Ifosfamide
- IVIfosfamideIfex, Holoxan
Mechanism of Action
- A prodrug that is metabolized by the liver into phosphoramide mustard. This active metabolite shares nitrogen atoms between guanine residues in DNA, creating intrastrand and interstrand DNA crosslinks. Disruption of DNA results in cytotoxicity.
Clinical Use
Indications
- Certain solid organ and haematologic malignancies, as guided by specialists and local guidelines
- Adverse Effects
- Haemorrhagic cystitis
- Bone marrow suppression - leucopaenia, thrombocytopaenia, anaemia
- Renal dysfunction
- Nausea / vomiting
- Alopecia
Monitoring
- Regular monitoring of FBC and renal function.