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DRUG CLASS:

Alkylating agent

Related drugs:
1d
Enrollment closed
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cyclophosphamide
1d
Severe infection risk in triple and quadruple therapy for anti-MDA5 antibody-positive dermatomyositis. (PubMed, Clin Rheumatol)
While both TCT and QCT have infection, the QCT group may be at a higher risk, hence highlighting the need for vigilance and adequate prophylaxis.
Journal
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IFIH1 (Interferon Induced With Helicase C Domain 1)
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cyclophosphamide
1d
Trabectedin Induces Synthetic Lethality via the p53-Dependent Apoptotic Pathway in Ovarian Cancer Cells Without BRCA Mutations When Used in Combination with Niraparib. (PubMed, Int J Mol Sci)
Silencing p53 with siRNA abolished all synergistic effects in A2780 cells. Niraparib and trabectedin combination therapy impairs DNA repair in BRCA-proficient ovarian cancer, leading to synthetic lethality through p53-dependent apoptosis.
Journal • BRCA Biomarker • PARP Biomarker
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BRCA1 (Breast cancer 1, early onset) • BRCA2 (Breast cancer 2, early onset) • BRCA (Breast cancer early onset) • RAD51 (RAD51 Homolog A) • PARP1 (Poly(ADP-Ribose) Polymerase 1) • CDKN1A (Cyclin-dependent kinase inhibitor 1A) • ANXA5 (Annexin A5) • PARP2 (Poly(ADP-Ribose) Polymerase 2)
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BRCA mutation
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Zejula (niraparib) • Yondelis (trabectedin)
3d
Protective effects of Moringa oleifera leaf extract against cyclophosphamide-induced ovarian dysfunction and follicular loss in rats. (PubMed, Tissue Cell)
Pretreatment with M. oleifera successfully mitigated CP-induced oxidative and inflammatory changes, as well as ovarian tissue damage, but failed to reverse serum hormonal imbalances. These findings demonstrate the protective potential of M. oleifera leaf extract against CP-induced ovarian toxicity, likely mediated by the synergistic antioxidant, anti-inflammatory, and organ-protective properties of its bioactive components.
Preclinical • Journal
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TNFA (Tumor Necrosis Factor-Alpha) • TGFB1 (Transforming Growth Factor Beta 1)
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cyclophosphamide
4d
New P1 trial
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cyclophosphamide • fludarabine IV
4d
New P2 trial
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cyclophosphamide
4d
Levocabastine ameliorates cyclophosphamide-induced nephrotoxicity in Swiss albino mice via NF-κB/cleaved caspase-3/TGF-β signaling pathways. (PubMed, Drug Res (Stuttg))
LEV (0.05 and 0.1 mg/kg, i.p.) and fenofibrate (FF) (80 mg/kg, p.o.) were given daily for 14 days. LEV 0.1 and FF 80 significantly reversed these changes toward normal and showed nephroprotective potential. Thus, seeing the protective effect of LEV on CP-intoxicated mice, we conclude that LEV may be used as an adjuvant with CP in cancer, however, it needs more studies with the direct cancer model to confirm the claim.
Preclinical • Journal
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IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha) • CASP3 (Caspase 3) • TGFB1 (Transforming Growth Factor Beta 1) • IL1B (Interleukin 1, beta) • CAT (Catalase)
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cyclophosphamide
5d
A Randomized Controlled Trial to Evaluate the Efficacy of Acupuncture Versus Aromatherapy as Treatments to Lessen Nausea, Vomiting and Anxiety Associated With Adriamycin and Cytoxan (clinicaltrials.gov)
P=N/A, N=26, Completed, Englewood Hospital and Medical Center | Recruiting --> Completed | N=60 --> 26 | Trial completion date: Dec 2023 --> Oct 2024 | Trial primary completion date: Dec 2022 --> Oct 2024
Trial completion • Enrollment change • Trial completion date • Trial primary completion date
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doxorubicin hydrochloride • cyclophosphamide
5d
UAB 2419-CD34 Selection Using the Automated CliniMACS Prodigy (clinicaltrials.gov)
P1, N=50, Recruiting, University of Alabama at Birmingham | Not yet recruiting --> Recruiting
Enrollment open
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cyclophosphamide
5d
cGAS and STING in Host Myeloid Cells Are Essential for Effective Cyclophosphamide Treatment of Advanced Breast Cancer. (PubMed, Cancers (Basel))
Our study demonstrates that the CD8+-T-cell-dependent anti-tumor mechanisms of CTX critically involve the cGAS-STING-IFN-I axis, IFN-I response, and STING-independent cGAS function in host myeloid cells. These findings suggest the deployment of CTX in treating advanced solid tumor to bypass the often-failed IFN-I production by tumor cells due to the chronic activation of intrinsic cGAS-STING caused by chromosomal instability.
Journal
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CD8 (cluster of differentiation 8) • STING (stimulator of interferon response cGAMP interactor 1)
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cyclophosphamide
5d
Chrysin mitigates cyclophosphamide-triggered cardiotoxicity in rats: Insights into cardioprotection via Treg expression modulation and iNOS downregulation. (PubMed, Toxicol Rep)
Additionally, immunohistochemical analysis demonstrated that CP markedly upregulated iNOS expression in cardiac tissue, whereas chrysin dose-dependently downregulated iNOS, achieving complete normalization at the highest dose. Collectively, these findings suggest that chrysin exerts significant cardioprotective effects against CP-induced cardiotoxicity, likely through the modulation of Treg expression, attenuation of apoptosis, and suppression of iNOS-mediated inflammatory responses, underscoring its potential as an adjunctive therapy in chemotherapy-associated cardiac complications.
Preclinical • Journal
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IL2RA (Interleukin 2 receptor, alpha) • CD4 (CD4 Molecule) • FOXP3 (Forkhead Box P3) • ANXA5 (Annexin A5) • ISG20 (Interferon Stimulated Exonuclease Gene 20)
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cyclophosphamide
8d
Case Report: Decitabine and venetoclax sequentially followed by FLAG-Ida and venetoclax with immediate allogeneic stem cell transplantation in newly diagnosed acute myeloid leukemia with chromosome 3 inversion/MECOM rearrangement. (PubMed, Front Oncol)
One or 3 days after preconditioning, the patients underwent busulfan-based myeloablative conditioning and HLA haploidentical or matched related donor stem cell infusion. At the last follow-up, both patients were in good health and in MRD-negative complete remissions after 11 and 17 months after alloSCT, respectively. The safety and efficacy of upfront sequential alloSCT indicate the need to evaluate this approach for adverse risk of AML in clinical trials.
Journal
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MECOM (MDS1 And EVI1 Complex Locus)
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Venclexta (venetoclax) • decitabine • busulfan
8d
Regulation of cyclophosphamide induced hepatotoxicity by REV-ERBα modifiers. (PubMed, Expert Opin Drug Metab Toxicol)
REV-ERBα agonists can significantly attenuate the hepatotoxicity of CPA by regulating CYP2B10. The discovery of REV-ERBα as novel regulator for CYP2B10 will help to establish new targets to improve drug efficacy or reduce toxicity.
Journal
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ARNTL (Aryl Hydrocarbon Receptor Nuclear Translocator Like) • NR1D1 (Nuclear Receptor Subfamily 1 Group D Member 1)
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cyclophosphamide
9d
CAR T Therapy With GCAR1 for Relapsed Alveolar Soft Part Sarcoma (clinicaltrials.gov)
P1, N=1, Active, not recruiting, University of Calgary | Not yet recruiting --> Active, not recruiting | Phase classification: PN/A --> P1
Enrollment closed • Phase classification • IO biomarker
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cyclophosphamide
9d
LOC-R01 Study of Lenalidomide and Ibrutinib in Association With Rituximab-Methotrexate Procarbazine Vincristin (R-MPV) (clinicaltrials.gov)
P1/2, N=118, Active, not recruiting, Institut Curie | Recruiting --> Active, not recruiting | Trial completion date: Feb 2035 --> Aug 2035 | Trial primary completion date: Feb 2025 --> Aug 2025
Enrollment closed • Trial completion date • Trial primary completion date
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Imbruvica (ibrutinib) • Rituxan (rituximab) • lenalidomide • Matulane (procarbazine hydrochloride)
9d
Evaluation of clinical and immunological responses to recombinant canine interleukin-15 therapy in dogs with cancer: A pilot study. (PubMed, Vet Immunol Immunopathol)
These changes were correlated with improved clinical outcomes. Our findings underscore the therapeutic potential and safety of combining rcIL-15 and metronomic cyclophosphamide for the treatment of various canine cancers.
Journal • IO biomarker
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IL15 (Interleukin 15)
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cyclophosphamide
10d
Acalabrutinib-Obinutuzumab Improves Survival vs Chemoimmunotherapy in treatment-naive CLL in the 6-year Follow-up of ELEVATE-TN. (PubMed, Blood)
Rates of AEs, serious AEs, and events of clinical interest were similar between acalabrutinib-containing arms and consistent with the known safety profiles of acalabrutinib and obinutuzumab. Efficacy and safety of acalabrutinib-containing arms were maintained, with longer PFS in both acalabrutinib arms vs chlorambucil-obinutuzumab including in patients with high-risk features.
Journal • IO biomarker
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TP53 (Tumor protein P53) • IGH (Immunoglobulin Heavy Locus)
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TP53 mutation
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Gazyva (obinutuzumab) • Calquence (acalabrutinib) • Leukeran (chlorambucil)
10d
TBCRC 031: Cisplatin vs. Doxorubicin/Cyclophosphamide in BrCa (clinicaltrials.gov)
P2, N=118, Completed, Beth Israel Deaconess Medical Center | Trial completion date: Apr 2023 --> Apr 2025
Trial completion date
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HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • BRCA (Breast cancer early onset)
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ER positive • HER-2 negative • HER-2 negative + ER positive
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cisplatin • doxorubicin hydrochloride • cyclophosphamide
10d
GFRα4 CAR T Cells in MTC Patients (clinicaltrials.gov)
P1, N=18, Active, not recruiting, University of Pennsylvania | Recruiting --> Active, not recruiting
Enrollment closed
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cyclophosphamide • fludarabine IV
10d
Cord Blood Transplantation With Myeloablative Conditioning and Post-transplant Cyclophosphamide (COmPACt Study) (clinicaltrials.gov)
P=N/A, N=10, Recruiting, Fondazione Policlinico Universitario Agostino Gemelli IRCCS | Trial completion date: Dec 2023 --> Dec 2025 | Trial primary completion date: Jan 2023 --> Nov 2025
Trial completion date • Trial primary completion date
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cyclophosphamide
11d
Identification of fatty acid metabolism-related genes in the tumor microenvironment of breast cancer by a development and validation of prognostic index signature. (PubMed, Hereditas)
The primary objective of this study is to identify and validate BRCA-associated FAMGs that can serve as prognostic indicators and provide insights into immune system function, while also offering evidence to support the development of fatty acid metabolism-related molecularly targeted therapeutics. Consequently, FAMGs and their interactions with the immune system, as well as their role in BRCA, may emerge as promising therapeutic targets.
Journal • BRCA Biomarker
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WT1 (WT1 Transcription Factor) • BRCA (Breast cancer early onset) • ULBP2 (UL16 Binding Protein 2)
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lobaplatin (D19466)
11d
A Randomized Controlled 'REAL-FITNESS' Trial to Evaluate Physical Activity in Patients With Newly Diagnosed Multiple Myeloma. (PubMed, J Cachexia Sarcopenia Muscle)
PA in MM patients during induction is feasible and can improve fatigue, depression, TUGT, grip strength, comorbidities and QoL. More sport intervention offers are warranted to advance exercising in MM.
Journal
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CRP (C-reactive protein) • NPPB (Natriuretic Peptide B)
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bortezomib • cyclophosphamide
11d
New P2 trial
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carmustine
11d
EMERGE 402: To Assess the Effectiveness and Safety of Zepzelca in Adult Patients With Extensive Stage Small Cell Lung Cancer (SCLC) (clinicaltrials.gov)
P=N/A, N=272, Active, not recruiting, Jazz Pharmaceuticals | Recruiting --> Active, not recruiting | Trial completion date: Jun 2030 --> Jun 2025 | Trial primary completion date: Jun 2030 --> Jun 2025
Enrollment closed • Trial completion date • Trial primary completion date • Real-world evidence
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Zepzelca (lurbinectedin)
12d
TRABTRAP: tTF-NGR Randomized Study - STS (clinicaltrials.gov)
P3, N=126, Recruiting, Universität Münster | Trial primary completion date: Dec 2025 --> Aug 2026
Trial primary completion date
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BCOR (BCL6 Corepressor) • ANPEP (Alanyl Aminopeptidase, Membrane)
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Yondelis (trabectedin)
12d
NLRP3 as a therapeutic target in cyclophosphamide-associated toxicities. (PubMed, Mol Biol Rep)
The review also discusses potential therapeutic interventions, including phytotherapeutic agents, that target NLRP3 inflammasome activation to mitigate CPM-induced organ injury. By highlighting the crucial role of NLRP3 in CPM-related toxicity, this review provides a foundation for future research aimed at developing novel therapeutic strategies to minimize adverse effects and improve patient outcomes.
Review • Journal
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NLRP3 (NLR Family Pyrin Domain Containing 3)
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cyclophosphamide
12d
Neoadjuvant leukocyte interleukin injection immunotherapy improves overall survival in low-risk locally advanced head and neck squamous cell carcinoma -the IT-MATTERS study. (PubMed, Pathol Oncol Res)
Randomization 3:1:3 to LI+/-CIZ (cyclophosphamide, indomethacin, and zinc)+SOC, or SOC (standard of care) alone. No excess safety issues were reported for LI over SOC alone post-surgery. NCT01265849, EUDRA:2010-019952-35.
Clinical • Journal
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IL2 (Interleukin 2)
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cyclophosphamide • Multikine (leukocyte interleukin injection)
12d
Cell Therapy Using Anti-NKG2A Pretreated Natural Killer Cells in Patients with Hepatocellular Carcinoma. (PubMed, Adv Pharm Bull)
Patients received a fludarabine/cyclophosphamide conditioning followed by adoptive immunotherapy with IL2-activated haploidentical NK cells. In addition, all patients showed a relative decrease in alpha-fetoprotein (AFP) expression levels after one month. This study demonstrated the safety and feasibility of infusing high doses of ex vivo expanded NK cells after conditioning with transient side effects.
Journal • IO biomarker
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AFP (Alpha-fetoprotein) • KLRC1 (Killer Cell Lectin Like Receptor C1)
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cyclophosphamide • fludarabine IV
12d
Combining Chemotherapy Agents and Autophagy Modulators for Enhanced Breast Cancer Cell Death. (PubMed, Adv Pharm Bull)
Arsenic trioxide (ATO), carboplatin (CP), and cyclophosphamide (CY) are used to treat various cancers. The combination of ATO, CP, and CY induces synergistic effects in promoting apoptosis and autophagy in TNBC cell lines. These findings suggest that this combination therapy could be a promising approach to enhancing treatment efficacy in aggressive breast cancers, offering new insights into potential therapeutic strategies.
Journal • IO biomarker
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BCL2 (B-cell CLL/lymphoma 2) • CASP3 (Caspase 3) • ANXA5 (Annexin A5) • BECN1 (Beclin 1)
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carboplatin • cyclophosphamide • arsenic trioxide
15d
TRAF7 knockdown induces cellular senescence and synergizes with lomustine to inhibit glioma progression and recurrence. (PubMed, J Exp Clin Cancer Res)
TRAF7 could be used as a predictive biomarker and the potential therapeutic target among National Comprehensive Cancer Network (NCCN) treatment guidelines in the progression and recurrence of glioma. Lomustine, regulating cellular senescence and cell cycle could be the priority choice in glioma patients with high-level TRAF7 expression.
Journal
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KLF4 (Kruppel-like factor 4)
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lomustine
16d
Effect of Anthracyclines and Cyclophosphamide on Cardiovascular Responses (clinicaltrials.gov)
P=N/A, N=15, Completed, University of Sao Paulo General Hospital | Active, not recruiting --> Completed
Trial completion
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doxorubicin hydrochloride • cyclophosphamide
16d
Scalp Cooling to Prevent Hair Loss in Patients Undergoing Stem Cell Transplantation for Multiple Myeloma (clinicaltrials.gov)
P=N/A, N=31, Completed, Cedars-Sinai Medical Center | Active, not recruiting --> Completed | Trial completion date: Jun 2025 --> Feb 2025 | Trial primary completion date: Jun 2025 --> Nov 2024
Trial completion • Trial completion date • Trial primary completion date
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melphalan
17d
Pharmacokinetics of oral melphalan and its safety and efficacy in autologous hematopoietic stem cell transplantation for multiple myeloma (ChiCTR2500097863)
P4, N=52, Not yet recruiting, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine; Ruijin Hospital, Shanghai Jiao Tong University School of Medicine
New P4 trial
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melphalan
17d
NCI-2014-00639: Total Marrow and Lymphoid Irradiation and Chemotherapy Before DSCT in Treating Patients With High-Risk ALL or AML (clinicaltrials.gov)
P2, N=108, Active, not recruiting, City of Hope Medical Center | Trial completion date: Feb 2025 --> Jun 2025 | Trial primary completion date: Feb 2025 --> Jun 2025
Trial completion date • Trial primary completion date
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cyclophosphamide • etoposide IV
18d
Melflufen for Elderly Patients With Relapsed Myeloma (clinicaltrials.gov)
P2, N=0, Withdrawn, Fondazione EMN Italy Onlus | N=30 --> 0 | Trial completion date: Aug 2027 --> Mar 2025 | Not yet recruiting --> Withdrawn | Trial primary completion date: Feb 2027 --> Mar 2025
Enrollment change • Trial completion date • Trial withdrawal • Trial primary completion date
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dexamethasone • Melflufen (melphalan flufenamide)
18d
Efficacy and Safety Study of Lurbinectedin and Dostarlimab in Cancer Patients: Protocol VHIO21001 - LiDer (clinicaltrials.gov)
P1/2, N=0, Withdrawn, Vall d'Hebron Institute of Oncology | N=15 --> 0 | Not yet recruiting --> Withdrawn
Enrollment change • Trial withdrawal
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Jemperli (dostarlimab-gxly) • Zepzelca (lurbinectedin)
18d
Antioxidant, anti-inflammatory and Uroprotective effects of LAMOTRIGINE Cinnamaldehyde silver complex in cyclophosphamide-induced cystitis. (PubMed, Toxicol Res (Camb))
Cyclophosphamide (CYP)-induced cystitis is a significant clinical challenge in cancer patients, characterized by inflammation, oxidative stress, and muscle dysfunction. LCSC demonstrated strong binding affinities and lower inhibition constants with key inflammatory and muscle protein receptors, including IL-1β, TNF-α, MLCP, and PKC, compared to Mesna. LCSC exhibited potent antioxidant, anti-inflammatory, and uroprotective effects in the CYP-induced rat model of cystitis as a potential therapeutic drug.
Journal
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TNFA (Tumor Necrosis Factor-Alpha) • IL1B (Interleukin 1, beta) • CAT (Catalase)
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cyclophosphamide • mesna
19d
Enrollment open
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doxorubicin hydrochloride • Yondelis (trabectedin)
19d
New P1/2 trial
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cyclophosphamide • fludarabine IV
19d
Cyclophosphamide As Graft-versus-host Prophylaxis After Allogeneic Stem Cell Transplantation for Multiple Myeloma (clinicaltrials.gov)
P2, N=37, Completed, Universitätsklinikum Hamburg-Eppendorf | Active, not recruiting --> Completed
Trial completion
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cyclophosphamide
19d
Anti-CEA CAR-T for Advanced CEA-Positive Lung Carcinoma (clinicaltrials.gov)
P1, N=60, Recruiting, Chongqing Precision Biotech Co., Ltd
New P1 trial • IO biomarker
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cyclophosphamide • fludarabine IV
19d
High Dose Peripheral Blood Stem Cell Transplantation With Post Transplant Cyclophosphamide for Patients With Chronic Granulomatous Disease (clinicaltrials.gov)
P1/2, N=45, Active, not recruiting, National Institute of Allergy and Infectious Diseases (NIAID) | Trial completion date: Nov 2026 --> Dec 2028 | Trial primary completion date: Nov 2026 --> Dec 2027
Trial completion date • Trial primary completion date
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cyclophosphamide • Campath (alemtuzumab) • sirolimus • busulfan