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Fluorouracil 0.5%
Fluorouracil 0.5% is a Antimetabolite, pyrimidine analog Small molecule drug developed by Wake Forest University. It is currently FDA-approved for Actinic keratosis (topical 0.5%), Superficial basal cell carcinoma (topical). Also known as: Carac.
Fluorouracil is a pyrimidine antimetabolite that inhibits thymidylate synthase and gets incorporated into RNA and DNA, disrupting nucleotide synthesis and cell division.
Fluorouracil 0.5% is a small molecule inhibitor of thymidylate synthase, a class of INHIBITOR drugs. It is used to treat various conditions, including Esophageal Neoplasms, Head and Neck Cancer, Actinic Keratoses, Cancer, and Solid Tumors, often in combination with other treatments such as radiotherapy and chemotherapy.
At a glance
| Generic name | Fluorouracil 0.5% |
|---|---|
| Also known as | Carac |
| Sponsor | Wake Forest University |
| Drug class | Antimetabolite, pyrimidine analog |
| Target | Thymidylate synthase; RNA and DNA incorporation |
| Modality | Small molecule |
| Therapeutic area | Oncology; Dermatology |
| Phase | FDA-approved |
Mechanism of action
Fluorouracil (5-FU) is converted intracellularly to active metabolites that inhibit thymidylate synthase, blocking dTMP synthesis and thus DNA replication. It also incorporates into RNA, disrupting protein synthesis. The 0.5% topical formulation is used for localized skin lesions where it exerts cytotoxic effects on rapidly dividing cells.
Approved indications
- Actinic keratosis (topical 0.5%)
- Superficial basal cell carcinoma (topical)
Common side effects
- Local irritation, erythema, and inflammation at application site
- Photosensitivity
- Burning and stinging sensation
- Hyperpigmentation or hypopigmentation
Key clinical trials
- Effectiveness of Micro-needling With 5 Fluorouracil Versus Potent Topical Steroids in the Treatment of Limited Vitiligo (EARLY_PHASE1)
- Optimizing Ocular Outcomes: A Dual-armed Study for Periorbital Burn Management (PHASE1)
- 5-Fluorouracil and Calcipotriene for Treatment of Low Grade Skin Cancer (PHASE2, PHASE3)
- Nal-IRI With 5-fluorouracil (5-FU) and Leucovorin or Gemcitabine Plus Cisplatin in Advanced Biliary-tract Cancer (PHASE2)
- Tripegfilgrastim Trial to Reduce the Risk of Severe Neutropenia in Patients With Unresectable Pancreaticobiliary Cancers (PHASE2)
- TC as Adjuvant Therapy After Surgery for Locally Recurrent Resectable Nasopharyngeal Carcinoma: a Single-arm Clinical Trial (PHASE2)
- A Phase 1-2 of ST316 With Selected Advanced Unresectable and Metastatic Solid Tumors (PHASE1)
- 2nd-line Therapy With Nal-IRI After Gem/Nab-pac in Advanced Pancreatic Cancer - Predictive Role of 1st-line Therapy (PHASE3)
Primary sources
Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.
| Source | Used for |
|---|---|
| ClinicalTrials.gov | Trial enrolment, design, endpoints, results |
Competitive intelligence
For the full competitive landscape — auto-detected comparators, recent regulatory actions across the set, upcoming PDUFA, patent timeline, sponsor landscape:
- Fluorouracil 0.5% CI brief — competitive landscape report
- Fluorouracil 0.5% updates RSS · CI watch RSS
- Wake Forest University portfolio CI
Frequently asked questions about Fluorouracil 0.5%
What is Fluorouracil 0.5%?
How does Fluorouracil 0.5% work?
What is Fluorouracil 0.5% used for?
Who makes Fluorouracil 0.5%?
Is Fluorouracil 0.5% also known as anything else?
What drug class is Fluorouracil 0.5% in?
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What does Fluorouracil 0.5% target?
Related
- Drug class: All Antimetabolite, pyrimidine analog drugs
- Target: All drugs targeting Thymidylate synthase; RNA and DNA incorporation
- Manufacturer: Wake Forest University — full pipeline
- Therapeutic area: All drugs in Oncology; Dermatology
- Indication: Drugs for Actinic keratosis (topical 0.5%)
- Indication: Drugs for Superficial basal cell carcinoma (topical)
- Also known as: Carac
Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing