Difference between revisions of "Irinotecan liposome (Onivyde)"
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==General information== | ==General information== | ||
| − | Class/mechanism: Topoisomerase I inhibitor with [[Irinotecan (Camptosar)|irinotecan]] contained within a liposomal sphere. Irinotecan interferes with topoisomerase I's normal action of relieving torsional strain in DNA by creating reversible single-strand breaks. Irinotecan and its active metabolite SN-38 bind to the topoisomerase I & DNA complex and interfere with ligation of these single-strand breaks. Failure to repair these breaks eventually leads to double-strand DNA damage, which disrupts cell proliferation and leads to cell death. In mouse models, 5 times lower doses of liposomal irinotecan were able to achieve similar intratumoral exposure levels of SN-38 as compared to irinotecan HCl.<ref name="insert">[https://www.accessdata.fda.gov/drugsatfda_docs/label/2015/207793lbl.pdf Irinotecan liposome (Onivyde) package insert]</ref><ref>[[ | + | Class/mechanism: Topoisomerase I inhibitor with [[Irinotecan (Camptosar)|irinotecan]] contained within a liposomal sphere. Irinotecan interferes with topoisomerase I's normal action of relieving torsional strain in DNA by creating reversible single-strand breaks. Irinotecan and its active metabolite SN-38 bind to the topoisomerase I & DNA complex and interfere with ligation of these single-strand breaks. Failure to repair these breaks eventually leads to double-strand DNA damage, which disrupts cell proliferation and leads to cell death. In mouse models, 5 times lower doses of liposomal irinotecan were able to achieve similar intratumoral exposure levels of SN-38 as compared to irinotecan HCl.<ref name="insert">[https://www.accessdata.fda.gov/drugsatfda_docs/label/2015/207793lbl.pdf Irinotecan liposome (Onivyde) package insert]</ref><ref>[[File:Irinotecanliposomal.pdf | Irinotecan liposome (Onivyde) package insert (locally hosted backup)]]</ref><ref>[https://www.onivyde.com/ Onivyde manufacturer's website]</ref><ref>[http://merrimackpharma.com/solutions/pipeline/mm-398 Merrimack Pharmaceuticals's MM-398 website]</ref> |
<br>Route: IV | <br>Route: IV | ||
<br>Extravasation: no information available | <br>Extravasation: no information available | ||
Revision as of 23:27, 19 September 2021
General information
Class/mechanism: Topoisomerase I inhibitor with irinotecan contained within a liposomal sphere. Irinotecan interferes with topoisomerase I's normal action of relieving torsional strain in DNA by creating reversible single-strand breaks. Irinotecan and its active metabolite SN-38 bind to the topoisomerase I & DNA complex and interfere with ligation of these single-strand breaks. Failure to repair these breaks eventually leads to double-strand DNA damage, which disrupts cell proliferation and leads to cell death. In mouse models, 5 times lower doses of liposomal irinotecan were able to achieve similar intratumoral exposure levels of SN-38 as compared to irinotecan HCl.[1][2][3][4]
Route: IV
Extravasation: no information available
For conciseness and simplicity, HemOnc.org currently will focus on treatment regimens and not list information such as: renal/hepatic dose adjustments, metabolism (including CYP450), excretion, monitoring parameters (although this will be considered for checklists), or manufacturer. Instead, for the most current information, please refer to your preferred pharmacopeias such as Micromedex, Lexicomp, UpToDate (courtesy of Lexicomp), or the prescribing information.[1]
Diseases for which it is used
Patient drug information
- Patient counseling information is available in the Irinotecan liposome (Onivyde) package insert[1]
History of changes in FDA indication
- 10/22/2015: FDA approved in combination with fluorouracil (5FU) and leucovorin (LV), for the treatment of patients with metastatic adenocarcinoma of the pancreas whose disease has progressed following gemcitabine-based therapy. (Based on NAPOLI-1)
Also known as
- Code names: MM-398, MM398, PEP-02, PEP02
- Brand name: Onivyde