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).
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.
Massachusetts General Hospital, Boston, Massachusetts, United States
Brigham and Women's Hospital, Boston, Massachusetts, United States
Dana-Farber Cancer Institute, Boston, Massachusetts, United States
University of New Mexico, Albuquerque, New Mexico, United States
Barbara Ann Karmanos Cancer Institute, Detroit, Michigan, United States
University of Michigan Comprehensive Cancer Center, Ann Arbor, Michigan, United States
Research Center, Bari, Italy
Research Site, Venezia, Italy
University of Michigan Cancer Center, Ann Arbor, Michigan, United States
Hirslanden Klinik Aarau, Lausanne, Switzerland
City Hospital Triemli, Zurich, Switzerland
Kantonsspital Graubuenden, Chur, Switzerland
H. Lee Moffitt Cancer Center & Research Institute, Tampa, Florida, United States
San Juan Veterans Hospital, Rio Piedras, Puerto Rico
Massachusetts General Hospital, Boston, Massachusetts, United States
Brigham and Women's Hospital, Boston, Massachusetts, United States
Dana-Farber Cancer Institute, Boston, Massachusetts, United States
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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