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

Irinotecan Glenmark

Active Ingredient:
Irinotecan Hydrochloride Trihydrate
Origin:
EU

Irinotecan Glenmark (Irinotecan Hydrochloride Trihydrate)

Irinotecan Hydrochloride Trihydrate, the active ingredient in Irinotecan Glenmark, is a topoisomerase I inhibitor presented as an intravenous solution for intravenous administration. It is indicated for the treatment of metastatic colorectal cancer in adult patients, where it acts to disrupt tumor DNA replication and is administered under the supervision of qualified oncology specialists.

GNH India supplies Irinotecan Glenmark as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide, providing reliable access to this essential antineoplastic agent for cancer care programs. The company adheres to stringent quality standards and supports global distribution networks to ensure timely delivery.

Manufacturer / TM Owner

Glenmark Arzneimittel Gmbh

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Indications & Clinical Uses

  • Irinotecan Glenmark, a topoisomerase I inhibitor used in oncology, is indicated for the following conditions:
  • Metastatic colorectal cancer: Improves disease control and overall survival when used in combination chemotherapy regimens.

How It Works

  • Irinotecan Hydrochloride Trihydrate inhibits the enzyme topoisomerase I by stabilizing the transient DNA‑topoisomerase I complex, preventing the re‑ligation of single‑strand DNA breaks that occur during replication. This blockade leads to accumulation of DNA damage, triggering apoptosis and cell death in rapidly dividing tumor cells.

Side Effects

Irinotecan Glenmark may cause a range of adverse reactions during treatment.

Common Side Effects

  • Neutropenia: Reduced white blood cell count increasing infection risk.
  • Diarrhea: Often severe, may require antidiarrheal therapy.
  • Nausea and vomiting: Common gastrointestinal symptoms.
  • Alopecia: Hair loss during therapy.
  • Fatigue: Generalized tiredness and weakness.
  • Anemia: Decreased red blood cell count causing fatigue.

Serious or Rare Side Effects

  • Febrile neutropenia: Fever with low neutrophils, a medical emergency.
  • Severe colitis: Life‑threatening inflammation of the colon.
  • Cholinergic syndrome: Abdominal cramps, sweating, and bradycardia.
  • Hypersensitivity reactions: Rash, bronchospasm, or anaphylaxis.
  • Hepatic toxicity: Elevated liver enzymes or jaundice.
  • Electrolyte disturbances: Particularly hypokalemia.

Precautions & Warnings

  • Before initiating Irinotecan Glenmark, clinicians should assess patient suitability and monitor for potential complications.
  • Monitor blood counts: Perform regular CBC to detect neutropenia.
  • Assess liver function: Check hepatic enzymes prior to each cycle.
  • Hydration status: Ensure adequate fluid intake to mitigate severe diarrhea.
  • Genetic testing: Consider UGT1A1 genotype to predict toxicity risk.
  • Avoid concurrent strong CYP3A4 inhibitors: May increase drug exposure.
  • Store at ambient temperature: Keep in original container, protect from moisture and light.

Avoid Interactions

Irinotecan Glenmark can interact with several medicines; awareness of interaction severity helps guide safe use.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors: May raise irinotecan plasma levels.
  • UGT1A1 inhibitors: Increase risk of severe toxicity.
  • Live vaccines: Contraindicated due to immunosuppression.

Moderate Interactions (Monitor Closely)

  • Anticholinergic agents: May worsen cholinergic syndrome.
  • Antiemetics such as ondansetron: Can affect metabolism.
  • Warfarin: Monitor INR for altered anticoagulation.
  • Proton pump inhibitors: May influence drug absorption.
  • Herbal supplements (e.g., St. John’s wort): Potential enzyme induction.

Frequently Asked Questions

Irinotecan Glenmark is a chemotherapy agent indicated for the treatment of metastatic colorectal cancer in adult patients. It is commonly administered as part of combination regimens such as FOLFIRI, where it works alongside fluoropyrimidines and leucovorin to improve disease control and overall survival.

Irinotecan is a topoisomerase I inhibitor. It binds to the topoisomerase I‑DNA complex and prevents the re‑ligation of single‑strand DNA breaks that occur during replication. This leads to accumulation of DNA damage, triggering apoptosis and death of rapidly dividing cancer cells.

The dosing schedule for Irinotecan Glenmark is determined by the prescribing oncologist based on individual patient factors such as body surface area, disease status, and prior therapies. The prescriber selects the appropriate infusion rate and cycle length in accordance with established clinical guidelines.

Safety data for Irinotecan in pregnancy and lactation are limited, and the drug is generally contraindicated because it may cause fetal harm and is excreted in breast milk. Women of child‑bearing potential should use effective contraception and discuss potential risks with their healthcare provider.

Submit an enquiry on the Irinotecan Glenmark 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 if needed) and the necessary import documentation.

Irinotecan belongs to the topoisomerase I inhibitor class, offering a mechanism distinct from fluoropyrimidines or oxaliplatin. It is often combined with 5‑FU and leucovorin (FOLFIRI) and provides efficacy in patients who have progressed on oxaliplatin‑based regimens, complementing other agents rather than replacing them.

Store at ambient temperature, below 25 °C, in the original packaging to protect from moisture and light. Keep the vial in a controlled environment, avoid freezing, and handle with aseptic technique during preparation for intravenous infusion.

Irinotecan Glenmark is supplied as an intravenous solution that must be diluted according to the product label and infused over a prescribed period, typically 30‑90 minutes, under the supervision of qualified healthcare professionals in a clinical setting.

The most critical adverse events include severe neutropenia with infection risk, life‑threatening diarrhea (including colitis), cholinergic syndrome, and rare hypersensitivity reactions. Patients should be monitored closely for signs of infection, dehydration, abdominal pain, and managed promptly according to clinical protocols.

Contraindications include patients with known hypersensitivity to irinotecan or its excipients, those with severe bone‑marrow suppression, uncontrolled infections, or significant hepatic impairment. Caution is also advised for individuals with UGT1A1 polymorphisms that increase the risk of toxicity.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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