Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Irinotecan hydrochloride
Drug ID BADD_D01196
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 D01061
MeSH ID D000077146
PubChem ID 74990
TTD Drug ID D07HOB
NDC Product Code 0143-9583; 72485-211; 67184-0511; 45963-614; 67184-0513; 55150-352; 0009-7529; 17337-0307; 65129-1025; 16714-027; 68083-382; 25021-230; 59923-714; 63323-193; 16714-131; 59923-702; 70700-170; 57884-0009; 72485-213; 61703-349; 59923-715; 59923-716; 55150-354; 50742-401; 72485-212; 50742-402; 61200-112; 0143-9701; 15054-0043; 14778-1111; 55150-353; 12780-4860; 60505-6128; 67184-0014; 0143-9702; 67184-0512
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 C33H39ClN4O6
CAS Registry Number 100286-90-6
SMILES CCC1=C2CN3C(=CC4=C(C3=O)COC(=O)C4(CC)O)C2=NC5=C1C=C(C=C5)OC(=O)N6CCC(CC6)N7CCCCC 7.Cl
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
Adverse drug reactionCocaine esteraseO00748Not AvailableNot Available
ApoptosisDNA topoisomerase 1P11387T09826Not Available
Bone marrow failureThiopurine S-methyltransferaseP51580Not AvailableNot Available
Cytogenetic investigationsDNA topoisomerase 1P11387T09826Not Available
DiarrhoeaThiopurine S-methyltransferaseP51580Not AvailableNot Available
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Connective tissue disorder15.06.01.006--Not Available
Embolism24.01.01.009--
Ischaemia24.04.02.004--Not Available
Mediastinal disorder22.09.03.001--Not Available
Peripheral embolism24.01.02.005--Not Available
Decreased appetite14.03.01.005; 08.01.09.028--
Ill-defined disorder08.01.03.049--Not Available
Obstruction08.01.03.023--Not Available
Pancreatic enzymes increased13.05.01.004--Not Available
Lung neoplasm22.08.01.006; 16.19.04.001--Not Available
Renal impairment20.01.03.010--Not Available
Hepatic enzyme abnormal13.03.01.020--Not Available
Neutropenic colitis07.08.01.014; 01.02.03.010--Not Available
Acute kidney injury20.01.03.016--
Toxicity to various agents12.03.01.046--Not Available
Genetic polymorphism08.01.10.001--Not Available
The 6th Page    First    Pre   6    Total 6 Pages