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S-1 plus Cisplatin

Taiho Pharmaceutical Co., Ltd. · Phase 3 active Small molecule ✓ Verified May 2026

S-1 plus Cisplatin is a Antineoplastic agents Small molecule drug developed by Taiho Pharmaceutical Co., Ltd.. It is currently in Phase 3 development for Advanced gastric cancer, Pancreatic cancer. Also known as: TS-1, cisplatin, Tegafur,Gimeracil and Oteracil Potassium Capsules.

S-1 is a fluoropyrimidine derivative that inhibits thymidylate synthase, while cisplatin is a platinum-based alkylating agent that cross-links DNA, thereby inhibiting DNA replication and transcription.

S-1 is a small molecule used in cancer treatment, and it is often combined with Cisplatin in clinical trials for various types of cancer, including Nasopharyngeal Carcinoma, Cervical Cancer, Esophageal Squamous Cell Carcinoma, Gastric Cancer, and Gastroesophageal Junction Cancer. The combination of S-1 and Cisplatin has been studied in clinical trials as a potential treatment for these cancers.

Likelihood of approval
61.3% vs 58.3% industry baseline
If approved by FDA: likely 2028–2030
Steps remaining: NDA/BLA submission
Confidence: High
Why this estimate
  • Baseline phase 3 → approval rate +58.3pp
    Industry-wide phase 3 drugs reach approval ~58.3% of the time (BIO/Informa 2023 industry benchmark across all therapeutic areas).
  • Oncology Phase 3 boost +3.0pp
    Oncology Phase 3 trials have higher approval rates (~61%) than the cross-industry average due to clearer endpoints and FDA oncology pathway.
Predicted approval windows by jurisdiction (conditional on FDA approval)
Regulator Country Likely year Lag vs FDA
FDA US 2028–2030
EMA EU 2029–2031 +0.7 yr
MHRA GB 2029–2031 +0.7 yr
Health Canada CA 2029–2032 +0.9 yr
TGA AU 2029–2032 +1.2 yr
PMDA JP 2029–2032 +1.5 yr
NMPA CN 2030–2033 +2.3 yr
MFDS KR 2029–2032 +1.4 yr
CDSCO IN 2029–2033 +1.8 yr
ANVISA BR 2030–2033 +2.3 yr

Hover any row for the lag rationale. Lag estimates are reduced when the drug has FDA Breakthrough or EMA PRIME designation (sponsors file globally in parallel).

Estimate based on the BIO/Informa industry phase transition rates plus per-drug modifiers for therapeutic area, sponsor type, FDA designations, mechanism, and trial design. Per-jurisdiction lags from Tufts CSDD international approval studies. Not investment, clinical or regulatory advice. Methodology: /methodology#likelihood.

At a glance

Generic nameS-1 plus Cisplatin
Also known asTS-1, cisplatin, Tegafur,Gimeracil and Oteracil Potassium Capsules
SponsorTaiho Pharmaceutical Co., Ltd.
Drug classAntineoplastic agents
TargetThymidylate synthase, DNA
ModalitySmall molecule
Therapeutic areaOncology
PhasePhase 3

Mechanism of action

S-1 works by inhibiting thymidylate synthase, which is essential for DNA synthesis and repair. Cisplatin, on the other hand, forms platinum-DNA adducts that interfere with DNA replication and transcription, ultimately leading to cell death. This combination of mechanisms allows S-1 plus cisplatin to target rapidly dividing cancer cells.

Approved indications

Common side effects

Key clinical trials

Primary sources

Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.

SourceUsed for
ClinicalTrials.govTrial 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:

Frequently asked questions about S-1 plus Cisplatin

What is S-1 plus Cisplatin?

S-1 plus Cisplatin is a Antineoplastic agents drug developed by Taiho Pharmaceutical Co., Ltd., indicated for Advanced gastric cancer, Pancreatic cancer.

How does S-1 plus Cisplatin work?

S-1 is a fluoropyrimidine derivative that inhibits thymidylate synthase, while cisplatin is a platinum-based alkylating agent that cross-links DNA, thereby inhibiting DNA replication and transcription.

What is S-1 plus Cisplatin used for?

S-1 plus Cisplatin is indicated for Advanced gastric cancer, Pancreatic cancer.

Who makes S-1 plus Cisplatin?

S-1 plus Cisplatin is developed by Taiho Pharmaceutical Co., Ltd. (see full Taiho Pharmaceutical Co., Ltd. pipeline at /company/taiho-pharmaceutical-co-ltd).

Is S-1 plus Cisplatin also known as anything else?

S-1 plus Cisplatin is also known as TS-1, cisplatin, Tegafur,Gimeracil and Oteracil Potassium Capsules.

What drug class is S-1 plus Cisplatin in?

S-1 plus Cisplatin belongs to the Antineoplastic agents class. See all Antineoplastic agents drugs at /class/antineoplastic-agents.

What development phase is S-1 plus Cisplatin in?

S-1 plus Cisplatin is in Phase 3.

What are the side effects of S-1 plus Cisplatin?

Common side effects of S-1 plus Cisplatin include Nausea, Vomiting, Diarrhea, Fatigue, Anemia.

What does S-1 plus Cisplatin target?

S-1 plus Cisplatin targets Thymidylate synthase, DNA and is a Antineoplastic agents.

Related

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing