Topotecan

Evidence Level: L5 Predicted Indications: 57

Quick Overview

Item Value
Drug Name Topotecan
DrugBank ID DB01030
Brand Names (EU) Hycamtin, Potactasol
Evidence Level L5
Predicted Indications 57
Top Prediction Score 99.92%

Approved 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 exposu


Predicted New Indications

TxGNN model predictions for potential drug repurposing:

Rank Indication Score Source
1 female breast carcinoma 99.92% DL
2 primary non-gestational choriocarcinoma of ovary 99.90% DL
3 ovarian clear cell adenocarcinoma 99.86% DL
4 hereditary breast ovarian cancer syndrome 99.83% DL
5 yolk sac tumor 99.70% DL
6 ovarian mucinous adenocarcinoma 99.67% DL
7 maligant granulosa cell tumor of ovary 99.57% DL
8 adult germ cell tumor 99.57% DL
9 ovarian endometrioid adenocarcinoma 99.53% DL
10 malignant non-dysgerminomatous germ cell tumor of ovary 99.49% DL
11 testicular yolk sac tumor, endodermal sinus pattern 99.49% DL
12 testicular yolk sac tumor, solid pattern 99.49% DL
13 testicular yolk sac tumor, papillary pattern 99.49% DL
14 testicular yolk sac tumor, hepatoid pattern 99.49% DL
15 testicular yolk sac tumor, macrocystic pattern 99.49% DL
16 enteric pattern testicular yolk sac tumor 99.49% DL
17 polyvesicular vitelline pattern testicular yolk sac tumor 99.49% DL
18 reticular pattern testicular yolk sac tumor 99.49% DL
19 rectum mucinous adenocarcinoma 99.49% DL
20 mediastinal malignant germ cell tumor 99.48% DL

Showing top 20 of 57 predictions.


About TxGNN Predictions

Prediction Sources

Source Description
KG Knowledge Graph - Network topology-based associations
DL Deep Learning - Neural network score prediction

Evidence Levels

Level Definition
L1 Multiple Phase 3 RCTs / Systematic Reviews
L2 Single RCT or multiple Phase 2 trials
L3 Observational studies / Large case series
L4 Preclinical / Mechanistic / Case reports
L5 AI prediction only (current)

Clinical Validation Needed

Research Use Only: These predictions are computational hypotheses that require clinical validation. They should NOT be used for clinical decision-making.

Next Steps for Validation

  1. Literature Review: Search PubMed for existing evidence
  2. Clinical Trial Search: Check ClinicalTrials.gov for ongoing studies
  3. Mechanistic Analysis: Evaluate biological plausibility
  4. Preclinical Studies: Conduct in vitro/in vivo validation
  5. Clinical Trials: Design and conduct human studies

Data Access


Citation

If using this data, please cite:

@article{huang2023txgnn,
  title={A foundation model for clinician-centered drug repurposing},
  author={Huang, Kexin and others},
  journal={Nature Medicine},
  year={2023},
  doi={10.1038/s41591-023-02233-x}
}

Disclaimer: This report is for research purposes only and does not constitute medical advice. Drug repurposing predictions require rigorous clinical validation before any therapeutic application.

Copyright © 2026 EuTxGNN Project. For research purposes only. Not medical advice.