Converted to active metabolite SN-38 by carboxylesterase
Induces DNA damage and apoptosis
Upregulates caspase-3, caspase-8, and caspase-9
Down-regulates NF-κB
May down-regulate p53 in single treatment
[1]
Prodrug converted to active metabolite SN-38
[2]
Prodrug activated by metabolic conversion
Inhibits DNA topoisomerase I via SN-38 metabolite
Widely used systemic chemotherapy
[3]
Chemotherapeutic agent for colorectal cancer
Part of regimens like FOLFIRI
Combination with capecitabine and 17-AAG for synergistic effects
Treatment of HT-29 colon cancer cells
[1]
Combined with CAPEFOX regimen for Clinical responses of colorectal cancer (CRC) treatment
[2]
Treatment of colorectal cancer and other solid tumors
Precursor drug delivering SN-38 activity
[3]
Classification by use
Chemicals used in cancer chemotherapy
Chemicals used as topoisomerase inhibitors
Chemicals used as apoptosis inducers
A trustworthy factory and manufacturer
[Cite:1] Combination effects of Irinotecan, irinotecan and 17-AAG on colorectal cancer cell line (HT-29), Annals of Medicine and Surgery, Volume 78, June 2022, 103850
[Cite:2] Intratumoral microbiota-derived S1P sensitizes the combination therapy of capecitabine and PD-1 inhibitors, Iscience, Volume 28, Issue 12, 19 December 2025, 114202
[Cite:3] ABCG2-mediated SN-38 efflux drives resistance to Sacituzumab govitecan in urothelial carcinoma, Cancer Letters, Volume 640, 1 March 2026, 218254