Home / Treatment / Mesothelioma Medications / Cyclophosphamide

Cyclophosphamide

Cyclophosphamide is a decades-old chemotherapy agent tried and tested for other cancers such as breast cancer, ovarian cancer and leukemia. For mesothelioma, however, it remains in the testing phases.

Free Mesothelioma Treatment Guide

Written by Karen Selby, RN Edited By Walter Pacheco Medically Reviewed By Dr. Jeffrey Velotta

Fact Checked

Cite This Article

Why Trust Asbestos.com?

Reading Time: 4 mins

Last Updated: 03/23/2023

Asbestos.com is the nation’s most trusted mesothelioma resource

The Mesothelioma Center at Asbestos.com has provided patients and their loved ones the most updated and reliable information on mesothelioma and asbestos exposure since 2006.

Our team of Patient Advocates includes a medical doctor, a registered nurse, health services administrators, veterans, VA-accredited Claims Agents, an oncology patient navigator and hospice care expert. Their combined expertise means we help any mesothelioma patient or loved one through every step of their cancer journey.

More than 30 contributors, including mesothelioma doctors, survivors, health care professionals and other experts, have peer-reviewed our website and written unique research-driven articles to ensure you get the highest-quality medical and health information.

About The Mesothelioma Center at Asbestos.com

Assisting mesothelioma patients and their loved ones since 2006.
Helps more than 50% of mesothelioma patients diagnosed annually in the U.S.
A+ rating from the Better Business Bureau.
5-star reviewed mesothelioma and support organization.

Learn More About Us

Testimonials

My family has only the highest compliment for the assistance and support that we received from The Mesothelioma Center. This is a staff of compassionate and knowledgeable individuals who respect what your family is experiencing and who go the extra mile to make an unfortunate diagnosis less stressful. Information and assistance were provided by The Mesothelioma Center at no cost to our family.

Lashawn

Mesothelioma patient’s daughter

Read Our Testimonials

Table Of Contents

Overview
Uses
Side Effects
Studies
Related Pages

What is Cyclophosphamide?

Researchers have already proven the safety and efficacy of cyclophosphamide in other diseases. The U.S. Food and Drug Administration (FDA) approved it for use in a number of cancers and diseases, including breast cancer and leukemia. Doctors have seen mixed results in clinical trials but remain hopeful that the drug can be implemented successfully in mesothelioma treatment regimens.

Now, researchers are studying its effects in combination with other chemotherapy drugs and in combination with immunotherapy on mesothelioma patients.

Cyclophosphamide Information


Name	Cytoxan
Related Drug	Ifosfamide
Manufacturer	Bristol-Myers Squibb
Dosage	40-50 mg/kg over 2-5 days
Administration Route	Intravenous or oral
Active Ingredient	Cyclophosphamide
Drug Class	Antineoplastic alkylating agent
Medical Code	J9097, J8530
Alternate Names	Lyophilized Cytoxan, Endoxan, Cytophosphane, Neosar, Procytox, Revimmune, Cycloblastin
Interacting Drug	Grapefruit, grapefruit juice, alcohol, live vaccines, carbamazepine, idarubicin, natalizumab, entanercept, palifermin, phenobarbital
Medical Studies	Tumor-Infiltrating Lymphocytes and Low-Dose Interleukin-2 Therapy Following Cyclophosphamide and Fludarabine in Patients with Pleural Mesothelioma
FDA Warning	Immune suppression, bone marrow toxicity, myelosuppression, kidney and urinary toxicity, heart toxicity, pulmonary toxicity, liver disease, secondary cancer, fetal toxicity, reproductive harm

Doctor Jacques Fontaine and Doctor Virginia Wolf

Find a Top Mesothelioma Doctor

We’ve helped thousands of people affected by mesothelioma access the best treatments.

Get Started Now

How Is It Used?

Unlike traditional chemotherapy drugs that must be administered intravenously, cyclophosphamide may also be administered in tablet form, once or twice daily. Mesothelioma patients in clinical trials usually receive the drug in the traditional intravenous manner, typically once every two weeks.

nurse giving patient medicine with water

Cyclophosphamide is an alkylating agent, which means it is designed to inhibit tumor growth by interfering with the DNA of cancer cells. It can bind with DNA in mesothelioma cells. Once it does so, it prevents cell division and prompts the death of cancer cells.

In clinical trials, it is being studied in combination with other chemotherapy drugs or immunotherapy agents such as SS1P and certain vaccines.

What Are the Side Effects?

Cyclophosphamide comes with the general side effects of chemotherapy such as fatigue, weight loss, nausea and hair loss. It may cause additional side effects of abdominal pain, chest pain or shortness of breath, which usually are not severe.

However, doctors have noted one major potential side effect: an increased risk of other types of cancer. Long-term use and high doses create the greatest risk. Bladder cancer is the most common resulting cancer, which may develop years after use. Acute leukemia is also associated with the use of cyclophosphamide.

Featured Story

High Cost of Cancer Treatment

Life-saving surgeries and the latest therapies are helping extend the lives of cancer patients — but only those who can afford them.

Karen Selby, RN

01/19/2023

Study Results

Researchers have had mixed results when testing cyclophosphamide in mesothelioma patients.

One study had positive results when patients underwent radiation therapy followed by a chemotherapy regimen of cyclophosphamide and doxorubicin. Adding the chemotherapy regimen caused tumors to decrease in size by about 25%. Overall, patients who received radiation therapy and chemotherapy survived a median of 13 months, as compared with only six months in patients who received radiotherapy alone. However, these results may be slightly skewed since chemotherapy was only given to those patients who were 70 or younger and who responded well to initial radiation therapy.

A study from 2010 combined cyclophosphamide with doxorubicin and platinum-based chemotherapy. Success was measured by progression-free survival, which is the amount of time that passes after treatment until the cancer spreads. In the three patients receiving this chemotherapy combination, median progression-free survival was only 1.5 months. This is significantly shorter than the median 12.3 months achieved by a regimen of pemetrexed and platinum-based chemotherapy.

A 2017 study combined cyclophosphamide with an immunotherapy approach known as T-cell therapy in six pleural mesothelioma patients. Of the four patients who were evaluable at publication, one showed tumor shrinkage, another’s tumor stopped growing and the other two did not respond (their cancer progressed).

In 2021, a research study involving cyclophosphamide with dendritic cell therapy showed promising results. The overall survival at two years for mesothelioma patients was 55.2% and over 20% of patients lived for 5 years or more.

Doctors see promise in cyclophosphamide for the treatment of mesothelioma cancer, and clinical trials continue to test the drug on mesothelioma patients. Ongoing studies are testing the chemotherapy agent in conjunction with immunotherapy or other chemotherapy drugs for use in treating mesothelioma patients.