Skip to content
← Back to this collection

LABELS · b23b46f5-c276-47f5-8bbd-940680b3f579

HYCAMTIN

Open original source → · Download preserved record

Preserved label snapshot, not confirmation of a current approved indication. Approval/withdrawal status must be checked for the exact disease, setting and regimen.

Label effective date
2023-09-18
Captured
2026-09-09T23:37:58.719708+00:00
Current indication reconciliation
Not reconciled
Boxed warning in this label
  1. WARNING: MYELOSUPPRESSION HYCAMTIN can cause severe myelosuppression. Administer first cycle only to patients with baseline neutrophil counts of greater than or equal to 1,500/mm 3 and platelet counts greater than or equal to 100,000/mm 3 . Monitor blood cell counts [see Warnings and Precautions (5.1)] . WARNING: MYELOSUPPRESSION See full prescribing information for complete boxed warning. HYCAMTIN can cause severe myelosuppression. Administer first cycle only to patients with baseline neutrophil counts of greater than or equal to 1,500/mm 3 and platelet counts of greater than or equal to 100,000/mm 3 . Monitor blood cell counts ( 2.2 , 5.1 ).

Indications and usage: exact source text

  1. 1 INDICATIONS AND USAGE HYCAMTIN ® capsules are indicated for the treatment of relapsed small cell lung cancer (SCLC) in patients with a prior complete or partial response and who are at least 45 days from the end of first-line chemotherapy. HYCAMTIN capsules is a topoisomerase inhibitor indicated for treatment of patients with relapsed small cell lung cancer (SCLC). ( 1 )
Full extracted label fields
application numbers
  1. NDA020981
boxed warning exact
  1. WARNING: MYELOSUPPRESSION HYCAMTIN can cause severe myelosuppression. Administer first cycle only to patients with baseline neutrophil counts of greater than or equal to 1,500/mm 3 and platelet counts greater than or equal to 100,000/mm 3 . Monitor blood cell counts [see Warnings and Precautions (5.1)] . WARNING: MYELOSUPPRESSION See full prescribing information for complete boxed warning. HYCAMTIN can cause severe myelosuppression. Administer first cycle only to patients with baseline neutrophil counts of greater than or equal to 1,500/mm 3 and platelet counts of greater than or equal to 100,000/mm 3 . Monitor blood cell counts ( 2.2 , 5.1 ).
brand names
  1. HYCAMTIN
current indication status
not_reconciled
dailymed set url
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=b23b46f5-c276-47f5-8bbd-940680b3f579
generic names
  1. TOPOTECAN
id
b23b46f5-c276-47f5-8bbd-940680b3f579
indications and usage exact
  1. 1 INDICATIONS AND USAGE HYCAMTIN ® capsules are indicated for the treatment of relapsed small cell lung cancer (SCLC) in patients with a prior complete or partial response and who are at least 45 days from the end of first-line chemotherapy. HYCAMTIN capsules is a topoisomerase inhibitor indicated for treatment of patients with relapsed small cell lung cancer (SCLC). ( 1 )
indications and usage tables exact
    is original packager
    1. true
    manufacturer names
    1. Sandoz Inc
    matched search terms
    1. cancer
    package ndcs
    1. 66758-101-11
    2. 66758-102-11
    product ndcs
    1. 66758-101
    2. 66758-102
    product types
    1. HUMAN PRESCRIPTION DRUG
    recent major changes exact
      record type
      complete_spl_indications_section_candidate
      routes
      1. ORAL
      rxcuis
      1. 747193
      2. 747195
      3. 748738
      4. 748740
      source batch
      file
      /private/tmp/cancer-full-research/indications/raw/labels-00600.json
      meta
      disclaimer
      Do not rely on openFDA to make decisions regarding medical care. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. We may limit or otherwise restrict your access to the API in line with our Terms of Service.
      last updated
      2026-09-09
      results
      limit
      100
      skip
      600
      total
      830
      sha256
      a9df7a5786dc51557d38f2a0881b5b5e9ae02ae396a6798e39ac96f586bcc5e6
      url
      https://api.fda.gov/drug/label.json?search=%28indications_and_usage%3Acancer+OR+indications_and_usage%3Acarcinoma+OR+indications_and_usage%3Acarcinomas+OR+indications_and_usage%3Alymphoma+OR+indications_and_usage%3Alymphomas+OR+indications_and_usage%3Aleukemia+OR+indications_and_usage%3Aleukaemia+OR+indications_and_usage%3Asarcoma+OR+indications_and_usage%3Asarcomas+OR+indications_and_usage%3Amelanoma+OR+indications_and_usage%3Amyeloma+OR+indications_and_usage%3Atumor+OR+indications_and_usage%3Atumors+OR+indications_and_usage%3Atumour+OR+indications_and_usage%3Atumours+OR+indications_and_usage%3Aneoplasm+OR+indications_and_usage%3Aneoplasms+OR+indications_and_usage%3Amalignant+OR+indications_and_usage%3Amalignancy+OR+indications_and_usage%3Amyelodysplastic+OR+indications_and_usage%3Amyelofibrosis+OR+indications_and_usage%3Amastocytosis+OR+indications_and_usage%3Aglioma+OR+indications_and_usage%3Aglioblastoma+OR+indications_and_usage%3Aneuroblastoma+OR+indications_and_usage%3Aretinoblastoma+OR+indications_and_usage%3Apheochromocytoma+OR+indications_and_usage%3Aparaganglioma+OR+indications_and_usage%3Amyeloproliferative+OR+indications_and_usage%3Awaldenstrom+OR+indications_and_usage%3Apolycythemia+OR+indications_and_usage%3Athrombocythemia+OR+indications_and_usage%3Adesmoid+OR+indications_and_usage%3Aneurofibromatosis+OR+indications_and_usage%3Ahistiocytosis%29+AND+%28openfda.application_number%3ANDA%2A+OR+openfda.application_number%3ABLA%2A%29&limit=100&skip=600&sort=id%3Aasc
      source url
      https://api.fda.gov/drug/label.json?search=id%3A%22b23b46f5-c276-47f5-8bbd-940680b3f579%22
      spl effective date
      2023-09-18
      spl effective time
      20230918
      spl set id
      b23b46f5-c276-47f5-8bbd-940680b3f579
      spl version
      1
      substance names
      1. TOPOTECAN HYDROCHLORIDE
      uniis
      1. 956S425ZCY
      verification flags
      1. oncology_keyword_candidate_not_clinically_classified
      2. spl_text_not_verified_identical_to_latest_approved_label
      3. individual_indications_not_split_or_reconciled
      Drugs@FDA application source records
      1. application number
        NDA020981
        payload
        all indexed label documents
        1. Appl No
          020981
          Application Docs Date
          2007-10-12 00:00:00
          Application Docs ID
          14079
          Application Docs Title
          0
          Application Docs Type ID
          2
          Submission No
          1
          Submission Type
          ORIG
        2. Appl No
          020981
          Application Docs Date
          2010-07-06 00:00:00
          Application Docs ID
          14080
          Application Docs Title
          0
          Application Docs Type ID
          2
          Submission No
          2
          Submission Type
          SUPPL
        3. Appl No
          020981
          Application Docs Date
          2011-10-12 00:00:00
          Application Docs ID
          14081
          Application Docs Title
          0
          Application Docs Type ID
          2
          Submission No
          5
          Submission Type
          SUPPL
        4. Appl No
          020981
          Application Docs Date
          2014-06-23 00:00:00
          Application Docs ID
          35783
          Application Docs Title
          0
          Application Docs Type ID
          2
          Submission No
          6
          Submission Type
          SUPPL
        5. Appl No
          020981
          Application Docs Date
          2018-09-06 00:00:00
          Application Docs ID
          55391
          Application Docs Title
          0
          Application Docs Type ID
          2
          Submission No
          8
          Submission Type
          SUPPL
        all submission records
        1. Appl No
          020981
          Review Priority
          PRIORITY
          Submission Class Code ID
          12
          Submission No
          1
          Submission Status
          AP
          Submission Status Date
          2007-10-11 00:00:00
          Submission Type
          ORIG
          Submissions Public Notes
        2. Appl No
          020981
          Review Priority
          N/A
          Submission Class Code ID
          4
          Submission No
          1
          Submission Status
          AP
          Submission Status Date
          2008-09-05 00:00:00
          Submission Type
          SUPPL
          Submissions Public Notes
        3. Appl No
          020981
          Review Priority
          STANDARD
          Submission Class Code ID
          3
          Submission No
          2
          Submission Status
          AP
          Submission Status Date
          2010-06-30 00:00:00
          Submission Type
          SUPPL
          Submissions Public Notes
        4. Appl No
          020981
          Review Priority
          UNKNOWN
          Submission Class Code ID
          3
          Submission No
          5
          Submission Status
          AP
          Submission Status Date
          2011-10-07 00:00:00
          Submission Type
          SUPPL
          Submissions Public Notes
        5. Appl No
          020981
          Review Priority
          STANDARD
          Submission Class Code ID
          3
          Submission No
          6
          Submission Status
          AP
          Submission Status Date
          2014-06-18 00:00:00
          Submission Type
          SUPPL
          Submissions Public Notes
        6. Appl No
          020981
          Review Priority
          STANDARD
          Submission Class Code ID
          3
          Submission No
          8
          Submission Status
          AP
          Submission Status Date
          2018-09-05 00:00:00
          Submission Type
          SUPPL
          Submissions Public Notes
        application number
        NDA020981
        approval interpretation
        Application linkage and approved submission are not indication-level current approval verification
        current indication status
        not_reconciled
        has approved submission record
        true
        latest approved submission date
        2018-09-05
        latest label selection rule
        max FDA ApplicationDocsDate, including all ties; posting date is not approval date and latest indexed document may be incomplete
        latest posted label documents
        1. Appl No
          020981
          Application Docs Date
          2018-09-06 00:00:00
          Application Docs ID
          55391
          Application Docs Title
          0
          Application Docs Type ID
          2
          Submission No
          8
          Submission Type
          SUPPL
        official application record
        Appl No
        020981
        Appl Public Notes
        Appl Type
        NDA
        Sponsor Name
        SANDOZ
        openfda application present
        true
        products
        1. Active Ingredient
          TOPOTECAN HYDROCHLORIDE
          Appl No
          020981
          Drug Name
          HYCAMTIN
          Form
          CAPSULE;ORAL
          Product No
          001
          Reference Drug
          1
          Reference Standard
          0
          Strength
          EQ 0.25MG BASE
          marketing status
          1. Prescription
        2. Active Ingredient
          TOPOTECAN HYDROCHLORIDE
          Appl No
          020981
          Drug Name
          HYCAMTIN
          Form
          CAPSULE;ORAL
          Product No
          002
          Reference Drug
          1
          Reference Standard
          1
          Strength
          EQ 1MG BASE
          marketing status
          1. Prescription

      Source passages and status connections

      Passage classifications are automated and are not treatment recommendations. Connections apply only to their recorded indication scope.

      Passage 1 · positive indication candidate
      application numbers
      1. NDA020981
      brand names
      1. HYCAMTIN
      classification reasons
      1. explicit_positive_indication_predicate
      2. tumor_or_malignant_hematology_words_in_positive_statement
      clinical review status
      pending
      content role
      positive_indication_candidate
      context span
      end
      375
      end exclusive
      true
      exact text
      1 INDICATIONS AND USAGE HYCAMTIN ® capsules are indicated for the treatment of relapsed small cell lung cancer (SCLC) in patients with a prior complete or partial response and who are at least 45 days from the end of first-line chemotherapy. HYCAMTIN capsules is a topoisomerase inhibitor indicated for treatment of patients with relapsed small cell lung cancer (SCLC). ( 1 )
      label id
      b23b46f5-c276-47f5-8bbd-940680b3f579
      offset unit
      unicode_code_points
      source array index
      0
      source field
      indications_and_usage_exact
      source text sha256
      c3b84d0519c80d4066e6a2de4f8ac4a906667e1046b3264e8577e3dc437cdf7a
      start
      0
      current approval status
      not_reconciled
      duplicate text group
      dup-c5a970e8470d3ad85f56
      extraction review status
      automated_candidate_pending_source_review
      generic names
      1. TOPOTECAN
      id
      ind-span-59dacf6746e110032afe
      label id
      b23b46f5-c276-47f5-8bbd-940680b3f579
      positive predicate support span
      end
      57
      end exclusive
      true
      exact text
      are indicated
      label id
      b23b46f5-c276-47f5-8bbd-940680b3f579
      offset unit
      unicode_code_points
      source array index
      0
      source field
      indications_and_usage_exact
      source text sha256
      c3b84d0519c80d4066e6a2de4f8ac4a906667e1046b3264e8577e3dc437cdf7a
      start
      44
      qualifier mentions
      1. context exact
        SAGE HYCAMTIN ® capsules are indicated for the treatment of relapsed small cell lung cancer (SCLC) in patients with a prior complete or partial response and who ar
        kind
        stage_or_setting
        polarity
        not_inferred
        span
        end
        122
        end exclusive
        true
        exact text
        relapsed small cell lung cancer (SCLC) in p
        label id
        b23b46f5-c276-47f5-8bbd-940680b3f579
        offset unit
        unicode_code_points
        source array index
        0
        source field
        indications_and_usage_exact
        source text sha256
        c3b84d0519c80d4066e6a2de4f8ac4a906667e1046b3264e8577e3dc437cdf7a
        start
        79
      2. context exact
        rtial response and who are at least 45 days from the end of first-line chemotherapy.
        kind
        prior_therapy_or_line
        polarity
        not_inferred
        span
        end
        240
        end exclusive
        true
        exact text
        first-line chemotherapy
        label id
        b23b46f5-c276-47f5-8bbd-940680b3f579
        offset unit
        unicode_code_points
        source array index
        0
        source field
        indications_and_usage_exact
        source text sha256
        c3b84d0519c80d4066e6a2de4f8ac4a906667e1046b3264e8577e3dc437cdf7a
        start
        217
      regulatory links
        schema version
        0.1.0
        source batch sha256
        a9df7a5786dc51557d38f2a0881b5b5e9ae02ae396a6798e39ac96f586bcc5e6
        source defined aliases
          source span
          end
          241
          end exclusive
          true
          exact text
          1 INDICATIONS AND USAGE HYCAMTIN ® capsules are indicated for the treatment of relapsed small cell lung cancer (SCLC) in patients with a prior complete or partial response and who are at least 45 days from the end of first-line chemotherapy.
          label id
          b23b46f5-c276-47f5-8bbd-940680b3f579
          offset unit
          unicode_code_points
          source array index
          0
          source field
          indications_and_usage_exact
          source text sha256
          c3b84d0519c80d4066e6a2de4f8ac4a906667e1046b3264e8577e3dc437cdf7a
          start
          0
          source url
          https://api.fda.gov/drug/label.json?search=id%3A%22b23b46f5-c276-47f5-8bbd-940680b3f579%22
          spl effective date
          2023-09-18
          spl set id
          b23b46f5-c276-47f5-8bbd-940680b3f579
          spl version
          1
          structured fields status
          not_extracted_no_values_inferred_from_mentions
          structured indication
          age
          Source null
          approval pathway
          Source null
          biomarker and test
          Source null
          disease stage
          Source null
          limitations
          Source null
          line
          Source null
          prior therapy
          Source null
          regimen
          Source null
          tumor histology
          Source null
          use intent
          tumor_directed_candidate
          Passage 2 · positive indication candidate
          application numbers
          1. NDA020981
          brand names
          1. HYCAMTIN
          classification reasons
          1. explicit_positive_indication_predicate
          2. tumor_or_malignant_hematology_words_in_positive_statement
          clinical review status
          pending
          content role
          positive_indication_candidate
          context span
          end
          375
          end exclusive
          true
          exact text
          s are indicated for the treatment of relapsed small cell lung cancer (SCLC) in patients with a prior complete or partial response and who are at least 45 days from the end of first-line chemotherapy. HYCAMTIN capsules is a topoisomerase inhibitor indicated for treatment of patients with relapsed small cell lung cancer (SCLC). ( 1 )
          label id
          b23b46f5-c276-47f5-8bbd-940680b3f579
          offset unit
          unicode_code_points
          source array index
          0
          source field
          indications_and_usage_exact
          source text sha256
          c3b84d0519c80d4066e6a2de4f8ac4a906667e1046b3264e8577e3dc437cdf7a
          start
          42
          current approval status
          not_reconciled
          duplicate text group
          dup-90e7a71f20d7265bdbe4
          extraction review status
          automated_candidate_pending_source_review
          generic names
          1. TOPOTECAN
          id
          ind-span-bcb360e6b024cbe7b9f5
          label id
          b23b46f5-c276-47f5-8bbd-940680b3f579
          positive predicate support span
          end
          298
          end exclusive
          true
          exact text
          is a topoisomerase inhibitor indicated
          label id
          b23b46f5-c276-47f5-8bbd-940680b3f579
          offset unit
          unicode_code_points
          source array index
          0
          source field
          indications_and_usage_exact
          source text sha256
          c3b84d0519c80d4066e6a2de4f8ac4a906667e1046b3264e8577e3dc437cdf7a
          start
          260
          qualifier mentions
          1. context exact
            somerase inhibitor indicated for treatment of patients with relapsed small cell lung cancer (SCLC).
            kind
            stage_or_setting
            polarity
            not_inferred
            span
            end
            368
            end exclusive
            true
            exact text
            relapsed small cell lung cancer (SCLC)
            label id
            b23b46f5-c276-47f5-8bbd-940680b3f579
            offset unit
            unicode_code_points
            source array index
            0
            source field
            indications_and_usage_exact
            source text sha256
            c3b84d0519c80d4066e6a2de4f8ac4a906667e1046b3264e8577e3dc437cdf7a
            start
            330
          regulatory links
            schema version
            0.1.0
            source batch sha256
            a9df7a5786dc51557d38f2a0881b5b5e9ae02ae396a6798e39ac96f586bcc5e6
            source defined aliases
              source span
              end
              369
              end exclusive
              true
              exact text
              HYCAMTIN capsules is a topoisomerase inhibitor indicated for treatment of patients with relapsed small cell lung cancer (SCLC).
              label id
              b23b46f5-c276-47f5-8bbd-940680b3f579
              offset unit
              unicode_code_points
              source array index
              0
              source field
              indications_and_usage_exact
              source text sha256
              c3b84d0519c80d4066e6a2de4f8ac4a906667e1046b3264e8577e3dc437cdf7a
              start
              242
              source url
              https://api.fda.gov/drug/label.json?search=id%3A%22b23b46f5-c276-47f5-8bbd-940680b3f579%22
              spl effective date
              2023-09-18
              spl set id
              b23b46f5-c276-47f5-8bbd-940680b3f579
              spl version
              1
              structured fields status
              not_extracted_no_values_inferred_from_mentions
              structured indication
              age
              Source null
              approval pathway
              Source null
              biomarker and test
              Source null
              disease stage
              Source null
              limitations
              Source null
              line
              Source null
              prior therapy
              Source null
              regimen
              Source null
              tumor histology
              Source null
              use intent
              tumor_directed_candidate
              Passage 3 · unclassified context
              application numbers
              1. NDA020981
              brand names
              1. HYCAMTIN
              classification reasons
              1. no_unambiguous_positive_indication_predicate
              clinical review status
              pending
              content role
              unclassified_context
              context span
              end
              375
              end exclusive
              true
              exact text
              e and who are at least 45 days from the end of first-line chemotherapy. HYCAMTIN capsules is a topoisomerase inhibitor indicated for treatment of patients with relapsed small cell lung cancer (SCLC). ( 1 )
              label id
              b23b46f5-c276-47f5-8bbd-940680b3f579
              offset unit
              unicode_code_points
              source array index
              0
              source field
              indications_and_usage_exact
              source text sha256
              c3b84d0519c80d4066e6a2de4f8ac4a906667e1046b3264e8577e3dc437cdf7a
              start
              170
              current approval status
              not_reconciled
              duplicate text group
              dup-0437d4b3872589980b08
              extraction review status
              automated_candidate_pending_source_review
              generic names
              1. TOPOTECAN
              id
              ind-span-b9c4bfc4c3b60a382662
              label id
              b23b46f5-c276-47f5-8bbd-940680b3f579
              positive predicate support span
              Source null
              qualifier mentions
                regulatory links
                  schema version
                  0.1.0
                  source batch sha256
                  a9df7a5786dc51557d38f2a0881b5b5e9ae02ae396a6798e39ac96f586bcc5e6
                  source defined aliases
                    source span
                    end
                    375
                    end exclusive
                    true
                    exact text
                    ( 1 )
                    label id
                    b23b46f5-c276-47f5-8bbd-940680b3f579
                    offset unit
                    unicode_code_points
                    source array index
                    0
                    source field
                    indications_and_usage_exact
                    source text sha256
                    c3b84d0519c80d4066e6a2de4f8ac4a906667e1046b3264e8577e3dc437cdf7a
                    start
                    370
                    source url
                    https://api.fda.gov/drug/label.json?search=id%3A%22b23b46f5-c276-47f5-8bbd-940680b3f579%22
                    spl effective date
                    2023-09-18
                    spl set id
                    b23b46f5-c276-47f5-8bbd-940680b3f579
                    spl version
                    1
                    structured fields status
                    not_extracted_no_values_inferred_from_mentions
                    structured indication
                    age
                    Source null
                    approval pathway
                    Source null
                    biomarker and test
                    Source null
                    disease stage
                    Source null
                    limitations
                    Source null
                    line
                    Source null
                    prior therapy
                    Source null
                    regimen
                    Source null
                    tumor histology
                    Source null
                    use intent
                    unclear

                    Preserved source evidence · Not medical advice