Irinotecan
Brand names,
Irinotecan
Analogs
Irinotecan
Brand Names Mixture
Irinotecan
Chemical_Formula
C33H38N4O6
Irinotecan
RX_link
http://www.rxlist.com/cgi/generic2/irinot.htm
Irinotecan
fda sheet
Irinotecan
msds (material safety sheet)
Irinotecan
Synthesis Reference
T. Miyasaka et al., U.S. pat. 4,604,463 (1985, 1986 both to Yakult Honsha)
Irinotecan
Molecular Weight
586.678 g/mol
Irinotecan
Melting Point
222-223 oC
Irinotecan
H2O Solubility
Soluble
Irinotecan
State
Solid
Irinotecan
LogP
4.372
Irinotecan
Dosage Forms
Solution for IM injection
Irinotecan
Indication
For the treatment of metastatic colorectal cancer (first-line therapy when administered with 5-fluorouracil and leucovorin).
Irinotecan
Pharmacology
Irinotecan is an antineoplastic enzyme inhibitor primarily used in the treatment of colorectal cancer. Irinotecan is a derivative of camptothecin. Camptothecins interact specifically with the enzyme topoisomerase I which relieves torsional strain in DNA by inducing reversible single-strand breaks. Irinotecan and its active metabolite SN-38 bind to the topoisomerase I-DNA complex and prevent religation of these single-strand breaks. Current research suggests that the cytotoxicity of Irinotecan is due to double-strand DNA damage produced during DNA synthesis when replication enzymes interact with the ternary complex formed by topoisomerase I, DNA, and either Irinotecan or SN-38. Mammalian cells cannot efficiently repair these double-strand breaks. The precise contribution of SN-38 to the activity of Irinotecan in humans is not known. Irinotecan is cell cycle phase-specific (S-phase).
Irinotecan
Absorption
100%
Irinotecan
side effects and Toxicity
Gastrointestinal complications, such as nausea, vomiting, abdominal cramping, diarrhea, and infection.
Irinotecan
Patient Information
Irinotecan
Organisms Affected
Humans and other mammals