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ONCOFID-S is a **bioconjugate drug** consisting of SN-38 (the active metabolite of irinotecan) chemically linked to hyaluronan (hyaluronic acid). SN-38 is a topoisomerase I inhibitor with potent antitumor activity, but its clinical utility is limited by poor water solubility and toxicity. By conjugating SN-38 to hyaluronan, ONCOFID-S improves solubility and enables **CD44-mediated selective targeting** of tumor cells that overexpress the CD44 receptor, such as ovarian cancer cells. This targeted delivery system allows SN-38 to be released in the tumor microenvironment, inhibit topoisomerase I, induce DNA damage, and trigger apoptosis via caspase activation. The formulation is designed primarily for **intraperitoneal loco-regional treatment of ovarian cancer** and has shown enhanced activity and safety compared to CPT-11 (irinotecan) in preclinical models. ONCOFID-S has also shown antitumor activity in mouse models of colorectal peritoneal carcinomatosis[1][5].
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