modelIrinotecan

Diagram of Irinotecan

Extends from Pharmacolibrary.Drugs.ATC.L.L01CE02.

Information

name:Irinotecan
ATC code:L01CE02
route:intravenous
compartments:2
dosage:350mg
volume of distribution:107L
clearance:13.2L/h
other parameters in model implementation

Irinotecan is a semisynthetic derivative of camptothecin and acts as a topoisomerase I inhibitor. It is primarily used as a chemotherapeutic agent for the treatment of colorectal cancer, among other solid tumors. Irinotecan is approved for use in multiple countries for metastatic colorectal cancer, often in combination with other agents (e.g., 5-fluorouracil and leucovorin).

Pharmacokinetics

Population pharmacokinetic parameters for total irinotecan in adult patients with solid tumors, following intravenous infusion.

References

  1. Sathe, AG, et al., & Othman, AA (2024). Population Pharmacokinetics of Sacituzumab Govitecan in Patients with Metastatic Triple-Negative Breast Cancer and Other Solid Tumors. Clinical pharmacokinetics 63(5) 669–681. DOI:10.1007/s40262-024-01366-3 PUBMED:https://pubmed.ncbi.nlm.nih.gov/38578394

  2. Karas, S, et al., & Innocenti, F (2022). Integration of DNA sequencing with population pharmacokinetics to improve the prediction of irinotecan exposure in cancer patients. British journal of cancer 126(4) 640–651. DOI:10.1038/s41416-021-01589-2 PUBMED:https://pubmed.ncbi.nlm.nih.gov/34703007

  3. Xie, R, et al., & Karlsson, MO (2002). Clinical pharmacokinetics of irinotecan and its metabolites: a population analysis. Journal of clinical oncology : official journal of the American Society of Clinical Oncology 20(15) 3293–3301. DOI:10.1200/JCO.2002.11.073 PUBMED:https://pubmed.ncbi.nlm.nih.gov/12149304

Parameters

TypeNameDefaultDescription
Modelica.Units.SI.Massweight (from PK_1C)75patient weight (kg)
Modelica.Units.SI.SpecificVolumeVdPerKg (from PK_1C)0.9Volume of distribution (L/kg)
Modelica.Units.SI.MassFractionF (from PK_1C)0.8bioavailiability (0-1)
Pharmacolibrary.Types.ClearanceCl (from PK_1C)20clearance
Modelica.Units.SI.TimeadminTime (from PK_1C)60first administration time (s)
Modelica.Units.SI.TimeadminDuration (from PK_1C)600administration duration (s)
Modelica.Units.SI.TimeadminPeriod (from PK_1C)8*60*60period of administration (default 8 hours)(s)
Pharmacolibrary.Types.MassadminMass (from PK_1C)1000administration mass (mg)
IntegeradminCount (from PK_1C)8number of dose administered (1)
Pharmacolibrary.Types.VolumeVd (from PK_1C)VdPerKg*weightVolume of distribution (m3)
Pharmacolibrary.Types.MassConcentrationCmin (from PK_1C)0.004minimal therapeutic range
Pharmacolibrary.Types.MassConcentrationCmax (from PK_1C)0.008minimal therapeutic range
Pharmacolibrary.Types.MassConcentrationCtox_peak (from PK_1C)0.012toxicity peak level
Pharmacolibrary.Types.MassConcentrationCtox_trough (from PK_1C)0.006toxicity trough level
Pharmacolibrary.Types.VolumeVdp (from PK_2C)VdpPerKg*weightVolume of distribution (m3)
Modelica.Units.SI.SpecificVolumeVdpPerKg (from PK_2C)0.9Volume of distribution peripheral(l/kg)
Pharmacolibrary.Types.Clearancek12 (from PK_2C)1intercompartmental C-P clearance
Pharmacolibrary.Types.Clearancek21 (from PK_2C)1intercompartmental P-C clearance

Connectors

TypeNameDefaultDescription
Types.ConcentrationOutputC_central (from PK_1C)
Interfaces.ConcentrationPort_bcentralCPort (from PK_1C)
Interfaces.ConcentrationPort_bperipheralCPort (from PK_2C)
Pharmacolibrary.Types.ConcentrationOutputC_peripheral1 (from PK_2C)

Components

TypeNameDefaultDescription
Pharmacokinetic.NoPerfusedTissueCompartmentcentral (from PK_1C)
Pharmacokinetic.ClearanceDrivenEliminationelim (from PK_1C)
Sources.PeriodicDoseperiodicDose (from PK_1C)
Modelica.Units.SI.Timet1_2 (from PK_1C)elimination half-life
Pharmacolibrary.Pharmacokinetic.TransferFirstOrderNonSymtransfer (from PK_2C)
Pharmacolibrary.Pharmacokinetic.NoPerfusedTissueCompartmentperipheral (from PK_2C)

Revisions

  • 06/2025 Tomas Kulhanek, generated model from data extracted from PUBMED, DrugBank and LLM(GPT4.1)