Cyclophosphamide (Cytoxan)

  • Nitrogen mustard derivative; cell cycle DNA cross-linkages at any point in cycle
  • SE: teratogenicity, ↑ lymphoma risk, ↑ leukemia risk, ↑ bladder cancer risk, ↑ SCC risk, bone marrow suppression, hemorrhagic cystitis (mesna decreases toxicity), azoospermia, pulmonary fibrosis, alopecia, hyperpigmentation of skin/nails
  • Treatment of choice for Wegener’s granulomatosis
  • Pregnancy category D