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
-

TCRαβ-depleted Progenitor Cell Graft With Additional Memory T-cell DLI, Plus Selected Use of Blinatumomab, in Naive T-cell Depleted Haploidentical Donor Hematopoietc Cell Transplantation for Hematologic Malignancies

Phase 2
Active, not recruiting
Conditions
Hodgkin Lymphoma
Acute Lymphoblastic Leukemia (ALL)
Acute Myeloid Leukemia (AML)
Myelodysplastic Syndromes (MDS)
NK-Cell Leukemia
Non Hodgkin Lymphoma (NHL)
Juvenile Myelomonocytic Leukemia (JMML)
Chronic Myeloid Leukemia (CML)
Interventions
Drug: Cyclophosphamide
Biological: Fludarabine
Drug: Thiotepa
Drug: Melphalan
Biological: G-csf
Drug: Mesna
Device: CliniMACS
Biological: ATG (rabbit)
Drug: Blinatumomab
Biological: TCRα/β+
Biological: CD19+
Biological: CD45RA-depleted DLI
First Posted Date
2019-02-21
Last Posted Date
2024-08-19
Lead Sponsor
St. Jude Children's Research Hospital
Target Recruit Count
140
Registration Number
NCT03849651
Locations
🇺🇸

St. Jude Children's Research Hospital, Memphis, Tennessee, United States

Vorinostat for Graft vs Host Disease Prevention in Children, Adolescents and Young Adults Undergoing Allogeneic Blood and Marrow Transplantation

Phase 1
Recruiting
Conditions
Hematologic Diseases
Chronic Myelogenous Leukemia, Accelerated Phase
Myelodysplastic Syndromes
Mantle Cell Lymphoma
Follicular Lymphoma
Diffuse Large B Cell Lymphoma
Graft Vs Host Disease
Acute Leukemia in Remission
Chronic Myelogenous Leukemia, Blastic Phase
Non Hodgkin Lymphoma
Interventions
First Posted Date
2019-02-15
Last Posted Date
2024-04-02
Lead Sponsor
University of Michigan Rogel Cancer Center
Target Recruit Count
49
Registration Number
NCT03842696
Locations
🇺🇸

Emory University, Atlanta, Georgia, United States

🇺🇸

University of Michigan Health System, Ann Arbor, Michigan, United States

🇺🇸

Vanderbilt-Ingram Cancer Center, Nashville, Tennessee, United States

and more 3 locations

FT500 as Monotherapy and in Combination With Immune Checkpoint Inhibitors in Subjects With Advanced Solid Tumors

Phase 1
Completed
Conditions
Cervical Cancer
Advanced Solid Tumors
EGFR Positive Solid Tumor
Hepatocellular Carcinoma
Renal Cell Carcinoma
NSCLC
Urothelial Carcinoma
Colorectal Cancer
Small Cell Lung Cancer
Melanoma
Interventions
First Posted Date
2019-02-15
Last Posted Date
2023-05-01
Lead Sponsor
Fate Therapeutics
Target Recruit Count
37
Registration Number
NCT03841110
Locations
🇺🇸

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

🇺🇸

University of Minnesota Masonic Cancer Center, Minneapolis, Minnesota, United States

🇺🇸

MD Anderson Cancer Center, Houston, Texas, United States

and more 1 locations

DLCL002 Protocol for Patients With High Risk Aggressive B-cell Lymphoma

Phase 2
Recruiting
Conditions
Diffuse Large B Cell Lymphoma
High-grade B-cell Lymphoma
Transformed Lymphoma
Interventions
First Posted Date
2019-02-12
Last Posted Date
2022-01-26
Lead Sponsor
Institute of Hematology & Blood Diseases Hospital, China
Target Recruit Count
118
Registration Number
NCT03837873
Locations
🇨🇳

the First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China

🇨🇳

Hunan Cancer Hospital, Changsha, Hunan, China

🇨🇳

the First Affiliated Hospital of Jilin University, Changchun, Jilin, China

and more 3 locations

Study of an Immunotherapeutic, DPX-Survivac, in Combination With Low Dose Cyclophosphamide & Pembrolizumab, in Subjects With Selected Advanced & Recurrent Solid Tumors

Phase 2
Active, not recruiting
Conditions
Hepatocellular Carcinoma
Bladder Cancer
Microsatellite Instability-High
Ovarian Cancer
Non-small Cell Lung Cancer
Interventions
First Posted Date
2019-02-11
Last Posted Date
2022-03-31
Lead Sponsor
ImmunoVaccine Technologies, Inc. (IMV Inc.)
Target Recruit Count
184
Registration Number
NCT03836352
Locations
🇺🇸

Boca Raton Regional Hospital, Lynn Cancer Institute, Boca Raton, Florida, United States

🇨🇦

William Osler Health System, Brampton, Ontario, Canada

🇨🇦

Sunnybrook Research Institute, Toronto, Ontario, Canada

and more 20 locations

Autologous Transplant To End NMO Spectrum Disorder

Phase 2
Withdrawn
Conditions
Neuromyelitis Optica
Devic's Disease
NMO Spectrum Disorder
Interventions
First Posted Date
2019-02-04
Last Posted Date
2019-11-20
Lead Sponsor
Northwestern University
Registration Number
NCT03829566
Locations
🇺🇸

Northwestern University, Chicago, Illinois, United States

🇺🇸

Northwestern University, Feinberg School of Medicine, Chicago, Illinois, United States

A Comparison of Reduced Dose Total Body Irradiation (TBI) and Cyclophosphamide With Fludarabine and Melphalan Reduced Intensity Conditioning in Adults With Acute Lymphoblastic Leukaemia (ALL) in Complete Remission. (ALL-RIC)

Phase 2
Active, not recruiting
Conditions
Acute Lymphoblastic Leukemia
Interventions
First Posted Date
2019-01-30
Last Posted Date
2024-05-16
Lead Sponsor
University of Birmingham
Target Recruit Count
242
Registration Number
NCT03821610
Locations
🇬🇧

Cardiff and Vale University Health Board, Cardiff, United Kingdom

🇬🇧

The Clatterbridge Cancer Centre Nhs Foundation Trust, Liverpool, United Kingdom

🇬🇧

University Hospitals of Leicester Nhs Trust, Leicester, United Kingdom

and more 19 locations

An Open-Label, Single Arm Study of Obinutuzumab Short Duration Infusion in Patients With Previously Untreated Advanced Follicular Lymphoma

Phase 4
Completed
Conditions
Advanced Follicular Lymphoma
Interventions
First Posted Date
2019-01-28
Last Posted Date
2024-04-04
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
114
Registration Number
NCT03817853
Locations
🇳🇱

Albert Schweitzer Ziekenhuis - loc Dordrecht, Dordrecht, Netherlands

🇧🇷

NOHC - Núcleo de Oncologia e Hematologia do Ceará, Fortaleza, CE, Brazil

🇺🇸

San Juan Oncology Associates, Farmington, New Mexico, United States

and more 30 locations

Post Transplant Cyclophosphamide in Matched Unrelated Donor Stem Cell Transplantation for Hematological Malignancies

Phase 2
Recruiting
Conditions
Graft Versus Host Disease
Engraft Failure
Immunologic Suppression
Bone Marrow Transplant Complications
Infection Viral
Interventions
First Posted Date
2019-01-28
Last Posted Date
2019-02-01
Lead Sponsor
Hospital Israelita Albert Einstein
Target Recruit Count
50
Registration Number
NCT03818334
Locations
🇧🇷

Hospita Israelita Albert Eintein, São Paulo, SP, Brazil

The Fourth Generation CART-cell Therapy for Refractory-Relapsed Ovarian Cancer

Early Phase 1
Conditions
Ovarian Cancer
Interventions
Drug: anti- MESO CAR-T cells
Drug: Fludarabine
Drug: Cyclophosphamide
First Posted Date
2019-01-24
Last Posted Date
2021-08-10
Lead Sponsor
Shanghai 6th People's Hospital
Target Recruit Count
10
Registration Number
NCT03814447
Locations
🇨🇳

Shanghai 6th People's Hospital, Shanghai, Shanghai, China

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