Trofosfamide is an alkylating agent that is derived from
the oxazaphoshorines. It has found application in a
broad spectrum of malignancies in the last three
decades. The main indications for application were in the
palliative situation and as maintenance therapy. Good results
were reported from the treatment of non-Hodgkin’s
lymphomas and soft tissue sarcomas. A lot of small
studies and casuistic contributions are available giving
treatment results of several solid carcinomas (malignant
gliomas, ovarian, lung and prostate cancer, and others).
Due to its oral formulation and good tolerability trofosfamide
is an attractive candidate for the palliative situation
because treatment on an outpatient basis is possible.
However, there is still a lack of randomized clinical
studies with trofosfamide. Thus, evidence-based conclusions
on the therapeutic value of the drug cannot be
drawn. In the future, phase III trials should be untertaken.