Drug General Information (ID: DDIQHDC2VP)
  Drug Name Oxaliplatin Drug Info Topotecan Drug Info
  Drug Type Small molecule Small molecule
  Therapeutic Class Antineoplastics Antineoplastics
  Structure

 Mechanism of Oxaliplatin-Topotecan Interaction (Severity Level: Major)
     Additive myelosuppressive effects Click to Show/Hide Mechanism Graph
Could Not Find 2D Structure
      Drug Name Oxaliplatin Topotecan
      Mechanism Myelosuppressive effects Myelosuppressive effects
      Key Mechanism Factor 1
Factor Name Myelosuppressive effects
Factor Description Myelosuppression, also known as bone marrow suppression, is a decrease in bone marrow activity that leads to a decrease in the production of blood cells. Some blood cell disorders include: erythrocytopenia (anemia), leukopenia (neutropenia), and thrombocytopenia (thrombocytopenia).
      Mechanism Description
  • Additive myelosuppressive effects by the combination of Oxaliplatin and Topotecan 

Recommended Action
      Management There are currently insufficient data to recommend a safe and effective regimen for topotecan in combination with a platinum agent. Clinicians should recognize the potential risk for severe neutropenia if these agents are used together, and bone marrow function must be closely monitored. Lower dosages of each agent may be required.

References
1 Chou TC, Motzer RJ, Tong Y, Bosl GJ "Computerized quantitation of synergism and antagonism of taxol, topotecan, and cisplatin against human teratocarcinoma cell growth: a rational approach to clinical protocol design." J Natl Cancer Inst 86 (1994): 1517-24.[PMID: 7932806]
2 Product Information. Hycamtin (topotecan). SmithKline Beecham, Philadelphia, PA.
3 Rowinsky EK, Kaufmann SH, Baker SD, et al. "Sequences of topotecan and cisplatin: phase I, pharmacologic, and in vitro studies to examine sequence dependence."?J Clin Oncol. 1996;14(12):3074-3084.[PMID: 8955652]