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
-

Assessing a Regorafenib-irinotecan Combination Versus Regorafenib Alone in Metastatic Colorectal Cancer Patients

First Posted Date
2019-02-04
Last Posted Date
2023-09-28
Lead Sponsor
Institut du Cancer de Montpellier - Val d'Aurelle
Target Recruit Count
78
Registration Number
NCT03829462
Locations
🇫🇷

Centre Antoine Lacassagne, Nice, Alpes-Maritimes, France

🇫🇷

Centre François Baclesse, Caen, Basse-Normandie, France

🇫🇷

Hôpital Pontchaillou, Rennes, Ile Et Vilaine, France

and more 8 locations

Endostar Combined With IP Second-line Treatment of Advanced Esophageal Squamous Cell Carcinomas

First Posted Date
2019-01-09
Last Posted Date
2019-01-09
Lead Sponsor
Fudan University
Target Recruit Count
76
Registration Number
NCT03797625
Locations
🇨🇳

Cancer hospital Fudan University, Shanghai, Shanghai, China

Irinotecan Hydrochloride, Temozolomide, and Dinutuximab With or Without Eflornithine in Treating Patients With Relapsed or Refractory Neuroblastoma

First Posted Date
2019-01-07
Last Posted Date
2024-12-04
Lead Sponsor
Children's Oncology Group
Target Recruit Count
95
Registration Number
NCT03794349
Locations
🇺🇸

Connecticut Children's Medical Center, Hartford, Connecticut, United States

🇺🇸

Yale University, New Haven, Connecticut, United States

🇺🇸

Children's National Medical Center, Washington, District of Columbia, United States

and more 143 locations

Intraperitoneal and System Chemotherapy Versus XELOX as First-line Chemotherapy for mCRC

First Posted Date
2019-01-03
Last Posted Date
2019-01-03
Lead Sponsor
The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School
Target Recruit Count
100
Registration Number
NCT03792269
Locations
🇨🇳

The Comprehensive Cancer Center of Nanjing Drum Tower Hospital, Nanjing, Jiangsu, China

FOLFIRINOX for 2nd-line Treatment of BTC

First Posted Date
2018-12-19
Last Posted Date
2021-02-04
Lead Sponsor
Dong-A University Hospital
Target Recruit Count
34
Registration Number
NCT03778593
Locations
🇰🇷

Dong-A University Hospital, Busan, Korea, Republic of

Irinotecan-based Triplet (FOLFOXIRI) as Perioperative Treatment in Resectable Gastric and Gastroesophageal Junction Adenocarcinoma.

First Posted Date
2018-12-12
Last Posted Date
2024-02-02
Lead Sponsor
Lund University Hospital
Target Recruit Count
60
Registration Number
NCT03773367
Locations
🇳🇴

Oslo University Hospital, Ullevål Hospital, Oslo, Norway

🇸🇪

Karolinska University Hospital, Stockholm, Sweden

🇸🇪

Lund University Hospital, Lund, Sweden

and more 1 locations

Second-line FOLFIRI + Panitumumab in Subjects With Wild Type RAS Metastatic Colorectal

First Posted Date
2018-11-23
Last Posted Date
2021-06-30
Lead Sponsor
Grupo Espanol Multidisciplinario del Cancer Digestivo
Target Recruit Count
31
Registration Number
NCT03751176
Locations
🇪🇸

ICO Girona Dr. Josep Trueta, Gerona, Barcelona, Spain

🇪🇸

Hospital de Granollers, Granollers, Barcelona, Spain

🇪🇸

Hospital Mutua de Terrassa, Terrassa, Barcelona, Spain

and more 15 locations

Regorafenib Combined With Irinotecan as Second-line in Patients With Metastatic Gastro-oesophageal Adenocarcinomas

First Posted Date
2018-10-26
Last Posted Date
2023-10-16
Lead Sponsor
UNICANCER
Target Recruit Count
89
Registration Number
NCT03722108
Locations
🇫🇷

Centre de Cancérologie du Grand Montpellier, Montpellier, France

🇫🇷

CHU Dupuytren, Limoges, France

🇫🇷

Clinique de Flandre, Coudekerque-Branche, France

and more 24 locations

FOLFOXIRI + Bev + Atezo vs FOLFOXIRI + Bev as First-line Treatment of Unresectable Metastatic Colorectal Cancer Patients

First Posted Date
2018-10-26
Last Posted Date
2023-10-12
Lead Sponsor
Gruppo Oncologico del Nord-Ovest
Target Recruit Count
218
Registration Number
NCT03721653
Locations
🇮🇹

Francesca Vannini, Pisa, Italia, Italy

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