Camptothecin is a natural product that has been used as a template to develop a series of synthetic analogs, such as irinotecan and topotecan, which have shown promising anticancer activity in preclinical studies.

Irinotecan is a water-soluble prodrug that is converted to its active form, SN-38, by hepatic metabolism. SN-38 inhibits topoisomerase I, an enzyme that is essential for DNA replication and repair. In preclinical studies, irinotecan has shown activity against a wide range of tumor types, including colorectal, lung, breast, and ovarian cancers.

Topotecan is a topoisomerase I inhibitor that has been approved for the treatment of ovarian and small cell lung cancer. In preclinical studies, topotecan has also shown activity against other tumor types, including breast and colorectal cancers.

Other camptothecin analogs that have been studied in preclinical models include exatecan, gimatecan, and lurtotecan. These drugs have shown promising activity against a variety of tumor types, including lung, breast, ovarian, and pancreatic cancer.

Overall, preclinical studies suggest that camptothecin analogs have the potential to be effective anticancer agents. However, further clinical studies are needed to determine their safety and efficacy in human patients

Preclinical studies of camptothecin similar drugs

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