1H-Pyrano[3',4':6,7]indolizino[1,2-b]quinoline- 3,14(4H,12H)-dione, 4,11-diethyl-4,9-dihydroxy-, (4S)- 7-Ethyl-10-hydroxy-20(S)-camptothecin 7-Ethyl-10-hydroxycamptothecin NSC673596 SN 38 SN-38