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
-

AZD2281 and Irinotecan in Treating Patients With Locally Advanced or Metastatic Colorectal Cancer

Phase 1
Completed
Conditions
First Posted Date
2007-09-26
Last Posted Date
2023-08-04
Lead Sponsor
NCIC Clinical Trials Group
Target Recruit Count
26
Registration Number
NCT00535353
Locations
🇨🇦

Ottawa Health Research Institute - General Division, Ottawa, Ontario, Canada

🇨🇦

Univ. Health Network-Princess Margaret Hospital, Toronto, Ontario, Canada

Sunitinib, Irinotecan, Fluorouracil, and Leucovorin In Treating Patients With Advanced Stomach Cancer or Gastroesophageal Cancer

First Posted Date
2007-09-03
Last Posted Date
2016-06-21
Lead Sponsor
Roswell Park Cancer Institute
Target Recruit Count
23
Registration Number
NCT00524186
Locations
🇺🇸

Roswell Park Cancer Institute, Buffalo, New York, United States

Phase I/Randomized Phase II Study of Second Line Therapy With Irinotecan + Cetuximab +/- RAD001 for Colorectal Cancer

First Posted Date
2007-08-30
Last Posted Date
2015-05-15
Lead Sponsor
Hoosier Cancer Research Network
Target Recruit Count
41
Registration Number
NCT00522665
Locations
🇺🇸

Northwestern University Feinberg School of Medicine, Chicago, Illinois, United States

🇺🇸

Medical & Surgical Specialists, LLC, Galesburg, Illinois, United States

🇺🇸

Oncology Hematology Associates of SW Indiana, Evansville, Indiana, United States

and more 11 locations

Combination Chemotherapy and Monoclonal Antibody Therapy in Treating Patients With Advanced Colorectal Cancer With Liver Metastases or Lung Metastases That Are Potentially Removable by Surgery

First Posted Date
2007-08-08
Last Posted Date
2009-08-07
Lead Sponsor
Centre Hospitalier Universitaire Vaudois
Target Recruit Count
35
Registration Number
NCT00513266
Locations
🇨🇭

Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland

🇨🇭

Hopital Cantonal Universitaire de Geneve, Geneva, Switzerland

🇨🇭

Kantonspital Aarau, Chur, Switzerland

and more 1 locations

Irinotecan (Camptosar) in Patients With Advanced Sarcomas

Phase 2
Completed
Conditions
Interventions
First Posted Date
2007-08-01
Last Posted Date
2013-01-03
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
38
Registration Number
NCT00509860
Locations
🇺🇸

UT MD Anderson Cancer Center, Houston, Texas, United States

Second-Line Irinotecan vs. ILF for AGC

First Posted Date
2007-08-01
Last Posted Date
2007-08-01
Lead Sponsor
Gachon University Gil Medical Center
Target Recruit Count
50
Registration Number
NCT00509964
Locations
🇰🇷

Gachon University Gil Medical Center, Incheon, Korea, Republic of

N2004-06: Irinotecan and Vincristine With 131I-MIBG Therapy for Resistant/Relapsed High-Risk Neuroblastoma

First Posted Date
2007-07-31
Last Posted Date
2023-11-09
Lead Sponsor
Children's Hospital Los Angeles
Target Recruit Count
26
Registration Number
NCT00509353
Locations
🇺🇸

Childrens Hospital Los Angeles, Los Angeles, California, United States

🇺🇸

University of Chicago Comer Children's Hospital, Chicago, Illinois, United States

🇺🇸

Children's Hospital and Regional Medical Center - Seattle, Seattle, Washington, United States

and more 9 locations

Phase I Irinotecan, 5-Fluorouracil and Leucovorin Combination

First Posted Date
2007-07-25
Last Posted Date
2016-08-25
Lead Sponsor
Genzyme, a Sanofi Company
Target Recruit Count
24
Registration Number
NCT00507091
Locations
🇬🇧

Research Site, Manchester, United Kingdom

Study of Genetic Polymorphisms of Drug Transporters and Orphan Nuclear Receptors on Treatment Effects of Irinotecan

Not Applicable
Conditions
First Posted Date
2007-07-25
Last Posted Date
2007-07-25
Lead Sponsor
National Cancer Center, Korea
Target Recruit Count
100
Registration Number
NCT00507143
Locations
🇰🇷

National Cancer Center Korea, Goyang, Gyeonggi, Korea, Republic of

Irinotecan and Cetuximab With or Without Bevacizumab in Treating Patients With Metastatic Colorectal Cancer That Progressed During First-Line Therapy

First Posted Date
2007-07-11
Last Posted Date
2014-07-31
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
72
Registration Number
NCT00499369
Locations
🇺🇸

Graham Hospital Association, Canton, Illinois, United States

🇺🇸

Elkhart General Hospital, Elkhart, Indiana, United States

🇺🇸

Toledo Radiation Oncology at Northwest Ohio Onocolgy Center, Maumee, Ohio, United States

and more 378 locations
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