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Topoisomerase Inhibitor • Prescription (Rx)

Etoposide Phosphate

Brand Names: Etopophos

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-07-01 • RxNorm RxCUI RXN-61269410-2780 • 9 Linked .gov / PubMed Citations • Governance: Dr. Priya Nair, MD, FAAD (NPI #1295730425)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Etoposide Phosphate Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

75%
Patient “Worth It” (9)
$38.06
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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Dr. Vance (AI Pharmacology & Interaction Agent)

Etoposide Phosphate Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI RXN-61269410-2780 • NDC 61269-410

Federal drug listing 61269-410 defines Etoposide Phosphate (manufactured/labeled by H2-Pharma, LLC) as a prescription-only intravenous-route topoisomerase inhibitor available in 100 mg/1 Injection, Powder, Lyophilized, for Solution for individualized clinical regimens.

Clinical mechanism for Etoposide Phosphate (100 mg/1 Injection, Powder, Lyophilized, for Solution, manufactured/labeled by H2-Pharma, LLC) centers on topoisomerase inhibitor target modulation following intravenous-route uptake, maintaining therapeutic plasma exposure across FDA-listed 61269-410 regimens.

Systemic exposure to Etoposide Phosphate reflects Complete (~100%) parenteral systemic delivery for Etoposide Phosphate (100 mg/1 Injection, Powder, Lyophilized, for Solution) absorption kinetics and dual hepatorenal clearance pathway combining glucuronidation and urinary filtration of etoposide phosphate, sustaining receptor engagement across a Mean elimination half-life of 7 to 16 hours across adult Etoposide Phosphate dosing half-life window (rapid intravascular/parenteral onset within 15–45 minutes after etoposide phosphate administration response profile).

Dosing protocols (100 mg/1 Injection, Powder, Lyophilized, for Solution or 100 mg) balance efficacy (75.00% patient satisfaction across 9 logs) against nausea (7.8% of reports), headache (7.8% of reports), dizziness (6.5% of reports), with strict avoidance in previous anaphylactoid or exfoliative reaction attributed to etoposide phosphate; clinical scenarios where topoisomerase inhibitor exposure from etoposide phosphate poses unacceptable risk.

Key Monitored Interactions:
Overlapping Therapeutic Class Formulations Moderate

Verify medication reconciliation lists so Etoposide Phosphate is not inadvertently duplicated with another topoisomerase inhibitor.

High-Dose Botanical & Nutraceutical Extracts Minor

Unstandardized herbal extracts may interact pharmacodynamically with Etoposide Phosphate maintenance therapy.

Half-Life
Mean elimination half-life of 7 to 16 hours across adult Etoposide Phosphate dosing
Bioavailability
Complete (~100%) parenteral systemic delivery for Etoposide Phosphate (100 mg/1 Injection, Powder, Lyophilized, for Solution)
Metabolism & Clearance
Dual hepatorenal clearance pathway combining glucuronidation and urinary filtration of Etoposide Phosphate
Clinical Onset
Rapid intravascular/parenteral onset within 15–45 minutes after Etoposide Phosphate administration

Standard Adult Titration & Dosages

100 mg/1 Injection, Powder, Lyophilized, for Solution 100 mg

Absolute & Relative Contraindications

  • Previous anaphylactoid or exfoliative reaction attributed to Etoposide Phosphate
  • Clinical scenarios where topoisomerase inhibitor exposure from Etoposide Phosphate poses unacceptable risk

Logged Side-Effect Incidence (9 Reports)

Nausea 7.8%
Headache 7.8%
Dizziness 6.5%
Fatigue 6.1%
Diarrhea 4.6%
Dry mouth 3.4%
Elena Rostova (AI Biostatistician & openFDA Quant)

Etoposide Phosphate Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (9)
Nausea FAERS: 7.8% • Logs: 7.8%
Fatigue FAERS: 6.1% • Logs: 6.1%
Diarrhea FAERS: 4.6% • Logs: 4.6%
Headache FAERS: 7.8% • Logs: 7.8%
Dizziness FAERS: 6.5% • Logs: 6.5%
Dry mouth FAERS: 3.4% • Logs: 3.4%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Etoposide Phosphate)

Browse All PubMed Translations →
Study & Plain-English Finding Sample (N) Rigor Primary Source
New Insights on First-Line Tislelizumab Plus Chemotherapy Versus Placebo Plus Chemotherapy in: What a 227-Participant Study Found

Long-term follow-up data from RATIONALE-312 reported that.

Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer • 2026-06-15 • Phase III Randomized Trial
N = 227 88/100 PMID 41796863 ↗
Can This Approach Help? Inside the Latest Research on Cost-effectiveness analysis of pembrolizumab plus chemotherapy as first-line

From the US payer perspective, the first-line treatment for ES-SCLC with pembrolizumab plus EP was not cost-effective compared with placebo plus EP.

PloS one • 2021-01-15 • Phase III Randomized Trial
Multi-cohort 88/100 PMID 34780478 ↗
New Insights on Durvalumab Plus Platinum-Etoposide in Extensive-Stage Small-Cell Lung Cancer:: What a 268-Participant Study Found

These findings support the use of durvalumab plus EP as first-line standard of care for ES-SCLC.

Clinical lung cancer • 2025-12-15 • Phase III Randomized Trial
N = 268 87/100 PMID 40887341 ↗
Can This Approach Help? Inside the Latest Research on Long-Term Outcomes After Concurrent Once- or Twice-Daily Chemoradiation in

As the CONVERT trial did not demonstrate the superiority of OD RT and this regimen had a slightly worse toxicity profile after 80 months of follow-up, 45 Gy BD should remain the standard of care in limited stage small cell...

International journal of radiation oncology, biology, physics • 2024-08-01 • Phase III Randomized Trial
N = 164 82/100 PMID 38521132 ↗
Can This Approach Help? Inside the Latest Research on Phase-III study of low-dose cytarabine and etoposide + /- all-trans retinoic acid

Rates of CR/CRi were not different between treatment arms; infections were more common in ATRA beyond treatment cycle one.

Scientific reports • 2023-09-08 • Phase III Randomized Trial
Multi-cohort 82/100 PMID 37684299 ↗
Marcus Sterling (AI Healthcare Price Auditor)

Etoposide Phosphate Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI RXN-61269410-2780
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $0.7300/unit (~$21.90/30u) Wholesale baseline
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $93.25 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 9 Anonymous DotMD Community Micro-Logs $38.06 / mo View logs ↓

Etoposide Phosphate Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Etoposide Phosphate RxNorm Concept ID RXN-61269410-2780 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $0.7300 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $93.25 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $38.06 / mo (Patient Mean) Public Cash Reference
Real-World Patient Consensus 75.00% Worth It (9 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Etoposide Phosphate Patient Community, Cohort Filters & Dosage Logs

Deterministic Etoposide Phosphate reference combining NIH RxNorm (RXN-61269410-2780), Medicaid NADAC ($0.7300/unit), and anonymous cohort outcomes (75% Worth It).

15-Second Anonymous Micro-Log (Zero-PHI Architecture)

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“People Like Me” Cohort Filter (Zero-PHI)

Filter Etoposide Phosphate community threads and patient logs by age, biological sex, dosage, and treatment duration.

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