The history of ifosfamide.

Abstract:

:Ifosfamide was developed by investigators at Asta-Werke in Germany. Its chemical structure differs from that of cyclophosphamide by the transposition of one of the side chain chloroethyl groups to the ring nitrogen. In several preclinical models, ifosfamide had greater activity than cyclophosphamide. It produced less myelosuppression, but more commonly produced hemorrhagic cystitis as its dose-limiting toxicity. This toxicity has been minimized with the urothelial protective agents mesna and N-acetylcysteine. Thus, increasing doses have been administered and a new spectrum of toxicities observed, including neurotoxicity, hematologic toxicity, nephrotoxicity, and acidosis. Ifosfamide has been shown to have a broad spectrum of clinical activity in various cancers. Questions remain as to the optimal doses and schedules.

journal_name

Semin Oncol

journal_title

Seminars in oncology

authors

Loehrer PJ Sr

subject

Has Abstract

pub_date

1992-12-01 00:00:00

pages

2-6

issue

6 Suppl 12

eissn

0093-7754

issn

1532-8708

pii

0093-7754(92)90046-4

journal_volume

19

pub_type

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