Skip to main content
Log in

Severe renal failure following high-dose ifosfamide and mesna

  • Original Articles
  • Ifosfamide, Renal Function, Mesna
  • Published:
Cancer Chemotherapy and Pharmacology Aims and scope Submit manuscript

Summary

A 62-year-old woman developed subacute renal failure after the repeated administration of ifosfamide (IFX), despite its combination with continuous sodium 2-mercaptoethane sulfonate (mesna) infusion. Biopsy findings, the possible underlying mechanism, and the existing literature are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Brock N, Pohl J, Stekar J, Scheef W (1982) Studies on the urotoxicity of oxazaphosphorine cytostatics and its prevention: III. Profile of action of sodium 2-mercaptoethane sulfonate (mesna). Eur J Cancer Clin Oncol 18: 1377

    Google Scholar 

  2. Burkert H (1983) Clinical overview of mesna. Cancer Treat Rev 10 [Suppl A]: 175

    Google Scholar 

  3. Einhorn LH (1986) VP-16 plus ifosfamide plus cisplatin as salvage therapy in refractory testicular cancer Cancer Chemother Pharmacol 18 [Suppl 2]: S45

  4. Goren MP, Wright RK, Pratt CB, Horowitz ME, Dodge RK, Viar MJ, Kounar EH (1987) Potentiation of ifosfamide neurotoxicity, hematotoxicity, and tubular nephrotoxicity by prior cis-diamminedichloroplatinum(II) therapy. Cancer Res 47: 1457

    Google Scholar 

  5. Hilgard P, Herdrich K, Brade W (1983) Ifosfamide-current aspects and perspectives. Cancer Treat Rev 10 [Suppl A]: 183

    Google Scholar 

  6. Klein HA, Wickramanayake PD, Löffler T, Hirschmann WD (1980) High dose therapy with cytostatic drugs. Cancer Campaign 4: 291

    Google Scholar 

  7. Klein HA, Wickramanayake PD, Coerper C, Christian E (1983) High-dose ifosfamide and mesna as continuous infusion over five days — a phase I/II trial. Cancer Treat Rev 10 [Suppl A]: 167

    Google Scholar 

  8. Likes KE, Catchatourian R, Simon LS, Gurwich EL (1978) Cyclophosphamide-induced hemorrhagic cystitis exacerbated by melphalan. Drug Int Clin Pharmacol 12: 432

    Google Scholar 

  9. Pohl J (1981) Toxicity, pharmacology and interactions of uromitexan. In: Burkert H, Nagel GA (eds) New experience with the oxazaphosphorines with special reference to the uroprotector uromitexan. Karger, Basel, p 12

    Google Scholar 

  10. Sangster G, Kaye SB, Calman KC, Dalton JF (1984) Failure of 2-mercaptoethane sulphonate sodium (mesna) to protect against ifosfamide nephrotoxicity. Eur J Cancer Clin Oncol 20: 435

    Google Scholar 

  11. Stuart-Harris RC, Harper PG, Parsons CA, Kaye SB, Mooney CA, Gowing NF, Wiltshaw E (1983) High-dose alkylation therapy using ifosfamide infusion with mesna in the treatment of adult advanced soft-tissue sarcoma. Cancer Chemother Pharmacol 11: 69

    Google Scholar 

  12. Van Dyk JJ, Falkson HC, van der Merwe AM, Falkson G (1972) Unexpected toxicity in patients treated with iphosphamide. Cancer Res 32: 921–924

    Google Scholar 

  13. Shaw IC, Graham MI (1987) Mesna — a short review. Cancer Treat Rev 14: 67

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Willemse, P.H.B., de Jong, P.E., Elema, J.B. et al. Severe renal failure following high-dose ifosfamide and mesna. Cancer Chemother. Pharmacol. 23, 329–330 (1989). https://doi.org/10.1007/BF00292414

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00292414

Keywords

Navigation