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
-

211At-BC8-B10 Followed by Donor Stem Cell Transplant in Treating Patients With Relapsed or Refractory High-Risk Acute Leukemia or Myelodysplastic Syndrome

Phase 1
Suspended
Conditions
Acute Myeloid Leukemia Arising From Previous Myelodysplastic Syndrome
Recurrent Acute Lymphoblastic Leukemia
Refractory Acute Myeloid Leukemia
Refractory Mixed Phenotype Acute Leukemia
Acute Myeloid Leukemia in Remission
Recurrent Acute Myeloid Leukemia
Acute Lymphoblastic Leukemia in Remission
Myelodysplastic Syndrome With Excess Blasts
Chronic Myelomonocytic Leukemia
Refractory Acute Lymphoblastic Leukemia
Interventions
Biological: Astatine At 211 Anti-CD45 Monoclonal Antibody BC8-B10
Drug: Cyclophosphamide
Radiation: Total-Body Irradiation
Procedure: Peripheral Blood Stem Cell Transplantation
Procedure: Bone Marrow Transplantation
Drug: Mycophenolate Mofetil
Biological: Recombinant Granulocyte Colony-Stimulating Factor
Drug: Fludarabine Phosphate
Drug: Tacrolimus
Procedure: Bone Marrow Aspiration and Biopsy
Procedure: Biospecimen Collection
First Posted Date
2018-09-14
Last Posted Date
2024-05-10
Lead Sponsor
Fred Hutchinson Cancer Center
Target Recruit Count
30
Registration Number
NCT03670966
Locations
🇺🇸

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

Dose-escalation, Dose-expansion Study of Safety of Azer-cel (PBCAR0191) in Patients with R/r NHL and R/r B-cell ALL

Phase 1
Recruiting
Conditions
B-cell Acute Lymphoblastic Leukemia
Non-Hodgkin Lymphoma
Interventions
First Posted Date
2018-09-11
Last Posted Date
2024-12-16
Lead Sponsor
Imugene Limited
Target Recruit Count
129
Registration Number
NCT03666000
Locations
🇺🇸

Banner MD Anderson Cancer Center, Gilbert, Arizona, United States

🇺🇸

City of Hope, Duarte, California, United States

🇺🇸

H. Lee Moffitt Cancer Center, Tampa, Florida, United States

and more 18 locations

Immunotherapy for the Treatment of Advanced Solid Tumor

Phase 1
Recruiting
Conditions
Recurrence Tumor
Metastatic Cancer
Solid Tumor
Interventions
First Posted Date
2018-09-05
Last Posted Date
2024-08-13
Lead Sponsor
Tongji Hospital
Target Recruit Count
40
Registration Number
NCT03658785
Locations
🇨🇳

Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China

IRX-2, Cyclophosphamide, and Nivolumab in Treating Patients With Recurrent or Metastatic and Refractory Liver Cancer

Phase 1
Active, not recruiting
Conditions
Recurrent Hepatocellular Carcinoma
Refractory Liver Carcinoma
Stage IVA Hepatocellular Carcinoma AJCC v8
Stage IV Hepatocellular Carcinoma AJCC v8
Stage IVB Hepatocellular Carcinoma AJCC v8
Interventions
Drug: Cyclophosphamide
Biological: Cytokine-based Biologic Agent IRX-2
Biological: Nivolumab
First Posted Date
2018-08-31
Last Posted Date
2024-01-30
Lead Sponsor
City of Hope Medical Center
Target Recruit Count
8
Registration Number
NCT03655002
Locations
🇺🇸

HonorHealth Research Institute, Scottsdale, Arizona, United States

🇺🇸

City of Hope Medical Center, Duarte, California, United States

🇺🇸

Texas Oncology at Baylor Charles A Sammons Cancer Center, Dallas, Texas, United States

Improved Post-Transplant Cyclophosphamide Regimens for Pediatric Patients With Refractory AML

Phase 2
Conditions
Hematopoietic System--Cancer
Interventions
First Posted Date
2018-08-31
Last Posted Date
2018-08-31
Lead Sponsor
Capital Research Institute of Pediatrics
Target Recruit Count
100
Registration Number
NCT03654703
Locations
🇨🇳

Yan Yue, Beijing, Chaoyang District, China

Liver Transplantation With Tregs at UCSF

Phase 1
Terminated
Conditions
Liver Transplant
Interventions
Biological: arTreg
Procedure: leukapheresis
Drug: cyclophosphamide
Drug: mesna
Drug: everolimus
First Posted Date
2018-08-31
Last Posted Date
2024-04-23
Lead Sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Target Recruit Count
42
Registration Number
NCT03654040
Locations
🇺🇸

University of California, San Francisco, San Francisco, California, United States

QUILT-3.091 NANT Chordoma Vaccine vs Radiation in Subjects With Unresectable Chordoma.

Phase 1
Withdrawn
Conditions
Chordoma
Unresectable Malignant Neoplasm
Interventions
Biological: Aldoxorubicin Hydrochloride
Radiation: SBRT
Biological: ALT-803
Biological: ETBX-051
Biological: ETBX-061
Biological: GI-6301
Biological: haNK
Drug: Avelumab
Drug: Cetuximab
Drug: Cyclophosphamide
First Posted Date
2018-08-27
Last Posted Date
2021-03-19
Lead Sponsor
ImmunityBio, Inc.
Registration Number
NCT03647423
Locations
🇺🇸

Chan Soon-Shiong Institute for Medicine, El Segundo, California, United States

Treatment Protocol for Children and Adolescents With Acute Lymphoblastic Leukemia - AIEOP-BFM ALL 2017

First Posted Date
2018-08-22
Last Posted Date
2023-11-29
Lead Sponsor
Martin Schrappe
Target Recruit Count
5000
Registration Number
NCT03643276
Locations
🇮🇹

AOUC Policlinico Bari, Bari, Italy

🇮🇹

A.O. Papa Giovanni XXIII, Bergamo, Italy

🇮🇹

S.O. Annunziata - A. O. Cosenza, Cosenza, Italy

and more 111 locations

Autologous Stem Cell Transplantation in Patients With Systemic Sclerosis

Phase 2
Recruiting
Conditions
Diffuse Sclerosis Systemic
Interstitial Lung Disease
Pulmonary Hypertension
Systemic Sclerosis
Interventions
Drug: Cyclophosphamide
Drug: Mesna
Drug: Rituximab
Drug: Alemtuzumab
Drug: Thiotepa
Drug: GM-CSF
Drug: Intravenous immunoglobulin
Radiation: Total Body Irradiation
Drug: Anti Thymocyte Globulin
First Posted Date
2018-08-14
Last Posted Date
2024-08-09
Lead Sponsor
Paul Szabolcs
Target Recruit Count
8
Registration Number
NCT03630211
Locations
🇺🇸

University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States

🇺🇸

Children's Hospital of Pittsburgh of UPMC, Pittsburgh, Pennsylvania, United States

Cytokine-Treated Veto Cells in Treating Patients With Hematologic Malignancies Following Stem Cell Transplant

Phase 1
Recruiting
Conditions
Aplastic Anemia
Chronic Myelogenous Leukemia, BCR-ABL1 Positive
Mantle Cell Lymphoma
Plasma Cell Myeloma
Chronic Lymphocytic Leukemia
Myelodysplastic Syndrome
Myeloproliferative Neoplasm
Bone Marrow Failure
Follicular Lymphoma
Hodgkin Lymphoma
Interventions
Biological: Anti-Thymocyte Globulin
Drug: Cyclophosphamide
Biological: Cytokine-treated Veto Cells
Drug: Fludarabine
Procedure: Peripheral Blood Stem Cell Transplantation
Radiation: Total-Body Irradiation
First Posted Date
2018-08-09
Last Posted Date
2024-08-02
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
24
Registration Number
NCT03622788
Locations
🇺🇸

M D Anderson Cancer Center, Houston, Texas, United States

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