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Untargeted liposomal doxorubicin refers to formulations of the anthracycline chemotherapeutic agent doxorubicin encapsulated within liposomes without any active targeting ligands on their surface. This category includes pegylated liposomal doxorubicin (such as Doxil or Caelyx) and non-pegylated liposomal doxorubicin (such as Myocet). Encapsulation within liposomes alters the pharmacokinetic profile of doxorubicin, significantly extending its circulation half-life and promoting accumulation in tumor tissues via the enhanced permeability and retention (EPR) effect. This passive targeting mechanism reduces the exposure of healthy tissues, particularly the myocardium, thereby mitigating the cumulative cardiotoxicity associated with conventional free doxorubicin. Untargeted liposomal doxorubicin is widely approved and utilized in the treatment of various malignancies, including ovarian cancer, metastatic breast cancer, multiple myeloma, and AIDS-related Kaposi's sarcoma.
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