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DRUG:

topotecan

i
Other names: NK 211, NK-211, NK211, NSC 609699, SKF 104864
Company:
Generic mfg.
Drug class:
Topoisomerase I inhibitor
Related drugs:
1d
JSKN003 in Platinum-Resistant, Relapsed Epithelial Ovarian Cancer (clinicaltrials.gov)
P3, N=430, Not yet recruiting, Jiangsu Alphamab Biopharmaceuticals Co., Ltd
New P3 trial
|
paclitaxel • doxorubicin hydrochloride • topotecan • JSKN003
3d
JSKN003 in Platinum-Resistant, Relapsed Epithelial Ovarian Cancer (clinicaltrials.gov)
P3, N=430, Not yet recruiting, Jiangsu Alphamab Biopharmaceuticals Co., Ltd
New P3 trial
|
paclitaxel • doxorubicin hydrochloride • topotecan • JSKN003
16d
Trial termination
|
TP53 (Tumor protein P53)
|
TP53 wild-type
|
Venclexta (venetoclax) • cytarabine • cyclophosphamide • topotecan • idasanutlin (RG7388) • fludarabine IV
18d
Enrollment open
|
paclitaxel • topotecan • BNT327
21d
Synergistic Therapy of Metastatic Breast Cancers by Biomimetic Chemotherapeutic Drug-Gene Nanoparticles. (PubMed, ACS Appl Mater Interfaces)
First, topotecan hydrochloride (TPT) and vascular endothelial growth factor antisense oligonucleotide (ASOVEGF) were coself-assembled in water through electrostatic interaction to produce chemotherapeutic drug-gene nanoparticles (TPT-ASOVEGF NPs)...In MBC mouse models, the in vivo inhibition rate of TPT-ASOVEGF@MM NPs for lung metastasis was 89.5%, with minor toxic side effects and the least number of metastatic nodules in the lungs. In summary, TPT-ASOVEGF@MM NPs would be a promising biomimetic nanodrug for chemo-gene combination therapy of MBC with high efficacy and safety in clinics.
Journal • Metastases
|
HIF1A (Hypoxia inducible factor 1, alpha subunit)
|
HIF1A expression • VEGFA expression
|
topotecan
23d
STEP-RB: Topotecan Episcleral Plaque for Treatment of Retinoblastoma (clinicaltrials.gov)
P1, N=26, Completed, The Hospital for Sick Children | Recruiting --> Completed | Trial completion date: Oct 2030 --> Oct 2024 | Trial primary completion date: Oct 2025 --> Oct 2024
Trial completion • Trial completion date • Trial primary completion date
|
topotecan • topotecan episcleral
23d
Olaparib as Treatment Versus Nonplatinum Chemotherapy in Patients With Platinum-Sensitive Relapsed Ovarian Cancer: Phase III SOLO3 Study Final Overall Survival Results. (PubMed, J Clin Oncol)
Two hundred sixty-six patients were randomly assigned 2:1 to olaparib tablets (300 mg twice daily; n = 178) or physician's choice of single-agent nonplatinum chemotherapy (pegylated liposomal doxorubicin, paclitaxel, gemcitabine, or topotecan; n = 88). BRCA reversion mutations might have contributed to this finding. No patient randomly assigned to olaparib with a BRCA reversion mutation detected at baseline (6 of 170 [3.5%]) achieved an objective tumor response.
P3 data • Journal • BRCA Biomarker • PARP Biomarker
|
BRCA (Breast cancer early onset)
|
BRCA mutation
|
Lynparza (olaparib) • gemcitabine • paclitaxel • pegylated liposomal doxorubicin • topotecan
24d
Lurbinectedin or in Combination with Irinotecan Versus Topotecan in Patients with Relapsed SCLC (clinicaltrials.gov)
P3, N=180, Recruiting, Luye Pharma Group Ltd. | Not yet recruiting --> Recruiting
Enrollment open • Combination therapy
|
irinotecan • topotecan • Zepzelca (lurbinectedin)
1m
Trial initiation date • Surgery
|
TP53 (Tumor protein P53) • DICER1 (Dicer 1 Ribonuclease III)
|
doxorubicin hydrochloride • cyclophosphamide • ifosfamide • vincristine • daunorubicin • topotecan • dactinomycin • dexrazoxane
1m
Trametinib in Treating Patients With Recurrent or Progressive Low-Grade Ovarian Cancer or Peritoneal Cavity Cancer (clinicaltrials.gov)
P2/3, N=260, Active, not recruiting, National Cancer Institute (NCI) | Trial completion date: Oct 2024 --> Oct 2025
Trial completion date
|
BRAF (B-raf proto-oncogene)
|
Mekinist (trametinib) • paclitaxel • letrozole • pegylated liposomal doxorubicin • topotecan • Myocet (non-pegylated liposomal doxorubicin) • Duomeisu (pegylated liposomal doxorubicin) • Soltamox (tamoxifen citrate)
1m
A Study of N9 Chemotherapy in Children With Neuroblastoma (clinicaltrials.gov)
P1, N=26, Active, not recruiting, Memorial Sloan Kettering Cancer Center | Recruiting --> Active, not recruiting
Enrollment closed
|
MYCN (MYCN Proto-Oncogene BHLH Transcription Factor)
|
MYCN amplification
|
carboplatin • doxorubicin hydrochloride • cyclophosphamide • ifosfamide • etoposide IV • vincristine • topotecan • mesna
1m
A Study of GSK5764227 in Participants With Advanced Solid Tumors (clinicaltrials.gov)
P1, N=240, Recruiting, GlaxoSmithKline | Not yet recruiting --> Recruiting | Trial primary completion date: Dec 2026 --> Jul 2026
Enrollment open • Trial primary completion date • Metastases
|
topotecan • GSK5764227
1m
The Safety and Efficacy of Intravitreal Topotecan for the Treatment of Proliferative Vitreoretinopathy (clinicaltrials.gov)
P1, N=50, Not yet recruiting, Massachusetts Eye and Ear Infirmary | Initiation date: Jul 2024 --> Jan 2025
Trial initiation date
|
topotecan
2ms
Enrollment closed
|
FOLR1 ( Folate receptor alpha )
|
paclitaxel • pegylated liposomal doxorubicin • topotecan • farletuzumab ecteribulin (MORAb-202)
2ms
Trial completion • Metastases
|
FOLR1 ( Folate receptor alpha )
|
FOLR1 expression
|
paclitaxel • pegylated liposomal doxorubicin • Elahere (mirvetuximab soravtansine-gynx) • topotecan
2ms
Alternative lengthening of telomere-based immortalization renders H3G34R -mutant diffuse hemispheric glioma hypersensitive to PARP inhibitor combination regimens. (PubMed, Neuro Oncol)
Our preclinical and clinical data strongly support the further development of PARPis together with DNA damage stress-inducing treatment regimens for DHG-H3G34R_ATRX.
Journal • PARP Biomarker
|
ATRX (ATRX Chromatin Remodeler) • RAD51 (RAD51 Homolog A)
|
Talzenna (talazoparib) • Zejula (niraparib) • irinotecan • topotecan
2ms
Multi-omics analysis revealed significant metabolic changes in brain cancer cells treated with paclitaxel and/or topotecan. (PubMed, Heliyon)
Overall, this study underscores the effectiveness of multi-omics approaches in revealing the molecular mechanisms driving chemotherapy responses in cancer cells. Additionally, this work generates a comprehensive list of molecular alterations that can serve as a foundation for further investigations and inform personalized healthcare strategies to enhance patient outcomes.
Journal
|
HIF1A (Hypoxia inducible factor 1, alpha subunit) • RACK1 (Receptor For Activated C Kinase 1) • RPA3 (Replication Protein A3)
|
paclitaxel • topotecan
2ms
New P3 trial
|
topotecan • pegylated irinotecan (SSS22)
2ms
New P3 trial • Combination therapy
|
paclitaxel • topotecan • BNT327
2ms
Retinoblastoma Phase II Expanded Access Clinical Trial (clinicaltrials.gov)
P2, N=30, Not yet recruiting, Targeted Therapy Technologies, LLC
New P2 trial
|
topotecan • topotecan episcleral
2ms
Rapid Administration Pilot for Infusing Dinutuximab (clinicaltrials.gov)
P4, N=11, Suspended, Children's Hospital Los Angeles | Trial completion date: Aug 2024 --> Jun 2025 | Recruiting --> Suspended | Trial primary completion date: Aug 2024 --> Jun 2025
Trial completion date • Trial suspension • Trial primary completion date
|
temozolomide • cyclophosphamide • irinotecan • topotecan • Unituxin (dinutuximab)
2ms
Mobocertinib antagonizes multidrug resistance in ABCB1- and ABCG2-overexpressing cancer cells: in vitro and in vivo studies. (PubMed, Cancer Lett)
In the tumor-bearing mouse model, mobocertinib boosted the antitumor effect of paclitaxel and topotecan, resulting in tumor regression. In summary, our study uncovers a novel potential for repurposing mobocertinib as a dual inhibitor of ABCB1 and ABCG2, and suggests the combination of mobocertinib with substrate drugs as a strategy to counteract MDR.
Preclinical • Journal
|
ABCB1 (ATP Binding Cassette Subfamily B Member 1) • ABCG2 (ATP Binding Cassette Subfamily G Member 2)
|
EGFR mutation • EGFR exon 20 insertion • EGFR exon 20 mutation • ABCB1 overexpression • ABCG2 expression
|
paclitaxel • topotecan • Exkivity (mobocertinib)
2ms
Enrollment closed
|
gemcitabine • paclitaxel • pegylated liposomal doxorubicin • topotecan • raludotatug deruxtecan (DS-6000)
3ms
MEF2C is a Potential Prognostic Biomarker and is Correlated with Immune Infiltrates in Lung Adenocarcinoma. (PubMed, Curr Med Chem)
The results imply that MEF2C could be a valuable indicator for predicting outcomes and a possible target for immunotherapy for LUAD patients.
Journal • Tumor mutational burden • IO biomarker
|
TMB (Tumor Mutational Burden) • MEF2C (Myocyte Enhancer Factor 2C)
|
Tasigna (nilotinib) • irinotecan • topotecan • Farydak (panobinostat)
3ms
New P3 trial • Surgery
|
TP53 (Tumor protein P53) • DICER1 (Dicer 1 Ribonuclease III)
|
doxorubicin hydrochloride • cyclophosphamide • ifosfamide • vincristine • daunorubicin • topotecan • dactinomycin • dexrazoxane
3ms
NCI-2018-03732: Dinutuximab, Sargramostim, and Combination Chemotherapy in Treating Patients With Newly Diagnosed High-Risk Neuroblastoma (clinicaltrials.gov)
P2, N=42, Active, not recruiting, National Cancer Institute (NCI) | Trial completion date: Sep 2024 --> Sep 2025
Trial completion date
|
MYCN (MYCN Proto-Oncogene BHLH Transcription Factor) • IL6 (Interleukin 6) • CXCL9 (Chemokine (C-X-C motif) ligand 9)
|
MYCN amplification • IL6 expression
|
cisplatin • carboplatin • doxorubicin hydrochloride • cyclophosphamide • etoposide IV • vincristine • daunorubicin • topotecan • melphalan • thiotepa • Qarziba (dinutuximab beta) • Unituxin (dinutuximab) • Leukine (sargramostim) • dexrazoxane
3ms
ARTEMIS-008:HS-20093 Compared With Topotecan in Subjects With Relapsed Small Cell Lung Cancer (clinicaltrials.gov)
P3, N=460, Recruiting, Hansoh BioMedical R&D Company | Not yet recruiting --> Recruiting
Enrollment open
|
topotecan • GSK5764227
3ms
New P3 trial
|
gemcitabine • paclitaxel • pegylated liposomal doxorubicin • topotecan • rinatabart sesutecan (PRO1184)
3ms
ATR inhibition activates cancer cell cGAS/STING-interferon signaling and promotes antitumor immunity in small-cell lung cancer. (PubMed, Sci Adv)
This study shows that targeting ATR up-regulates major histocompatibility class I expression in preclinical models and SCLC clinical samples collected from a first-in-class clinical trial of ATR inhibitor, berzosertib, with topotecan in patients with relapsed SCLC. Targeting ATR represents a transformative vulnerability of SCLC and is a complementary strategy to induce STING-interferon signaling-mediated immunogenicity in SCLC.
Journal • PD(L)-1 Biomarker • IO biomarker
|
STING (stimulator of interferon response cGAMP interactor 1)
|
berzosertib (M6620) • topotecan
3ms
New P3 trial • Combination therapy
|
paclitaxel • topotecan • BNT327
3ms
New P3 trial
|
topotecan • YL201
3ms
Veliparib and Topotecan Hydrochloride in Treating Patients With Solid Tumors, Relapsed or Refractory Ovarian Cancer, or Primary Peritoneal Cancer (clinicaltrials.gov)
P1/2, N=88, Active, not recruiting, National Cancer Institute (NCI) | Trial completion date: Aug 2024 --> Aug 2025
Trial completion date
|
BRCA1 (Breast cancer 1, early onset) • BRCA2 (Breast cancer 2, early onset)
|
veliparib (ABT-888) • topotecan
4ms
Trial completion date • Combination therapy
|
PD-L1 (Programmed death ligand 1)
|
topotecan • obrixtamig (BI 764532)
4ms
NCI-2015-00693: Phase IB Study to Evaluate the Safety of Selinexor (KPT-330) in Combination with Multiple Standard Chemotherapy or Immunotherapy Agents in Patients with Advanced Malignancies (clinicaltrials.gov)
P1, N=221, Terminated, M.D. Anderson Cancer Center | Trial completion date: Dec 2024 --> Sep 2024 | Active, not recruiting --> Terminated | Trial primary completion date: Dec 2024 --> Sep 2024; Administratively Complete
Trial completion date • Trial termination • Trial primary completion date • Combination therapy • IO biomarker • Metastases
|
Keytruda (pembrolizumab) • Opdivo (nivolumab) • Lynparza (olaparib) • Yervoy (ipilimumab) • carboplatin • paclitaxel • doxorubicin hydrochloride • capecitabine • cyclophosphamide • pemetrexed • oxaliplatin • irinotecan • Halaven (eribulin mesylate) • Xpovio (selinexor) • daunorubicin • topotecan • leucovorin calcium • fluorouracil topical • Pemfexy (pemetrexed)
4ms
New trial
|
Loqtorzi (toripalimab-tpzi) • topotecan
4ms
Study Of Palbociclib Combined With Chemotherapy In Pediatric Patients With Recurrent/Refractory Solid Tumors (clinicaltrials.gov)
P2, N=128, Active, not recruiting, Pfizer | Phase classification: P1/2 --> P2 | Trial completion date: Feb 2025 --> Oct 2025
Phase classification • Trial completion date • Combination therapy
|
EWSR1 (EWS RNA Binding Protein 1) • FUS (FUS RNA Binding Protein)
|
Ibrance (palbociclib) • temozolomide • cyclophosphamide • irinotecan • topotecan
4ms
A Study of GSK5764227 in Participants With Advanced Solid Tumors (clinicaltrials.gov)
P1, N=260, Not yet recruiting, GlaxoSmithKline | N=100 --> 260
Enrollment change • Metastases
|
topotecan • GSK5764227
4ms
New P3 trial
|
topotecan • pegylated irinotecan (SSS22)
4ms
Trial completion date • Trial primary completion date
|
FOLR1 ( Folate receptor alpha )
|
gemcitabine • paclitaxel • pegylated liposomal doxorubicin • topotecan • luveltamab tazevibulin (STRO-002) • Neulasta (pegfilgrastim)
4ms
A Study of LY3295668 Erbumine in Participants With Relapsed/Refractory Neuroblastoma (clinicaltrials.gov)
P1, N=71, Active, not recruiting, Eli Lilly and Company | Trial completion date: Aug 2024 --> Aug 2025
Trial completion date
|
cyclophosphamide • topotecan • LY3295668
5ms
BL-B01D1-304: A Study Comparing BL-B01D1 With Topotecan in Patients With Recurrent Small Cell Lung Cancer (clinicaltrials.gov)
P3, N=652, Recruiting, Sichuan Baili Pharmaceutical Co., Ltd. | Not yet recruiting --> Recruiting
Enrollment open
|
topotecan • izalontamab brengitecan (BL-B01D1)
5ms
Ubiquitin-specific protease 22 controls melanoma metastasis and vulnerability to ferroptosis through targeting SIRT1/PTEN/PI3K signaling. (PubMed, MedComm (2020))
Finally, we found that both pharmacological and genetic silence of USP22 sensitize RSL3-induced ferroptosis through suppressing the PI3K/Akt/mTOR pathway and its downstream SCD, and ferroptosis inhibitor could partly rescued the decreased lung metastasis by topotecan in vivo. Overall, our findings reveal a prometastatic role of USP22 and identify topotecan as a potent USP22-targeting drug to limit melanoma metastasis.
Journal
|
PTEN (Phosphatase and tensin homolog) • USP22 (Ubiquitin Specific Peptidase 22)
|
topotecan • RSL3