Platinum Cancer Drugs
Also called platinum salts or metal salts. These are alkylating agents. Cisplatin is one of the most widely used chemotherapy medicines, so ubiquitous that it earned the nickname “the penicillin of cancer”. Carboplatin is considered a second-generation platinum agent, designed to have less severe side effects. Oxaliplatin is sometimes called a third-generation agent, although some classify it as a second-generation agent. These drugs are cell-cycle non-specific and have biochemical activity no matter which reproductive phase the cell is in.
Cisplatin
Brand/Trade Names: Platinol, Cisplatinum, cis-diamminedichloroplatinum(II)
Manufacturers: Hospira, Tecoland, Laboratorium Ofichem B.V., Johnson Matthey, Teva Pharmaceuticals
Formula: H6Cl2N2Pt
Mechanism: Alkylating
Class: Platinum salt
Administration: Intravenous
Notes: The “penicillin of cancer”. Approved by the FDA in 1978. One of the most widely used chemotherapy drugs. Formally approved for bladder cancer, testicular cancer, and ovarian cancer, but often used off-label.
Carboplatin
Brand/Trade Names: Paraplatin, cis-Diammine(1,1-cyclobutanedicarboxylato)platinum(II)
Manufacturers: Johnson Matthey, Teva Pharmaceuticals, Cipla, Degussa AG Werk Radebeul
Formula: C6H12N2O4Pt or C6H14N2O4Pt
Mechanism: Alkylating
Class: Platinum salt
Administration: Intravenous
Notes: Approved by the FDA in 1989. Used for ovarian cancer and many of the same cancers and in similar regimens to cisplatin.
Oxaliplatin
Brand/Trade Names: Eloxatin, [(1R,2R)-cyclohexane-1,2-diamine](ethanedioato-O,O’)platinum(II)
Manufacturers: Aspire Lifesciences Pvt Ltd Berr Chemical Company Ltd Biesterfeld Spezialchemie GmbH Biotechnica Pharma Global ChemGenix Laboratories Pvt Ltd
Formula: C8H14N2O4Pt
Mechanism: Alkylating
Class: Platinum salt
Administration: Intravenous
Notes: Approved by the FDA in 2004. Used for treatment of colorectal cancer.