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Hycamtin Capsules

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Hycamtin Capsules

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HYCAMTIN®
(topotecan) Capsules

WARNING

BONE MARROW SUPPRESSION

HYCAMTIN should be administered only to patients with baseline neutrophil counts of ≥ 1,500 cells/mm³ and a platelet count ≥ 100,000 cells/mm³. In order to assess the occurrence of bone marrow suppression, blood cell counts should be monitored.

DRUG DESCRIPTION

Topotecan hydrochloride is a semi-synthetic derivative of camptothecin and is an anti-tumor drug with topoisomerase I-inhibitory activity.

The chemical name for topotecan hydrochloride is (S)-10-[(dimethylamino)methyl]-4­ethyl-4,9-dihydroxy-1H-pyrano[3',4':6,7] indolizino [1,2-b]quinoline-3,14-(4H,12H)-dione monohydrochloride. It has the molecular formula C23H23N3O5•HCl and a molecular weight of 457.9. It is soluble in water and melts with decomposition at 213° to 218°C

Topotecan hydrochloride has the following structural formula:

HYCAMTIN® (topotecan) Structural Formula Illustration

HYCAMTIN capsules contain topotecan hydrochloride, the content of which is expressed as topotecan free base. The major excipients are hydrogenated vegetable oil, glyceryl monostearate, gelatin, and titanium dioxide. The capsules are imprinted with edible black ink. The 1 mg capsules also contain red iron oxide.

Last reviewed on RxList: 7/26/2010
This monograph has been modified to include the generic and brand name in many instances.

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