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Library · Immune · Treatment of non-metastatic osteosarcoma

Mifamurtide

L-MTP-PE, Liposomal muramyl tripeptide phosphatidylethanolamine, CGP 19835

A synthetic analogue of muramyl dipeptide, a bacterial cell-wall fragment, that stimulates immune cells. Approved in Europe (Mepact) alongside chemotherapy after surgery for high-grade, non-metastatic osteosarcoma to lower recurrence risk.

Research score 85/100. Reference only, not a dose.

  • Immune Boosting
  • Anti-cancer
  • Anti-inflammatory
  • Inflammation Resolution
US status
FDA Approved
Approval
EMA Approved
Evidence
Approved in Europe/Israel (Mepact). Not FDA approved.
Research score
85 / 100
Indication
Multiple Approved Indications
Origin
USA
Source category
Immune System
Status group
Approved / prescription

Mechanism

Binds NOD2 on monocytes and macrophages, raising TNF-α, IL-1β, IL-6, and IL-12 output and boosting macrophage and dendritic-cell activity against tumor cells, including recruitment of immune cells to the tumor site.

Safety file

Flu-like symptoms such as fever, chills, and fatigue are frequent; GI upset occurs; severe allergic reactions are rare.

  • Fever
  • Chills
  • Fatigue
  • Headache
  • Nausea
  • Tachycardia
  • Hypotension
  • Muscle pain