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

Irinotecán Qilu

Active Ingredient:
Irinotecan Hydrochloride Trihydrate
Origin:
EU

Irinotecán Qilu (Irinotecan Hydrochloride Trihydrate)

Irinotecan Hydrochloride Trihydrate, the active ingredient in Irinotecán Qilu, is a topoisomerase I inhibitor presented as an injection solution for intravenous use. It treats metastatic colorectal cancer and is used as adjuvant therapy for colon cancer in adult patients.

GNH India supplies Irinotecán Qilu as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Qilu Pharma Spain S.L.

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Indications & Clinical Uses

  • Irinotecán Qilu is a topoisomerase I inhibitor used in colorectal cancer treatment pathways.
  • Metastatic colorectal cancer: improves overall survival and disease control in patients with advanced disease.
  • Adjuvant treatment of colon cancer: reduces the risk of recurrence after surgical resection.
  • Combination therapy for advanced colorectal cancer: enhances efficacy when used with other chemotherapeutic agents.

How It Works

  • Irinotecan is a prodrug that is converted in vivo to SN‑38, a potent inhibitor of topoisomerase I. By stabilizing the DNA‑topoisomerase I complex, it prevents relegation of single‑strand DNA breaks, leading to accumulation of DNA damage, inhibition of DNA replication, and ultimately cell death in rapidly dividing cancer cells.

Side Effects

Irinotecán Qilu may cause a range of adverse reactions, from mild to severe.

Common Side Effects

  • Nausea and vomiting
  • Diarrhea, which can be severe
  • Neutropenia (low white blood cell count)
  • Fatigue and weakness
  • Alopecia (hair loss)
  • Mild abdominal pain

Serious or Rare Side Effects

  • Febrile neutropenia (infection with fever)
  • Severe colitis or intestinal perforation
  • Hepatic toxicity with elevated liver enzymes
  • Allergic reactions including anaphylaxis
  • Pulmonary toxicity such as interstitial pneumonitis
  • Severe electrolyte disturbances

Precautions & Warnings

  • Before initiating therapy, clinicians should assess patient-specific risk factors and monitor for toxicity.
  • Monitor blood counts: perform regular complete blood count to detect neutropenia.
  • Assess liver function: evaluate hepatic enzymes prior to and during treatment.
  • Evaluate bowel status: avoid use in patients with recent bowel obstruction or severe diarrhea.
  • Use caution in renal impairment: adjust monitoring for patients with reduced kidney function.
  • Avoid in known hypersensitivity: discontinue if allergic reaction occurs.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Irinotecán Qilu can interact with other medicines, affecting efficacy or safety.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole) – may increase toxicity.
  • UGT1A1 inhibitors (e.g., atazanavir) – can raise SN‑38 levels.
  • Concurrent myelosuppressive agents – heighten risk of severe neutropenia.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inducers (e.g., rifampin) – may reduce drug exposure.
  • Anticoagulants such as warfarin – monitor INR for increased bleeding risk.
  • Other antineoplastic agents – adjust dosing and monitor overlapping toxicities.

Frequently Asked Questions

Irinotecán Qilu is an intravenous chemotherapy agent indicated for the treatment of metastatic colorectal cancer and as an adjuvant therapy after surgery for colon cancer. It is used in adult patients to improve survival outcomes and reduce the risk of disease recurrence.

Irinotecan is converted to its active metabolite SN‑38, which inhibits the enzyme topoisomerase I. This inhibition prevents the re‑ligation of single‑strand DNA breaks during replication, leading to accumulation of DNA damage and ultimately causing cancer cell death.

The dosing regimen for Irinotecán Qilu is individualized by the prescribing oncologist based on factors such as cancer type, stage, patient weight, and overall health. The prescriber determines the appropriate dose and schedule for each patient.

Safety data for Irinotecán Qilu in pregnancy and lactation are limited. It is generally contraindicated in pregnant or nursing women because of potential risks to the fetus or infant. Women of child‑bearing potential should use effective contraception during treatment.

To order Irinotecán Qilu, 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 if needed) and import documentation.

Irinotecán Qilu belongs to the topoisomerase I inhibitor class, offering a distinct mechanism from fluoropyrimidines or oxaliplatin. It is often combined with other agents to enhance efficacy. Compared with alternatives, it provides a valuable option for patients who may not tolerate or have progressed on other regimens.

Irinotecán Qilu should be stored refrigerated at 2‑8 °C, protected from light, and must not be frozen or shaken. Use aseptic technique when preparing the injection, and discard any solution that appears discolored or contains particles.

The medication is supplied as an injectable solution for intravenous infusion. It is administered by a qualified healthcare professional, typically over a set period of time as directed by the treatment protocol, and may be given alone or in combination with other chemotherapy agents.

The most serious risks include severe neutropenia leading to infection, life‑threatening diarrhea or colitis, hepatic toxicity, and rare allergic reactions such as anaphylaxis. Patients should be closely monitored for signs of infection, gastrointestinal complications, and liver function abnormalities.

Irinotecán Qilu is contraindicated in patients with known hypersensitivity to irinotecan or any of its excipients, in those with active severe infections, and in individuals with recent bowel obstruction. Caution is also advised for patients with significant liver or kidney impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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