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 (nitrogen mustard) presented as an injectable solution for intravenous use. It is employed in the treatment of certain hematologic and solid tumors, including multiple myeloma, ovarian cancer and melanoma, in adult patients and is administered under specialist supervision.

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 reliable logistics for global distribution.

Manufacturer / TM Owner

Hikma Farmacêutica (Portugal), S.A.

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Indications & Clinical Uses

Melphalan is an alkylating chemotherapy agent used in several malignancies that rely on DNA cross‑linking for therapeutic effect.

  • Multiple myeloma: reduces malignant plasma cell proliferation and improves survival outcomes.
  • Ovarian cancer: contributes to tumor cell kill as part of combination regimens.
  • Melanoma: provides cytotoxic activity in advanced disease settings.

How It Works

  • Melphalan exerts its antineoplastic activity by forming covalent bonds with nucleophilic sites on DNA, creating intra‑ and interstrand cross‑links. These cross‑links impede DNA replication and transcription, leading to cell cycle arrest and apoptosis in rapidly dividing tumor cells. The drug preferentially affects cells with limited DNA repair capacity, enhancing its cytotoxic selectivity. The resulting DNA damage triggers signaling pathways that culminate in programmed cell death, reinforcing the therapeutic impact against malignant clones.

Side Effects

Melphalan may cause a range of adverse reactions, varying from mild to severe, that require monitoring during therapy.

Common Side Effects

  • Nausea and vomiting: gastrointestinal upset commonly reported.
  • Myelosuppression: reduced blood cell counts causing anemia, neutropenia or thrombocytopenia.
  • Fatigue: generalized tiredness affecting daily activities.

Serious or Rare Side Effects

  • Secondary malignancies: risk of new cancers such as acute leukemia.
  • Severe infection: due to profound neutropenia and immune suppression.
  • Pulmonary toxicity: interstitial pneumonitis or fibrosis.

Precautions & Warnings

When using Melphalan, clinicians should observe specific precautions to minimize risks and ensure safe administration.

  • Baseline blood work: obtain complete blood count and renal function before initiating therapy.
  • Monitor hematology: perform regular CBCs to detect myelosuppression early.
  • Hydration: ensure adequate intravenous fluids to reduce renal toxicity.
  • Concomitant drugs: avoid concurrent use of other myelosuppressive agents unless clinically justified.
  • Pregnancy and lactation: contraindicated in pregnant or breastfeeding women due to teratogenic potential.
  • 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)

  • Live vaccines: immunosuppression may increase risk of infection from administered vaccines.
  • Highly nephrotoxic drugs: concurrent use can exacerbate renal impairment.

Moderate Interactions (Monitor Closely)

  • Anticoagulants: increased bleeding risk due to thrombocytopenia.
  • CYP450 inducers: may reduce melphalan plasma levels.
  • Other alkylating agents: additive myelosuppression.
  • Granulocyte colony‑stimulating factors: may mask bone marrow recovery.

Frequently Asked Questions

Melphalan Hikma is an intravenous chemotherapy product containing the alkylating agent melphalan. It is indicated for the treatment of certain cancers, specifically multiple myeloma, ovarian cancer and melanoma, where it helps to inhibit tumor cell growth by damaging DNA.

Melphalan works by forming covalent bonds with DNA, creating intra‑ and interstrand cross‑links. These cross‑links block DNA replication and transcription, leading to cell cycle arrest and programmed cell death, particularly in rapidly dividing cancer cells that have limited ability to repair DNA damage.

The dose of melphalan is individualized and set by the prescribing oncologist or hematologist. Dosage depends on factors such as the specific cancer being treated, patient weight, renal function, prior therapies, and overall health status. Only a qualified healthcare professional can determine the appropriate regimen.

Melphalan is classified as potentially teratogenic and is contraindicated during pregnancy. It can also be excreted in breast milk and may harm a nursing infant. Women who are pregnant, planning to become pregnant, or breastfeeding should avoid melphalan and discuss alternative options with their physician.

To order Melphalan Hikma, 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 required import documentation.

Melphalan belongs to the nitrogen‑mustard class of alkylating agents, sharing a DNA‑cross‑linking mechanism with drugs such as cyclophosphamide and chlorambucil. Compared with some newer targeted therapies, melphalan has a broader cytotoxic profile but may cause more pronounced myelosuppression. Choice of therapy depends on cancer type, prior treatment history and individual patient tolerance.

Melphalan Hikma should be stored at 2‑8 °C in a refrigerator, protected from light, and must not be frozen or shaken. The product should be kept in its original packaging until use, and handling should follow aseptic techniques to maintain sterility for intravenous administration.

Melphalan Hikma is administered as an intravenous infusion by a qualified healthcare professional. The infusion rate and duration are determined by the prescribing physician based on the treatment protocol. Administration is typically performed in a clinical setting where vital signs and blood counts can be monitored closely.

Serious risks associated with melphalan include secondary malignancies such as acute leukemia, severe infections due to profound neutropenia, and pulmonary toxicity like interstitial pneumonitis or fibrosis. Patients should be monitored regularly for signs of infection, respiratory symptoms, and changes in blood counts to detect these complications early.

Melphalan should not be used in patients with known hypersensitivity to melphalan or other nitrogen‑mustard agents, in pregnant or breastfeeding women, and in individuals with severe renal impairment unless dose adjustments are made. Caution is also advised for patients with active uncontrolled infections or significant bone‑marrow failure.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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