Irinotecan

Generic Name
Irinotecan
Brand Names
Camptosar, Onivyde, Onivyde pegylated liposomal (previously known as Onivyde)
Drug Type
Small Molecule
Chemical Formula
C33H38N4O6
CAS Number
97682-44-5
Unique Ingredient Identifier
7673326042
Background

Irinotecan is an antineoplastic enzyme inhibitor primarily used in the treatment of colorectal cancer. It is a derivative of camptothecin that inhibits the action of topoisomerase I. Irinotecan prevents religation of the DNA strand by binding to topoisomerase I-DNA complex, and causes double-strand DNA breakage and cell death. It is a derivative of camptothecin. Irinotecan was approved for the treatment of advanced pancreatic cancer in October, 2015 (irinotecan liposome injection, trade name Onivyde).

Indication

For the treatment of metastatic colorectal cancer (first-line therapy when administered with 5-fluorouracil and leucovorin). Also used in combination with cisplatin for the treatment of extensive small cell lung cancer. Irinotecan is currently under investigation for the treatment of metastatic or recurrent cervical cancer. Also used in combination with fluorouracil and leucovorin for the treatment of patients with metastatic adenocarcinoma of the pancreas after disease progression following gemcitabine-based therapy.

Associated Conditions
Esophageal Cancer, Ewing's Sarcoma, Gastric Cancer, High Grade Glioma: Glioblastoma (GBM), Metastatic Cervical Cancer, Non-Small Cell Lung Cancer (NSCLC), Ovarian Cancer, Pancreatic Cancer, Rhabdomyosarcomas, Small Cell Lung Cancer (SCLC), Stage IV Colorectal Cancer, Recurrent, metastatic Colorectal carcinoma, Refractory, metastatic Pancreatic adenocarcinoma
Associated Therapies
-

SARC037: a Phase I/II Study to Evaluate the Safety of Trabectedin in Combination with Irinotecan in Ewing Sarcoma Patients

First Posted Date
2019-08-26
Last Posted Date
2024-12-06
Lead Sponsor
Sarcoma Alliance for Research through Collaboration
Target Recruit Count
48
Registration Number
NCT04067115
Locations
🇺🇸

Boston Children's Hospital / Dana Farber Cancer Institute, Boston, Massachusetts, United States

🇺🇸

University of Pennsylvania, Philadelphia, Pennsylvania, United States

🇺🇸

National Cancer Institute, Bethesda, Maryland, United States

and more 3 locations

Optimal Anti-EGFR Treatment of mCRC Patients With Low-Frequency RAS Mutation

First Posted Date
2019-07-26
Last Posted Date
2019-07-26
Lead Sponsor
Ludwig-Maximilians - University of Munich
Target Recruit Count
120
Registration Number
NCT04034173
Locations
🇩🇪

Ludwigs Maximialians University, Munich, Germany

FOLFOXIRI Plus Cetuximab vs. FOLFOXIRI Plus Bevacizumab 1st-line in BRAF-mutated mCRC

First Posted Date
2019-07-26
Last Posted Date
2023-11-14
Lead Sponsor
Ludwig-Maximilians - University of Munich
Target Recruit Count
109
Registration Number
NCT04034459
Locations
🇩🇪

Klinikum der Universitaet Muenchen, Munich, Germany

A Study of Nivolumab, Nivolumab Plus Ipilimumab, or Investigator's Choice Chemotherapy for the Treatment of Participants With Deficient Mismatch Repair (dMMR)/Microsatellite Instability High (MSI-H) Metastatic Colorectal Cancer (mCRC)

First Posted Date
2019-07-05
Last Posted Date
2024-12-18
Lead Sponsor
Bristol-Myers Squibb
Target Recruit Count
1147
Registration Number
NCT04008030
Locations
🇩🇪

Local Institution - 0117, Hamburg, Germany

🇩🇪

Local Institution - 0008, Hannover, Germany

🇩🇪

Local Institution - 0009, Heidelberg, Germany

and more 159 locations

Tumor Subtypes in Subjects on FOLFIRINOX With Non-Metastatic Pancreatic Cancer

First Posted Date
2019-06-06
Last Posted Date
2024-01-08
Lead Sponsor
UNC Lineberger Comprehensive Cancer Center
Target Recruit Count
45
Registration Number
NCT03977233
Locations
🇺🇸

University of North Carolina at Chapel Hill Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina, United States

Etoposide/Cisplatin Compared With Irinotecan/Cisplatin for Advanced Gastrointestinal Neuroendocrine Tumor G3 Type

First Posted Date
2019-05-24
Last Posted Date
2019-05-24
Lead Sponsor
Henan Cancer Hospital
Target Recruit Count
112
Registration Number
NCT03963193

Study of Pembrolizumab (MK-3475) Versus Investigator's Choice of Chemotherapy for Participants With Advanced Esophageal/Esophagogastric Junction Carcinoma That Progressed After First-Line Therapy (MK-3475-181/KEYNOTE-181)-China Extension Study

First Posted Date
2019-05-01
Last Posted Date
2023-03-29
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
123
Registration Number
NCT03933449
Locations
🇨🇳

Wuhan Tongji Hospital ( Site 0724), Wuhan, Hubei, China

🇨🇳

Jiangsu Cancer Hospital (Site 0704), Nanjing, Jiangsu, China

🇨🇳

The First Affiliated Hospital of Anhui Medical University ( Site 0707), Hefei, Anhui, China

and more 20 locations

DS-3201b and Irinotecan for Patients With Recurrent Small Cell Lung Cancer

Phase 1
Terminated
Conditions
Interventions
First Posted Date
2019-03-19
Last Posted Date
2024-10-10
Lead Sponsor
Memorial Sloan Kettering Cancer Center
Target Recruit Count
22
Registration Number
NCT03879798
Locations
🇺🇸

Memorial Sloan Kettering Bergen, Montvale, New Jersey, United States

🇺🇸

Memorial Sloan Kettering Nassau, Uniondale, New York, United States

🇺🇸

Memorial Sloan Kettering Cancer Commack, Commack, New York, United States

and more 4 locations

A Study of TRK-950 in Combinations With Anti-Cancer Treatment Regimens in Patients With Advanced Solid Tumors

First Posted Date
2019-03-13
Last Posted Date
2024-08-02
Lead Sponsor
Toray Industries, Inc
Target Recruit Count
187
Registration Number
NCT03872947
Locations
🇺🇸

HOAG Memorial Hospital Presbyterian, Newport, California, United States

🇺🇸

Texas Oncology, P.A. Baylor Charles A. Sammons Cancer Center, Dallas, Texas, United States

🇺🇸

Northwest Cancer Specialists, Portland, Oregon, United States

and more 11 locations
© Copyright 2024. All Rights Reserved by MedPath