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
-

Chemotherapy and Radiation Therapy in Treating Patients With Non-Small Cell Lung Cancer

Phase 1
Completed
Conditions
First Posted Date
2004-02-27
Last Posted Date
2013-09-02
Lead Sponsor
Fox Chase Cancer Center
Registration Number
NCT00022308
Locations
🇺🇸

Riverview Medical Center - Booker Cancer Center, Red Bank, New Jersey, United States

🇺🇸

Delaware County Memorial Hospital, Drexel Hill, Pennsylvania, United States

🇺🇸

Fox Chase Cancer Center, Philadelphia, Pennsylvania, United States

and more 5 locations

Chemotherapy Plus IM-862 in Treating Patients With Metastatic Colorectal Cancer

Phase 2
Terminated
Conditions
First Posted Date
2004-02-26
Last Posted Date
2014-05-22
Lead Sponsor
University of Southern California
Target Recruit Count
18
Registration Number
NCT00006037
Locations
🇺🇸

USC/Norris Comprehensive Cancer Center and Hospital, Los Angeles, California, United States

Combination Chemotherapy in Treating Patients With Locally Advanced or Metastatic Solid Tumors

First Posted Date
2004-02-16
Last Posted Date
2013-12-19
Lead Sponsor
Memorial Sloan Kettering Cancer Center
Registration Number
NCT00005791
Locations
🇺🇸

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

Cetuximab Plus Combination Chemotherapy in Treating Patients With Stage IV Colorectal Cancer

Phase 2
Completed
Conditions
First Posted Date
2004-02-16
Last Posted Date
2013-06-18
Lead Sponsor
Memorial Sloan Kettering Cancer Center
Registration Number
NCT00020917
Locations
🇺🇸

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

Irinotecan and Capecitabine in Treating Patients With Solid Tumors

Phase 1
Completed
Conditions
First Posted Date
2004-02-16
Last Posted Date
2018-09-10
Lead Sponsor
Montefiore Medical Center
Target Recruit Count
30
Registration Number
NCT00003867
Locations
🇺🇸

Albert Einstein Comprehensive Cancer Center, Bronx, New York, United States

Irinotecan and Cisplatin With or Without Amifostine in Treating Children With Solid Tumors That Have Not Responded to Previous Therapy

First Posted Date
2004-02-12
Last Posted Date
2013-07-02
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
30
Registration Number
NCT00004919
Locations
🇺🇸

COG Phase I Consortium, Arcadia, California, United States

Combination Chemotherapy Plus Bevacizumab in Treating Patients With Advanced Colorectal Cancer

Phase 2
Completed
Conditions
First Posted Date
2004-02-12
Last Posted Date
2013-06-24
Lead Sponsor
Eastern Cooperative Oncology Group
Registration Number
NCT00006786
Locations
🇺🇸

Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, Illinois, United States

🇺🇸

Veterans Affairs Medical Center - Cleveland, Cleveland, Ohio, United States

🇺🇸

Cleveland Clinic Taussig Cancer Center, Cleveland, Ohio, United States

and more 74 locations

FOLFIRI or FOLFOX With or Without Cetuximab in Patients With Metastatic Adenocarcinoma of the Colon or Rectum

First Posted Date
2004-02-11
Last Posted Date
2018-05-16
Lead Sponsor
Alliance for Clinical Trials in Oncology
Target Recruit Count
238
Registration Number
NCT00077233
Locations
🇺🇸

Memorial Regional Cancer Center at Memorial Regional Hospital, Hollywood, Florida, United States

🇺🇸

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

🇺🇸

CCOP - Northern Indiana CR Consortium, South Bend, Indiana, United States

and more 74 locations
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