Irinotecan (CPT-11)

别名: CPT-11; (+)-Irinotecan; Biotecan; Camptosar; Irinophore C; CPT 11;CPT11; Irinotecan; Irinotecan lactone; Irinotecanum 伊立替康; (S)-4,11-二乙基-3,4,12,14-四氢-4-羟基-3,14-二氧代-1H-吡喃并[3',4':6,7]氮茚并[1,2-b]喹啉-9-基 1,4'-联哌啶-1'-羧酸酯; 盐酸伊立替康;盐酸依立替康;依立替康;依林特肯; [1,4'-联哌啶]-1'-羧酸(S)-4,11-二乙基-3,4,12,14-四氢-4羟基-3,14-二氧-1H-吡喃并[3',4':6,7]氮茚[1,2-B]喹啉-9-基酯; 联哌喜树碱; Irinotecan Hydrochloride 伊立替康 标准品;盐酸伊立替康杂质;伊立替康Irinotecan;伊立替康异构体杂质;(S)-4,11-二乙基-3,4,12,14-四氢-4-羟基-3,14-二氧代-1H-吡喃并[3',4':6,7]中氮茚并[1,2-b]喹啉-9-基 1,4'-联哌啶-1'-羧酸酯
目录号: V1393 纯度: ≥98%
伊立替康(也称为 CPT-11;Camptosar;Irinophore C;CPT11;伊立替康内酯;Irinotecanum)是喜树碱的半合成类似物和 7-乙基-10-羟基喜树碱 (SN-38) 的前药,是一种拓扑异构酶 I抑制剂被批准用作抗癌药物。
Irinotecan (CPT-11) CAS号: 97682-44-5
产品类别: Topoisomerase
产品仅用于科学研究,不针对患者销售
规格 价格 库存 数量
25mg
50mg
100mg
250mg
500mg
1g
Other Sizes

Other Forms of Irinotecan (CPT-11):

  • 盐酸依列替康
  • 盐酸伊立替康三水合物
点击了解更多
InvivoChem产品被CNS等顶刊论文引用
纯度/质量控制文件

纯度: ≥98%

产品描述
伊立替康(也称为 CPT-11;Camptosar;Irinophore C;CPT11;伊立替康内酯;伊立替康)是喜树碱的半合成类似物和 7-乙基-10-羟基-喜树碱 (SN-38) 的前药,是一种拓扑异构酶 I 抑制剂被批准用作抗癌药物。它抑制 LoVo 和 HT-29 细胞中的拓扑异构酶 I,IC50 分别为 15.8 μM 和 5.17 μM。
生物活性&实验参考方法
靶点
Topoisomerase I
体外研究 (In Vitro)
体外活性:伊立替康被羧酸酯酶激活为 SN-38,从而能够与其靶标拓扑异构酶 I 相互作用。伊立替康在 LoVo 细胞和 HT-29 细胞系中以 IC50 诱导相似数量的可裂解复合物。 SN-38 诱导可裂解复合物的浓度依赖性形成,这在 LoVo 细胞和 HT-29 细胞系中没有显着差异。伊立替康的细胞积累明显不同,在 HT-29 细胞中达到的水平始终高于 LoVo 细胞中的水平。伊立替康和 SN-38 的内酯 E 环在水溶液中可逆水解,内酯和羧酸盐形式之间的相互转化取决于 pH 值和温度。肝脏主要负责将伊立替康激活为 SN-38。在伊立替康和 SN-38 葡萄糖醛酸浓度相同的情况下,在肿瘤和正常组织中,β-葡萄糖醛酸酶介导的 SN-38 产生率高于伊立替康形成的 SN-38 产生率。伊立替康还在肠道、血浆和肿瘤组织中转化为 SN-38。伊立替康在 SCLC 细胞系中的活性显着高于 NSCLC 细胞系,而在 SN-38 中未观察到组织学类型之间存在显着差异。细胞测定:将指数生长的细胞(LoVo 和 HT-29 细胞)接种在 20 cm2 培养皿中,每个细胞系具有最佳细胞数(LoVo 细胞为 2 × 104,HT-29 细胞为 105)。 2 天后,用增加浓度的伊立替康或 SN-38 处理细胞一个细胞倍增时间(LoVo 细胞为 24 小时,HT-29 细胞为 40 小时)。用0.15 M NaCl洗涤后,细胞在正常培养基中进一步生长两次倍增,用胰蛋白酶-EDTA从支持物上分离并在血细胞计数器中计数。然后将 IC50 值估计为与没有伊立替康或 SN-38 孵育的细胞相比造成 50% 生长抑制的伊立替康或 SN-38 浓度。
体内研究 (In Vivo)
在 COLO 320 异种移植物中,伊立替康可诱导最大 92% 的生长抑制。单剂量的伊立替康显着增加胃、十二指肠、结肠和肝脏中与 DNA 共价结合的拓扑异构酶 I 的量。与此同时,与对照组相比,伊立替康治疗组在结肠粘膜细胞中显示出显着更高数量的 DNA 链断裂。
细胞实验
在 20 cm2 培养皿中,按指数生长的细胞接种每个细胞系理想数量的细胞(LoVo 细胞为 20,000 个,HT-29 细胞为 100,000 个)。两天后,他们接受浓度递增的伊立替康或 SN-38 治疗,进行单细胞倍增期(LoVo 细胞为 24 小时,HT-29 细胞为 40 小时)。 0.15 M NaCl 洗涤后,将细胞在正常培养基中再培养两次倍增,然后使用胰蛋白酶-EDTA 将其与支持物分离并使用血细胞计数器进行计数。随后,对经药物处理的细胞产生 50% 生长抑制的药物浓度估计为 IC50 值 [2]。
动物实验
One cycle of therapy consists of injecting 0.1 cc of the suitable solution intraperitoneally (IV) with irinotecan at a dose of 5 mg/kg per day for 5 days on two consecutive weeks, separated by a 7-day rest period. Over the course of eight weeks, rats receive three cycles. By intratumoral injection, control animals are given 0.1 cc of sterile 0.9% sodium chloride solution according to the same protocol as group II animals[1].
药代性质 (ADME/PK)
Absorption, Distribution and Excretion
The maximum plasma concentration (Cmax) when a dose of 125 mg/m^2 is given to patients with solid tumours is 1660 ng/mL. The AUC (0-24) is 10,200 ng·h/mL. The Cmax when a dose of 340 mg/m^2 is given to patients with solid tumours is 3392 ng/mL. The AUC (0-24) is 20,604 ng·h/mL.
The cumulative biliary and urinary excretion of irinotecan and its metabolites (SN-38 and SN-38 glucuronide) over a period of 48 hours following administration of irinotecan in two patients ranged from approximately 25% (100 mg/m2) to 50% (300 mg/m2).
The volume of distribution of terminal elimination phase is 110 L/m^2 when a dose of 125 mg/m^2 is given to patients with solid tumours. The volume of distribution of terminal elimination phase is 234 L/m^2 when a dose of 340 mg/m^2 is given to patients with solid tumours.
13.3 L/h/m^2 [Dose of 125 mg/m^2, patients with solid tumours]
13.9 L/h/m^2 [Dose of 340 mg/m^2, patients with solid tumours]
Pharmacokinetic parameters for irinotecan and SN-38 were determined in 2 pediatric solid-tumor trials at dose levels of 50 mg/sq m (60-min infusion, n=48) and 125 mg/sq m (90-min infusion, n=6). Irinotecan clearance (mean + or - S.D.) was 17.3 + or - 6.7 L/h/sq m for the 50 mg/sq m dose and 16.2 + or - 4.6 L/h/sq m for the 125 mg/sq m dose, which is comparable to that in adults. Dose-normalized SN-38 AUC values were comparable between adults and children. Minimal accumulation of irinotecan and SN-38 was observed in children on daily dosing regimens (daily X 5 every 3 weeks or (daily X 5) X 2 weeks every 3 weeks).
The clinical pharmacokinetics of irinotecan (CPT11) can be described by a 2 or 3 compartment model, a mean terminal half-life of 12 hours, a volume of distribution at steady state of 168 L/sq m and a total body clearance of 15 L/sq m/hr. Irinotecan is 65% bound to plasma proteins. The areas under the plasma concentration-time curve (AUC) of both irinotecan and active metabolite SN38 increase proportionally to the administered dose, although interpatient variability is important. ... The mean 24 hr irinotecan urinary excretion represents 17-25% of the administered dose, whereas SN38 and its glucuronide recovery in urine is minimal (0.5 and 6%, respectively). Irinotecan and SN38 pharmacokinetics are not influenced by prior exposure to the parent drug. Irinotecan and SN38 AUCs correlate significantly with leuko-neutropenia and sometimes with the intensity of diarrhea. Increased bilirubin levels appear to influence irinotecan total body clearance.
Metabolism / Metabolites
Hepatic. The metabolic conversion of irinotecan to the active metabolite SN-38 is mediated by carboxylesterase enzymes and primarily occurs in the liver. SN-38 is subsequently conjugated predominantly by the enzyme UDP-glucuronosyl transferase 1A1 (UGT1A1) to form a glucuronide metabolite.
... SN38 levels achieved in humans are about 100-fold lower than corresponding irinotecan levels, but these concentrations are important since SN38 is 100- to 1,000-fold more cytotoxic than the parent compound. SN38 is 95% bound to plasma proteins. SN38 plasma decay follows closely that of the parent compound. Irinotecan is extensively metabolized in the liver. The bipiperidinocarbonyloxy group of irinotecan is first removed by a carboxyesterase to yield the corresponding carboxylic acid and SN38. This metabolite can be converted into SN38 glucuronide by UDP-glucuronyltransferase (1.1 isoform). A recently identified metabolite is the 7-ethyl-10-[4-N-(5-aminopentanoic acid)-1-piperidino]-carbonyloxy-camptothecin (APC), which is formed by the action of cytochrome P450 3A4. Numerous other unidentified metabolites are detected in bile and urine. ...
Irinotecan, a camptothecin analogue, is a prodrug which requires bioactivation to form the active metabolite SN-38. SN-38 acts as a DNA topoisomerase I poison. ... Irinotecan is subjected to be shunted between CYP3A4 mediated oxidative metabolism to form two inactive metabolites APC or NPC and tissue carboxylesterase mediated hydrolysis to form SN-38 which is eventually detoxified via glucuronidation by UGT1A1 to form SN-38G. The pharmacology of this compound is further complicated by the existence of genetic inter-individual differences in activation and deactivation enzymes of irinotecan (e.g., CYP3A4, CYP3A5, UGT1A1) and sharing competitive elimination pathways with many concomitant medications, such as anticonvulsants, St. John's Wort, and ketoconazole. Efflux of the parent compound and metabolites out of cells by several drug transporters (e.g., Pgp, BCRP, MRP1, MRP2) also occurs. This review highlights the latest findings in drug activation, transport mechanisms, glucuronidation, and CYP3A-mediated drug-drug interactions of irinotecan in order to unlock some of its complicated pharmacology and to provide ideas for relevant future studies into optimization of this promising agent.
Irinotecan serves as a water-soluble precursor of the lipophilic metabolite SN-38. SN-38 is formed from irinotecan by carboxylesterase-mediated cleavage of the carbamate bond between the camptothecin moiety and the dipiperidino side chain. SN-38 is approximately 1000 times as potent as irinotecan as an inhibitor of topoisomerase I purified from human and rodent tumor cell lines. In vitro cytotoxicity assays show that the potency of SN-38 relative to irinotecan varies from 2- to 2000-fold. However, the plasma area under the concentration versus time curve (AUC) values for SN-38 are 2% to 8% of irinotecan and SN-38 is 95% bound to plasma proteins compared to approximately 50% bound to plasma proteins for irinotecan. The precise contribution of SN-38 to the activity of Camptosar is thus unknown. Both irinotecan and SN-38 exist in an active lactone form and an inactive hydroxy acid anion form. A pH-dependent equilibrium exists between the two forms such that an acid pH promotes the formation of the lactone, while a more basic pH favors the hydroxy acid anion form.
The metabolic conversion of irinotecan to the active metabolite SN-38 is mediated by carboxylesterase enzymes and primarily occurs in the liver. SN-38 is subsequently conjugated predominantly by the enzyme UDP-glucuronosyl transferase 1A1 (UGT1A1) to form a glucuronide metabolite. UGT1A1 activity is reduced in individuals with genetic polymorphisms that lead to reduced enzyme activity such as the UGT1A1*28 polymorphism. Approximately 10% of the North American population is homozygous for the UGT1A1*28 allele. In a prospective study, in which irinotecan was administered as a single-agent on a once-every-3-week schedule, patients who were homozygous for UGT1A1*28 had a higher exposure to SN-38 than patients with the wild-type UGT1A1 allele. SN-38 glucuronide had 1/50 to 1/100 the activity of SN-38 in cytotoxicity assays using two cell lines in vitro. The disposition of irinotecan has not been fully elucidated in humans. The urinary excretion of irinotecan is 11% to 20%; SN-38, <1%; and SN-38 glucuronide, 3%. The cumulative biliary and urinary excretion of irinotecan and its metabolites (SN-38 and SN-38 glucuronide) over a period of 48 hours following administration of irinotecan in two patients ranged from approximately 25% (100 mg/sq m) to 50% (300 mg/sq m).
Irinotecan has known human metabolites that include (2S,3S,4S,5R)-6-[[(19S)-10,19-diethyl-14,18-dioxo-7-(4-piperidin-1-ylpiperidine-1-carbonyl)oxy-17-oxa-3,13-diazapentacyclo[11.8.0.02,11.04,9.015,20]henicosa-1(21),2,4(9),5,7,10,15(20)-heptaen-19-yl]oxy]-3,4,5-trihydroxyoxane-2-carboxylic acid and 7-ethyl-10-[4-N-(5-aminopentanoic acid)-1-piperidino] carbonyloxycamptothecin.
Biological Half-Life
The half life of irinotecan is about 6 - 12 hours. The terminal elimination half-life of the active metabolite, SN-38 is 10 - 20 hours.
After intravenous infusion of irinotecan in humans, irinotecan plasma concentrations decline in a multiexponential manner, with a mean terminal elimination half-life of about 6 to 12 hours. The mean terminal elimination half-life of the active metabolite SN-38 is about 10 to 20 hours. The half-lives of the lactone (active) forms of irinotecan and SN-38 are similar to those of total irinotecan and SN-38, as the lactone and hydroxy acid forms are in equilibrium.
毒性/毒理 (Toxicokinetics/TK)
Protein Binding
30%-68% protein bound, mainly to albumin.
Interactions
A total of 190 patients (49 smokers, 141 nonsmokers) treated with irinotecan (90-minute intravenous administration on a 3-week schedule) were evaluated for pharmacokinetics. Complete toxicity data were available in a subset of 134 patients receiving 350 mg/sq m or 600 mg flat-fixed dose irinotecan. In smokers, the dose-normalized area under the plasma concentration-time curve of irinotecan was significantly lower (median, 28.7 v 33.9 ng x hr/mL/mg; P = .001) compared with nonsmokers. In addition, smokers showed an almost 40% lower exposure to SN-38 (median, 0.54 v 0.87 ng x h/mL/mg; P < .001) and a higher relative extent of glucuronidation of SN-38 into SN-38G (median, 6.6 v 4.5; P = .006). Smokers experienced considerably less hematologic toxicity. In particular, the incidence of grade 3 to 4 neutropenia was 6% in smokers versus 38% in nonsmokers (odds ratio [OR], 0.10; 95% CI, 0.02 to 0.43; P < .001). There was no significant difference in incidence of delayed-onset diarrhea (6% v 15%; OR, 0.34; 95% CI, 0.07 to 1.57; P = .149). This study indicates that smoking significantly lowers both the exposure to irinotecan and treatment-induced neutropenia, indicating a potential risk of treatment failure. Although the underlying mechanism is not entirely clear, modulation of CYP3A and uridine diphosphate glucuronosyltransferase isoform 1A1 may be part of the explanation. The data suggest that additional investigation is warranted to determine whether smokers are at increased risk for treatment failure.
The coadministration of protease inhibitors with anticancer drugs in the management of human immunodeficiency virus-related malignancies can cause potential drug-drug interactions. The effect of lopinavir/ritonavir (LPV/RTV) on the pharmacokinetics of irinotecan (CPT11) has been investigated in seven patients with Kaposi's sarcoma. Coadministration of LPV/RTV reduces the clearance of CPT11 by 47% (11.3+/-3.5 vs 21.3+/-6.3 l/h/m(2), P=0.0008). This effect was associated with an 81% reduction (P=0.02) of the AUC (area under the curve) of the oxidized metabolite APC (7-ethyl-10-[4-N-(5-aminopentanoic-acid)-1-piperidino]-carbonyloxycamptothecin). The LPV/RTV treatment also inhibited the formation of SN38 glucuronide (SN38G), as shown by the 36% decrease in the SN38G/SN38 AUCs ratio (5.9+/-1.6 vs 9.2+/-2.6, P=0.002) consistent with UGT1A1 inhibition by LPV/RTV. This dual effect resulted in increased availability of CPT11 for SN38 conversion and reduced inactivation on SN38, leading to a 204% increase (P=0.0001) in SN38 AUC in the presence of LPV/RTV. The clinical consequences of these substantial pharmacokinetic changes should be investigated.
Irinotecan or CPT-11 [7-ethyl-10-[4-(1-piperidino)-1-piperidino]carbonyloxycamptothecine] is a derivative of camptothecine used in the treatment of advanced colorectal cancer. It requires activation to SN-38 (7-ethyl-10-hydroxycamptothecine) by carboxylesterase. Irinotecan and SN-38 are detoxified through two major metabolic pathways: the first one leads to oxidative degradation compounds, APC (7-ethyl-10-[4-N-(5-aminopentanoic acid)-1-piperidino)carbonyloxycamptothecine] and NPC [7-ethyl-10-(4-amino-1-piperidino)carbonyloxycamptothecine], and involves cytochrome P450 (3A4 isoform); the second one leads to SN-38 glucuronide (SN-38G) and involves UDP-glucuronosyltransferase (UGT). Using human hepatic microsomes, ... the interactions of 15 drugs of common use in colorectal cancer patients on these metabolic pathways /were studied/. Only nifedipine had a significant effect on SN-38 formation, decreasing carboxylesterase activity by 50% at 100 microM and 35% at 10 microM. Three drugs had a significant effect on SN-38G formation: clonazepam increased UGT activity by 50% at 100 uM and 30% at 10 microM, and nifedipine and vinorelbine inhibited the activity by 65 and 55% at 100 uM, respectively, with no effect at 10 microM. Five drugs exerted a significant inhibition on SN-38 formation at 100 microM: clonazepam (70%), methylprednisolone (50%), nifedipine (80%), omeprazole (85%), and vinorelbine (100%). Only omeprazole and vinorelbine still exerted a significant inhibition at 10 microM (30 and 90%, respectively), whereas only vinorelbine had a significant effect at 2 and 0.5 microM (70 and 40%, respectively). In conclusion, potential clinical interactions with the metabolism of irinotecan are likely to be important for vinorelbine, which strongly inhibits irinotecan catabolism by CYP3A4 at clinically relevant concentrations, but not for the other drugs, which exert an effect at concentrations not achievable in patients.
Coadministration of atazanavir sulfate, a CYP3A4 and UGT1A1 inhibitor has the potential to increase systemic exposure to SN-38, the active metabolite of irinotecan. Physicians should take this into consideration when co-administering these drugs.
For more Interactions (Complete) data for IRINOTECAN (12 total), please visit the HSDB record page.
参考文献

[1]. Antitumoral effect of irinotecan (CPT-11) on an experimental model of malignant neuroectodermal tumor. J Neurooncol. 2002 Feb;56(3):219-26.

[2]. Determinants of the cytotoxicity of irinotecan in two human colorectal tumor cell lines. Cancer Chemother Pharmacol. 2002 Apr;49(4):329-35. Epub 2002 Jan 30.

[3]. Thrombospondin-1 plus irinotecan: a novel antiangiogenic-chemotherapeutic combination that inhibits the growth of advanced human colon tumor xenografts in mice. Cancer Chemother Pharmacol. 2004 Mar;53(3):261-6. Epub 2003 Dec 5.

[4]. A case study of an integrative genomic and experimental therapeutic approach for rare tumors: identification of vulnerabilities in a pediatric poorly differentiated carcinoma. Genome Med. 2016 Oct 31;8(1):116.

[5]. Chemotherapeutic agent CPT-11 eliminates peritoneal resident macrophages by inducing apoptosis. Apoptosis. 2016 Feb;21(2):130-42.

其他信息
Therapeutic Uses
Irinotecan is used in combination with cisplatin for the initial treatment of extensive small cell lung cancer.
Irinotecan hydrochloride is used as a single agent for the treatment of metastatic carcinoma of the colon or rectum in patients whose disease has recurred or progressed following initial therapy with fluorouracil-based antineoplastic regimens. /Irinotecan hydrochloride/
Irinotecan is being investigated as an active agent in the treatment of metastatic or recurrent cervical cancer. Objective response rates of 13-21% have been reported with use of irinotecan as a single agent for advanced squamous cell carcinoma of the cervix. Although no responses to irinotecan were observed in one small uncontrolled phase II study of patients with platinum-resistant advanced squamous cell carcinoma of the cervix, responses to the drug have been reported in similar patients in another phase II study. The benefit of combination chemotherapy regimens vs single-agent therapy (e.g., cisplatin alone) has not been fully established, and further study is needed to determine the role of irinotecan in the treatment of advanced cervical cancer. /Use is not currently included in the labeling approved by the US FDA/
Irinotecan hydrochloride is used as a component of first-line therapy in combination with fluorouracil and leucovorin for the treatment of metastatic carcinoma of the colon or rectum. /Irinotecan hydrochloride/
The effectiveness of irinotecan in pediatric patients has not been established. Results from two open-label, single arm studies were evaluated. One hundred and seventy children with refractory solid tumors were enrolled in one phase 2 trial in which 50 mg/ sq m of irinotecan was infused for 5 consecutive days every 3 weeks. Grade 3-4 neutropenia was experienced by 54 (31.8%) patients. Neutropenia was complicated by fever in 15 (8.8%) patients. Grade 3-4 diarrhea was observed in 35 (20.6%) patients. This adverse event profile was comparable to that observed in adults. In the second phase 2 trial of 21 children with previously untreated rhabdomyosarcoma, 20 mg/sq m of irinotecan was infused for 5 consecutive days on weeks 0, 1, 3 and 4. This single agent therapy was followed by multimodal therapy. Accrual to the single agent irinotecan phase was halted due to the high rate (28.6%) of progressive disease and the early deaths (14%). The adverse event profile was different in this study from that observed in adults; the most significant grade 3 or 4 adverse events were dehydration experienced by 6 patients (28.6%) associated with severe hypokalemia in 5 patients (23.8%) and hyponatremia in 3 patients (14.3%); in addition Grade 3-4 infection was reported in 5 patients (23.8%) (across all courses of therapy and irrespective of causal relationship).
Drug Warnings
Camptosar injection should be administered only under the supervision of a physician who is experienced in the use of cancer chemotherapeutic agents. Appropriate management of complications is possible only when adequate diagnostic and treatment facilities are readily available. Camptosar can induce both early and late forms of diarrhea that appear to be mediated by different mechanisms. Both forms of diarrhea may be severe. Early diarrhea (occurring during or shortly after infusion of Camptosar) may be accompanied by cholinergic symptoms of rhinitis, increased salivation, miosis, lacrimation, diaphoresis, flushing, and intestinal hyperperistalsis that can cause abdominal cramping. Early diarrhea and other cholinergic symptoms may be prevented or ameliorated by atropine. Late diarrhea (generally occurring more than 24 hours after administration of Camptosar) can be life threatening since it may be prolonged and may lead to dehydration, electrolyte imbalance, or sepsis. Late diarrhea should be treated promptly with loperamide. Patients with diarrhea should be carefully monitored and given fluid and electrolyte replacement if they become dehydrated or antibiotic therapy if they develop ileus, fever, or severe neutropenia. Administration of Camptosar should be interrupted and subsequent doses reduced if severe diarrhea occurs. Severe myelosuppression may occur.
Close monitoring is advised in patients older than 65 years of age because of increased risk of treatment-related toxicity, such as late diarrhea, during irinotecan therapy. Patients receiving irinotecan/fluorouracil/leucovorin therapy should be monitored closely (e.g., weekly assessment), particularly during the first cycle of treatment, since most of the treatment-related toxicities leading to early death occurred within the first 3-4 weeks. Changes in serum electrolytes and/or acid-base balance, including hyponatremia or hypernatremia, hypokalemia, and/or metabolic acidosis, may be an early indication of treatment-related toxicity; patients with abnormalities in serum sodium, potassium, and/or bicarbonate concentrations, with or without concomitant elevations in serum BUN or creatinine concentrations, should be evaluated carefully for dehydration and receive aggressive medical management, including fluid and electrolyte replacement.
Deaths due to sepsis following severe neutropenia have been reported in patients treated with Camptosar.
In addition to GI and hematologic toxicity, other severe adverse effects have occurred in patients receiving irinotecan. Hypersensitivity reactions, including severe anaphylactic or anaphylactoid reactions, have been reported. Renal impairment and acute renal failure have occurred rarely, usually in patients who became volume-depleted from severe vomiting and/or diarrhea. Cardiovascular and thromboembolic events also have been reported.
For more Drug Warnings (Complete) data for IRINOTECAN (19 total), please visit the HSDB record page.
Pharmacodynamics
Irinotecan is an antineoplastic enzyme inhibitor primarily used in the treatment of colorectal cancer. Irinotecan is a semisynthetic derivative of camptothecin. Camptothecins interact specifically with topoisomerase I, an enzyme in the cell nucleus that regulates DNA topology and facilitates nuclear processes such as DNA replication, recombination, and repair. During these processes, topoisomerase I relieves torsional strain in DNA by inducing reversible single-strand breaks, allowing single DNA strands to pass through the break. The 3'-DNA terminus of the broken DNA strands bind covalently with the topoisomerase enzyme to form a catalytic intermediate called a cleavable complex. After the DNA is sufficiently relaxed and the strand passage reaction is complete, DNA topoisomerase reattaches the broken DNA strands to form the chemically unaltered topoisomers that allow transcription to proceed. 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).
*注: 文献方法仅供参考, InvivoChem并未独立验证这些方法的准确性
化学信息 & 存储运输条件
分子式
C33H38N4O6
分子量
586.68
精确质量
586.279
元素分析
C, 67.56; H, 6.53; N, 9.55; O, 16.36
CAS号
97682-44-5
相关CAS号
100286-90-6 (HCl); 136572-09-3 (HCl trihydrate); 143490-53-3 (Lactone Impurity) ; 97682-44-5; 1329502-92-2 (Carboxylate Sodium Salt)
PubChem CID
60838
外观&性状
White to yellow solid powder
密度
1.4±0.1 g/cm3
沸点
873.4±65.0 °C at 760 mmHg
熔点
222-223 °C
222-223 °C
222 - 223 °C
闪点
482.0±34.3 °C
蒸汽压
0.0±0.3 mmHg at 25°C
折射率
1.689
LogP
4.35
tPSA
114.2
氢键供体(HBD)数目
1
氢键受体(HBA)数目
8
可旋转键数目(RBC)
5
重原子数目
43
分子复杂度/Complexity
1200
定义原子立体中心数目
1
SMILES
C(C1C2C=C(C=CC=2N=C2C3=CC4[C@@](C(OCC=4C(=O)N3CC=12)=O)(O)CC)OC(N1CCC(N2CCCCC2)CC1)=O)C
InChi Key
UWKQSNNFCGGAFS-XIFFEERXSA-N
InChi Code
InChI=1S/C33H38N4O6/c1-3-22-23-16-21(43-32(40)36-14-10-20(11-15-36)35-12-6-5-7-13-35)8-9-27(23)34-29-24(22)18-37-28(29)17-26-25(30(37)38)19-42-31(39)33(26,41)4-2/h8-9,16-17,20,41H,3-7,10-15,18-19H2,1-2H3/t33-/m0/s1
化学名
[(19S)-10,19-diethyl-19-hydroxy-14,18-dioxo-17-oxa-3,13-diazapentacyclo[11.8.0.02,11.04,9.015,20]henicosa-1(21),2,4(9),5,7,10,15(20)-heptaen-7-yl] 4-piperidin-1-ylpiperidine-1-carboxylate
别名
CPT-11; (+)-Irinotecan; Biotecan; Camptosar; Irinophore C; CPT 11;CPT11; Irinotecan; Irinotecan lactone; Irinotecanum
HS Tariff Code
2934.99.9001
存储方式

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

注意: 本产品在运输和储存过程中需避光。
运输条件
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
溶解度数据
溶解度 (体外实验)
DMSO: 7~25 mg/mL (11.9~42.6 mM)
Water: <1 mg/mL
Ethanol: <1 mg/mL
溶解度 (体内实验)
配方 1 中的溶解度: ≥ 2.08 mg/mL (3.55 mM) (饱和度未知) in 10% DMSO + 40% PEG300 + 5% Tween80 + 45% Saline (这些助溶剂从左到右依次添加,逐一添加), 澄清溶液。
例如,若需制备1 mL的工作液,可将100 μL 20.8 mg/mL澄清DMSO储备液加入400 μL PEG300中,混匀;然后向上述溶液中加入50 μL Tween-80,混匀;加入450 μL生理盐水定容至1 mL。
*生理盐水的制备:将 0.9 g 氯化钠溶解在 100 mL ddH₂O中,得到澄清溶液。

配方 2 中的溶解度: ≥ 2.08 mg/mL (3.55 mM) (饱和度未知) in 10% DMSO + 90% (20% SBE-β-CD in Saline) (这些助溶剂从左到右依次添加,逐一添加), 澄清溶液。
例如,若需制备1 mL的工作液,可将 100 μL 20.8 mg/mL澄清DMSO储备液加入900 μL 20% SBE-β-CD生理盐水溶液中,混匀。
*20% SBE-β-CD 生理盐水溶液的制备(4°C,1 周):将 2 g SBE-β-CD 溶解于 10 mL 生理盐水中,得到澄清溶液。

View More

配方 3 中的溶解度: ≥ 2.08 mg/mL (3.55 mM) (饱和度未知) in 10% DMSO + 90% Corn Oil (这些助溶剂从左到右依次添加,逐一添加), 澄清溶液。
例如,若需制备1 mL的工作液,可将 100 μL 20.8 mg/mL 澄清 DMSO 储备液添加到 900 μL 玉米油中并混合均匀。


配方 4 中的溶解度: 30% Propylene glycol , 5% Tween 80 , 65% D5W: 30 mg/mL

请根据您的实验动物和给药方式选择适当的溶解配方/方案:
1、请先配制澄清的储备液(如:用DMSO配置50 或 100 mg/mL母液(储备液));
2、取适量母液,按从左到右的顺序依次添加助溶剂,澄清后再加入下一助溶剂。以 下列配方为例说明 (注意此配方只用于说明,并不一定代表此产品 的实际溶解配方):
10% DMSO → 40% PEG300 → 5% Tween-80 → 45% ddH2O (或 saline);
假设最终工作液的体积为 1 mL, 浓度为5 mg/mL: 取 100 μL 50 mg/mL 的澄清 DMSO 储备液加到 400 μL PEG300 中,混合均匀/澄清;向上述体系中加入50 μL Tween-80,混合均匀/澄清;然后继续加入450 μL ddH2O (或 saline)定容至 1 mL;

3、溶剂前显示的百分比是指该溶剂在最终溶液/工作液中的体积所占比例;
4、 如产品在配制过程中出现沉淀/析出,可通过加热(≤50℃)或超声的方式助溶;
5、为保证最佳实验结果,工作液请现配现用!
6、如不确定怎么将母液配置成体内动物实验的工作液,请查看说明书或联系我们;
7、 以上所有助溶剂都可在 Invivochem.cn网站购买。
制备储备液 1 mg 5 mg 10 mg
1 mM 1.7045 mL 8.5225 mL 17.0451 mL
5 mM 0.3409 mL 1.7045 mL 3.4090 mL
10 mM 0.1705 mL 0.8523 mL 1.7045 mL

1、根据实验需要选择合适的溶剂配制储备液 (母液):对于大多数产品,InvivoChem推荐用DMSO配置母液 (比如:5、10、20mM或者10、20、50 mg/mL浓度),个别水溶性高的产品可直接溶于水。产品在DMSO 、水或其他溶剂中的具体溶解度详见上”溶解度 (体外)”部分;

2、如果您找不到您想要的溶解度信息,或者很难将产品溶解在溶液中,请联系我们;

3、建议使用下列计算器进行相关计算(摩尔浓度计算器、稀释计算器、分子量计算器、重组计算器等);

4、母液配好之后,将其分装到常规用量,并储存在-20°C或-80°C,尽量减少反复冻融循环。

计算器

摩尔浓度计算器可计算特定溶液所需的质量、体积/浓度,具体如下:

  • 计算制备已知体积和浓度的溶液所需的化合物的质量
  • 计算将已知质量的化合物溶解到所需浓度所需的溶液体积
  • 计算特定体积中已知质量的化合物产生的溶液的浓度
使用摩尔浓度计算器计算摩尔浓度的示例如下所示:
假如化合物的分子量为350.26 g/mol,在5mL DMSO中制备10mM储备液所需的化合物的质量是多少?
  • 在分子量(MW)框中输入350.26
  • 在“浓度”框中输入10,然后选择正确的单位(mM)
  • 在“体积”框中输入5,然后选择正确的单位(mL)
  • 单击“计算”按钮
  • 答案17.513 mg出现在“质量”框中。以类似的方式,您可以计算体积和浓度。

稀释计算器可计算如何稀释已知浓度的储备液。例如,可以输入C1、C2和V2来计算V1,具体如下:

制备25毫升25μM溶液需要多少体积的10 mM储备溶液?
使用方程式C1V1=C2V2,其中C1=10mM,C2=25μM,V2=25 ml,V1未知:
  • 在C1框中输入10,然后选择正确的单位(mM)
  • 在C2框中输入25,然后选择正确的单位(μM)
  • 在V2框中输入25,然后选择正确的单位(mL)
  • 单击“计算”按钮
  • 答案62.5μL(0.1 ml)出现在V1框中
g/mol

分子量计算器可计算化合物的分子量 (摩尔质量)和元素组成,具体如下:

注:化学分子式大小写敏感:C12H18N3O4  c12h18n3o4
计算化合物摩尔质量(分子量)的说明:
  • 要计算化合物的分子量 (摩尔质量),请输入化学/分子式,然后单击“计算”按钮。
分子质量、分子量、摩尔质量和摩尔量的定义:
  • 分子质量(或分子量)是一种物质的一个分子的质量,用统一的原子质量单位(u)表示。(1u等于碳-12中一个原子质量的1/12)
  • 摩尔质量(摩尔重量)是一摩尔物质的质量,以g/mol表示。
/

配液计算器可计算将特定质量的产品配成特定浓度所需的溶剂体积 (配液体积)

  • 输入试剂的质量、所需的配液浓度以及正确的单位
  • 单击“计算”按钮
  • 答案显示在体积框中
动物体内实验配方计算器(澄清溶液)
第一步:请输入基本实验信息(考虑到实验过程中的损耗,建议多配一只动物的药量)
第二步:请输入动物体内配方组成(配方适用于不溶/难溶于水的化合物),不同的产品和批次配方组成不同,如对配方有疑问,可先联系我们提供正确的体内实验配方。此外,请注意这只是一个配方计算器,而不是特定产品的确切配方。
+
+
+

计算结果:

工作液浓度 mg/mL;

DMSO母液配制方法 mg 药物溶于 μL DMSO溶液(母液浓度 mg/mL)。如该浓度超过该批次药物DMSO溶解度,请首先与我们联系。

体内配方配制方法μL DMSO母液,加入 μL PEG300,混匀澄清后加入μL Tween 80,混匀澄清后加入 μL ddH2O,混匀澄清。

(1) 请确保溶液澄清之后,再加入下一种溶剂 (助溶剂) 。可利用涡旋、超声或水浴加热等方法助溶;
            (2) 一定要按顺序加入溶剂 (助溶剂) 。

临床试验信息
Phase 2 Futibatinib in Combination With PD-1 Antibody Based Standard of Care in Solid Tumors
CTID: NCT05945823
Phase: Phase 2    Status: Recruiting
Date: 2024-12-02
Phase 3 Study of RMC-6236 in Patients with Previously Treated Metastatic Pancreatic Ductal Adenocarcinoma (PDAC)
CTID: NCT06625320
Phase: Phase 3    Status: Recruiting
Date: 2024-12-02
A Study of Combination Therapies With or Without Pembrolizumab (MK-3475) and/or Chemotherapy in Participants With Advanced Esophageal Cancer (MK-3475-06A)
CTID: NCT05342636
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-12-02
Photoradiation with Verteporfin to Facilitate Immunologic Activity of Pembrolizumab in Unresectable, Locally Advanced or Metastatic Pancreatic Cancer
CTID: NCT06381154
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-12-02
A Study to Compare Sacituzumab Tirumotecan (MK-2870) Monotherapy Versus Treatment of Physician's Choice as Second-line Treatment for Participants With Recurrent or Metastatic Cervical Cancer (MK-2870-020/TroFuse-020/Gog-3101/ENGOT-cx20)
CTID: NCT06459180
Phase: Phase 3    Status: Recruiting
Date: 2024-12-02
View More

Dinutuximab With Chemotherapy, Surgery and Stem Cell Transplantation for the Treatment of Children With Newly Diagnosed High Risk Neuroblastoma
CTID: NCT06172296
Phase: Phase 3    Status: Recruiting
Date: 2024-12-02


Study of Pembrolizumab (MK-3475) Versus Chemotherapy in Chinese Participants With Stage IV Colorectal Cancer (MK-3475-C66)
CTID: NCT05239741
Phase: Phase 3    Status: Recruiting
Date: 2024-12-02
A Study to Evaluate Sacituzumab Tirumotecan (MK-2870) in Advanced/Metastatic Gastroesophageal Adenocarcinoma (MK-2870-015)
CTID: NCT06356311
Phase: Phase 3    Status: Recruiting
Date: 2024-12-02
PDS01ADC in Combination With Hepatic Artery Infusion Pump (HAIP) and Systemic Therapy for Subjects With Metastatic Colorectal Cancer, Intrahepatic Cholangiocarcinoma, or Metastatic Adrenocortical Carcinoma
CTID: NCT05286814
Phase: Phase 2    Status: Recruiting
Date: 2024-11-26
Study of IMM 101 in Combination With Standard of Care in Patients With Metastatic or Unresectable Cancer
CTID: NCT03009058
Phase: Phase 1/Phase 2    Status: Terminated
Date: 2024-11-25
A Study of ASP3082 in Adults With Advanced Solid Tumors
CTID: NCT05382559
Phase: Phase 1    Status: Recruiting
Date: 2024-11-25
Hepatic Artery Infusion Pump Chemotherapy With Floxuridine and Dexamethasone in Combination With Systemic Chemotherapy for Patients With Colorectal Cancer Metastatic to the Liver
CTID: NCT03366155
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-11-25
An Open-label, Uncontrolled Study of ONO-4578 and ONO-4538 in Combination With Standard-of-care Modified FOLFIRINOX (mFFX) or Gemcitabine Plus Nab-paclitaxel (GnP) Therapy as First-line Treatment in Patients With Metastatic Pancreatic Cancer
CTID: NCT06538207
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-11-25
CPI-613 in Combination With Modified FOLFIRINOX in Locally Advanced Pancreatic Cancer
CTID: NCT03699319
Phase: Phase 1/Phase 2    Status: Completed
Date: 2024-11-22
Safety and Efficacy of Pembrolizumab (MK-3475) Plus Binimetinib Alone or Pembrolizumab Plus Chemotherapy With or Without Binimetinib in Metastatic Colorectal Cancer (mCRC) Participants (MK-3475-651/KEYNOTE-651)
CTID: NCT03374254
Phase: Phase 1    Status: Completed
Date: 2024-11-21
Nordic Pancreatic Cancer Trial (NorPACT) - 1
CTID: NCT02919787
Phase: Phase 2/Phase 3    Status: Active, not recruiting
Date: 2024-11-20
A Study to Evaluate Investigational Agents With or Without Pembrolizumab (MK-3475) in Participants With Advanced Esophageal Cancer Previously Exposed to Programmed Cell Death 1 Protein (PD-1)/ Programmed Cell Death Ligand 1 (PD-L1) Treatment (MK-3475-06B)
CTID: NCT05319730
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-11-20
N10: A Study of Reduced Chemotherapy and Monoclonal Antibody (mAb)-Based Therapy in Children With Neuroblastoma
CTID: NCT06528496
Phase: Phase 2    Status: Recruiting
Date: 2024-11-20
Study of Precision Treatment for Rare Tumours in China Guided by PDO and NGS
CTID: NCT06692491
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-11-18
Chemotherapy in Patients With Relapsed Small Cell Lung Cancer in Combination With Allopurinol and MycoPhenolate (CLAMP Trial)
CTID: NCT05049863
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-11-18
A Study of LY3962673 in Participants With KRAS G12D-Mutant Solid Tumors
CTID: NCT06586515
Phase: Phase 1    Status: Recruiting
Date: 2024-11-18
An Open-label, Uncontrolled Study of ONO-7913 and ONO-4538 in Combination With Modified FOLFIRINOX Therapy, the Standard of Care, as First-line Treatment in Patients With Metastatic Pancreatic Cancer
CTID: NCT06532344
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-11-14
M9466 in Combination With Topoisomerase 1 Inhibitors-based Regimens in Advanced Solid Tumors and Colorectal Cancer (DDRiver 511)
CTID: NCT06509906
Phase: Phase 1    Status: Recruiting
Date: 2024-11-12
A Study of Encorafenib Plus Cetuximab With or Without Chemotherapy in People With Previously Untreated Metastatic Colorectal Cancer
CTID: NCT04607421
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-11-12
The Sagittarius Trial
CTID: NCT06490536
Phase: Phase 3    Status: Recruiting
Date: 2024-11-12
A Study of the Pan-KRAS Inhibitor LY4066434 in Participants With KRAS Mutant Solid Tumors
CTID: NCT06607185
Phase: Phase 1    Status: Recruiting
Date: 2024-11-12
Irinotecan and Temozolomide in Combination With Existing High Dose Alkylator Based Chemotherapy for Treatment of Patients With Newly Diagnosed Ewing Sarcoma
CTID: NCT01864109
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-11-12
A Study of ASP2138 Given by Itself or Given With Other Cancer Treatments in Adults With Stomach Cancer, Gastroesophageal Junction Cancer, or Pancreatic Cancer
CTID: NCT05365581
Phase: Phase 1    Status: Recruiting
Date: 2024-11-08
9-ING-41 in Pediatric Patients with Refractory Malignancies.
CTID: NCT04239092
Phase: Phase 1    Status: Recruiting
Date: 2024-11-08
9-ING-41 in Patients with Advanced Cancers
CTID: NCT03678883
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-11-07
CMAB009 Combined With FOLFIRI First-line Treatment in Patients With RAS/BRAF Wild-type, Metastatic Colorectal Cancer
CTID: NCT03206151
Phase: Phase 3    Status: Completed
Date: 2024-11-07
NANT 2021-01 Phase II STING (Sequential Temozolomide, Irinotecan, NK Cells and GD2 mAb) Trial
CTID: NCT06450041
Phase: Phase 2    Status: Recruiting
Date: 2024-11-06
Study of CtDNA Guided Change in Tx for Refractory Minimal Residual Disease in Colon Adenocarcinomas
CTID: NCT04920032
Phase: Phase 1    Status: Recruiting
Date: 2024-11-06
Testing Pump Chemotherapy in Addition to Standard of Care Chemotherapy Versus Standard of Care Chemotherapy Alone for Patients With Unresectable Colorectal Liver Metastases: The PUMP Trial
CTID: NCT05863195
Phase: Phase 3    Status: Recruiting
Date: 2024-11-05
Study to Assess Adverse Events and Change in Disease Activity in Previously Treated Adult Participants Receiving Intravenous (IV) ABBV-400 With Unresectable Metastatic Colorectal Cancer in Combination With IV Fluorouracil, Folinic Acid, and Bevacizumab
CTID: NCT06107413
Phase: Phase 2    Status: Recruiting
Date: 2024-11-05
CtDNA-Directed Post-Hepatectomy Chemotherapy for Patients with Resectable Colorectal Liver Metastases
CTID: NCT05062317
Phase: Phase 2    Status: Recruiting
Date: 2024-11-04
Silmitasertib (CX-4945) in Combination With Chemotherapy for Relapsed Refractory Solid Tumors
CTID: NCT06541262
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-11-01
RRx-001 Given With Irinotecan and Temozolomide for Pediatric Patients With Recurrent or Progressive Malignant Solid and Central Nervous System Tumors
CTID: NCT04525014
Phase: Phase 1    Status: Terminated
Date: 2024-10-31
New and Emerging Therapies for the Treatment of Resectable, Borderline Resectable, or Locally Advanced Pancreatic Cancer, PIONEER-Panc Study
CTID: NCT04481204
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-10-28
CGA Guided Ultrafractionated RT and Systemic Treatment in Elderly or Frail Patients with Inoperable Localized CRC
CTID: NCT06652412
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-10-28
mFOLFIRINOX Versus mFOLFOX With or Without Nivolumab for the Treatment of Advanced, Unresectable, or Metastatic HER2 Negative Esophageal, Gastroesophageal Junction, and Gastric Adenocarcinoma
CTID: NCT05677490
Phase: Phase 3    Status: Recruiting
Date: 2024-10-26
A Study of Tislelizumab (BGB-A317) Versus Chemotherapy as Second Line Treatment in Participants With Advanced Esophageal Squamous Cell Carcinoma
CTID: NCT03430843
Phase: Phase 3    Status: Completed
Date: 2024-10-26
Testing the Addition of an Anti-Cancer Drug, Irinotecan, to the Standard Chemotherapy Treatment (FOLFOX) After Long-Course Radiation Therapy for Advanced-Stage Rectal Cancers to Improve the Rate of Complete Response and Long-Term Rates of Organ Preservation
CTID: NCT05610163
Phase: Phase 2    Status: Recruiting
Date: 2024-10-26
A Study of Combination Chemotherapy for Patients With Newly Diagnosed DAWT and Relapsed FHWT
CTID: NCT04322318
Phase: Phase 2    Status: Recruiting
Date: 2024-10-26
A Study of Amivantamab Monotherapy and in Addition to Standard-of-Care Chemotherapy in Participants With Advanced or Metastatic Colorectal Cancer
CTID: NCT05379595
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-10-24
Pevonedistat, Irinotecan, and Temozolomide in Treating Patients With Recurrent or Refractory Solid Tumors or Lymphoma
CTID: NCT03323034
Phase: Phase 1    Status: Completed
Date: 2024-10-22
Treatment With Dinutuximab, Sargramostim (GM-CSF), and Isotretinoin in Combination With Irinotecan and Temozolomide After Intensive Therapy for People With High-Risk Neuroblastoma (NBL)
CTID: NCT04385277
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-10-22
AD HOC Trial: Artificial Intelligence-Based Drug Dosing In Hepatocellular Carcinoma
CTID: NCT05669339
Phase: Phase 1    Status: Recruiting
Date: 2024-10-17
A Study of Ifinatamab Deruxtecan in Subjects With Advanced or Metastatic ESCC (IDeate-Esophageal01)
CTID: NCT06644781
Phase: Phase 3    Status: Not yet recruiting
Date: 2024-10-16
Implantable Microdevice for the Delivery of Drugs and Their Effect on Tumors in Patients With Metastatic or Recurrent Sarcoma
CTID: NCT04199026
PhaseEarly Phase 1    Status: Not yet recruiting
Date: 2024-10-15
A Phase 2 Randomized, Open-Label Study of RRx-001 vs Regorafenib in Subjects With Metastatic Colorectal Cancer
CTID: NCT02096354
Phase: Phase 2    Status: Completed
Date: 2024-10-15
Cisplatin and Combination Chemotherapy in Treating Children and Young Adults With Hepatoblastoma or Liver Cancer After Surgery
CTID: NCT03533582
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-10-15
CAMPFIRE: A Study of Abemaciclib (LY2835219) in Participants With Ewing's Sarcoma
CTID: NCT05440786
Phase: Phase 2    Status: Recruiting
Date: 2024-10-15
SI-B001 Combined With Irinotecan in the Treatment of Recurrent Metastatic Esophageal Squamous Cell Carcinoma.
CTID: NCT05022654
Phase: Phase 2    Status: Recruiting
Date: 2024-10-15
DS-3201b and Irinotecan for Patients With Recurrent Small Cell Lung Cancer
CTID: NCT03879798
Phase: Phase 1/Phase 2    Status: Terminated
Date: 2024-10-10
PhII ICb With/Without Erbitux in MBC Pts
CTID: NCT00248287
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-10-08
Testing the Addition of an Anti-cancer Drug, DT2216, to the Usual Chemotherapy Treatment for Relapsed or Refractory Solid Tumors and Fibrolamellar Carcinoma
CTID: NCT06620302
Phase: Phase 1/Phase 2    Status: Not yet recruiting
Date: 2024-10-08
Evaluation of Low-dose Irinotecan and Cyberknife® SBRT to Treat Colorectal Cancer With Limited Liver Metastasis
CTID: NCT01847495
Phase: N/A    Status: Withdrawn
Date: 2024-10-04
A Phase Ib Trial of Eribulin in Combination with Irinotecan and Temozolamide in Children with Relapsed or Refractory Solid Tumors
CTID: NCT06006273
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-10-04
AZD0901 in Participants With Advanced Solid Tumours Expressing Claudin18.2
CTID: NCT06219941
Phase: Phase 2    Status: Recruiting
Date: 2024-10-04
A Study of the Drugs Prexasertib, Irinotecan, and Temozolomide in People With Desmoplastic Small Round Cell Tumor and Rhabdomyosarcoma
CTID: NCT04095221
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-10-03
AZD0901 Compared With Investigator's Choice of Therapy in Participants With Second- or Later-line Advanced or Metastatic Gastric or Gastroesophageal Junction Adenocarcinoma Expressing Claudin18.2
CTID: NCT06346392
Phase: Phase 3    Status: Recruiting
Date: 2024-10-02
The Combination of Hypofractionated Radiotherapy and Immunotherapy in Locally Recurrent Rectal Cancer
CTID: NCT05628038
Phase: Phase 2    Status: Recruiting
Date: 2024-10-01
IRinotecan and Oxaliplatin for Colon Cancer in Adjuvant Setting
CTID: NCT02967289
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-10-01
Regorafenib, With Cetuximab or Panitumumab, for the Treatment of Unresectable, Locally Advanced, or Metastatic Colorectal Cancer
CTID: NCT04117945
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-09-27
Study to Assess the Safety, Tolerability, and Efficacy of IDX-1197 in Combination with XELOX or Irinotecan in Patients with Advanced Gastric Cancer
CTID: NCT04725994
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-09-27
A Master Protocol (LY900023) That Includes Several Clinical Trials of Drugs for Children and Young Adults With Cancer
CTID: NCT05999994
Phase: Phase 2    Status: Recruiting
Date: 2024-09-27
VITAS: Atezolizumab in Combination with Chemotherapy for Pediatric Relapsed/refractory Solid Tumors
CTID: NCT04796012
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-09-24
TAS-102, Irinotecan, and Bevacizumab for the Treatment of Pre-treated Metastatic or Unresectable Colorectal Cancer, the TABAsCO Study
CTID: NCT04109924
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-09-24
Zimberelimab and Quemliclustat in Combination with Chemotherapy for the Treatment of Patients with Borderline Resectable and Locally Advanced Pancreatic Adenocarcinoma
CTID: NCT05688215
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-09-23
Assessing a Regorafenib-irinotecan Combination Versus Regorafenib Alone in Metastatic Colorectal Cancer Patients
CTID: NCT03829462
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-09-20
Genotype-Directed Study Of Irinotecan Dosing In FOLFIRI + BevacizumabTreated Metastatic Colorectal Cancer
CTID: NCT02138617
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-09-19
AVELUMAB and CETUXIMAB and mFOLFOXIRI as Initial Therapy for Unresectable Metastatic Colorectal Cancer Patients
CTID: NCT04513951
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-09-19
Safety of Combining Irinotecan With 5-FU, Leucovorin/Folinic Acid, Oxaliplatin, and Docetaxel Chemotherapies
CTID: NCT04361708
Phase: Phase 1    Status: Recruiting
Date: 2024-09-19
Study of HRO761 Alone or in Combination in Cancer Patients With Specific DNA Alterations Called Microsatellite Instability or Mismatch Repair Deficiency.
CTID: NCT05838768
Phase: Phase 1    Status: Recruiting
Date: 2024-09-19
Study Of Palbociclib Combined With Chemotherapy In Pediatric Patients With Recurrent/Refractory Solid Tumors
CTID: NCT03709680
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-09-19
A Study of Nivolumab, Nivolumab Plus Ipilimumab, or Investigator's Choice Chemotherapy for the Treatment of Participants With Deficient Mismatch Repair (dMMR)/Microsatellite Instability High (MSI-H) Metastatic Colorectal Cancer (mCRC)
CTID: NCT04008030
Phase: Phase 3    Status: Recruiting
Date: 2024-09-19
mFOLFIRINOX Followed by Hepatic Arterial Infusion of Floxuridine and Dexamethasone With Systemic mFOLFIRI for Unresectable Liver-dominant Intrahepatic Cholangiocarcinoma
CTID: NCT04251715
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-09-19
Study Investigating the Association of NP137 With mFOLFIRINOX in Locally Advanced Pancreatic Ductal Adenocarcinoma
CTID: NCT05546853
Phase: Phase 1    Status: Recruiting
Date: 2024-09-19
A Phase I Study of TAS-102 in Patients With Advanced Gastrointestinal Tumors.
CTID: NCT01916447
Phase: Phase 1    Status: Completed
Date: 2024-09-05
A Study of NUC-3373 in Combination With Other Agents in Patients With Colorectal Cancer
CTID: NCT05678257
Phase: Phase 2    Status: Terminated
Date: 2024-09-03
Multi-agent Low Dose Chemotherapy GAX-CI Followed by Olaparib and Pembro in Metastatic Pancreatic Ductal Cancer.
CTID: NCT04753879
Phase: Phase 2    Status: Recruiting
Date: 2024-08-23
Ramucirumab and Paclitaxel or FOLFIRI in Advanced Small Bowel Cancers
CTID: NCT04205968
Phase: Phase 2    Status: Recruiting
Date: 2024-08-16
A Study Using Risk Factors to Determine Treatment for Children With Favorable Histology Wilms Tumors (FHWT)
CTID: NCT06401330
Phase: Phase 3    Status: Not yet recruiting
Date: 2024-08-12
Cetuximab, Irinotecan, Toripalimab in RAS/BRAF Wild-type Ultraselected Right-sided Colorectal Cancer Study
CTID: NCT06547203
Phase: Phase 2    Status: Recruiting
Date: 2024-08-09
Nivolumab in Combination With Chemotherapy Pre-Surgery in Treating Patients With Borderline Resectable Pancreatic Cancer
CTID: NCT03970252
PhaseEarly Phase 1    Status: Completed
Date: 2024-08-09
A Study of ART0380 for the Treatment of Advanced or Metastatic Solid Tumors
CTID: NCT04657068
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-08-09
Risk-Adapted Focal Proton Beam Radiation and/or Surgery in Patients With Low, Intermediate and High Risk Rhabdomyosarcoma Receiving Standard or Intensified Chemotherapy
CTID: NCT01871766
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-08-09
Tisotumab Vedotin vs Chemotherapy in Recurrent or Metastatic Cervical Cancer
CTID: NCT04697628
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-08-09
FOLFIRINOX With Digoxin in Patients With Resectable Pancreatic Cancer
CTID: NCT04141995
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-08-07
131I-Omburtamab, in Recurrent Medulloblastoma and Ependymoma
CTID: NCT04743661
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-08-06
Randomized Efficacy Study of TPI 287 to Treat Primary Refractory or Early Relapsed Neuroblastoma
CTID: NCT01505608
Phase: Phase 1/Phase 2    Status: Terminated
Date: 2024-08-06
Clinical Trial of Lurbinectedin as Single-agent or in Combination With Irinotecan Versus Topotecan or Irinotecan in Patients With Relapsed Small-cell Lung Cancer (LAGOON)
CTID: NCT05153239
Phase: Phase 3    Status: Recruiting
Date: 2024-08-02
A Study of TRK-950 in Combinations With Anti-Cancer Treatment Regimens in Patients With Advanced Solid Tumors
CTID: NCT03872947
Phase: Phase 1    Status: Recruiting
Date: 2024-08-02
Phase I Trial of Adagrasib (MRTX849) in Combination With Cetuximab and Irinotecan in Patients With Colorectal Cancer
CTID: NCT05722327
Phase: Phase 1    Status: Recruiting
Date: 2024-08-02
A Multicenter, Phase 3 Study of IBI343 Monotherapy Versus Treatment of Investigator's Choice in Subjects With Previously Treated, Claudin (CLDN) 18.2-positive, HER2-negative, Gastric or Gastroesophageal Junction Adenocarcinoma
CTID: NCT06238843
Phase: Phase 3    Status: Enrolling by invitation
Date: 2024-07-26
Short-course Radiotherapy Followed by Consolidation Chemotherapy. 2021-001206-29
CTID: NCT05253846
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-07-25
Clinical Trial of VIM With VIT in Children With Relapsed and Refractory Soft Tissue Sarcoma.
CTID: NCT06514313
Phase: Phase 2    Status: Recruiting
Date: 2024-07-23
Study of Magrolimab Given Together With FOLFIRI/BEV in Patients With Previously Treated Advanced Inoperable Metastatic Colorectal Cancer (mCRC)
CTID: NCT05330429
Phase: Phase 2    Status: Terminated
Date: 2024-07-23
A Study of Simmitinib Plus Irinotecan in Advanced Esophageal Squamous Cell Carcinoma
CTID: NCT06512428
Phase: Phase 2    Status: Recruiting
Date: 2024-07-22
Intermittent or Continuous Panitumumab Plus FOLFIRI for Left Sided RAS/B-RAF Wild-type Metastatic Colorectal Cancer
CTID: NCT06509126
Phase: Phase 3    Status: Recruiting
Date: 2024-07-19
SI-B001 as a Single Agent or in Combination With Chemotherapy in the Treatment of Digestive System Malignancies
CTID: NCT05039944
Phase: Phase 2    Status: Terminated
Date: 2024-07-18
PIPAC for the Treatment of Peritoneal Carcinomatosis in Patients With Ovarian, Uterine, Appendiceal, Colorectal, or Gastric Cancer
CTID: NCT04329494
Phase: Phase 1    Status: Recruiting
Date: 2024-07-18
A Study Comparing BL-B01D1 With Chemotherapy of Physician's Choice in Patients With Recurrent or Metastatic Esophageal Squamous Cell Carcinoma
CTID: NCT06304974
Phase: Phase 3    Status: Recruiting
Date: 2024-07-18
Study to Evaluate Mechanisms of Acquired Resistance to Panitumumab
CTID: NCT00891930
Phase: Phase 2    Status: Completed
Date: 2024-07-17
A Trial of NIS793 With FOLFIRINOX in Pancreatic Cancer
CTID: NCT05546411
Phase: Phase 2    Status: Terminated
Date: 2024-07-16
Liposomal Irinotecan and 5-FU as Second-line Therapy for Patients With ESCC
CTID: NCT06501664
Phase: Phase 3    Status: Not yet recruiting
Date: 2024-07-15
Lurbinectedin or in Combination With Irinotecan Versus Topotecan in Patients With Relapsed SCLC
CTID: NCT06496048
Phase: Phase 3    Status: Not yet recruiting
Date: 2024-07-11
De-escalation Chemotherapies Versus Escalation in Non Pre-treated Unresectable Patients With Metastatic Colorectal Cancer
CTID: NCT02842580
Phase: Phase 2    Status: Terminated
Date: 2024-07-10
Phase I Dose Escalation and Pharmacokinetics Clinical Trial of Mitoxantrone Hydrochloride Liposome in Children With Relapsed and Refractory Lymphoma and Solid Tumors
CTID: NCT05620862
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-07-09
MNK Inhibitor AUM001 in Combination With Either Pembrolizumab or Irinotecan to Treat Metastatic Colorectal Cancer
CTID: NCT05462236
Phase: Phase 2    Status: Recruiting
Date: 2024-07-09
A Phase I Study of Mebendazole for the Treatment of Pediatric Gliomas
CTID: NCT01837862
Phase: Phase 1/Phase 2    Status: Completed
Date: 2024-07-05
Irinotecan Plus Anlotinib or Further in Combination With Penpulimab for Second-line Treatment of mCRC
CTID: NCT05229003
Phase: Phase 2    Status: Recruiting
Date: 2024-07-03
Study of Chemoimmunotherapy for High-Risk Neuroblastoma
CTID: NCT03189706
PhaseEarly Phase 1    Status: Active, not recruiting
Date: 2024-07-03
LM-302 for the Treatment of Subjects With Claudin18.2-Positive Gastric and Gastroesophageal Junction Adenocarcinoma.
CTID: NCT06351020
Phase: Phase 3    Status: Recruiting
Date: 2024-07-01
A Study of the Use of the Medtronic Pump and Codman Catheter to Give Chemotherapy to Patients With Colorectal Carcinoma or Cholangiocarcinoma
CTID: NCT03693807
Phase: Phase 2    Status: Completed
Date: 2024-07-01
FOLFIRINOX + NIS793 in Pancreatic Cancer
CTID: NCT05417386
Phase: Phase 1    Status: Terminated
Date: 2024-06-25
Ramucirumab Plus Irinotecan for Previously Treated Advanced Gastric or Gastro-esophageal Junction Adenocarcinoma
CTID: NCT03141034
Phase: Phase 2    Status: Completed
Date: 2024-06-25
A Study of Abemaciclib (LY2835219) in Combination With Other Anti-Cancer Treatments in Children and Young Adult Participants With Solid Tumors, Including Neuroblastoma
CTID: NCT04238819
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-06-21
XCHT for Irinotecan-Induced Gut Toxicities (Randomized Controlled Trial)
CTID: NCT06055179
Phase: N/A    Status: Recruiting
Date: 2024-06-20
iTTo for Treatment Naive Advanced Gastric or Gastroesophageal Junction (GEJ) Adenocarcinoma
CTID: NCT04808791
Phase: Phase 2    Status: Completed
Date: 2024-06-14
Study of Sequential High-dose Chemotherapy in Children With High Risk Medulloblastoma
CTID: NCT02025881
Phase: Phase 1/Phase 2    Status: Terminated
Date: 2024-05-24
FaR-RMS: An Overarching Study for Children and Adults With Frontline and Relapsed RhabdoMyoSarcoma
CTID: NCT04625907
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-05-23
RegoNivo vs Standard of Care Chemotherapy in AGOC
CTID: NCT04879368
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-05-16
High-Risk Neuroblastoma Study 2 of SIOP-Europa-Neuroblastoma (SIOPEN)
CTID: NCT04221035
Phase: Phase 3    Status: Recruiting
Date: 2024-05-16
Short-course Radiotherapy or Long-course Chemoradiation Followed by mFOLFOXIRI Consolidation Chemotherapy for Organ Preservation in Low Rectal Cancer
CTID: NCT06417476
Phase: Phase 2    Status: Recruiting
Date: 2024-05-16
Berzosertib and Irinotecan in Treating Patients With Progressive, Metastatic, or Unresectable TP53 Mutant Gastric or Gastroesophageal Junction Cancer
CTID: NCT03641313
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-05-16
Activity Study of Bevacizumab With Temozolomide ± Irinotecan for Neuroblastoma in Children
CTID: NCT02308527
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-05-14
Paediatric Hepatic International Tumour Trial
CTID: NCT03017326
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-05-13
Adjuvant Trial in Patients With Resected PDAC Randomized to Allocation of Oxaliplatin- or Gemcitabine-based Chemotherapy by Standard Clinical Criteria or by a Transcriptomic Treatment Specific Stratification Signature
CTID: NCT05314998
Phase: Phase 3    Status: Not yet recruiting
Date: 2024-05-13
Study of Carfilzomib With Irinotecan in Irinotecan-Sensitive Malignancies and Small Cell Lung Cancer Patients
CTID: NCT01941316
Phase: Phase 1/Phase 2    Status: Completed
Date: 2024-05-09
EGF-Depleting Therapy CIMAvax-EGF in Combination With Standard Therapy for RAS- and BRAF Wild-Type Metastatic Colorectal Cancer
CTID: NCT06011772
PhaseEarly Phase 1    Status: Recruiting
Date: 2024-05-03
A Study to Evaluate the Efficacy and Safety of QLF31907 Combination Therapy in Patients With Advanced Malignant Tumors
CTID: NCT06394713
Phase: Phase 1/Phase 2    Status: Not yet recruiting
Date: 2024-05-01
Pharmacokinetic Study of Lurbinectedin in Combination With Irinotecan in Patients With Selected Solid Tumors
CTID: NCT02611024
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-04-30
Early-Line Anti-EGFR Therapy to Facilitate Retreatment for Select Patients With mCRC
CTID: NCT04587128
Phase: Phase 2    Status: Recruiting
Date: 2024-04-30
Carboxylesterase-Expressing Allogeneic Neural Stem Cells and Irinotecan Hydrochloride in Treating Patients With Recurrent High-Grade Gliomas
CTID: NCT02192359
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-04-29
Phase I/II Study of KRN330 Plus Irinotecan in Patients With Metastatic Colorectal Cancer
生物数据图片
  • Genome Med . 2016 Oct 31;8(1):116.
相关产品
联系我们