Regulatory PathRegulatory requirements compared

Active substance

Dactinomycin

Open in the medicines table

US FDA United States — FDA approvals (Drugs@FDA)

ProductStrengthForm · routeApplicantStatusFirst approved
DACTINOMYCIN0.5MG/VIALinjectable · injectionEUGIA PHARMAPrescription9 Nov 2017
DACTINOMYCIN0.5MG/VIALinjectable · injectionXGEN PHARMSPrescription20 May 2019
DACTINOMYCIN0.5MG/VIALinjectable · injectionHISUN PHARM HANGZHOUPrescription16 Jul 2019
DACTINOMYCIN0.5MG/VIALinjectable · injectionMEITHEALPrescription13 Nov 2020
COSMEGEN0.5MG/VIAL **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**injectable · injectionRECORDATI RAREDiscontinued10 Dec 1964
DACTINOMYCIN0.5MG/VIALinjectable · injectionHIKMA PHARMSDiscontinued16 Mar 2010
DACTINOMYCIN0.5MG/VIALinjectable · injectionAM REGENTDiscontinued23 Aug 2013

Canada Canada — marketed products (Health Canada)

BrandDINStrengthForm · routeCompany
COSMEGEN002130710.5 MG / VIALPOWDER FOR SOLUTION · INTRAVENOUSRECORDATI RARE DISEASES CANADA INC

WHO WHO Model List of Essential Medicines (2025)

  • 8.2.1. Cytotoxic medicines · complementary
    Rhabdomyosarcoma primary site; Malignant trophoblastic neoplasms of placenta; Ewing sarcoma of bone or articular cartilage of unspecified sites; Malignant neoplasms of kidney, except renal pelvis
    Parenteral > General injections > IV: 500 µg in vial powder for injection

Safety signals and safety-related labeling changes

  • US FDA 15 Aug 2018 COSMEGEN — safety-related labeling change
    Labeling sections changed: Warnings and Precautions; Adverse Reactions; Use in Specific Populations; Patient Counseling Information / Patient Information / Medication Guide

All safety entries for dactinomycin →

Values as published by each source: SFDA human drug list (4-2026, as published by the Council of Health Insurance; indications from the CHI Daman Drug Formulary), Drugs@FDA, EMA medicines data, Health Canada Drug Product Database (Open Government Licence – Canada), CMS NADAC, NHS Drug Tariff Part VIIIA (NHSBSA Copyright, Open Government Licence v3.0), WHO Model List of Essential Medicines (CC BY 3.0 IGO; regrouped by active substance, not created by WHO), EMA PRAC, US FDA safety-related labeling changes and MHRA Drug Safety Update (Open Government Licence v3.0). Sources and reuse. Not a substitute for the official registers or the product information.