Nexara Health — Health Canada Drug Establishment Licence #3-002896

COSMEGEN 0.5 MG

Last verified 2026-09-08 · Source: Health Canada Drug Product Database (DPD), DIN 00213071

COSMEGEN 0.5 MG

DACTINOMYCIN : 0.5 MG · DIN 00213071 · RECORDATI RARE DISEASES CANADA INC

Health Canada status: MARKETED

What is COSMEGEN?

COSMEGEN 0.5 MG contains DACTINOMYCIN : 0.5 MG. It is listed in the Health Canada Drug Product Database under DIN 00213071, held by RECORDATI RARE DISEASES CANADA INC, supplied as POWDER FOR SOLUTION for INTRAVENOUS administration. Health Canada currently lists it as marketed, status dated 01-Dec-2019. Nexara Health is a licensed Canadian wholesale distributor (DEL 3-002896-A) and can source this product for hospitals, pharmacies and clinics. Availability and lead time are confirmed per order.

What is COSMEGEN used for?

Gestational trophoblastic neoplasia, Wilms’ tumor, childhood rhabdomyosarcoma, and Ewing’s sarcoma.

Authorized indication as written in the Health Canada product monograph. For healthcare professionals and licensed purchasers; this is not medical advice.

Product details and regulatory record

DIN00213071
Brand nameCOSMEGEN
Generic / active ingredientDACTINOMYCIN : 0.5 MG
ManufacturerRECORDATI RARE DISEASES CANADA INC
Strength0.5 MG
Dosage formPOWDER FOR SOLUTION
Route of administrationINTRAVENOUS
SchedulePrescription
ATC codeL01DA01 DACTINOMYCIN
AHFS class10:00.00
BiosimilarNo
Health Canada statusMARKETED
Status date01-Dec-2019
Original market date1963-12-31 00:00:00

How is it administered?

IV only. Dosage varies by indication; max 15 mcg/kg or 400-600 mcg/m2/day for 5 days per 2-week cycle. Calculate based on lean body mass for obese/edematous patients.

Included because it drives pack selection and wastage. Consult the monograph.

How is it stored and handled?

Store at 15-30°C (implied by standard lyophilized powder handling, though specific range not explicitly in text, the monograph refers to ambient room temperature for dilutions).

How is it supplied?

Vials containing 0.5 mg (500 micrograms) of dactinomycin and 20.0 mg of mannitol.

Contraindications

Hypersensitivity to dactinomycin; administration at or about the time of infection with chicken pox or herpes zoster due to risk of severe generalized disease or death.

Warnings and precautions

Highly toxic, myelosuppressive, and a potent vesicant. Risk of veno-occlusive disease (primarily hepatic), especially in children <48 months. Carcinogenic and mutagenic.

Who else supplies DACTINOMYCIN worldwide?

Nexara tracks national medicine registries and published price lists across multiple markets. DACTINOMYCIN appears in 3 registered pack listings across 3 markets, published on 3 different national price bases. Where a Canadian route is closed, that is where an alternative route of supply starts — subject to the import rules in both countries.

Registered listings are not stock. Ask us to confirm what can actually be sourced for your order.

How can I get it?

Nexara Health supplies this product to licensed Canadian buyers — pharmacies, hospitals, clinics, licensed distributors, and clinical trial sponsors or their CROs. We confirm stock, pack size, expiry and pricing at the time of quotation. If the product is on backorder or in shortage, we identify equivalent alternatives and import options where permitted.

Request a quote for COSMEGEN

Ordering questions

Who can buy this from Nexara?

Licensed entities only. Nexara holds Health Canada establishment licence DEL 3-002896-A and ships only to a licensed address.

Is there a minimum order?

Yes, set per product line and per pack multiple rather than on the order total, so you are never asked to buy a part-pack. The minimum for this line is confirmed with your quote.

What is the lead time?

Confirmed per order at quotation, and it depends on current stock position and whether the product is in shortage.

Can Nexara supply this for a clinical trial?

Yes — comparator and background-therapy supply, including sourcing from other markets where a Canadian pack will not satisfy the protocol. Clinical trial supply.

Related pages

Sourcing this product