Drug

D0029 | Cisplatin

Molecular Formula Cl2H4N2Pt
Molecular Weight 298
Structure
State solid
Clearance * 15-16 L/h/m^2 [total body clearance, 7-hour infusion of 100 mg/m^2] * 62 mL/min/m^2 [renal clearance, 2-hour infusion of 100 mg/m^2] * 50 mL/min/m^2 [renal clearance, 6- to 7-hour infusion of 100 mg/m^2] The renal clearance of free (ultrafilterable) platinum also exceeds the glomerular filtration rate indicating that cisplatin or other platinum-containing molecules are actively secreted by the kidneys. The renal clearance of free platinum is nonlinear and variable and is dependent on dose, urine flow rate, and individual variability in the extent of active secretion and possible tubular reabsorption.
Volume of distribution Volume of distribution at steady state = 11-12 L/m^2
Route of elimination The parent compound, cisplatin, is excreted in the urine. Although small amounts of platinum are present in the bile and large intestine after administration of cisplatin, the fecal excretion of platinum appears to be insignificant.
Protein binding Cisplatin does not undergo instantaneous and reversible binding to plasma protein that is characteristic of normal drug-protein binding. However, the platinum itself is capable of binding to plasma proteins, including albumin, transferrin, and gamma globulin. Three hours after a bolus injection and two hours after the end of a three-hour infusion, 90% of the plasma platinum is protein bound.
Half life Cisplatin decays monoexponentially with a half life of 20 to 30 minutes following administrations of 50 or 100 mg/m^2. Cisplatin has a plasma half-life of 30 minutes. The complexes between albumin and the platinum from cisplatin do not dissociate to a significant extent and are slowly eliminated with a minimum half-life of five days or more.
Absorption Following cisplatin doses of 20 to 120 mg/m^2, the concentrations of platinum are highest in liver, prostate, and kidney; somewhat lower in bladder, muscle, testicle, pancreas, and spleen; and lowest in bowel, adrenal, heart, lung, cerebrum, and cerebellum. Platinum is present in tissues for as long as 180 days after the last administration.
Trade names Platinol
Description Anticaner; platinum-based chemotherapy drug

L

L01XA01 Cisplatin


[L01XA] Platinum compounds


[L01X] OTHER ANTINEOPLASTIC AGENTS


[L01] ANTINEOPLASTIC AGENTS


[L] Antineoplastic and immunomodulating agents


Toxicity Dose Time Species Model Method Action Positive criterion Reference
TRANSMEMBRANE POTENTIAL 1 or 3 hr Ishikawa and Caco-2 JC-10 fluorescent dye decrease 299
PERMEABILIZATION U2OS release of Smac m cherry(IMS-RP probe is a non-functional variant of mitochondrial protein Smac - mCherry fusion protein that acts as an indicator of mitochondrial permeabilization in live cells) induce 313
ATP TURNOVER decrease 307
GLUCOSE GALACTOSE IC50 RATIO 1 LUHMES (Lund human mesencephalic) cells Glc–Gal–NeuriTox assay Negative EC25(NA) [Glc/Gal] 326
SHAPE 197
MITOCHONDRIAL DYNAMICS 3 mg/kg bodyweight twice a week for 2 weeks Mouse Mouse tibial nerves and dorsal root ganglia (L1–L4) 247
ROS PRODUCTION 84.96 ± 3, 158.9 ± 8.2, 372.7 ± 17.5 and 499.5 ± 15.1 μM 24 hr Ishikawa, MDA-MB-231, PC-3 and Caco-2 Intracellular ROS (a) and mitochondrial superoxide were measured by fluorescence intensity of H2DCFDA and MitoSOX respectively. increase IC50 299
ROS PRODUCTION 150 µM 24hr U2OS U2OS cells stably expressing mt-roGFP and HyPer-red targeted at mitochondria increase 313
ROS PRODUCTION Increase 307
MITOCHONDRIAL DNA METABOLIC PROCESS 24 hr Caco-2 and Ishikawa cells Relative quantification of mtDNA copy number was measured using the QuantiTect SYBR Green PCR kit decrease 299
MITOCHONDRIAL DNA DAMAGE Increase 307
APOPTOSIS 24 hr Ishikawa and Caco-2 WB was performed to measure the BCL-XL and released cytochrome c proteins from mitochondria; Caspase-3/7 activity was measured using the Caspase-Glo 3/7 reagent from the ApoTox-Glo Triplex Assay kit induce 299

Target Dose Time Species Model Method Action Positive criterion Reference
Reactive oxygen species increase 307

Organism Test type Route Dose (normalized dose) Effect Source
guinea pig LD50 intraperitoneal 9700ug/kg (9.7mg/kg) sense organs and special senses: change in acuity: ear Toxicology and Applied Pharmacology. Vol. 33, Pg. 320, 1975.
dog LDLo intravenous 2500ug/kg (2.5mg/kg) Toxicology and Applied Pharmacology. Vol. 25, Pg. 230, 1973.
mouse LD50 intramuscular 17900ug/kg (17.9mg/kg) Yakuri to Chiryo. Pharmacology and Therapeutics. Vol. 10, Pg. 723, 1982.
human TDLo intravenous 1500ug/kg/6D- (1.5mg/kg) Cancer Chemotherapy Reports, Part 1. Vol. 57, Pg. 191, 1973.
human TDLo intravenous 500ug/kg/13D- (0.5mg/kg) Cancer Treatment Reports. Vol. 62, Pg. 693, 1978.
rat LD unreported > 5mg/kg (5mg/kg) kidney, ureter, and bladder: "changes in tubules (including acute renal failure, acute tubular necrosis)" Journal of Toxicological Sciences. Vol. 24, Pg. 337, 1999.
human TDLo intravenous 72mg/kg/25D-I (72mg/kg) gastrointestinal: nausea or vomiting Cancer Treatment Reports. Vol. 62, Pg. 1591, 1978.
mammal (species unspecified) LDLo intravenous 8mg/kg (8mg/kg) gastrointestinal: nausea or vomiting Yakuri to Chiryo. Pharmacology and Therapeutics. Vol. 28(4), Pg. 285, 2000.
mouse LD50 intravenous 11mg/kg (11mg/kg) Archives of Toxicology, Supplement. Vol. 7, Pg. 90, 1984.
mouse LD50 parenteral 22mg/kg (22mg/kg) International Journal of Radiation Oncology, Biology, Physics. Vol. 5, Pg. 1417, 1979.
rat LD50 oral 25800ug/kg (25.8mg/kg) Yakuri to Chiryo. Pharmacology and Therapeutics. Vol. 10, Pg. 723, 1982.
man TDLo parenteral 2140ug/kg/5D- (2.14mg/kg) kidney, ureter, and bladder: "changes in tubules (including acute renal failure, acute tubular necrosis)" Nippon Naika Gakkai Zasshi. Journal of the Japanese Society of Internal Medicine. Vol. 72, Pg. 1426, 1983.
mouse LD50 intraperitoneal 6600ug/kg (6.6mg/kg) Journal of Medicinal Chemistry. Vol. 34, Pg. 414, 1991.
rat LD50 intramuscular 9200ug/kg (9.2mg/kg) Yakuri to Chiryo. Pharmacology and Therapeutics. Vol. 10, Pg. 723, 1982.
human TDLo intravenous 2500ug/kg (2.5mg/kg) Cancer Chemotherapy Reports, Part 1. Vol. 59, Pg. 647, 1975.
mouse LD50 subcutaneous 13mg/kg (13mg/kg) Journal de Pharmacie de Belgique. Vol. 41, Pg. 286, 1986.
mouse LD50 unreported 10900ug/kg (10.9mg/kg) Gan to Kagaku Ryoho. Cancer and Chemotherapy. Vol. 13, Pg. 280, 1986.
rat LD50 intraperitoneal 6400ug/kg (6.4mg/kg) Journal of Toxicological Sciences. Vol. 18, Pg. 31, 1993.
child TDLo unreported 19200ug/kg/12 (19.2mg/kg) sense organs and special senses: change in acuity: ear Journal of Pediatrics. Vol. 103, Pg. 1006, 1983.
frog LD50 parenteral 17mg/kg (17mg/kg) Journal of Comparative Pathology. Vol. 103, Pg. 387, 1990.
mouse LD50 oral 32700ug/kg (32.7mg/kg) Kiso to Rinsho. Clinical Report. Vol. 15, Pg. 5669, 1981.
monkey LDLo intravenous 250ug/kg (0.25mg/kg) Cancer Vol. 33, Pg. 1219, 1974.
human TDLo intradermal 40ng/kg (0.00004mg/kg) Cancer Research. Vol. 35, Pg. 2766, 1975.
man TDLo intravenous 2140ug/kg/5D- (2.14mg/kg) kidney, ureter, and bladder: "changes in tubules (including acute renal failure, acute tubular necrosis)" Japanese Journal of Medicine. Vol. 23, Pg. 283, 1984.
rat LD50 subcutaneous 8100ug/kg (8.1mg/kg) Kiso to Rinsho. Clinical Report. Vol. 15, Pg. 5669, 1981.
mouse LD50 intraperitoneal 27mg/kg (27mg/kg) Chemico-Biological Interactions. Vol. 5, Pg. 415, 1972.
rat LD50 intravenous 8mg/kg (8mg/kg) kidney, ureter, and bladder: other changes JNCI, Journal of the National Cancer Institute. Vol. 67, Pg. 201, 1981.

  • Adrenal gland cancer

  • Anal cancer

  • Bladder transitional cell carcinoma

  • Brain neoplasm malignant

  • Breast cancer

  • Cervix carcinoma

  • Choriocarcinoma

  • Endometrial cancer

  • Gestational trophoblastic tumour

  • Hepatic cancer

  • Hodgkin's disease

  • Hodgkin's disease lymphocyte depletion type stage unspecified

  • Hodgkin's disease lymphocyte predominance type stage unspecified

  • Hypocalcaemia

  • Hypomagnesaemia

  • Lung neoplasm malignant

  • Lymphoma

  • Malignant melanoma

  • Mesothelioma

  • Neoplasm

  • Neutropenia

  • Non-Hodgkin's lymphoma

  • Oesophageal carcinoma

  • Osteosarcoma

  • Ovarian neoplasm

  • Penile cancer

  • Prostate cancer

  • Renal cancer

  • Renal failure

  • Renal impairment

  • Sarcoma

  • Squamous cell carcinoma

  • Testicular neoplasm

  • Ototoxicity (0.31)

  • Tinnitus (0.09)

  • AB00642613-02 AB00642613_03 AC-2109
    AKOS025401526 BCP9000536 BDBM50028111
    BRD-K69172251-001-01-4 CAS-15663-27-1 CS-1122
    Cisplatin(cis-Diammenedichloroplatinum) DB00515 DSSTox_CID_4983
    DSSTox_GSID_24983 DSSTox_RID_77611 DTXSID4024983
    FT-0082333 FT-0623946 HMS3268F06
    HMS3654E14 HY-17394 NCGC00090759-01
    NCGC00090759-02 NCGC00090759-03 NCGC00260049-01
    NCGC00263537-01 NSC-131558 NSC-241517
    NSC131558 NSC241517 Neuro_000055
    Platinum (II) complex Platinum(IV) Complex Platinum, diamminedichloro-
    Pt(II) Complex Replaced CAS registry number(s): 14283-03-5 SW222225-1
    Tox21_111011 Tox21_111011_1 Tox21_113470
    Tox21_202500 camphorato platinum complex derivative cis-Diaminedichloroplatinum
    cis-Diammine-dichloroplatinum(II) cis-Diamminedichlorplatine cis-Dichlorodiamine platinum
    cis-Platinum diamminedichloride cis-Platinum(II) cis-diamminedichloroplatinum(II)(cis-DDP)
    cisplatin complex dichloromethanediamine(platinum complex) dichloroplatinumdiamine
    trans-Diaminedichloroplatinum trans-dichlorodiammineplatinum.(transplatin)

    DrugBank Name Cisplatin
    DrugBank DB00515
    CAS Number 14913-33-8, 15663-27-1, 26035-31-4
    PubChem Compound 2767
    KEGG Compound ID C06911
    KEGG Drug D00275
    PubChem.Substance 46504561
    ChEBI 27899
    PharmGKB PA449014
    ChemSpider 76401
    BindingDB 50028111.0
    TTD DAP000215
    Wikipedia Cisplatin
    HET CPT
    DPD 13121

    1. Vuda et al. (2016)
    2. LeDoux et al. 1992
    3. Meyer et al. (2017)
    4. Bobylev et al. (2017)
    5. Meyer et al. (2013)