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Methyl aminolevulinate

Methyl aminolevulinate (MAL) is a drug used as asensitizer inphotodynamic therapy. It is aprodrug that is metabolized toprotoporphyrin IX. It is marketed asMetvix.

Methyl aminolevulinate
Clinical data
AHFS/Drugs.comMultum Consumer Information
ATC code
Identifiers
  • Methyl 5-amino-4-oxopentanoate
CAS Number
PubChemCID
DrugBank
ChemSpider
UNII
ChEMBL
CompTox Dashboard(EPA)
Chemical and physical data
FormulaC6H11NO3
Molar mass145.158 g·mol−1
3D model (JSmol)
  • O=C(CC(N)C(=O)OC)C
  • InChI=1S/C6H11NO3/c1-4(8)3-5(7)6(9)10-2/h5H,3,7H2,1-2H3 checkY
  • Key:FLQHIIVXMKXKFT-UHFFFAOYSA-N checkY
 ☒NcheckY (what is this?)  (verify)

Metvix cream is applied topically and some time later the skin is illuminated with a proprietary red light (630 nm) source (medical lamp 'Aktilite') to activate the photosensitiser.

Metvix is developed byPhotocure andGalderma has bought all rights to Metvix.[1]

Approvals and indications

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Interim result of phototherapy foractinic keratosis with Metvix one week after exposure. Patient has light skin and blue eyes.

Methyl aminolevulinate is approved in New Zealand for treatment ofbasal cell carcinoma.[2]

It is now approved in many countries and has been used to treat non-melanomaskin cancer (includingbasal cell carcinoma).[3]

It has some advantages overLevulan.[4]

It has been reported as controversial in some quarters, with severe pain allegedly being experienced by some patients.[5]

References

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