Summary for Melphalan flufenamide

  • Trade Name: Pepaxto (Oncopeptides)
  • Indications: Relapsed or refractory multiple myeloma (in combination with dexamethasone)
  • Synonym: Melflufen
  • Class: Alkylating agent
  • Half-life: 70 minutes
  • FDA Approval Date: 02/26/2021
  • Clinically important, potentially hazardous interactions with:
    None known
  • Pregnancy: Based on its mechanism of action, melphalan flufenamide can cause fetal harm when administered to a pregnant woman. Advise pregnant women of the potential risk to a fetus

Prodrug of melphalan

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Page last updated 08/20/2025

Symbol key

Incidence - Help

<1% 1‑5% 5‑10% 10‑15% 15‑20% 20‑30% >30%

Seriousness - Help

Hospitalization possible
Life threatening
Fatal

Warnings in other populations - Help

BreastfeedingBreast feeding

GeriatricGeriatric

PediatricPediatric