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 and Capecitabine in Treating Women With Advanced Breast Cancer

Phase 1
Completed
Conditions
First Posted Date
2004-05-17
Last Posted Date
2011-03-09
Lead Sponsor
Roswell Park Cancer Institute
Target Recruit Count
12
Registration Number
NCT00083148
Locations
🇺🇸

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

Irinotecan With Docetaxel in Treating Patients With Recurrent or Metastatic Non-small Cell Lung Cancer

Phase 2
Completed
Conditions
Interventions
First Posted Date
2004-05-03
Last Posted Date
2016-07-06
Lead Sponsor
Alliance for Clinical Trials in Oncology
Target Recruit Count
48
Registration Number
NCT00003900
Locations
🇺🇸

Siouxland Hematology-Oncology, Sioux City, Iowa, United States

🇺🇸

CCOP - Metro-Minnesota, Saint Louis Park, Minnesota, United States

🇨🇦

Saskatchewan Cancer Agency, Regina, Saskatchewan, Canada

and more 16 locations

Irinotecan in Treating Patients With Advanced Gallbladder or Bile Duct Cancer

Phase 2
Completed
Conditions
Interventions
First Posted Date
2004-04-30
Last Posted Date
2016-07-06
Lead Sponsor
Alliance for Clinical Trials in Oncology
Target Recruit Count
40
Registration Number
NCT00003276
Locations
🇺🇸

CCOP - Scottsdale Oncology Program, Scottsdale, Arizona, United States

🇺🇸

CCOP - Illinois Oncology Research Association, Peoria, Illinois, United States

🇺🇸

CCOP - Cedar Rapids Oncology Project, Cedar Rapids, Iowa, United States

and more 18 locations

Irinotecan and Paclitaxel in Treating Patients With Metastatic or Recurrent Cancer

First Posted Date
2004-04-29
Last Posted Date
2013-09-05
Lead Sponsor
University of Chicago
Target Recruit Count
21
Registration Number
NCT00002939
Locations
🇺🇸

University of Chicago Cancer Research Center, Chicago, Illinois, United States

Docetaxel and Irinotecan in Treating Patients With Advanced Solid Tumors

First Posted Date
2004-04-28
Last Posted Date
2009-08-25
Lead Sponsor
Yale University
Target Recruit Count
47
Registration Number
NCT00004923
Locations
🇺🇸

Yale Comprehensive Cancer Center, New Haven, Connecticut, United States

🇺🇸

Bennett Cancer Center, Stamford, Connecticut, United States

Combination Chemotherapy in Treating Patients With Stage III Colon Cancer

First Posted Date
2004-04-27
Last Posted Date
2013-10-08
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
1260
Registration Number
NCT00003835
Locations
🇺🇸

Cancer and Leukemia Group B, Chicago, Illinois, United States

Oxaliplatin Plus Irinotecan in Treating Patients With Metastatic Gastrointestinal Cancer

First Posted Date
2004-04-27
Last Posted Date
2013-06-26
Lead Sponsor
Memorial Sloan Kettering Cancer Center
Target Recruit Count
36
Registration Number
NCT00003427
Locations
🇺🇸

Memorial Sloan-Kettering Cancer Center, New York, New York, United States

Irinotecan in Treating Patients With Metastatic Colorectal Cancer

Phase 2
Completed
Conditions
First Posted Date
2004-04-27
Last Posted Date
2013-06-26
Lead Sponsor
Memorial Sloan Kettering Cancer Center
Registration Number
NCT00003544
Locations
🇺🇸

Memorial Sloan-Kettering Cancer Center, New York, New York, United States

Irinotecan and Cyclosporine in Treating Patients With Metastatic, Advanced or Locally Recurrent Colorectal Cancer

Phase 2
Completed
Conditions
Interventions
First Posted Date
2004-04-27
Last Posted Date
2014-03-07
Lead Sponsor
University of Chicago
Target Recruit Count
16
Registration Number
NCT00003950
Locations
🇺🇸

University of Chicago Cancer Research Center, Chicago, Illinois, United States

🇺🇸

Louis A. Weiss Memorial Hospital, Chicago, Illinois, United States

🇺🇸

University of Illinois at Chicago, Chicago, Illinois, United States

and more 7 locations

Olimersen and Irinotecan in Treating Patients With Metastatic or Recurrent Colorectal Cancer

Phase 1
Completed
Conditions
First Posted Date
2004-04-23
Last Posted Date
2013-02-21
Lead Sponsor
The University of Texas Health Science Center at San Antonio
Registration Number
NCT00004870
Locations
🇺🇸

Ireland Cancer Center, Cleveland, Ohio, United States

🇺🇸

Brooke Army Medical Center, Fort Sam Houston, Texas, United States

🇺🇸

San Antonio Cancer Institute, San Antonio, Texas, United States

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