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Dexrazoxane

Dexrazoxane

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Substance Overview and History

Dexrazoxane is a cardioprotective drug used to reduce heart damage caused by anthracycline chemotherapy, which treats various cancers. In adults, evidence supports its ability to prevent or reduce clinical heart failure, with studies showing a significant reduction in cardiac damage risks. Importantly, dexrazoxane does not negatively affect overall survival (OS), progression-free survival (PFS), or tumor response rates in adults. For children, its benefits are less consistent. While one study indicated reduced cardiac risks, others showed no significant difference. However, concerns about an increased risk of secondary cancers in pediatric cases highlight the need for careful risk assessment and more high-quality research.

References:

Cochrane Database Syst Rev. (2022): Dexrazoxane for preventing or reducing cardiotoxicity in adults and children with cancer receiving anthracyclines Cochrane Database of Systematic Reviews.

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FAQ
What is Dexrazoxane used for?
Dexrazoxane is used to prevent or reduce heart damage (cardiotoxicity) caused by anthracycline chemotherapy in cancer patients.
References:

Cochrane Database Syst Rev. (2022): Dexrazoxane for preventing or reducing cardiotoxicity in adults and children with cancer receiving anthracyclines Cochrane Database of Systematic Reviews.

How does Dexrazoxane work?
It protects the heart by chelating iron, which reduces free radical formation and minimizes oxidative damage to cardiac tissue during chemotherapy.
References:

Cochrane Database Syst Rev. (2022): Dexrazoxane for preventing or reducing cardiotoxicity in adults and children with cancer receiving anthracyclines Cochrane Database of Systematic Reviews.

Is Dexrazoxane effective in adults?
Yes, studies show it significantly reduces the risk of clinical heart failure in adults undergoing anthracycline treatment without affecting survival or tumor response rates.
References:

Cochrane Database Syst Rev. (2022): Dexrazoxane for preventing or reducing cardiotoxicity in adults and children with cancer receiving anthracyclines Cochrane Database of Systematic Reviews.