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

Irinotecan Kabi

Active Ingredient:
Irinotecan Hydrochloride Trihydrate
Origin:
EU

Irinotecan Kabi (Irinotecan Hydrochloride Trihydrate)

Irinotecan Hydrochloride Trihydrate, the active ingredient in Irinotecan Kabi, is a topoisomerase I inhibitor presented as an intravenous formulation for use in oncology. It is employed in the treatment of metastatic and advanced colorectal cancer and may be incorporated into combination regimens for other solid tumors.

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

Manufacturer / TM Owner

Fresenius Kabi Nv/Sa

1
Pack/s
This product is added to your enquiry list

Request a Quote

Please fill out the form below and our team will get back to you shortly with pricing and further information.

A minimum order value applies. Our team will confirm the exact amount or quantity after reviewing your requirements.

Indications & Clinical Uses

Irinotecan Kabi is used in chemotherapy regimens targeting colorectal cancer and other solid tumors.

  • Metastatic colorectal cancer: improves progression‑free survival when combined with other agents.
  • Advanced colorectal cancer: used as part of first‑line or second‑line therapy to reduce tumor burden.
  • Other solid tumors (e.g., gastric, pancreatic): incorporated into combination protocols to enhance cytotoxic effect.

How It Works

  • After intravenous infusion, irinotecan hydrochloride trihydrate is enzymatically converted inside tumor cells to its active metabolite SN‑38. SN‑38 binds to the DNA‑topoisomerase I complex, stabilizing it and preventing the re‑ligation of single‑strand DNA breaks generated during replication. This inhibition leads to accumulation of DNA damage, triggering apoptosis and cell death in rapidly dividing cancer cells.

Side Effects

Irinotecan Kabi may cause a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Diarrhea: often severe and may require antidiarrheal therapy.
  • Nausea and vomiting: may be managed with anti‑emetics.
  • Neutropenia: reduced white blood cell count increasing infection risk.
  • Fatigue: general tiredness affecting daily activities.

Serious or Rare Side Effects

  • Febrile neutropenia: fever with low neutrophil count, a medical emergency.
  • Intestinal perforation: rare but life‑threatening bowel rupture.
  • Severe hypersensitivity reactions: including anaphylaxis, requiring immediate treatment.

Precautions & Warnings

When using Irinotecan Kabi, clinicians should observe several safety precautions to minimize risks.

  • Baseline blood counts: obtain CBC before each cycle to monitor neutropenia.
  • Liver function: assess hepatic enzymes as metabolism may be impaired.
  • Hydration: ensure adequate fluid intake to reduce risk of severe diarrhea.
  • Drug interactions: avoid concurrent strong CYP3A4 inhibitors that can increase SN‑38 exposure.
  • Pregnancy and lactation: contraindicated unless benefits outweigh unknown risks; discuss with specialist.
  • Store at ambient temperature: keep vials below 25 °C, protect from light, and retain in original packaging.

Avoid Interactions

Irinotecan Kabi can interact with other medicines, altering its efficacy or toxicity.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, ritonavir): may raise SN‑38 levels, increasing toxicity.
  • UGT1A1 inhibitors (e.g., atazanavir): can reduce SN‑38 glucuronidation, heightening risk of neutropenia and diarrhea.
  • Concurrent use with other myelosuppressive agents: can exacerbate bone‑marrow suppression.

Moderate Interactions (Monitor Closely)

  • Anticoagulants (e.g., warfarin): monitor INR as irinotecan may affect coagulation.
  • Antidiarrheal agents (e.g., loperamide): adjust dosing to avoid masking severe diarrhea.
  • Radiotherapy to abdomen/pelvis: increased gastrointestinal toxicity may occur.

Frequently Asked Questions

Irinotecan Kabi is indicated for the treatment of metastatic and advanced colorectal cancer and may be used as part of combination chemotherapy regimens for other solid tumors such as gastric or pancreatic cancer. It is administered under the supervision of an oncologist as part of a systemic cancer therapy plan.

Irinotecan is a pro‑drug that is converted inside tumor cells to the active metabolite SN‑38. SN‑38 binds to the DNA‑topoisomerase I enzyme, preventing the re‑ligation of single‑strand DNA breaks during replication. This leads to accumulation of DNA damage, triggering apoptosis and cell death in rapidly dividing cancer cells.

The dose of Irinotecan Kabi is individualized and determined by the prescribing oncologist based on factors such as the type of cancer, treatment regimen, patient weight, liver function and prior therapy. No standard dose is provided here; the prescriber will calculate the appropriate amount for each patient.

The safety of Irinotecan in pregnancy and lactation has not been established. It is generally avoided unless the potential benefit to the mother outweighs the unknown risk to the fetus or infant. Women of child‑bearing potential should use effective contraception during treatment and for a period thereafter as advised by their physician.

To order Irinotecan Kabi, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams across international markets. After the request, the sales team will verify trade or institutional credentials, then provide pricing, availability, shipping details (including any cold‑chain requirements) and assist with import documentation.

The primary alternative to Irinotecan in colorectal cancer regimens 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 effects but less peripheral neuropathy. Choice of therapy depends on prior treatment history, patient tolerance and molecular characteristics of the tumor.

Irinotecan Kabi vials should be stored at ambient temperature, preferably below 25 °C, protected from light and moisture. Keep the product in its original packaging until use. Do not freeze. Follow standard aseptic techniques when preparing the intravenous infusion to maintain sterility.

Irinotecan Kabi is administered by intravenous infusion, typically over 30 to 90 minutes depending on the protocol. The infusion schedule (e.g., weekly, bi‑weekly) and total treatment cycle are defined by the treating oncologist based on the specific cancer type, combination partners and patient response.

The most serious risks associated with Irinotecan include severe neutropenia leading to infection, febrile neutropenia, life‑threatening diarrhea that may cause dehydration, intestinal perforation, and rare but severe hypersensitivity reactions such as anaphylaxis. Patients should be monitored closely for signs of infection, fever, persistent diarrhea or abdominal pain, and any allergic symptoms.

Irinotecan Kabi should be avoided in patients with known hypersensitivity to irinotecan or any of its excipients, those with severe hepatic impairment, and individuals with uncontrolled infections. Caution is also advised for patients with pre‑existing severe bone‑marrow suppression or gastrointestinal disorders that could be aggravated by the drug.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

Disclaimer

At GNH India, we aim to provide information that is expert-reviewed, accurate, and reliable. However, all content on this platform is intended for general informational purposes only and does not constitute professional medical advice, diagnosis, or treatment. While efforts are made to maintain accuracy and currency, the information may contain errors, omissions, or may not reflect the latest developments. Always consult a qualified healthcare professional regarding any medical concerns.

All product names, brand names, trademarks and registered trademarks displayed on this website are the property of their respective owners. This website and its operator are not affiliated with, endorsed by, or authorized by any such trade mark owners unless expressly stated. Any reference to product names or trademarks is made solely for descriptive and informational purposes. No commercial relationship, sponsorship, approval, or association with any trademark owner should be inferred. Information provided herein does not constitute promotion, advertising, or an offer for sale of any medicinal product and is intended solely for general informational purposes.

All trademarks and brand names displayed on this website are used strictly in accordance with the provisions of the Trade Marks Act, 1999, specifically Sections 30 and 30(1) governing fair use. Trademark ownership has been accurately attributed under the "Manufacturer/ TM Owner" section in compliance with statutory requirements.

Ordering Process

Simple, Secure, and Seamless

Learn how our streamlined ordering process guarantees fast, compliant, and reliable access to essential medicines worldwide.

Quote request form

01

Submit Quote Request Form

Tell us what medications you need by filling out our simple form and uploading a valid document.

Price estimate review

02

We Review & Send Estimate

Our licensed pharmacists will verify your details and provide you with a detailed cost estimate.

Secure payment

03

Confirm & Make Payment

Discuss any queries, approve the estimate, and complete your payment.

Worldwide delivery

04

Get Delivered

Your medicines, safely packed and delivered to your door or nearest airport — hassle-free.

Quality You Can Trust

Our internationally recognized certifications underscore our commitment to safety, quality, and excellence.