Tegafu (UFT, Uftoral)

Chemotherapy · Approved since 2001

US FDA Approved Oral 6 Clinical Trials
Thymidylate synthase

Description

Tegafur is an oral fluoropyrimidine chemotherapy agent used in the treatment of colorectal cancer, typically administered in combination with uracil and leucovorin (folinic acid). It serves as a prodrug of 5-fluorouracil (5-FU) and is commonly used in adjuvant therapy for completely resected stage III colon cancer. Tegafur is also employed in neoadjuvant treatment protocols for rectal adenocarcinoma, often combined with radiation therapy.

Mechanism of Action

Tegafur is converted to 5-fluorouracil in tumor tissues through enzymatic metabolism, where it inhibits thymidylate synthase, a key enzyme required for DNA synthesis and repair. This inhibition leads to depletion of thymidine triphosphate pools and incorporation of fluorinated nucleotides into DNA and RNA, ultimately resulting in cell cycle arrest and apoptosis in rapidly dividing cancer cells.

Molecular Targets

Side Effects

Diarrhea Nausea Vomiting Stomatitis Hand-foot syndrome Fatigue Neutropenia Anemia

Not all side effects are listed. Side effects vary by individual. Always consult your oncologist.

Clinical Trials

NCT01225744 med_phase_prefix2
Archived
Erbitux Study of CPT11, Oxaliplatin, UFToral Targeted Therapy
United Kingdom
NCT00660894 med_phase_prefix3
Archived
Tegafur-Uracil and Leucovorin or S-1 in Treating Patients With Stage III Colon Cancer That Has Been Completely Removed by Surgery
Japan
NCT00207831 med_phase_prefix3
Archived
Trial Testing Ftorafur (UFT) Associated With Neoadjuvant Radiotherapy Versus Radiotherapy Alone in Rectal Adenocarcinoma
France
NCT00004860 med_phase_prefix2
Completed
Fluorouracil-Uracil and Leucovorin in Treating Elderly Patients With Metastatic Colorectal Cancer
United States, Puerto Rico
NCT00378716 med_phase_prefix3
Archived
Combination Chemotherapy in Treating Patients With Resected Colon Cancer
NCT00002801 med_phase_prefix1
Archived
Combination Chemotherapy and Radiation Therapy in Treating Patients With Colorectal Cancer
United States