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Floxuridine is a cousin of fluorouracil pumped directly into the liver's artery to treat bowel cancer that has spread to the liver, delivering a very high local dose with little reaching the rest of the body.
Floxuridine was approved in the United States in 1970 for palliative treatment of gastrointestinal adenocarcinoma metastatic to the liver by continuous regional arterial infusion. Because the liver removes most of the drug on first pass, hepatic arterial infusion through an implanted pump gives the liver metastases many times the exposure that systemic therapy achieves. Randomised trials, mostly from Memorial Sloan Kettering, showed higher hepatic response rates and, combined with systemic chemotherapy after liver resection, better hepatic disease-free survival. Biliary sclerosis is the characteristic toxicity, and the technique is confined to specialist centres.
Converted in cells to fluorodeoxyuridine monophosphate, which locks up thymidylate synthase; given straight into the hepatic artery most of the dose is extracted by the liver on first pass. Connects to Thymidylate synthase (TYMS).
1.Floxuridine binds Thymidylate synthase (TYMS).
| Region | Year | Indication |
|---|---|---|
| US | 1970 | Gastrointestinal adenocarcinoma metastatic to the liver, by continuous regional intra-arterial infusion |
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Query for this drug: (TITLE:"Floxuridine" OR ABSTRACT:"Floxuridine" OR TITLE:"FUDR" OR ABSTRACT:"FUDR" OR TITLE:"5-fluoro-2'-deoxyuridine" OR ABSTRACT:"5-fluoro-2'-deoxyuridine" OR TITLE:"FdUrd" OR ABSTRACT:"FdUrd") AND (cancer OR tumor OR tumour OR oncology OR carcinoma OR lymphoma OR leukemia OR leukaemia OR myeloma OR sarcoma OR melanoma OR glioma). Results are unfiltered search hits about Floxuridine, not a curated reading list.
Shares Thymidylate synthase (TYMS), Fluorouracil (5-FU), Cytotoxic chemotherapy, Colorectal cancer and the tag chembl-universe.
Shares Thymidylate synthase (TYMS), Fluorouracil (5-FU), Cytotoxic chemotherapy, Colorectal cancer and the tag chembl-universe.
Shares Fluorouracil (5-FU), Cytotoxic chemotherapy and the tag chembl-universe.
Shares Cytotoxic chemotherapy and the tag chembl-universe.
Shares Cytotoxic chemotherapy and the tag chembl-universe.
Shares Cytotoxic chemotherapy and the tag chembl-universe.
Shares Cytotoxic chemotherapy and the tag chembl-universe.
Shares Cytotoxic chemotherapy and the tag chembl-universe.