Cisplatin is a chemotherapy drug which is used to treat cancers including: sarcoma, small cell lung cancer, germ cell tumors, lymphoma, and ovarian cancer. While it is often considered an alkylating agent, it contains no alkyls groups and does not instigate alkylating reactions, so it is properly designated as an alkylating-like drug. Cisplatin is platinum-based and was the first medicine developed in that drug class. Other drugs in this class include carboplatin, a drug with fewer and less severe side effects introduced in the 1980s, and oxaliplatin, a drug which is part of the FOLFOX treatment for colorectal cancer. The other names for cisplatin are DDP, cisplatinum, and cis-diamminedichloridoplatinum(II) (CDDP).
Cisplatin was actually first created in the mid 19th Century and is also known as Peyrone's chloride. (The disoverer was Michel Peyrone.) It wasn't until the 1960s that scientists started getting interested in its biological effects, and cisplatin went ito clinical trials for cancer therapy in 1971. By the late 1970s it was already widely used and is still used today despite the many newer chemotherapy drugs developed over the past decades.
Cisplatin is off-patent. That means no company has the exclusive right to its manufacture and any credible drug company can make it (subject to government-approved safety regulations.) Bristol-Myers Squibb settled with the Federal Trade Commission in 2003 over charges it engaged in anti-competitive practices to keep the price of cisplatin high.
The Chemical Abstract Registry (CAS) number is 15663-27-1.). The chemical forumla is Pt(NH3)2Cl2. Molecular weith is 300.045. Cisplatin is soluble in water and delivered to the body in aqueous form.
The way that cisplatin operates is by forming a platinum complex inside of a cell which binds to DNA and cross-links DNA. When DNA is cross-linked in this manner, it causes the cells to undergo apoptosis, or systematic cell death. One of the methods it uses causes apoptosis through cross-linking is by damaging the DNA so that the repair mechanisms for DNA are activated, and once the repair mechanisms are activated and the cells are found to not be salvageable, the death of those cells is triggered instead.
Cisplatin is frequently given as part of a combination chemotherapy regimen with other drugs. And even though it is an "old" drug as chemotherapy agents go (having been used for decades), it continues to find uses, especially as it is synergistic with other agents. For instance, a study recently showed the monoclonal antibody Erbitux (cetuximab) given with cisplatin is effective in patients with head and neck cancers.