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 1P11387T098261997159; 1649059; 1333822; 1540962; 1596908; 1330289; 8382551; 2168279; 2168281; 1319346; 11062742; 1374671; 1646393; 7882360; 1322239; 7688316; 1659821; 8383887; 8144400; 1698546
ApoptosisDNA topoisomerase 1P11387T098261374671; 1333943; 1333822; 1279323; 1338332; 1649059; 1997159; 1596908; 8383887; 8601414; 7596166; 8227159; 7641180; 10536167; 8319228; 14504478; 1319346; 1540962; 2168279; 7508535
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)
Renal failure20.01.03.005--Not Available
Respiratory failure22.02.06.002; 14.01.04.0030.000278%
Rhinitis11.01.13.004; 22.07.03.006--
Salivary hypersecretion07.06.01.009--Not Available
Seizure17.12.03.001--
Sepsis11.01.11.0030.000347%
Septic shock24.06.02.011; 11.01.11.0040.000417%Not Available
Skin lesion23.03.03.0100.000533%Not Available
Small intestinal obstruction07.13.06.0010.000533%
Somnolence19.02.05.003; 17.02.04.006--
Speech disorder22.02.05.034; 19.19.02.002; 17.02.08.0030.001598%Not Available
Stomatitis07.05.06.0050.000799%
Strabismus17.17.01.009; 06.05.02.0040.000799%Not Available
Swollen tongue23.04.01.014; 10.01.05.015; 07.14.02.0030.000533%Not Available
Tachycardia02.03.02.0070.000533%Not Available
Throat irritation22.02.05.013; 07.05.03.0040.000533%Not Available
Thrombocytopenia01.08.01.0020.001066%Not Available
Tongue disorder07.14.01.0020.000533%Not Available
Transient ischaemic attack24.04.06.005; 17.08.04.0010.000533%
Tremor17.01.06.0020.000799%
Ulcer08.03.06.001--Not Available
Urticaria23.04.02.001; 10.01.06.0010.001066%
Vasodilatation23.06.05.006; 24.03.02.003--Not Available
Vomiting07.01.07.0030.006394%
Weight decreased13.15.01.005--
Wheezing22.03.01.0090.000533%
White blood cell count decreased13.01.06.0120.002398%
Deep vein thrombosis24.01.02.003--Not Available
Gastrointestinal hypermotility07.02.04.005--Not Available
Musculoskeletal stiffness15.03.01.0050.000533%Not Available
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