Melphalan

Brand name: Alkeran

B[HD]

Score B[HD] — Known Hepatotoxin (at high doses)

This drug is known or highly likely to cause idiosyncratic liver injury and has a characteristic signature.

Between 12 and 50 cases including small case series have been described in the medical literature.

[HD] High dose only — Liver injury occurs at high doses (e.g. overdose). Risk is lower at normal therapeutic doses.
Primary class Antineoplastic
Secondary class Leukemia, Lymphoma
FDA approval 1964