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Table 1 Summary of FDA-approved chemotherapeutic agents investigated in current study by category and subcategory

From: Off-label use of cancer therapies in women diagnosed with breast cancer in the United States

Drug category

Drug name

Indicated for breast cancer

Labeled indications if not indicated for breast cancer (ICD-9 codes)

Initial FDA approval during study period

Alkylating agents

Carboplatin

 

183, 198.6

1989

 

Carmustine

 

191,200-202,203.0

1977

 

Chlorambucil

 

200-202,204.1,204.9

1957

 

Cisplatin

 

183,186,188,198.6

1978

 

Cyclophosphamide

Yes

 

1959

 

Dacarbazine

 

172,198.2, 201

1975

 

Ifosfamide

 

186

1988

 

Mechlorethamine

 

162.2-162.5,162.8,162.9,197.0,200,201,202.0

1949

   

202.1,202.8,204.1,205.1,208.1,238.4,511.9

 
 

Melphalan

 

183,1 198.6, 1203.0

1964

 

Oxaliplatin

 

153,154,197.5

August 2002

 

Streptozocin

 

157.4

1982

 

Thiotepa

Yes

 

1959

Antimetabolites

Azacitidine

 

205,280-285

May 2004

 

Capecitabine

Yes

 

1998

 

Cladribine

 

202.4

1993

 

Clofarabine

 

204.0,204.9

December 2004

 

Cytarabine

 

204.0, 204.9, 205.0, 205.1, 205.9

1969

 

Fludarabine

 

204.1, 204.9

1991

 

Fluorouracil

Yes

 

1962

 

Gemcitabine

Yes2

157.0-157.9, 162.2-162.5, 162.8, 162.9, 197.03

1996

 

Hydroxyurea

 

172.1-172.4, 173.1-173.4, 183, 195.0, 198.2, 198.6, 205.1, 205.9

1967

 

Mercaptopurine

 

204.0, 204.9

1953

 

Methotrexate

Yes

 

1953

 

Pemetrexed

 

162.2-162.5, 162.8, 162.9, 163, 197.0

February 2004

Anti-tumor antibiotics

Bleomycin

 

140-149, 160, 161, 180, 184, 186, 187, 195.0, 197.2, 198.82, 200–202, 511

1973

 

Dactinomycine

Yes4

 

1964

 

Daunorubicin

 

204.00-204.91, 205.00-205.21, 205.80-205.91, 208.00-208.01

1979

 

Doxorubicin

Yes

 

1974

 

Epirubicin

Yes

 

1974

 

Idarubicin

Yes

 

1999

 

Liposomal doxorubicin

 

205.0, 205.9

1990

 

Mitomycin-C

 

151, 157

1981

Topoisomerase inhibitors

Etoposide

 

162.2-162.5, 162.8, 162.9, 186, 197.0

1983

 

Irinotecan

 

153, 154, 197.5

1996

 

Mitoxantrone

 

185, 205–208, 340

1987

 

Topotecan

 

162.2-162.5, 162.8, 162.9, 180, 183,197.0, 198.6

1996

Anti-mitotic

Docetaxel

Yes

 

1996

 

Ixabepilone

Yes

 

October 2007

 

nab-Paclitaxel

Yes

 

January 2005

 

Paclitaxel

Yes

 

1992

 

Vinblastine

Yes

 

1965

 

Vincristine

 

171, 189.0, 189.9, 194.0, 194.9, 198.0, 200, 201, 202.0, 202.1, 202.8, 204.0, 204.9

1963

 

Vinorelbine

 

162.3-162.5, 162.8, 162.9

1994

  1. 1Indication for the oral formulation.
  2. 2FDA-approved for breast cancer on December 18, 2004.
  3. 3Indications approved by the FDA before December 18, 2004. Ovarian cancer only included after it was approved by the FDA on July 14 2006.
  4. 4Not breast cancer specifically but locoregional solid tumors.