MedPath

Cyclophosphamide

Generic Name
Cyclophosphamide
Brand Names
Procytox
Drug Type
Small Molecule
Chemical Formula
C7H15Cl2N2O2P
CAS Number
50-18-0
Unique Ingredient Identifier
6UXW23996M
Background

Precursor of an alkylating nitrogen mustard antineoplastic and immunosuppressive agent that must be activated in the liver to form the active aldophosphamide. It has been used in the treatment of lymphoma and leukemia. Its side effect, alopecia, has been used for defleecing sheep. Cyclophosphamide may also cause sterility, birth defects, mutations, and cancer.

Indication

Cyclophosphamide is indicated for the treatment of malignant lymphomas, multiple myeloma, leukemias, mycosis fungoides (advanced disease), neuroblastoma (disseminated disease), adenocarcinoma of the ovary, retinoblastoma, and carcinoma of the breast. It is also indicated for the treatment of biopsy-proven minimal change nephrotic syndrome in pediatric patients.

Associated Conditions
Acute Lymphoblastic Leukaemias (ALL), Acute Myeloid Leukemia, Acute monocytic leukemia, Adenocarcinoma of the Ovaries, Breast Cancer, Burkitt Lymphoma, Chronic Lymphocytic Leukemia, Chronic Myelogenous Leukemia (CML), Hodgkins Disease (HD), Lung Cancer, Lupus, Lymphocytic Lymphomas, Lymphoma, Multiple Myeloma (MM), Multiple Sclerosis, Nephrotic syndrome with lesion of minimal change glomerulonephritis, Non-Hodgkin's Lymphoma (NHL), Retinoblastoma, Advanced Alibert-Bazin syndrome, Chronic Granulocytic Leukemias, Disseminated Neuroblastoma (NB), Histiocytic lymphoma, Mixed-cell type lymphoma
Associated Therapies
-

Safety and Efficacy of Axicabtagene Ciloleucel in Combination With Rituximab in Participants With Refractory Large B-Cell Lymphoma

Phase 2
Completed
Conditions
Refractory Large B-cell Lymphoma
Interventions
First Posted Date
2019-06-28
Last Posted Date
2024-02-20
Lead Sponsor
Kite, A Gilead Company
Target Recruit Count
27
Registration Number
NCT04002401
Locations
🇺🇸

Swedish Cancer Institute, Seattle, Washington, United States

🇺🇸

Vanderbilt University Medical Center, Nashville, Tennessee, United States

🇺🇸

John Theurer Cancer Center at Hackensack University Medical Center, Hackensack, New Jersey, United States

and more 11 locations

Descartes-11 in Multiple Myeloma

Phase 1
Terminated
Conditions
Multiple Myeloma
Interventions
First Posted Date
2019-06-21
Last Posted Date
2024-10-01
Lead Sponsor
Cartesian Therapeutics
Target Recruit Count
25
Registration Number
NCT03994705
Locations
🇺🇸

Center for Cancer and Blood Disorders, Bethesda, Maryland, United States

🇺🇸

Medical College of Wisconsin, Madison, Wisconsin, United States

Adoptive Transfer Of Autologous Tumor-Infiltrating Lymphocytes in Solid Tumors

Phase 1
Terminated
Conditions
Solid Tumor, Adult
Interventions
First Posted Date
2019-06-20
Last Posted Date
2021-03-18
Lead Sponsor
Centre Hospitalier Universitaire Vaudois
Target Recruit Count
6
Registration Number
NCT03992326
Locations
🇨🇭

CHUV Oncology Department, Lausanne, Vaud, Switzerland

Inotuzumab Ozogamicin and Chemotherapy in Treating Patients With Recurrent or Refractory B-cell Acute Lymphoblastic Leukemia

Phase 1
Completed
Conditions
Recurrent B Acute Lymphoblastic Leukemia
Refractory B Lymphoblastic Lymphoma
Recurrent B Lymphoblastic Lymphoma
Refractory B Acute Lymphoblastic Leukemia
Interventions
First Posted Date
2019-06-19
Last Posted Date
2023-07-06
Lead Sponsor
University of Washington
Target Recruit Count
24
Registration Number
NCT03991884
Locations
🇺🇸

Fred Hutch/University of Washington Cancer Consortium, Seattle, Washington, United States

Testing the Addition of a New Anti-cancer Drug, Venetoclax, to Usual Chemotherapy for High Grade B-cell Lymphomas

Phase 2
Active, not recruiting
Conditions
Diffuse Large B-Cell Lymphoma, Not Otherwise Specified
Diffuse Large B-Cell Lymphoma
Double-Expressor Lymphoma
EBV-Positive Diffuse Large B-Cell Lymphoma, Not Otherwise Specified
High Grade B-Cell Lymphoma With MYC and BCL2 or BCL6 Rearrangements
High Grade B-Cell Lymphoma, Not Otherwise Specified
Neoplastic Cells With Double Expression of MYC and BCL2 Proteins Present
Transformed Indolent B-Cell Non-Hodgkin Lymphoma to Diffuse Large B-Cell Lymphoma
Interventions
Procedure: Biospecimen Collection
Procedure: Bone Marrow Biopsy
Procedure: Computed Tomography
Drug: Cyclophosphamide
Drug: Doxorubicin Hydrochloride
Drug: Etoposide
Procedure: Lumbar Puncture
Procedure: Positron Emission Tomography
Drug: Prednisone
Biological: Rituximab
Drug: Vincristine Sulfate
Drug: Venetoclax
First Posted Date
2019-06-13
Last Posted Date
2024-12-27
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
363
Registration Number
NCT03984448
Locations
🇺🇸

Saint Anthony Hospital, Lakewood, Colorado, United States

🇺🇸

Rocky Mountain Cancer Centers-Littleton, Littleton, Colorado, United States

🇺🇸

Littleton Adventist Hospital, Littleton, Colorado, United States

and more 633 locations

BCD Regimen in Newly Diagnosed Idiopathic Multicentric Castleman's Disease (iMCD)

Phase 2
Conditions
Idiopathic Multicentric Castleman's Disease
Interventions
First Posted Date
2019-06-12
Last Posted Date
2019-06-12
Lead Sponsor
Peking Union Medical College Hospital
Target Recruit Count
30
Registration Number
NCT03982771
Locations
🇨🇳

Peking Union Medical College Hospital, Beijing, Beijing, China

Optimizing PTCy Dose and Timing

Phase 1
Recruiting
Conditions
Hematologic Neoplasms
Graft Versus Host Disease
Interventions
First Posted Date
2019-06-12
Last Posted Date
2024-11-25
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
400
Registration Number
NCT03983850
Locations
🇺🇸

National Institutes of Health Clinical Center, Bethesda, Maryland, United States

Graft Versus Host Disease-Reduction Strategies for Donor Blood Stem Cell Transplant Patients With Acute Leukemia or Myelodysplastic Syndrome (MDS)

Phase 2
Recruiting
Conditions
Acute Leukemia
Acute Lymphoblastic Leukemia
Acute Myeloid Leukemia
Myelodysplastic Syndrome
Myeloproliferative Neoplasm
Interventions
Radiation: Total-Body Irradiation
Drug: Thiotepa
Drug: Fludarabine
Drug: Cyclophosphamide
Biological: Peripheral Blood Stem Cell
Drug: Tacrolimus
Biological: Allogeneic CD34+-enriched and CD45RA-depleted PBSCs
Drug: Methotrexate
Drug: Cyclosporine
Drug: Busulfan
Drug: Sirolimus
Procedure: Bone Marrow Aspiration and Biopsy
Procedure: Echocardiography
Procedure: Multigated Acquisition Scan
Procedure: Biospecimen Collection
First Posted Date
2019-05-31
Last Posted Date
2024-08-22
Lead Sponsor
Fred Hutchinson Cancer Center
Target Recruit Count
120
Registration Number
NCT03970096
Locations
🇺🇸

University of Pittsburgh Cancer Institute (UPCI), Pittsburgh, Pennsylvania, United States

🇺🇸

Moffitt Cancer Center, Tampa, Florida, United States

🇺🇸

Fred Hutch/University of Washington Cancer Consortium, Seattle, Washington, United States

Master Protocol to Assess the Safety and Antitumor Activity of Genetically Engineered T Cells in NY-ESO-1 and/or LAGE-1a Positive Solid Tumors

Phase 2
Active, not recruiting
Conditions
Neoplasms
Interventions
Drug: Letetresgene autoleucel (lete-cel, GSK3377794)
Drug: Fludarabine
Drug: Cyclophosphamide
First Posted Date
2019-05-30
Last Posted Date
2024-10-11
Lead Sponsor
Adaptimmune
Target Recruit Count
103
Registration Number
NCT03967223
Locations
🇪🇸

Hospital Virgen Del Rocio, Sevilla, Spain

🇺🇸

Stanford Hospital and Clinics, Stanford, California, United States

🇺🇸

Mayo Clinic Jacksonville, Jacksonville, Florida, United States

and more 34 locations

Inotuzumab Ozogamicin and Post-Induction Chemotherapy in Treating Patients With High-Risk B-ALL, Mixed Phenotype Acute Leukemia, and B-LLy

Phase 3
Recruiting
Conditions
Testicular Leukemia
B Lymphoblastic Lymphoma
B Acute Lymphoblastic Leukemia
Mixed Phenotype Acute Leukemia
Central Nervous System Leukemia
Interventions
Procedure: Biospecimen Collection
Procedure: Bone Marrow Aspiration
Procedure: Bone Marrow Biopsy
Drug: Calaspargase Pegol
Procedure: Bone Scan
Drug: Cyclophosphamide
Procedure: Computed Tomography
Drug: Daunorubicin Hydrochloride
Drug: Dexamethasone
Drug: Cytarabine
Drug: Doxorubicin Hydrochloride
Drug: Leucovorin Calcium
Biological: Inotuzumab Ozogamicin
Drug: Mercaptopurine
Drug: Methotrexate
Drug: Pegaspargase
Procedure: Magnetic Resonance Imaging
Drug: Prednisolone
Other: Questionnaire Administration
Radiation: Radiation Therapy
Procedure: Positron Emission Tomography
Drug: Thioguanine
Drug: Vincristine Sulfate
First Posted Date
2019-05-22
Last Posted Date
2024-12-04
Lead Sponsor
Children's Oncology Group
Target Recruit Count
4997
Registration Number
NCT03959085
Locations
🇺🇸

Henry Ford Health Saint John Hospital, Detroit, Michigan, United States

🇺🇸

Michigan State University Clinical Center, East Lansing, Michigan, United States

🇺🇸

Corewell Health Grand Rapids Hospitals - Helen DeVos Children's Hospital, Grand Rapids, Michigan, United States

and more 225 locations
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