Product image of Melphalan Aqvida (Melphalan) supplied by GNH India

Melphalan Aqvida

Active Ingredient:
Melphalan
Origin:
EU

Melphalan Aqvida (Melphalan)

Melphalan, the active ingredient in Melphalan Aqvida, is an alkylating agent presented as an intravenous solution for chemotherapy use. It is employed in the treatment of certain hematologic and solid tumours, particularly in patients with multiple myeloma, ovarian cancer or malignant melanoma.
GNH India supplies Melphalan Aqvida as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide.

Manufacturer / TM Owner

Aqvida Gmbh

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Indications & Clinical Uses

  • Melphalan Aqvida belongs to the alkylating antineoplastic class and is used in cancers that are responsive to DNA‑cross‑linking therapy.
  • Multiple myeloma: helps achieve disease control by reducing malignant plasma cell proliferation.
  • Ovarian cancer: contributes to tumour shrinkage and prolongs progression‑free survival when combined with other agents.
  • Malignant melanoma: provides cytotoxic activity against melanoma cells resistant to other chemotherapies.

How It Works

  • Melphalan exerts its antineoplastic effect by forming covalent cross‑links between guanine bases in DNA. These alkylated DNA lesions impede replication and transcription, ultimately triggering apoptosis in rapidly dividing cancer cells. The drug’s activity is not selective for a specific receptor but relies on its ability to damage cellular DNA, leading to cell death.

Side Effects

Melphalan may cause a range of adverse reactions that vary in frequency and severity.

Common Side Effects

  • Nausea and vomiting: gastrointestinal upset occurring shortly after infusion.
  • Alopecia: reversible hair loss affecting scalp and body hair.
  • Myelosuppression: decreased white blood cells, red cells and platelets.
  • Fatigue: generalized tiredness that may persist for days.

Serious or Rare Side Effects

  • Severe infection: due to profound neutropenia.
  • Secondary malignancies: rare development of new cancers after treatment.
  • Pulmonary toxicity: interstitial pneumonitis or fibrosis in rare cases.

Precautions & Warnings

  • When using Melphalan, clinicians should observe several safety measures.
  • Monitor blood counts: perform regular CBC to detect myelosuppression.
  • Assess renal function: adjust therapy if creatinine clearance is reduced.
  • Avoid in hypersensitivity: discontinue if allergic reactions occur.
  • Contraception advised: patients of child‑bearing potential should use effective birth control.
  • Dose adjustment in hepatic impairment: consider reduced dosing for liver dysfunction.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Melphalan can interact with other medicines, influencing its safety and efficacy.

Major Interactions (Avoid)

  • Concurrent alkylating agents: additive myelosuppression and organ toxicity.
  • Radiotherapy combined with melphalan: heightened tissue damage and delayed healing.

Moderate Interactions (Monitor Closely)

  • Azathioprine: increased risk of bone‑marrow suppression.
  • Live vaccines: potential for uncontrolled infection due to immunosuppression.
  • CYP450 inhibitors: may raise melphalan plasma levels, requiring closer monitoring.

Frequently Asked Questions

Melphalan Aqvida is an intravenous alkylating chemotherapy used to treat multiple myeloma, ovarian cancer and malignant melanoma. It works by damaging the DNA of cancer cells, helping to control disease progression in patients for whom these indications are appropriate.

Melphalan forms covalent bonds with guanine bases in DNA, creating cross‑links that block replication and transcription. This DNA damage triggers programmed cell death, especially in rapidly dividing tumor cells, providing its antineoplastic effect.

The dose of Melphalan Aqvida is individualized by the prescribing oncologist based on the specific cancer type, patient weight, renal function and treatment protocol. Only a qualified healthcare professional should determine the appropriate regimen.

Melphalan is classified as contraindicated in pregnancy because it can cause fetal harm. It is also not recommended while breastfeeding, as it may be excreted in milk and affect the infant. Women of child‑bearing potential should use effective contraception during treatment.

To request Melphalan Aqvida, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain if needed) and import documentation.

Melphalan shares the DNA‑cross‑linking mechanism common to alkylating agents but differs in its pharmacokinetic profile and approved indications. Compared with agents such as cyclophosphamide, melphalan is often preferred for multiple myeloma and certain solid tumours, though toxicity patterns and dosing schedules vary.

Melphalan Aqvida should be stored at 2‑8 °C, protected from light, and kept in its original container. Do not freeze or shake the solution. Before administration, inspect for particulate matter and ensure aseptic handling according to institutional guidelines.

Melphalan Aqvida is given by intravenous infusion under the supervision of a qualified healthcare professional. The infusion rate and duration are determined by the treatment protocol, and patients are monitored for infusion‑related reactions and vital signs throughout the procedure.

The most serious risks include severe myelosuppression leading to infection, anemia or bleeding, secondary malignancies, and pulmonary toxicity such as interstitial pneumonitis. Prompt recognition and management of these complications are essential during therapy.

Melphalan Aqvida is contraindicated in patients with known hypersensitivity to melphalan or related compounds, in those with severe bone‑marrow failure, and in pregnant or nursing women. Caution is also advised for individuals with significant renal or hepatic impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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