Regulatory PathRegulatory requirements compared

Active substance

Topotecan

Open in the medicines table

SFDA Saudi Arabia — SFDA human drug list

Trade nameStrengthForm · routePackPublic priceTypeCompanyStatus
HYCAMTIN 4MG I.V. VIAL4 mgPowder for concentrate for solution for infusion · Intravenous use1 VialSAR 489.85NCE · PrescriptionSandoz PharmaceuticalsValid
HYCAMTIN 4MG I.V. VIAL4 mgPowder for concentrate for solution for infusion · Intravenous use5 VialSAR 2449.35NCE · PrescriptionNOVARTIS PHARMA AGWithdrawn by MAH · Not Marketed
TOPOTECAN HOSPIRA1 mg/mlConcentrate for solution for infusion · Intravenous use5 VialSAR 2333.25Generic · PrescriptionHOSPIRA UK LIMITEDWithdrawn by MAH · Not Marketed
Indications — CHI Daman Drug Formulary

BONE SARCOMAS; Cervical Cancer; Neuroblastoma; OVARIAN CANCER; RETINOBLASTOMA; SMALL CELL LUNG CANCER (SCLC); SOFT TISSUE SARCOMA - RHABDOMYOSARCOMA; VAGINAL AND VULVAR CANCERS

US FDA United States — FDA approvals (Drugs@FDA)

ProductStrengthForm · routeApplicantStatusFirst approved
HYCAMTINEQ 4MG BASE/VIALinjectable · injectionSANDOZPrescription28 May 1996
HYCAMTINEQ 0.25MG BASE; EQ 1MG BASEcapsule · oralSANDOZPrescription11 Oct 2007
TOPOTECAN HYDROCHLORIDEEQ 4MG BASE/VIALinjectable · injectionFRESENIUS KABI USAPrescription29 Nov 2010
TOPOTECAN HYDROCHLORIDEEQ 4MG BASE/VIALinjectable · injectionTEYRO LABSPrescription1 Dec 2010
TOPOTECAN HYDROCHLORIDEEQ 4MG BASE/VIALinjectable · injectionACTAVIS TOTOWAPrescription2 Dec 2010
TOPOTECAN HYDROCHLORIDEEQ 4MG BASE/VIALinjectable · injectionSAGENT PHARMSPrescription26 Jan 2011
TOPOTECAN HYDROCHLORIDEEQ 4MG BASE/4ML (EQ 1MG BASE/ML)solution · intravenousHOSPIRA INCPrescription2 Feb 2011
TOPOTECAN HYDROCHLORIDEEQ 4MG BASE/VIALinjectable · injectionDR REDDYS LABS LTDPrescription9 Mar 2011
TOPOTECAN HYDROCHLORIDEEQ 4MG BASE/VIALinjectable · injectionACCORD HLTHCAREPrescription26 Jun 2013
TOPOTECAN HYDROCHLORIDEEQ 4MG BASE/VIALinjectable · injectionINGENUS PHARMS LLCPrescription30 Nov 2016
TOPOTECAN HYDROCHLORIDEEQ 1MG BASE/ML (EQ 1MG BASE/ML); EQ 4MG BASE/4ML (EQ 1MG BASE/ML)solution · intravenousACCORD HLTHCAREPrescription6 Jul 2017
TOPOTECAN HYDROCHLORIDEEQ 4MG BASE/VIALinjectable · injectionFRESENIUS KABI USADiscontinued29 Nov 2010
TOPOTECANEQ 1MG BASE/ML (EQ 1MG BASE/ML) **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**; EQ 3MG BASE/3ML (EQ 1MG BASE/ML) **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**; EQ 4MG BASE/4ML (EQ 1MG BASE/ML) **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**solution · intravenousSANDOZ INCDiscontinued25 Feb 2011
TOPOTECAN HYDROCHLORIDEEQ 4MG BASE/VIALinjectable · injectionMEITHEALDiscontinued8 Aug 2012
TOPOTECAN HYDROCHLORIDEEQ 4MG BASE/VIALinjectable · injectionRISINGDiscontinued28 Aug 2012
TOPOTECAN HYDROCHLORIDEEQ 4MG BASE/4ML (EQ 1MG BASE/ML)solution · intravenousMEITHEALDiscontinued20 Dec 2012
TOPOTECAN HYDROCHLORIDEEQ 4MG BASE/VIALinjectable · injectionSUN PHARM INDS LTDDiscontinued29 Aug 2013
TOPOTECAN HYDROCHLORIDEEQ 4MG BASE/4ML (EQ 1MG BASE/ML)solution · intravenousNATCO PHARMA USADiscontinued24 Nov 2017

EMA European Union — centrally authorised medicines

Hycamtin Sandoz Pharmaceuticals d.d. · Authorised · authorised 12 Nov 1996 · ATC L01CE01

Therapeutic indication (EMA)

Hycamtin capsules are indicated as monotherapy for the treatment of adult patients with relapsed small cell lung cancer (SCLC) for whom re-treatment with the first-line regimen is not considered appropriate. Topotecan is indicated for the treatment of patients with metastatic carcinoma of the ovary after failure of first-line or subsequent therapy. Hycamtin capsules are indicated as monotherapy for the treatment of adult patients with relapsed small cell lung cancer (SCLC) for whom re-treatment with the first-line regimen is not considered appropriate.

Topotecan Hospira Pfizer Europe MA EEIG · Authorised · authorised 9 Jun 2010 · ATC L01CE01

Therapeutic indication (EMA)

Topotecan monotherapy is indicated for the treatment of patients with relapsed small-cell lung cancer (SCLC) for whom re-treatment with the first-line regimen is not considered appropriate. Topotecan in combination with cisplatin is indicated for patients with carcinoma of the cervix recurrent after radiotherapy and for patients with stage IVB disease. Patients with prior exposure to cisplatin require a sustained treatment-free interval to justify treatment with the combination.

Potactasol Actavis Group PTC ehf · Authorised · authorised 6 Jan 2011 · ATC L01CE01

Therapeutic indication (EMA)

Topotecan monotherapy is indicated for the treatment of:- patients with metastatic carcinoma of the ovary after failure of first-line or subsequent therapy- patients with relapsed small cell lung cancer (SCLC) for whom re-treatment with the first-line regimen is not considered appropriate (see section 5.1). Topotecan in combination with cisplatin is indicated for patients with carcinoma of the cervix recurrent after radiotherapy and for patients with Stage IVB disease. Patients with prior exposure to cisplatin require a sustained treatment free interval to justify treatment with the combination (see section 5.1).

Topotecan SUN Sun Pharmaceutical Industries Europe B.V. · Application withdrawn · ATC L01CE01

Evotopin Beecham Group plc · Withdrawn · authorised 15 Apr 1997 · ATC L01CE01

Therapeutic indication (EMA)

Topotecan is indicated for the treatment of patients with metastatic carcinoma of the ovary after failure of first-line or subsequent therapy.

Topotecan Actavis Actavis Group PTC ehf · Withdrawn · authorised 24 Jul 2009 · ATC L01CE01

Therapeutic indication (EMA)

Topotecan monotherapy is indicated for the treatment of patients with relapsed small cell lung cancer [SCLC] for whom re-treatment with the first-line regimen is not considered appropriate. Topotecan in combination with cisplatin is indicated for patients with carcinoma of the cervix recurrent after radiotherapy and for patients with Stage IVB disease. Patients with prior exposure to cisplatin require a sustained treatment free interval to justify treatment with the combination.

Topotecan Teva Teva B.V. · Withdrawn · authorised 21 Sep 2009 · ATC L01CE01

Therapeutic indication (EMA)

Topotecan monotherapy is indicated for the treatment of: patients with metastatic carcinoma of the ovary after failure of first line or subsequent therapy; patients with relapsed small cell lung cancer [SCLC] for whom re-treatment with the first-line regimen is not considered appropriate. Topotecan in combination with cisplatin is indicated for patients with carcinoma of the cervix recurrent after radiotherapy and for patients with Stage IVB disease. Patients with prior exposure to cisplatin require a sustained treatment free interval to justify treatment with the combination.

Topotecan Eagle Eagle Laboratories Ltd. · Withdrawn · authorised 22 Dec 2011 · ATC L01CE01

Therapeutic indication (EMA)

Topotecan monotherapy is indicated for the treatment of patients with relapsed small cell lung cancer (SCLC) for whom re-treatment with the first-line regimen is not considered appropriate. Topotecan in combination with cisplatin is indicated for patients with carcinoma of the cervix recurrent after radiotherapy and for patients with Stage IVB disease. Patients with prior exposure to cisplatin require a sustained treatment free interval to justify treatment with the combination.

Canada Canada — marketed products (Health Canada)

BrandDINStrengthForm · routeCompany
TEVA-TOPOTECAN024410714 MG / VIALPOWDER FOR SOLUTION · INTRAVENOUSTEVA CANADA LIMITED
TOPOTECAN HYDROCHLORIDE FOR INJECTION023794221 MG / MLSOLUTION · INTRAVENOUSPFIZER CANADA ULC
TOPOTECAN HYDROCHLORIDE FOR INJECTION023963781 MG / MLSOLUTION · INTRAVENOUSACCORD HEALTHCARE INC
TOPOTECAN INJECTION023909811 MG / MLSOLUTION · INTRAVENOUSSANDOZ CANADA INCORPORATED

Safety signals and safety-related labeling changes

  • US FDA 16 Dec 2019 TOPOTECAN HYDROCHLORIDE — safety-related labeling change
    Labeling sections changed: Boxed Warning; Contraindications; Warnings and Precautions; Adverse Reactions; Use in Specific Populations; Patient Counseling Information / Patient Information / Medication Guide
  • US FDA 24 Jun 2019 TOPOTECAN HYDROCHLORIDE — safety-related labeling change
    Labeling sections changed: Boxed Warning; Contraindications; Warnings and Precautions; Adverse Reactions; Use in Specific Populations; Patient Counseling Information / Patient Information / Medication Guide
  • US FDA 5 Sep 2018 HYCAMTIN — safety-related labeling change
    Labeling sections changed: Boxed Warning; Contraindications; Warnings and Precautions; Adverse Reactions; Use in Specific Populations; Patient Counseling Information / Patient Information / Medication Guide
  • US FDA 5 Sep 2018 HYCAMTIN — safety-related labeling change
    Labeling sections changed: Contraindications; Warnings and Precautions; Adverse Reactions; Drug Interactions; Use in Specific Populations; Patient Counseling Information / Patient Information / Medication Guide

All safety entries for topotecan →

Values as published by each source: SFDA human drug list (4-2026, as published by the Council of Health Insurance; indications from the CHI Daman Drug Formulary), Drugs@FDA, EMA medicines data, Health Canada Drug Product Database (Open Government Licence – Canada), CMS NADAC, NHS Drug Tariff Part VIIIA (NHSBSA Copyright, Open Government Licence v3.0), WHO Model List of Essential Medicines (CC BY 3.0 IGO; regrouped by active substance, not created by WHO), EMA PRAC, US FDA safety-related labeling changes and MHRA Drug Safety Update (Open Government Licence v3.0). Sources and reuse. Not a substitute for the official registers or the product information.