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
-

Cap/Iri Plus Cetuximab Compared to Cap/ox Plus Cetuximab in Patients With Metastatic Colorectal Cancer.

Phase 2
Completed
Conditions
First Posted Date
2005-11-15
Last Posted Date
2010-10-28
Lead Sponsor
Ludwig-Maximilians - University of Munich
Target Recruit Count
92
Registration Number
NCT00254137

Taxotere, Cisplatin, and CPT-11 in Advanced Solid Tumor Malignancies

Phase 1
Completed
Conditions
Interventions
First Posted Date
2005-11-10
Last Posted Date
2012-08-09
Lead Sponsor
Dana-Farber Cancer Institute
Target Recruit Count
46
Registration Number
NCT00251407
Locations
🇺🇸

Massachusetts General Hospital, Boston, Massachusetts, United States

🇺🇸

Brigham and Women's Hospital, Boston, Massachusetts, United States

🇺🇸

Dana-Farber Cancer Institute, Boston, Massachusetts, United States

A Phase I Trial Using Combination Irinotecan and Thalidomide for Recurrent CNS Tumors

Phase 1
Completed
Conditions
First Posted Date
2005-11-10
Last Posted Date
2010-01-07
Lead Sponsor
University of New Mexico
Target Recruit Count
10
Registration Number
NCT00251797
Locations
🇺🇸

University of New Mexico, Albuquerque, New Mexico, United States

Imatinib Mesylate After Irinotecan and Cisplatin in Treating Patients With Extensive-Stage Small Cell Lung Cancer

Phase 2
Completed
Conditions
Interventions
First Posted Date
2005-11-04
Last Posted Date
2013-04-29
Lead Sponsor
Barbara Ann Karmanos Cancer Institute
Target Recruit Count
6
Registration Number
NCT00248482
Locations
🇺🇸

Barbara Ann Karmanos Cancer Institute, Detroit, Michigan, United States

🇺🇸

University of Michigan Comprehensive Cancer Center, Ann Arbor, Michigan, United States

Irinotecan, 5-Fluorouracil and Leucovorin With or Without Iressa in the Treatment of Metastatic Colorectal Cancer

Phase 2
Withdrawn
Conditions
First Posted Date
2005-10-06
Last Posted Date
2011-01-27
Lead Sponsor
AstraZeneca
Target Recruit Count
190
Registration Number
NCT00233623
Locations
🇮🇹

Research Center, Bari, Italy

🇮🇹

Research Site, Venezia, Italy

Combination Chemotherapy Treatments in Patients With Metastatic Colorectal Cancer

Phase 2
Completed
Conditions
First Posted Date
2005-09-30
Last Posted Date
2015-04-21
Lead Sponsor
University of Michigan Rogel Cancer Center
Target Recruit Count
15
Registration Number
NCT00230399
Locations
🇺🇸

University of Michigan Cancer Center, Ann Arbor, Michigan, United States

Oxaliplatin, Irinotecan, and Capecitabine in Treating Patients With Advanced or Metastatic Colorectal Cancer That Cannot Be Removed By Surgery

First Posted Date
2005-09-22
Last Posted Date
2012-06-05
Lead Sponsor
Swiss Group for Clinical Cancer Research
Target Recruit Count
23
Registration Number
NCT00217711
Locations
🇨🇭

Hirslanden Klinik Aarau, Lausanne, Switzerland

🇨🇭

City Hospital Triemli, Zurich, Switzerland

🇨🇭

Kantonsspital Graubuenden, Chur, Switzerland

and more 1 locations

Study of Capecitabine With Irinotecan and Oxaliplatin (Eloxatin) in Advanced Colorectal Cancer

First Posted Date
2005-09-22
Last Posted Date
2013-11-25
Lead Sponsor
H. Lee Moffitt Cancer Center and Research Institute
Target Recruit Count
24
Registration Number
NCT00215982
Locations
🇺🇸

H. Lee Moffitt Cancer Center & Research Institute, Tampa, Florida, United States

🇵🇷

San Juan Veterans Hospital, Rio Piedras, Puerto Rico

Capecitabine or 5-Fluorouracil in Combination With Irinotecan and Cisplatin in Patients With Solid Tumor Malignancies

First Posted Date
2005-09-22
Last Posted Date
2018-11-02
Lead Sponsor
Dana-Farber Cancer Institute
Target Recruit Count
54
Registration Number
NCT00215501
Locations
🇺🇸

Massachusetts General Hospital, Boston, Massachusetts, United States

🇺🇸

Brigham and Women's Hospital, Boston, Massachusetts, United States

🇺🇸

Dana-Farber Cancer Institute, Boston, Massachusetts, United States

Cisplatin and Irinotecan Chemotherapy, Followed by ZD 1839 (Iressa) in Patients With Esophageal or Gastric Carcinomas

First Posted Date
2005-09-22
Last Posted Date
2012-01-13
Lead Sponsor
H. Lee Moffitt Cancer Center and Research Institute
Target Recruit Count
21
Registration Number
NCT00215995
Locations
🇺🇸

H. Lee Moffitt Cancer Center & Research Institute, Tampa, Florida, United States

🇵🇷

Ponce School of Medicine, Ponce, Puerto Rico

🇵🇷

University of Puetro Rico Cancer Center, San Juan, Puerto Rico

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