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

Melphalan Hikma

Active Ingredient:
Melphalan
Origin:
EU

Melphalan Hikma (Melphalan)

Melphalan, the active ingredient in Melphalan Hikma, is an alkylating agent presented as a sterile powder for intravenous use. It is employed in the treatment of several cancers, including multiple myeloma, ovarian cancer, melanoma, neuroblastoma, and other solid tumors in adult patients.

GNH India supplies Melphalan Hikma as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, and pharmacies worldwide. The company adheres to stringent quality standards and provides regulatory documentation to support import and clinical use, through a reliable cold‑chain logistics network.

Manufacturer / TM Owner

Hikma Farmacêutica (Portugal), S.A.

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Indications & Clinical Uses

Melphalan is an alkylating antineoplastic agent used to treat a range of solid tumors and hematologic malignancies.

  • Multiple myeloma: induces remission and prolongs survival by eradicating malignant plasma cells.
  • Ovarian cancer: reduces tumor burden and improves response to subsequent therapies.
  • Melanoma: provides cytotoxic activity against metastatic lesions.
  • Neuroblastoma: contributes to disease control in high‑risk pediatric patients.
  • Other solid tumors: offers therapeutic benefit in various refractory cancers.

How It Works

  • Melphalan exerts its antineoplastic effect by acting as an alkylating agent that forms covalent cross‑links between DNA strands. The interstrand bonds prevent DNA unwinding and replication, leading to inhibition of cell division and ultimately apoptosis of rapidly proliferating cancer cells. Its activity is not dependent on specific receptors, making it effective across diverse tumor types. The alkylation preferentially affects cells with high mitotic rates, contributing to its selective toxicity.

Side Effects

Melphalan may cause a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Nausea and vomiting
  • Decreased blood cell counts (myelosuppression)
  • Fatigue
  • Alopecia (hair loss)

Serious or Rare Side Effects

  • Secondary malignancies (e.g., leukemia)
  • Pulmonary toxicity (interstitial pneumonitis)
  • Severe infections due to neutropenia

Precautions & Warnings

When using Melphalan, clinicians should observe several precautionary measures to minimize risks and ensure safe administration.

  • Monitor blood counts: perform regular complete blood count tests to detect myelosuppression.
  • Assess renal function: adjust therapy in patients with impaired kidney function.
  • Evaluate hepatic function: consider liver status before dosing.
  • Avoid use in patients with known hypersensitivity to melphalan or related compounds.
  • Use effective contraception: teratogenic potential requires reliable birth control for both sexes.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Melphalan can interact with other medicines, altering its efficacy or toxicity profile.

Major Interactions (Avoid)

  • Concurrent use with other alkylating agents: increases risk of severe myelosuppression.
  • Live vaccines: immunosuppression may lead to uncontrolled infection.
  • Strong CYP450 inducers (e.g., rifampin): may reduce melphalan exposure.

Moderate Interactions (Monitor Closely)

  • Nephrotoxic drugs (e.g., cisplatin): monitor renal function closely.
  • Hepatotoxic agents (e.g., azole antifungals): watch for liver enzyme elevations.
  • Anticoagulants (e.g., warfarin): increased bleeding risk may require dose adjustment.

Frequently Asked Questions

Melphalan Hikma is indicated for the treatment of multiple myeloma, ovarian cancer, melanoma, neuroblastoma, and a variety of other solid tumors. It is used in adult patients and, in some cases, pediatric patients with high‑risk disease, as part of a broader oncologic regimen.

Melphalan acts as an alkylating agent that creates covalent cross‑links between DNA strands. These cross‑links block DNA replication and transcription, leading to cell‑cycle arrest and apoptosis of rapidly dividing cancer cells. Its mechanism is independent of specific cell‑surface receptors, allowing activity across many tumor types.

The dose of Melphalan Hikma is individualized by the prescribing oncologist based on the specific cancer indication, patient body surface area, renal and hepatic function, and prior treatment history. No fixed regimen is provided here; dosing decisions are made by qualified healthcare professionals.

Safety data for melphalan in pregnancy and lactation are limited, and the drug is considered potentially teratogenic. It is generally contraindicated during pregnancy and should be avoided while breastfeeding. Women of child‑bearing potential must use effective contraception throughout treatment and for a defined period afterward.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity of Melphalan Hikma. 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 logistics if needed), and required import documentation.

Both melphalan and cyclophosphamide belong to the alkylating‑agent class, but melphalan is a nitrogen mustard derivative with a higher potency for cross‑linking DNA. Melphalan is often preferred for certain hematologic malignancies like multiple myeloma, whereas cyclophosphamide is more commonly used in breast cancer and lymphoma protocols. Their toxicity profiles differ, with melphalan showing greater myelosuppression.

Melphalan Hikma should be stored at 2‑8 °C (refrigerated). Keep the product in its original packaging, protect it from light, and avoid freezing or shaking the vial. Maintaining the cold‑chain ensures stability and potency until preparation for intravenous administration.

Melphalan Hikma is supplied as a sterile powder for reconstitution and is administered intravenously. The reconstituted solution is infused over a period determined by the treating physician, typically ranging from several minutes to a few hours, depending on the dose and clinical protocol.

The most serious risks include severe myelosuppression leading to life‑threatening infections, secondary malignancies such as therapy‑related leukemia, pulmonary toxicity (interstitial pneumonitis), and organ toxicity in patients with compromised renal or hepatic function. Close monitoring and supportive care are essential to mitigate these risks.

Melphalan Hikma is contraindicated in patients with known hypersensitivity to melphalan or other alkylating agents, in individuals who are pregnant or breastfeeding, and in patients with severe uncontrolled infections or organ dysfunction that would preclude safe administration. The prescribing clinician must evaluate each patient’s medical history before initiating therapy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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