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

Irinotekanijev Klorid Kabi

Active Ingredient:
Irinotecan Hydrochloride Trihydrate
Origin:
EU

Irinotekanijev Klorid Kabi (Irinotecan Hydrochloride Trihydrate)

Irinotecan Hydrochloride Trihydrate, the active ingredient in Irinotekanijev Klorid Kabi, is a topoisomerase I inhibitor presented as an injectable solution for intravenous use. It is employed in the treatment of colorectal cancer, metastatic colorectal cancer, and other solid tumors in adult patients.

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

Manufacturer / TM Owner

Fresenius Kabi Austria Gmbh

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Indications & Clinical Uses

  • Irinotecan is a topoisomerase I inhibitor used in chemotherapy for gastrointestinal and other solid tumors.
  • Colorectal cancer: improves survival when combined with standard chemotherapy regimens.
  • Metastatic colorectal cancer: used as part of combination therapy to reduce tumor burden.
  • Other solid tumors: employed in selected cases where topoisomerase I inhibition is indicated.

How It Works

  • Irinotecan is converted intracellularly to its active metabolite SN‑38, which binds to the DNA‑topoisomerase I complex and stabilizes it. This prevents the re‑ligation of single‑strand DNA breaks during replication, leading to accumulation of DNA damage, cell‑cycle arrest and apoptosis of rapidly dividing tumor cells.

Side Effects

Irinotecan may cause a range of adverse reactions that vary in frequency and severity.

Common Side Effects

  • Nausea and vomiting
  • Diarrhea, often severe
  • Neutropenia (low white blood cell count)
  • Fatigue and weakness
  • Alopecia (hair loss)
  • Mild liver enzyme elevations

Serious or Rare Side Effects

  • Febrile neutropenia with risk of infection
  • Severe colitis or bowel perforation
  • Hepatic toxicity with jaundice
  • Anaphylactic or severe allergic reactions
  • Pulmonary toxicity (interstitial pneumonitis)
  • Cardiac arrhythmias in susceptible patients

Precautions & Warnings

  • Before initiating therapy, clinicians should assess patient-specific risk factors and monitor organ function.
  • Pregnancy: Category D – avoid use unless potential benefit justifies the risk.
  • Breastfeeding: Not recommended; drug may be excreted in milk.
  • Renal impairment: Use with caution and monitor renal function.
  • Hepatic impairment: Adjust monitoring; dose may need modification.
  • Concurrent myelosuppressive agents: Monitor for additive bone‑marrow suppression.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Irinotecan can interact with several medicines, affecting its efficacy or safety.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole) – may increase exposure.
  • UGT1A1 inhibitors (e.g., atazanavir) – raise risk of neutropenia.
  • Live vaccines – heightened infection risk due to immunosuppression.

Moderate Interactions (Monitor Closely)

  • Other myelosuppressive chemotherapy agents – additive bone‑marrow toxicity.
  • High‑dose radiation therapy – may exacerbate tissue damage.

Frequently Asked Questions

Irinotekanijev Klorid Kabi contains irinotecan, a topoisomerase I inhibitor indicated for the treatment of colorectal cancer, metastatic colorectal cancer and selected solid tumours. It is used as part of combination chemotherapy regimens in adult patients to improve disease control and survival outcomes.

Irinotecan is a pro‑drug that is metabolised inside cells to SN‑38, an active metabolite that binds to the DNA‑topoisomerase I complex. By stabilising this complex, it prevents the re‑ligation of single‑strand DNA breaks during replication, leading to accumulation of DNA damage, cell‑cycle arrest and ultimately tumour cell death.

The dose of Irinotekanijev Klorid Kabi is individualized and determined by the prescribing oncologist based on factors such as cancer type, treatment protocol, patient weight, organ function and prior therapy. No fixed dosing information is provided here; clinicians set the regimen according to established guidelines.

Irinotecan is classified as Pregnancy Category D, indicating evidence of risk to the fetus. It should only be used during pregnancy when the potential benefit justifies the risk. Breastfeeding is not recommended because the drug can be excreted in milk and may harm the infant.

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

Irinotecan and topotecan are the two main topoisomerase I inhibitors used in oncology. Irinotecan is typically employed for colorectal and certain solid tumours, while topotecan is more common in ovarian and small‑cell lung cancer. Both share a similar mechanism but differ in pharmacokinetics, toxicity profiles and approved indications.

The injectable solution should be stored refrigerated at 2‑8 °C, protected from light, and must not be frozen or shaken. Prior to administration, the product should be inspected for particulate matter and used within the time frame specified in the manufacturer’s labeling.

Irinotekanijev Klorid Kabi is given by intravenous infusion. The solution is diluted according to the prescribing information and infused over a defined period, usually 30‑90 minutes, under medical supervision. Infusion rates may be adjusted based on patient tolerance and clinical response.

The most serious adverse events include severe neutropenia with risk of infection, febrile neutropenia, life‑threatening diarrhoea (including colitis or bowel perforation), hepatic toxicity, and rare allergic reactions such as anaphylaxis. Prompt monitoring and supportive care are essential to manage these risks.

Patients with known hypersensitivity to irinotecan or any component of the formulation should avoid the product. It is also contraindicated in individuals with severe bone‑marrow suppression, uncontrolled infections, or those who are pregnant unless the therapeutic benefit outweighs the risk. Clinical judgment is required for other special populations.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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