NCIt definition : An oral formulation of the hydrochloride salt of topotecan, a semisynthetic derivative
of the quinoline alkaloid camptothecin, with potential antineoplastic activity. Topotecan
selectively inhibits topoisomerase I activity by stabilizing topoisomerase I-DNA covalent
complexes during the S phase of the cell cycle, thereby inhibiting religation of topoisomerase
I-mediated single-strand DNA breaks and producing potentially lethal double-strand
DNA breaks when encountered by the DNA replication machinery.;