1. Introduction
2. Irinotecan (CPT-11, camptosar)
3. Treatment of metastatic CRC
4. Safety of irinotecan (1)
5. Safety of irinotecan (2)
6. Illustration of metabolic pathway of irinotecan
7. Glucuronidation of SN-38 vs. toxicity
8. Schematic illustration of UGT1A
9. Candidate polymorphism: UGT1A1*28, (TA)7
10. UGT1A1*28 genotype-phenotype association (1)
11. UGT1A1*28 genotype-phenotype association (2)
12. Revised irinotecan package insert (Mar 2005)
13. Invader: UGT1A1molecular assay (Aug 2005)
14. Role of UGT1A1*28 in metastatic CRC
15. Unanswered questions
16. UGT1A1*28 frequency in 3 different ethnic groups
17. Another candidate polymorphism: UGT1A1*7
18. Frequency of UGT1A1*6 in Asians
19. UGT1A1*6 genotype-phenotype association
20. Efficacy in UGT1A1*28-genotyped patients
21. Irinotecan dose and hematologic toxicity
22. Individualization of chemotherapy
23. Genotype-based dosing of irinotecan (1)
24. Genotype-based dosing of irinotecan (2)
25. Role of other UGT1A
26. Metabolic pathway of irinotecan: transporters
27. Limitation of previous studies
28. Conclusions
29. END