Product image of Irinotecan Arrow (Irinotecan Hydrochloride Trihydrate) supplied by GNH India

Irinotecan Arrow

Active Ingredient:
Irinotecan Hydrochloride Trihydrate
Origin:
EU

Irinotecan Arrow (Irinotecan Hydrochloride Trihydrate)

Irinotecan, the active ingredient in Irinotecan Arrow, is a topoisomerase I inhibitor presented as an injectable solution for intravenous use. It is employed in the treatment of metastatic colorectal cancer in adult patients, often as part of combination chemotherapy regimens designed to improve response rates and survival outcomes.

GNH India supplies Irinotecan Arrow as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide, providing reliable sourcing, regulatory documentation and cold‑chain logistics to meet the needs of clinical and procurement teams across multiple regions.

Manufacturer / TM Owner

Eugia Pharma (Malta) Ltd

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Indications & Clinical Uses

  • Irinotecan Arrow is indicated for colorectal cancer treatment, targeting metastatic disease.
  • Metastatic colorectal cancer (first‑line combination therapy): used with other agents to achieve tumor reduction and extend survival.
  • Metastatic colorectal cancer (second‑line after fluoropyrimidine failure): provides an alternative cytotoxic option when disease progresses.
  • Metastatic colorectal cancer (refractory disease): can be administered as monotherapy to control tumor growth.

How It Works

  • Irinotecan Hydrochloride Trihydrate inhibits the nuclear enzyme topoisomerase I, which normally relaxes super‑coiled DNA during replication. By stabilizing the enzyme‑DNA complex, Irinotecan prevents re‑ligation of DNA strands, leading to accumulation of DNA breaks, disruption of replication, and ultimately tumor cell death.

Side Effects

Irinotecan Arrow may cause a range of adverse reactions, which are categorized by frequency and severity.

Common Side Effects

  • Neutropenia: reduced white blood cell count increasing infection risk.
  • Diarrhea: may be severe and require supportive care.
  • Nausea and vomiting: common gastrointestinal symptoms.
  • Alopecia: hair loss during treatment.
  • Fatigue: generalized tiredness.
  • Anemia: decreased red blood cell levels.

Serious or Rare Side Effects

  • Febrile neutropenia: fever with low neutrophils requiring urgent care.
  • Severe colitis or ileitis: life‑threatening intestinal inflammation.
  • Hypersensitivity reactions: rash, bronchospasm, or anaphylaxis.
  • Hepatotoxicity: elevated liver enzymes or liver injury.
  • Pulmonary toxicity: interstitial pneumonitis or fibrosis.
  • Tumor lysis syndrome: metabolic disturbances from rapid tumor cell breakdown.

Precautions & Warnings

Prior to initiating Irinotecan Arrow, clinicians should assess patient suitability and monitor for potential complications.

  • Monitor blood counts: perform regular CBCs to detect neutropenia.
  • Assess gastrointestinal function: watch for severe diarrhea and dehydration.
  • Evaluate liver function: check hepatic enzymes before and during therapy.
  • Avoid concurrent myelosuppressive agents: increased risk of bone‑marrow suppression.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Irinotecan Arrow can interact with other medicines, altering its efficacy or safety profile.

Major Interactions (Avoid)

  • Concurrent myelosuppressive chemotherapy: may exacerbate bone‑marrow toxicity.
  • Strong CYP3A4 inhibitors (e.g., ketoconazole): increase Irinotecan exposure and toxicity.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inducers (e.g., rifampin): may reduce drug levels and effectiveness.
  • Anticoagulants (e.g., warfarin): potential for increased bleeding risk.
  • Diuretics: may affect electrolyte balance, requiring monitoring.

Frequently Asked Questions

Irinotecan Arrow is used as a chemotherapy agent for the treatment of metastatic colorectal cancer in adult patients. It is typically administered as part of combination regimens to improve tumor response and extend overall survival.

Irinotecan works by inhibiting the enzyme topoisomerase I, which is essential for DNA replication. The drug stabilizes the enzyme‑DNA complex, preventing DNA strand re‑ligation, leading to DNA breaks that trigger cancer cell death.

The dose of Irinotecan Arrow is individualized by the prescribing oncologist based on factors such as body surface area, disease stage, and patient tolerance. Specific dosing regimens are determined by the treating physician and should not be self‑adjusted.

Safety of Irinotecan Arrow in pregnancy and lactation has not been established. It is generally advised to avoid use in pregnant or nursing women unless the potential benefit outweighs the potential risk, and this decision should be made by a qualified healthcare professional.

To order Irinotecan Arrow, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain where required) and necessary import documentation.

The primary alternative to Irinotecan in colorectal cancer is the topoisomerase I inhibitor topotecan, though topotecan is less commonly used for this indication. Compared with oxaliplatin‑based regimens, Irinotecan offers a different toxicity profile, with more pronounced gastrointestinal and hematologic effects, while oxaliplatin is associated with neuropathy.

Irinotecan Arrow should be stored at 2‑8 °C in a refrigerator, protected from light. The solution must not be frozen or shaken. Before administration, allow the product to reach room temperature if required, and follow aseptic techniques to maintain sterility.

Irinotecan Arrow is administered intravenously by a qualified healthcare professional. It is typically infused over a set period, often 30 to 90 minutes, depending on the prescribed regimen and patient tolerance. Infusion should be performed in a setting equipped to manage potential acute reactions.

The most serious risks include febrile neutropenia, severe diarrhea that can lead to dehydration or colitis, and hypersensitivity reactions such as anaphylaxis. Patients should be monitored closely for signs of infection, gastrointestinal distress, and any allergic symptoms, and report them immediately to their care team.

Irinotecan Arrow should not be used in patients with known hypersensitivity to Irinotecan or any component of the formulation, in those with severe bone‑marrow suppression, or in individuals with uncontrolled infections. Caution is also advised for patients with significant hepatic impairment or pre‑existing gastrointestinal disorders.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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