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
-

Irinotecan Discontinuation and Reintroduction for Advanced Colorectal Cancer

Phase 2
Terminated
Conditions
First Posted Date
2006-05-03
Last Posted Date
2008-11-25
Lead Sponsor
Gachon University Gil Medical Center
Target Recruit Count
72
Registration Number
NCT00320320
Locations
🇰🇷

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

Second-Line Irinotecan or Gefitinib in Docetaxel Pretreated NSCLC

First Posted Date
2006-04-27
Last Posted Date
2008-03-12
Lead Sponsor
Gachon University Gil Medical Center
Target Recruit Count
50
Registration Number
NCT00319800
Locations
🇰🇷

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

Cisplatin, Irinotecan, and Radiation Therapy in Treating Patients With Esophageal Cancer or Gastroesophageal Junction Cancer That Can Be Removed By Surgery

First Posted Date
2006-04-21
Last Posted Date
2018-05-08
Lead Sponsor
Alliance for Clinical Trials in Oncology
Target Recruit Count
82
Registration Number
NCT00316862
Locations
🇺🇸

Mountainview Medical, Berlin, Vermont, United States

🇺🇸

Memorial Hospital of South Bend, South Bend, Indiana, United States

🇺🇸

Michiana Hematology-Oncology, PC - South Bend, South Bend, Indiana, United States

and more 21 locations

Study of Bevacizumab Combined With Capecitabine and Either Oxaliplatin or Irinotecan as First Course of Treatment for Patients With Colorectal Cancer That Has Spread Beyond the Colon

First Posted Date
2006-04-13
Last Posted Date
2021-10-06
Lead Sponsor
NSABP Foundation Inc
Target Recruit Count
7
Registration Number
NCT00314353
Locations
🇺🇸

NSABP Operations Center, Pittsburgh, Pennsylvania, United States

Irinotecan and Temozolomide in Treating Young Patients With Recurrent Neuroblastoma

First Posted Date
2006-04-06
Last Posted Date
2014-09-30
Lead Sponsor
Children's Oncology Group
Target Recruit Count
59
Registration Number
NCT00311584
Locations
🇺🇸

Nationwide Children's Hospital, Columbus, Ohio, United States

🇺🇸

Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States

🇺🇸

University of Miami Sylvester Comprehensive Cancer Center - Miami, Miami, Florida, United States

and more 124 locations

Irinotecan, Carboplatin, Bevacizumab, and Radiation Therapy in the Treatment of Limited Stage Small Cell Lung Cancer

Phase 2
Completed
Conditions
First Posted Date
2006-03-29
Last Posted Date
2010-06-22
Lead Sponsor
SCRI Development Innovations, LLC
Target Recruit Count
55
Registration Number
NCT00308529
Locations
🇺🇸

Florida Cancer Specialists, Fort Myers, Florida, United States

🇺🇸

Oncology Hematology Care, Cincinnati, Ohio, United States

🇺🇸

Chattanooga Oncology Hematology Associates, Chattanooga, Tennessee, United States

and more 1 locations

Combination Chemotherapy as First-Line Therapy in Treating Older Patients With Metastatic Colorectal Cancer That Cannot Be Removed By Surgery

First Posted Date
2006-03-17
Last Posted Date
2016-05-30
Lead Sponsor
Federation Francophone de Cancerologie Digestive
Target Recruit Count
282
Registration Number
NCT00303771
Locations
🇫🇷

Clinique De Rochebelle, Ales, France

🇫🇷

Centre hospitalier d'Alencon, Alencon, France

🇫🇷

Centre Hospitalier d'Abbeville, Abbeville, France

and more 74 locations

Trastuzumab and Irinotecan in Treating Patients With HER2/Neu Positive Metastatic Breast Cancer

First Posted Date
2006-03-17
Last Posted Date
2018-01-17
Lead Sponsor
University of California, San Francisco
Target Recruit Count
9
Registration Number
NCT00303992
Locations
🇺🇸

UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, California, United States

Irinotecan With or Without Capecitabine as Second-Line Therapy in Treating Older Patients With Progressive, Metastatic Colorectal Cancer That Cannot Be Removed By Surgery

Phase 2
Conditions
First Posted Date
2006-03-17
Last Posted Date
2008-07-24
Lead Sponsor
Federation Francophone de Cancerologie Digestive
Target Recruit Count
78
Registration Number
NCT00303745
Locations
🇫🇷

Centre Hospitalier, Chalon Sur Saone, France

🇫🇷

Centre Hospitalier Universitaire Ambroise Pare - Boulogne, Boulogne, France

🇫🇷

Clinique Pasteur, Guilherand Granges, France

and more 20 locations

Phase 1/1b Dose Escalation Study Evaluating BSI-201 as a Single Agent and in Combination With Irinotecan in Subjects With Advanced Solid Tumors

Phase 1
Completed
Conditions
Interventions
First Posted Date
2006-03-03
Last Posted Date
2012-08-02
Lead Sponsor
Sanofi
Target Recruit Count
59
Registration Number
NCT00298675
Locations
🇺🇸

Research Site, San Antonio, Texas, United States

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