Mr. Ibrahem/Chlorambucil
Clinical data
Trade namesLeukeran, others
AHFS/Drugs.comMonograph
MedlinePlusa682899
Routes of
administration
By mouth
Drug classAlkylating agent[1]
Legal status
Legal status
  • In general: ℞ (Prescription only)
Pharmacokinetic data
Bioavailability?
MetabolismLiver
Elimination half-life1.5 hours
ExcretionN/A
Identifiers
  • 4-[bis(2-chlorethyl)amino]benzenebutanoic acid
Chemical and physical data
FormulaC14H19Cl2NO2
Molar mass304.21 g·mol−1
3D model (JSmol)
  • c1cc(ccc1CCCC(=O)O)N(CCCl)CCCl
  • InChI=1S/C14H19Cl2NO2/c15-8-10-17(11-9-16)13-6-4-12(5-7-13)2-1-3-14(18)19/h4-7H,1-3,8-11H2,(H,18,19) checkY
  • Key:JCKYGMPEJWAADB-UHFFFAOYSA-N checkY
  (verify)

Chlorambucil, sold under the brand name Leukeran among others, is a chemotherapy medication used to treat chronic lymphocytic leukemia (CLL), Hodgkin lymphoma, and non-Hodgkin lymphoma.[2] For CLL it is a preferred treatment.[1] It is given by mouth.[1]

Common side effects include bone marrow suppression.[1] Other serious side effects include an increased long term risk of further cancer, infertility, and allergic reactions.[1] Use during pregnancy often results in harm to the baby.[1] Chlorambucil is in the alkylating agent family of medications.[1] It works by blocking the formation of DNA and RNA.[1]

Chlorambucil was approved for medical use in the United States in 1957.[1] It is on the World Health Organization's List of Essential Medicines.[4] The wholesale cost in the developing world is about US$111.87 per month.[5] In the United Kingdom it costs the NHS about £145.84 per month.[6] It was originally made from nitrogen mustard.[1]

References

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  1. ^ a b c d e f g h i j k "Chlorambucil". The American Society of Health-System Pharmacists. Archived from the original on 21 December 2016. Retrieved 8 December 2016.
  2. ^ a b "Chlorambucil". National Cancer Institute. 17 September 2014. Archived from the original on 21 December 2016. Retrieved 19 December 2016.
  3. ^ Cite error: The named reference who was invoked but never defined (see the help page).
  4. ^ World Health Organization (2019). World Health Organization model list of essential medicines: 21st list 2019. Geneva: World Health Organization. hdl:10665/325771. WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO.
  5. ^ "Chlorambucil". International Drug Price Indicator Guide. Archived from the original on 29 March 2019. Retrieved 8 December 2016.
  6. ^ British national formulary : BNF 69 (69 ed.). British Medical Association. 2015. p. 580. ISBN 9780857111562.