Mangafodipi (PledOx)

Supportive Care

US Experimental IV 3 Clinical Trials
Reactive oxygen species superoxide radicals

Description

Mangafodipir (mangafodipir trisodium) is a manganese-based chelate compound used as a supportive care agent to prevent oxaliplatin-induced peripheral neuropathy in colorectal cancer patients receiving FOLFOX chemotherapy regimens. The drug serves as a neuroprotective agent specifically designed to reduce the neurotoxic side effects of oxaliplatin while preserving the chemotherapy's anti-cancer efficacy. Mangafodipir has been evaluated in both adjuvant and metastatic colorectal cancer settings as an adjunct to standard FOLFOX6 treatment protocols.

Mechanism of Action

Mangafodipir acts as a selective scavenger of reactive oxygen species and functions as a superoxide dismutase mimetic, particularly protecting neuronal tissues from oxidative damage. The compound preferentially accumulates in normal tissues rather than tumor cells, allowing it to provide neuroprotection without interfering with oxaliplatin's cytotoxic effects against cancer cells.

Molecular Targets

Side Effects

Flushing Facial warmth Metallic taste Mild hypotension Injection site reactions Nausea Headache Dizziness

Not all side effects are listed. Side effects vary by individual. Always consult your oncologist.

Clinical Trials

NCT04034355 Phase 3
Archived
Preventive Treatment of OxaLiplatin Induced peripherAl neuRopathy in Adjuvant Colorectal Cancer
Belgium, Czechia, France, Germany, Italy, Japan, South Korea, Spain, Taiwan, Uni
NCT03654729 Phase 3
Archived
Preventive Treatment of Oxaliplatin Induced Peripheral Neuropathy in Metastatic Colorectal Cancer (POLAR-M)
United States, Belgium, Czechia, France, Germany, Hong Kong, Hungary, Italy, Jap
NCT00671996 Phase 2
Archived
Mangafodipir as an Adjunct to FOLFOX6 Chemotherapy in Colon Cancer Stage Dukes' C
Sweden