“…Considering its cytotoxicity, particularly on cells in the S-phase, topotecan damages rapidly renewing healthy tissues such as hematopoietic cells. To overcome these limitations, FF-10850, a pegylated topotecan liposomal injection, approximately 110 nm in diameter, with encapsulation efficiency exceeding 99.8%, and storage stability for 24 months under refrigeration, has been recently developed [ 26 ]. FF-10850 stably encapsulates topotecan within the dihydrosphingomyelin-based liposomal shell and has demonstrated prolonged plasma circulating time, greater antitumor activity, and milder hematological toxicities than the non-liposomal TPT in mice [ 26 , 27 ] and is currently under clinical investigation (NCT04047251).…”