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 in Treating Patients With Progressive or Recurrent Malignant Glioma

Phase 1
Completed
Conditions
First Posted Date
2004-02-09
Last Posted Date
2018-06-27
Lead Sponsor
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Registration Number
NCT00003616
Locations
🇺🇸

University of Texas - MD Anderson Cancer Center, Houston, Texas, United States

🇺🇸

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

🇺🇸

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

and more 7 locations

Irinotecan in Treating Patients With Advanced Cancer of the Stomach

First Posted Date
2004-01-22
Last Posted Date
2016-07-14
Lead Sponsor
Alliance for Clinical Trials in Oncology
Target Recruit Count
70
Registration Number
NCT00003137
Locations
🇺🇸

Mayo Clinic Jacksonville, Jacksonville, Florida, United States

🇺🇸

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

🇺🇸

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

and more 16 locations

Fluorouracil, Irinotecan, Leucovorin, and Cisplatin as First-Line Therapy in Treating Patients With Metastatic Esophageal Cancer

Phase 2
Conditions
First Posted Date
2004-01-13
Last Posted Date
2008-07-24
Lead Sponsor
GERCOR - Multidisciplinary Oncology Cooperative Group
Registration Number
NCT00075738
Locations
🇫🇷

Clinique La Casamance, Abugne, France

🇫🇷

Hopital Drevon, Dijon, France

🇫🇷

Centre Jean Bernard, Le Mans, France

and more 12 locations

Fluorouracil, Leucovorin, and Irinotecan in Treating Patients With Recurrent or Refractory Metastatic Unresectable Colorectal Cancer

Phase 2
Conditions
First Posted Date
2004-01-12
Last Posted Date
2009-01-06
Lead Sponsor
GERCOR - Multidisciplinary Oncology Cooperative Group
Registration Number
NCT00075595
Locations
🇫🇷

Polyclinique De Courlancy, Reims, France

🇫🇷

Clinique Armoricaine De Radiologie, Saint Brieuc, France

🇫🇷

Clinique Saint Jean, Lyon, France

and more 12 locations

Irinotecan, Oxaliplatin, and Capecitabine in Treating Patients With Unresectable Solid Tumors

First Posted Date
2003-12-11
Last Posted Date
2013-06-06
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
84
Registration Number
NCT00074321
Locations
🇺🇸

Mayo Clinic, Rochester, Minnesota, United States

Combination Chemotherapy and Celecoxib in Treating Patients With Advanced Non-Small Cell Lung Cancer

Phase 1
Completed
Conditions
First Posted Date
2003-12-11
Last Posted Date
2012-07-19
Lead Sponsor
Northwestern University
Registration Number
NCT00073866
Locations
🇺🇸

Silver Cross Hospital, Joliet, Illinois, United States

🇺🇸

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

🇺🇸

Evanston Northwestern Health Care - Evanston Hospital, Evanston, Illinois, United States

Irinotecan in Patients With Advanced Metastatic Breast Cancer Who Have Experienced Failure of an Anthracycline, a Taxane, and Capecitabine

Phase 2
Completed
Conditions
First Posted Date
2003-11-13
Last Posted Date
2008-10-16
Lead Sponsor
Pfizer
Target Recruit Count
134
Registration Number
NCT00072852
Locations
🇳🇿

Pfizer Investigational Site, Wellington, New Zealand

Cisplatin and Irinotecan Followed by Carboplatin, Etoposide, and Radiation Therapy in Treating Patients With Limited-Stage Small Cell Lung Cancer

First Posted Date
2003-11-05
Last Posted Date
2016-07-06
Lead Sponsor
Alliance for Clinical Trials in Oncology
Target Recruit Count
78
Registration Number
NCT00072527
Locations
🇺🇸

McDonough District Hospital, Macomb, Illinois, United States

🇺🇸

Hudner Oncology Center at Saint Anne's Hospital, Fall River, Massachusetts, United States

🇺🇸

Saint Luke's Hospital, Chesterfield, Missouri, United States

and more 73 locations

Irinotecan in Treating Patients With Advanced Neuroendocrine Tumors

First Posted Date
2003-10-01
Last Posted Date
2013-06-19
Lead Sponsor
Memorial Sloan Kettering Cancer Center
Registration Number
NCT00004922
Locations
🇺🇸

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

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