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**Canfosfamide + liposomal doxorubicin** is a combination of two distinct anticancer agents. **Canfosfamide** is a glutathione analog prodrug activated by the enzyme glutathione S-transferase P1-1, leading to induction of apoptosis primarily in tumor cells with elevated GST P1-1 levels. **Liposomal doxorubicin** (specifically pegylated, branded as Doxil) is an anthracycline antibiotic encapsulated in liposomes with a polyethylene glycol (PEG) coating, which prolongs circulation and selectively enhances delivery to tumors. This combination has been extensively studied in platinum-refractory or -resistant ovarian cancer, leveraging the potential synergy between GST-activated cytotoxicity and improved drug delivery to tumor tissue. The regimen has demonstrated manageable toxicity profiles, with some studies showing improved disease stabilization and response rates in specific subgroups, but failed to achieve statistically significant superiority over standard single-agent regimens in large Phase III trials.
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