You're using a free limited version of DrugPatentWatch: Upgrade for Complete Access

Last Updated: March 26, 2025

CLINICAL TRIALS PROFILE FOR CYTOXAN


✉ Email this page to a colleague

« Back to Dashboard


505(b)(2) Clinical Trials for CYTOXAN

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial TypeTrial IDTitleStatusSponsorPhaseStart DateSummary
New Dosage NCT01760226 ↗ Dose Adjusted EPOCH-R, to Treat Mature B Cell Malignancies Completed National Cancer Institute (NCI) Early Phase 1 2013-01-01 The subject is invited to take part in this research study because s/he has been diagnosed with Diffuse Large B-Cell Lymphoma (DLBCL), Primary Mediastinal B-cell Lymphoma (PMBCL), or Post-transplant Lymphoproliferative Disorder (PTLD). In an attempt to improve cure rates while reducing harmful effects from drugs, oncologists are developing new treatment protocols. One such protocol, entitled dose-adjusted EPOCH-R, utilizes two major new strategies. First, the treatment approach utilizes continuous infusion of chemotherapy over four days, instead of being administered over minutes or hours. Secondly, the doses of some medications involved are increased or decreased based on how the drugs affect the subject's ability to produce blood cells, which is used as a measure of how rapidly the body is processing drugs. Using this approach in adults, researchers have shown improved cure rates in these cancers. Additionally, the harmful effects experienced by patients has been mild, with mucositis, severe infections, and tumor lysis syndrome occurring rarely. However, this new dosing method has never been used in children, and the effectiveness and side effects of this new method are unknown in children. The purpose of this study is to look at the safety of dose-adjusted EPOCH-R in the treatment of children with mature B-cell cancers, and to see if we can maintain cure rates (as has been shown in adults). This study represents the first trial of dose-adjusted EPOCH-R in children.
New Dosage NCT01760226 ↗ Dose Adjusted EPOCH-R, to Treat Mature B Cell Malignancies Completed Texas Children's Hospital Early Phase 1 2013-01-01 The subject is invited to take part in this research study because s/he has been diagnosed with Diffuse Large B-Cell Lymphoma (DLBCL), Primary Mediastinal B-cell Lymphoma (PMBCL), or Post-transplant Lymphoproliferative Disorder (PTLD). In an attempt to improve cure rates while reducing harmful effects from drugs, oncologists are developing new treatment protocols. One such protocol, entitled dose-adjusted EPOCH-R, utilizes two major new strategies. First, the treatment approach utilizes continuous infusion of chemotherapy over four days, instead of being administered over minutes or hours. Secondly, the doses of some medications involved are increased or decreased based on how the drugs affect the subject's ability to produce blood cells, which is used as a measure of how rapidly the body is processing drugs. Using this approach in adults, researchers have shown improved cure rates in these cancers. Additionally, the harmful effects experienced by patients has been mild, with mucositis, severe infections, and tumor lysis syndrome occurring rarely. However, this new dosing method has never been used in children, and the effectiveness and side effects of this new method are unknown in children. The purpose of this study is to look at the safety of dose-adjusted EPOCH-R in the treatment of children with mature B-cell cancers, and to see if we can maintain cure rates (as has been shown in adults). This study represents the first trial of dose-adjusted EPOCH-R in children.
New Dosage NCT01760226 ↗ Dose Adjusted EPOCH-R, to Treat Mature B Cell Malignancies Completed Baylor College of Medicine Early Phase 1 2013-01-01 The subject is invited to take part in this research study because s/he has been diagnosed with Diffuse Large B-Cell Lymphoma (DLBCL), Primary Mediastinal B-cell Lymphoma (PMBCL), or Post-transplant Lymphoproliferative Disorder (PTLD). In an attempt to improve cure rates while reducing harmful effects from drugs, oncologists are developing new treatment protocols. One such protocol, entitled dose-adjusted EPOCH-R, utilizes two major new strategies. First, the treatment approach utilizes continuous infusion of chemotherapy over four days, instead of being administered over minutes or hours. Secondly, the doses of some medications involved are increased or decreased based on how the drugs affect the subject's ability to produce blood cells, which is used as a measure of how rapidly the body is processing drugs. Using this approach in adults, researchers have shown improved cure rates in these cancers. Additionally, the harmful effects experienced by patients has been mild, with mucositis, severe infections, and tumor lysis syndrome occurring rarely. However, this new dosing method has never been used in children, and the effectiveness and side effects of this new method are unknown in children. The purpose of this study is to look at the safety of dose-adjusted EPOCH-R in the treatment of children with mature B-cell cancers, and to see if we can maintain cure rates (as has been shown in adults). This study represents the first trial of dose-adjusted EPOCH-R in children.
>Trial Type>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 3 of 3 entries

All Clinical Trials for CYTOXAN

Trial IDTitleStatusSponsorPhaseStart DateSummary
NCT00001250 ↗ Effect of Preoperative Chemotherapy on Axillary Lymph Node Metastases in Stage II Breast Cancer: A Prospective Randomized Trial Completed National Cancer Institute (NCI) Phase 2 1989-12-01 Patients with untreated clinical stage II breast cancer are eligible. An excisional biopsy of the primary tumor is acceptable, but without definitive local therapy or prior chemotherapy. Histologic confirmation of invasive carcinoma is required. Patients are prospectively randomized to receive five 21-day cycles of dose-intense (5-fluorouracil, adriamycin, leucovorin, cytoxan, granuloctye-colony stimulating factor [FLAC/G-CSF]) chemotherapy either before (preoperative) or after (postoperative) local therapy. Chemotherapy is given as an outpatient. For patients receiving preoperative chemotherapy, local therapy (modified radical mastectomy, or breast segmentectomy/axillary dissection/breast radiotherapy according to patient preference) is performed 3-4 weeks after last chemotherapy. For patients receiving postoperative chemotherapy, chemotherapy will begin 2-3 weeks after local therapy. Immediate reconstruction for mastectomy is acceptable. Upon completion of local therapy and chemotherapy in either treatment group, all estrogen receptor positive patients receive tamoxifen for 5 years. Follow-up consists of history and physical examination each 3 months for first 3 years, each six months for years 4 and 5, and yearly thereafter. Mammogram, bone scan, chest x-ray and blood work are performed yearly.
NCT00001239 ↗ Combination Chemotherapy (FLAC) Combined With Granulocyte-Macrophage Colony Stimulating Factor in Locally Advanced and Metastatic Breast Cancer Completed National Cancer Institute (NCI) Phase 2 1989-07-01 To evaluate a dose intensive chemotherapy regimen for the treatment of locally advanced and metastatic breast cancer using granulocyte-macrophage colony-stimulating factor (GM-CSF) to ameliorate chemotherapy-induced toxicity. Combination chemotherapy consists of Flurouricil, Leucovorin, Adriamycin, and Cytoxan (FLAC) which will be given every 21 days for 10 cycles. This protocol will replace the phase I study of this regimen (MB-232/88-C-0207) which found the MTD of this regimen to be at the first dose level. This is a phase II study to determine response rates of this regimen in advanced breast cancer.
NCT00001209 ↗ A Pilot Study for the Treatment of Patients With Metastatic and High Risk Sarcomas and Primitive Neuroectodermal Tumors Completed National Cancer Institute (NCI) Phase 1 1986-10-01 This protocol is designed to test the feasibility of the administration of vincristine, adriamycin and cytoxan, alternating with the newly developed regimen ifosfamide VP-16 as well as the efficacy of this therapy in addition to radiotherapy in producing complete responses and disease-free survival in patients with Ewing's sarcoma, primitive sarcoma of bone, peripheral neuroepithelioma, and soft tissue sarcoma. This will not be a randomized study but will be comparable to the large data base of similar patients treated on successive Pediatric Branch studies.
>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 3 of 3 entries

Clinical Trial Conditions for CYTOXAN

Condition Name

85838000102030405060708090LeukemiaBreast CancerLymphoma[disabled in preview]
Condition Name for CYTOXAN
Intervention Trials
Leukemia 85
Breast Cancer 83
Lymphoma 80
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Condition MeSH

2702671960050100150200250LeukemiaLymphomaLeukemia, Lymphoid[disabled in preview]
Condition MeSH for CYTOXAN
Intervention Trials
Leukemia 270
Lymphoma 267
Leukemia, Lymphoid 196
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Locations for CYTOXAN

Trials by Country

+
Trials by Country for CYTOXAN
Location Trials
Canada 513
Spain 67
New Zealand 57
Puerto Rico 50
Austria 8
This preview shows a limited data set
Subscribe for full access, or try a Trial

Trials by US State

+
Trials by US State for CYTOXAN
Location Trials
Texas 325
California 267
Maryland 222
New York 209
Washington 205
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Progress for CYTOXAN

Clinical Trial Phase

84.1%12.4%0020406080100120Phase 4Phase 3Phase 2/Phase 3[disabled in preview]
Clinical Trial Phase for CYTOXAN
Clinical Trial Phase Trials
Phase 4 5
Phase 3 122
Phase 2/Phase 3 18
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Status

52.6%27.8%19.6%0050100150200250300350400CompletedRecruitingTerminated[disabled in preview]
Clinical Trial Status for CYTOXAN
Clinical Trial Phase Trials
Completed 395
Recruiting 209
Terminated 147
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Sponsors for CYTOXAN

Sponsor Name

trials050100150200250300350400450500National Cancer Institute (NCI)M.D. Anderson Cancer CenterChildren's Oncology Group[disabled in preview]
Sponsor Name for CYTOXAN
Sponsor Trials
National Cancer Institute (NCI) 484
M.D. Anderson Cancer Center 125
Children's Oncology Group 74
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Sponsor Type

59.1%25.6%15.3%0020040060080010001200OtherNIHIndustry[disabled in preview]
Sponsor Type for CYTOXAN
Sponsor Trials
Other 1245
NIH 538
Industry 322
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Cytoxan (Cyclophosphamide): Clinical Trials, Market Analysis, and Projections

Introduction to Cytoxan (Cyclophosphamide)

Cytoxan, also known as cyclophosphamide, is a chemotherapy drug that has been in use since its FDA approval in 1959. It is classified as an alkylating agent, which works by cross-linking guanine bases in DNA double-helix strands, thereby stopping or slowing the growth of cancer cells[3,.

Clinical Trials and Efficacy

Recent Clinical Trials

Cyclophosphamide has been involved in various clinical trials to assess its efficacy in different cancer types. A notable phase 2 trial published in JAMA Oncology combined cyclophosphamide with pembrolizumab (Keytruda) and bevacizumab (Avastin) for the treatment of recurrent ovarian cancer. This combination was found to be well-tolerated and demonstrated clinical benefit and durable treatment responses. The trial highlighted the importance of normalizing the tumor microenvironment and depleting regulatory T cells to enhance the effectiveness of immune checkpoint inhibitors[1].

Mesothelioma Trials

Cyclophosphamide has also been used in clinical trials for treating mesothelioma, although it is not FDA-approved for this indication. These trials have shown mixed results, with some promising outcomes when combined with other treatments such as surgery, experimental immunotoxins, and vaccine therapies. For example, one trial used cyclophosphamide in combination with cord-blood natural killer cells and another chemotherapy drug to reduce tumor size[4].

Ongoing Research

The ongoing research and clinical trials aim to understand the synergistic mechanisms among immune checkpoint inhibitors, antiangiogenic therapy, and regulatory T-cell depletion. This research is crucial for developing future treatment strategies that can benefit more patients through immunotherapy[1].

Market Analysis

Global Market Size and Growth

The global cyclophosphamide market is expected to grow at a compound annual growth rate (CAGR) of 2.2% from 2024 to 2032. The market value was approximately USD 680.65 million in 2023 and is projected to reach USD 827.91 million by 2032. This growth is driven by the increasing incidence of cancer and the expanding healthcare industry[2][3].

Regional Market Trends

  • Asia Pacific: This region is anticipated to witness sustainable growth due to the rapid expansion of the healthcare industry and an increase in cancer cases such as blood cell cancer and lung cancer[2][3].
  • North America: The market growth in this region is driven by the higher adoption of cyclophosphamide in treating nephrotic syndrome and AL amyloidosis[2][3].
  • Europe: The increasing use of cyclophosphamide in hospitals and clinics is a key factor contributing to market growth in Europe[2][3].
  • Middle East & Africa: This region is expected to see significant growth due to the adoption of cyclophosphamide in treating autoimmune diseases[3].

Market Drivers and Restraints

Drivers

  • The rising demand for cyclophosphamide in treating cancer and nephrotic syndrome is a major driver of market growth[2][3].
  • The inclusion of cyclophosphamide in the World Health Organization's list of essential medicines further boosts its demand[2].

Restraints

  • The limitation in consumption due to potential side effects, particularly in pregnant women, and the need for prescription by certified doctors are significant restraints on the market[3].

Market Segmentation

By Type

The cyclophosphamide market is segmented into high-dose and low-dose types. Each type has different applications and usage patterns, influencing market dynamics[3].

By Application

Cyclophosphamide is used to treat various types of cancer, including lung, breast, eye, blood cell, and bone marrow cancers. It is also used to treat nephrotic syndrome, a kidney condition[2][3].

By Distribution Channel

The market is segmented by distribution channels such as hospitals, clinics, and pharmacies. The increasing use in hospitals and clinics is a significant factor in market growth[5].

Future Projections

Market Size and Revenue

The global cyclophosphamide market is expected to continue growing, driven by the increasing incidence of cancer and advancements in healthcare. By 2032, the market is projected to reach USD 827.91 million[2][3].

Emerging Trends

  • Combination Therapies: The trend of using cyclophosphamide in combination with other drugs, such as immune checkpoint inhibitors and antiangiogenic agents, is expected to continue and expand, offering new treatment strategies for various cancers[1].
  • Clinical Trials: Ongoing and future clinical trials will play a crucial role in understanding the full potential of cyclophosphamide in treating different types of cancers and other diseases[4].

Key Takeaways

  • Cyclophosphamide has shown promising results in clinical trials, particularly when combined with other treatments for cancers like ovarian cancer and mesothelioma.
  • The global cyclophosphamide market is expected to grow at a CAGR of 2.2% from 2024 to 2032, driven by rising cancer incidences and healthcare industry expansion.
  • Regional markets such as Asia Pacific, North America, and Europe are expected to see significant growth due to various factors including increased cancer cases and higher adoption rates.
  • Market restraints include limitations in consumption due to potential side effects and the need for prescription by certified doctors.

FAQs

What is Cytoxan (Cyclophosphamide) used for?

Cytoxan (Cyclophosphamide) is used to treat various types of cancer, including lung, breast, eye, blood cell, and bone marrow cancers. It is also used to treat nephrotic syndrome, a kidney condition[2][3].

What are the recent clinical trial findings for Cyclophosphamide?

Recent clinical trials have shown that combining cyclophosphamide with pembrolizumab and bevacizumab is well-tolerated and demonstrates clinical benefit and durable treatment responses in patients with recurrent ovarian cancer[1].

What is the projected market size of Cyclophosphamide by 2032?

The global cyclophosphamide market is projected to reach USD 827.91 million by 2032, growing at a CAGR of 2.2% from 2024 to 2032[2][3].

What are the key drivers of the Cyclophosphamide market?

The key drivers include the rising demand for cyclophosphamide in treating cancer and nephrotic syndrome, and its inclusion in the WHO's list of essential medicines[2][3].

What are the potential restraints on the Cyclophosphamide market?

The potential restraints include limitations in consumption due to side effects, particularly in pregnant women, and the need for prescription by certified doctors[3].

In which regions is the Cyclophosphamide market expected to grow significantly?

The Cyclophosphamide market is expected to grow significantly in regions such as Asia Pacific, North America, and Europe due to factors like increasing cancer cases and higher adoption rates[2][3].

References

  1. Cancer Network: Phase 2 Trial Reports Positive Outcomes with Treatment Combination for Ovarian Cancer.
  2. Expert Market Research: Cyclophosphamide Drug Market Size, Industry, Overview By 2032.
  3. Fortune Business Insights: Cyclophosphamide Market Size, Industry Share | Forecast, 2032.
  4. Mesothelioma.net: Cytoxan (cyclophosphamide) | Side Effects, Clinical Trials.
  5. Cognitive Market Research: Cyclophosphamide Injection Market Report 2024 (Global Edition).

More… ↓

⤷  Try for Free

Make Better Decisions: Try a trial or see plans & pricing

Drugs may be covered by multiple patents or regulatory protections. All trademarks and applicant names are the property of their respective owners or licensors. Although great care is taken in the proper and correct provision of this service, thinkBiotech LLC does not accept any responsibility for possible consequences of errors or omissions in the provided data. The data presented herein is for information purposes only. There is no warranty that the data contained herein is error free. thinkBiotech performs no independent verification of facts as provided by public sources nor are attempts made to provide legal or investing advice. Any reliance on data provided herein is done solely at the discretion of the user. Users of this service are advised to seek professional advice and independent confirmation before considering acting on any of the provided information. thinkBiotech LLC reserves the right to amend, extend or withdraw any part or all of the offered service without notice.