration increased by
cimetidine. Vaccines: avoid with live vaccines
Metabolism
Cleavage of the epimerized sugar will occur before excretion, generating an aglycone that is indistinguishable from that generated by doxorubicin. Although excretion is primarily biliary, dosage reduction in severe renal impairment, as well as in hepatic dysfunction, is warranted.
References
1) Cersosimo?et al. (1986),?Epirubicin: a review of the pharmacology, clinical activity, and adverse effects of an adriamycin analogue; J. Clin. Oncol.,?4?425
2) Spadari?et al. (1986),?DNA polymerases and DNA topoisomerases as targets for the development of anticancer drugs; Anticancer Res.,?6?935
3) Minotti?et al. (2004),?Anthracyclines: molecular advances and pharmacologic developments in antitumor activity and cardiotoxicity; Pharmacol. Rev.,?56?185
4) Mercuro?et al. (2007),?Early epirubicin-induced myocardial dysfunction revealed by serial tissue Doppler echocardiography: correlation with inflammatory and oxidative stress markers; Oncologist,?12?1124
Check Digit Verification of cas no
The CAS Registry Mumber 56390-09-1 includes 8 digits separated into 3 groups by hyphens. The first part of the number,starting from the left, has 5 digits, 5,6,3,9 and 0 respectively; the second part has 2 digits, 0 and 9 respectively.
Calculate Digit Verification of CAS Registry Number 56390-09:
(7*5)+(6*6)+(5*3)+(4*9)+(3*0)+(2*0)+(1*9)=131
131 % 10 = 1
So 56390-09-1 is a valid CAS Registry Number.
InChI:InChI=1/C27H29NO11/c1-10-22(31)13(28)6-17(38-10)39-15-8-27(36,16(30)9-29)7-12-19(15)26(35)21-20(24(12)33)23(32)11-4-3-5-14(37-2)18(11)25(21)34/h3-5,10,13,15,17,22,29,31,33,35-36H,6-9,28H2,1-2H3/t10-,13-,15-,17+,22-,27-/m0/s1