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TLC D-99 + ifosfamide is a combination chemotherapy regimen consisting of non-pegylated liposomal doxorubicin (NPLD), also known as TLC D-99, and the alkylating agent ifosfamide. This combination has been investigated primarily as a first-line treatment for advanced or metastatic soft tissue sarcoma (STS). Non-pegylated liposomal doxorubicin is a formulation designed to reduce cardiotoxicity compared to conventional doxorubicin while maintaining antitumor efficacy. Ifosfamide is an alkylating agent that interferes with DNA replication and cell division. The combination aims to enhance antitumor activity while minimizing toxicity, particularly cardiac toxicity associated with anthracyclines. Clinical trials have demonstrated promising overall response rates and disease control rates in patients with advanced/metastatic STS, with manageable safety profiles[2][3][4].
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