Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Irinotecan
Drug ID BADD_D01195
Description 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).
Indications and Usage 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.
Marketing Status Prescription; Discontinued
ATC Code L01CE02
DrugBank ID DB00762
KEGG ID D08086
MeSH ID D000077146
PubChem ID 60838
TTD Drug ID D07HOB
NDC Product Code 68554-0054
Synonyms Irinotecan | Irrinotecan | Camptothecin-11 | Camptothecin 11 | SN 38 11 | SN-38-11 | SN3811 | SN 38 | SN-38 | NK012 Compound | CPT-11 | CPT11 | CPT 11 | Camptosar | 7-Ethyl-10-hydroxycamptothecin | 7 Ethyl 10 hydroxycamptothecin | Irinotecan Hydrochloride
Chemical Information
Molecular Formula C33H38N4O6
CAS Registry Number 97682-44-5
SMILES CCC1=C2CN3C(=CC4=C(C3=O)COC(=O)C4(CC)O)C2=NC5=C1C=C(C=C5)OC(=O)N6CCC(CC6)N7CCCCC 7
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
Adverse drug reactionCocaine esteraseO00748Not Available11716702; 10213229; 10728672
ApoptosisDNA topoisomerase 1P11387T098261374671; 1333943; 1333822; 1279323; 1338332; 1649059; 1997159; 1596908; 8383887; 8601414; 7596166; 8227159; 7641180; 10536167; 8319228; 14504478; 1319346; 1540962; 2168279; 7508535
ApoptosisDNA topoisomerase 1P11387T098261997159; 1649059; 1333822; 1540962; 1596908; 1330289; 8382551; 2168279; 2168281; 1319346; 11062742; 1374671; 1646393; 7882360; 1322239; 7688316; 1659821; 8383887; 8144400; 1698546
Bone marrow failureThiopurine S-methyltransferaseP51580Not Available15228171; 9893619; 12525681
Cytogenetic investigationsDNA topoisomerase 1P11387T098261374671; 1333943; 1333822; 1279323; 1338332; 1649059; 1997159; 1596908; 8383887; 8601414; 7596166; 8227159; 7641180; 10536167; 8319228; 14504478; 1319346; 1540962; 2168279; 7508535
Cytogenetic investigationsDNA topoisomerase 1P11387T098261997159; 1649059; 1333822; 1540962; 1596908; 1330289; 8382551; 2168279; 2168281; 1319346; 11062742; 1374671; 1646393; 7882360; 1322239; 7688316; 1659821; 8383887; 8144400; 1698546
DiarrhoeaThiopurine S-methyltransferaseP51580Not Available15228171; 9893619; 12525681
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Mucosal inflammation08.01.06.0020.000799%Not Available
Muscle spasms15.05.03.0040.001865%
Muscle twitching15.05.03.0050.000799%Not Available
Myocardial ischaemia24.04.04.010; 02.02.02.008--Not Available
Nausea07.01.07.0010.005595%
Neoplasm malignant16.16.01.0010.000625%Not Available
Neutropenia01.02.03.0040.001865%Not Available
Neutrophil count decreased13.01.06.0100.000799%
Oedema14.05.06.010; 08.01.07.006--Not Available
Oesophageal carcinoma16.13.06.001; 07.21.06.0010.000208%Not Available
Oral pain07.05.03.0020.000799%
Orthostatic hypotension17.05.01.020; 24.06.03.004--Not Available
Oxygen saturation decreased13.02.01.0040.000799%Not Available
Pain08.01.08.004--
Pain in extremity15.03.04.010--
Palmar-plantar erythrodysaesthesia syndrome23.07.04.001; 17.02.07.009--
Pancreatic carcinoma16.13.10.001; 07.21.09.0020.000973%Not Available
Pancreatic enzyme abnormality07.18.02.003--Not Available
Pancreatitis07.18.01.001--
Pancytopenia01.03.03.0030.000799%Not Available
Paraesthesia17.02.06.0050.000799%
Peritonitis11.01.07.007; 07.19.05.0040.000139%
Platelet count decreased13.01.04.0010.000799%
Pneumonia11.01.09.003; 22.07.01.003--Not Available
Pruritus23.03.12.001--
Pulmonary embolism22.06.02.001; 24.01.06.0010.001332%Not Available
Pyrexia08.05.02.0030.003197%
Rash23.03.13.001--Not Available
Rectal cancer16.13.01.003; 07.21.05.0020.000486%Not Available
Red blood cell count decreased13.01.05.0070.000533%Not Available
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