Mechanisms and emerging strategies for irinotecan-induced diarrhea

S Xu, H Lan, C Huang, X Ge, J Zhu - European Journal of Pharmacology, 2024 - Elsevier
Irinotecan (also known as CPT-11) is a topoisomerase I inhibitor first approved for clinical
use as an anticancer agent in 1996. Over the past more than two decades, it has been …

Pharmacokinetic and pharmacogenetic predictive markers of irinotecan activity and toxicity

A Di Paolo, G Bocci, M Polillo, M Del Re… - Current Drug …, 2011 - ingentaconnect.com
After the rapid development of new classes of antineoplastic drugs, research activities have
focused their efforts to the identification of predictive markers of drug activity and tolerability …

[引用][C] Irinotecan Dosing: Does the CPT in CPT-11 Stand for “Can't Predict Toxicity”?

MJ Ratain - Journal of clinical oncology, 2002 - ascopubs.org
IRINOTECAN IS unique among the camptothecins be-cause of its propensity to cause
diarrhea, often of greater severity and clinical impact than its other major toxicity …

Pharmacological inhibition of bacterial β-glucuronidase prevents irinotecan-induced diarrhea without impairing its antitumor efficacy in vivo

KW Cheng, CH Tseng, CC Tzeng, YL Leu… - Pharmacological …, 2019 - Elsevier
Abstract Irinotecan (CPT-11), a first-line chemotherapy for advanced colorectal cancer,
causes serious diarrhea in patients receiving treatment. The underlying mechanism has …

Novel agents that potentially inhibit irinotecan-induced diarrhea

X Yang, Z Hu, SY Chan, E Chan… - Current medicinal …, 2005 - ingentaconnect.com
Irinotecan (CPT-11, 7-ethyl-10-[4-(1-piperidino)-1-piperidino] carbonyloxycamptothecin) has
exhibited clinical activities against a broad spectrum of carcinomas by inhibiting DNA …

Lessons learned from the irinotecan metabolic pathway

MK Ma, HL McLeod - Current medicinal chemistry, 2003 - ingentaconnect.com
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 has been …

New approaches to prevent intestinal toxicity of irinotecan-based regimens

A Alimonti, A Gelibter, I Pavese, F Satta… - Cancer treatment …, 2004 - Elsevier
Background. Irinotecan is a selective inhibitor of topoisomerase I, an enzyme part of the
replication and transcription system of DNA. Irinotecan is employed, with different modalities …

Prophylaxis of Irinotecan-Induced Diarrhea with Neomycin and Potential Role for UGT1A1*28 Genotype Screening: A Double-Blind, Randomized, Placebo …

FA De Jong, DFS Kehrer, RHJ Mathijssen… - The …, 2006 - academic.oup.com
Objective. Delayed-type diarrhea is a common side effect of irinotecan and is associated
with a bacterial-mediated formation of the active irinotecan metabolite SN-38 from its …

Pharmacogenetics of irinotecan disposition and toxicity: a review

K Fujita, A Sparreboom - Current clinical pharmacology, 2010 - ingentaconnect.com
Irinotecan (CPT-11) is a widely used anticancer drug, especially for the treatment of
colorectal cancer. Irinotecan is considered an inactive prodrug that requires activation to the …

Optimized rat models better mimic patients with irinotecan-induced severe diarrhea

Z Zheng, T Du, S Gao, T Yin, L Li, L Zhu… - Toxicology …, 2024 - Taylor & Francis
Irinotecan-induced severe diarrhea (IISD) not only limits irinotecan's application but also
significantly affects patients' quality of life. However, existing animal models often …