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
-

Combination Chemotherapy, Total Body Irradiation, and Donor Blood Stem Cell Transplant in Treating Patients With Primary or Secondary Myelofibrosis

Early Phase 1
Completed
Conditions
Primary Myelofibrosis
Secondary Myelofibrosis
Interventions
Drug: Cyclophosphamide
Biological: Filgrastim
Drug: Fludarabine Phosphate
Procedure: Hematopoietic Cell Transplantation
Drug: Melphalan
Drug: Mycophenolate Mofetil
Drug: Tacrolimus
Radiation: Total-Body Irradiation
First Posted Date
2018-02-08
Last Posted Date
2020-10-14
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
3
Registration Number
NCT03426969
Locations
🇺🇸

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

Donor Natural Killer Cells, Cyclophosphamide, and Etoposide in Treating Children and Young Adults With Relapsed or Refractory Solid Tumors

Phase 1
Recruiting
Conditions
Recurrent Malignant Skin Neoplasm
Recurrent Cutaneous Melanoma
Recurrent Malignant Female Reproductive System Neoplasm
Refractory Malignant Male Reproductive System Neoplasm
Refractory Malignant Oral Neoplasm
Recurrent Malignant Pharyngeal Neoplasm
Recurrent Malignant Soft Tissue Neoplasm
Recurrent Malignant Urinary System Neoplasm
Refractory Cutaneous Melanoma
Refractory Malignant Bone Neoplasm
Interventions
Biological: Cord Blood-derived Expanded Allogeneic Natural Killer Cells
Drug: Cyclophosphamide
Drug: Etoposide
First Posted Date
2018-02-05
Last Posted Date
2024-11-18
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
38
Registration Number
NCT03420963
Locations
🇺🇸

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

Administration of Autologous T-Cells Genetically Engineered to Express T-Cell Receptors Reactive Against Neoantigens in People With Metastatic Cancer

Phase 2
Recruiting
Conditions
Non-Small Cell Lung Cancer
Breast Cancer
Ovarian Cancer
Gastrointestinal/Genitourinary Cancers
Endocrine Tumors
Neuroendocrine Tumors
Multiple Myeloma
Interventions
First Posted Date
2018-01-29
Last Posted Date
2024-12-24
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
270
Registration Number
NCT03412877
Locations
🇺🇸

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

Study of Neoadjuvant Chemotherapy Plus Trastuzumab and Pertuzumab in HER2-Negative Breast Cancer Patients With Abnormal HER2 Signaling

Phase 2
Recruiting
Conditions
HER2-negative Breast Cancer
Interventions
First Posted Date
2018-01-26
Last Posted Date
2023-03-06
Lead Sponsor
NSABP Foundation Inc
Target Recruit Count
64
Registration Number
NCT03412643
Locations
🇺🇸

Cancer Care Specialists of Central Illinois, Decatur, Illinois, United States

🇺🇸

Fort Wayne Medical Oncology and Hematology, Inc., Fort Wayne, Indiana, United States

🇺🇸

Greater Baltimore Medical Center, Baltimore, Maryland, United States

and more 40 locations

Phase IIb Study Evaluating Immunogenic Chemotherapy Combined with Ipilimumab and Nivolumab in Breast Cancer

Phase 2
Completed
Conditions
Breast Cancer
Hormone Receptor Positive Tumor
Metastatic Breast Cancer
Interventions
First Posted Date
2018-01-24
Last Posted Date
2024-10-14
Lead Sponsor
Oslo University Hospital
Target Recruit Count
82
Registration Number
NCT03409198
Locations
🇳🇴

Oslo University Hospital, Oslo, Norway

🇳🇴

Stavanger University Hospital, Stavanger, Norway

🇳🇴

Soerlandet Hospital HF Kristiansand, Kristiansand, Norway

and more 3 locations

Safety and Efficacy of Pembrolizumab (MK-3475) in Children and Young Adults With Classical Hodgkin Lymphoma (MK-3475-667/KEYNOTE-667)

Phase 2
Active, not recruiting
Conditions
Hodgkin Lymphoma
Interventions
First Posted Date
2018-01-23
Last Posted Date
2024-11-20
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
340
Registration Number
NCT03407144
Locations
🇺🇸

University of Chicago ( Site 0066), Chicago, Illinois, United States

🇺🇸

Cohen Children's Medical Center of New York ( Site 0052), New Hyde Park, New York, United States

🇺🇸

Columbia University/Herbert Irving Cancer Center ( Site 0063), New York, New York, United States

and more 90 locations

BCD With or Without Doxycycline in Mayo Stage II-III Light Chain Amyloidosis Patients

Not Applicable
Completed
Conditions
Amyloidosis; Systemic
Interventions
First Posted Date
2018-01-17
Last Posted Date
2021-02-23
Lead Sponsor
Jian Li
Target Recruit Count
140
Registration Number
NCT03401372
Locations
🇨🇳

Peking Union Medical College Hospital, Beijing, China

Infusion of Expanded Cord Blood Cells in Addition to Single Cord Blood Transplant in Treating Patients With Acute Leukemia, Chronic Myeloid Leukemia, or Myelodysplastic Syndromes

Phase 2
Recruiting
Conditions
Acute Biphenotypic Leukemia
Chronic Myelogenous Leukemia, BCR-ABL1 Positive
Hematopoietic and Lymphoid Cell Neoplasm
Acute Lymphoblastic Leukemia
Myelodysplastic Syndrome
Myelodysplastic Syndrome With Excess Blasts
Interventions
Biological: Dilanubicel
Drug: Cyclophosphamide
Drug: Fludarabine
Drug: Thiotepa
Radiation: Total-Body Irradiation
Procedure: Umbilical Cord Blood Transplantation
Other: Laboratory Biomarker Analysis
Procedure: Biospecimen Collection
Procedure: Bone Marrow Aspirate
Procedure: Bone Marrow Biopsy
Procedure: Multigated Acquisition Scan
Procedure: Electrocardiography
Procedure: Computed Tomography
First Posted Date
2018-01-16
Last Posted Date
2024-11-19
Lead Sponsor
Fred Hutchinson Cancer Center
Target Recruit Count
35
Registration Number
NCT03399773
Locations
🇺🇸

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

NY-ESO-1-redirected CRISPR (TCRendo and PD1) Edited T Cells (NYCE T Cells)

Phase 1
Terminated
Conditions
Myxoid/Round Cell Liposarcoma
Multiple Myeloma
Melanoma
Synovial Sarcoma
Interventions
Biological: NY-ESO-1 redirected autologous T cells with CRISPR edited endogenous TCR and PD-1
Drug: Cyclophosphamide
Drug: Fludarabine
Device: NY-ESO-1 expression testing
First Posted Date
2018-01-16
Last Posted Date
2023-06-22
Lead Sponsor
University of Pennsylvania
Target Recruit Count
3
Registration Number
NCT03399448
Locations
🇺🇸

University of Pennsylvania, Philadelphia, Pennsylvania, United States

Study of Effectiveness of Axicabtagene Ciloleucel Compared to Standard of Care Therapy in Patients With Relapsed/Refractory Diffuse Large B Cell Lymphoma

Phase 3
Completed
Conditions
Relapsed/Refractory Diffuse Large B-Cell Lymphoma (DLBCL)
Interventions
Drug: Platinum-containing salvage chemotherapy (eg, R-ICE) followed by high dose therapy (eg, BEAM) and autologous stem cell transplant in responders.
Biological: Axicabtagene Ciloleucel
Drug: Cyclophosphamide
Drug: Fludarabine
First Posted Date
2018-01-05
Last Posted Date
2024-12-24
Lead Sponsor
Kite, A Gilead Company
Target Recruit Count
359
Registration Number
NCT03391466
Locations
🇺🇸

University of Chicago Medical Center, Chicago, Illinois, United States

🇺🇸

Dana-Farber Cancer Institute, Boston, Massachusetts, United States

🇺🇸

The University of Texas, MD Anderson Cancer Center, Houston, Texas, United States

and more 69 locations
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