Naliri (Onivyde)

Other Medications · Approved since 2015

US FDA Approved IV 3 Clinical Trials
Topoisomerase I

Description

Naliri (liposomal irinotecan) is a nanoparticle encapsulated formulation of the topoisomerase I inhibitor irinotecan, designed to improve drug delivery and reduce toxicity compared to conventional irinotecan. It is used in combination chemotherapy regimens for metastatic colorectal cancer, particularly in the NALIRIFOX regimen which combines naliri with leucovorin, fluorouracil, and oxaliplatin. This formulation allows for enhanced tumor penetration and prolonged drug exposure while potentially reducing some systemic side effects associated with standard irinotecan.

Mechanism of Action

Naliri works by inhibiting topoisomerase I, an enzyme essential for DNA replication and transcription in rapidly dividing cancer cells. The liposomal encapsulation allows for preferential accumulation in tumor tissue through enhanced permeability and retention effects, leading to sustained release of irinotecan at the tumor site and subsequent DNA damage in colorectal cancer cells.

Molecular Targets

Side Effects

Diarrhea Neutropenia Fatigue Vomiting Decreased appetite Stomatitis Pyrexia Abdominal pain

Not all side effects are listed. Side effects vary by individual. Always consult your oncologist.

Clinical Trials

NCT07309289 Phase 3
Recruiting
NALIRIFOX Plus Targeted Therapy Versus FOLFOX Plus Targeted Therapy as First-line Treatment for Metastatic Colorectal Cancer
China
NCT07074353 Phase 3
Not yet recruiting
Irinotecan Liposomes in Total Neoadjuvant Therapy in Locally Advanced Rectal Cancer
China
NCT07020468 Phase 4
Active, not recruiting
Neoadjuvant Therapy (NALIRIFOX) for Locally Advanced Colon and Upper Rectal Cancer
China