Last reviewed · How we verify

Tegafur-uracil (UFT)

Multicenter Clinical Study Group of Osaka, Colorectal Cancer Treatment Group · Phase 3 active Small molecule ✓ Verified May 2026

Tegafur-uracil (UFT) is a Antimetabolite Small molecule drug developed by Multicenter Clinical Study Group of Osaka, Colorectal Cancer Treatment Group. It is currently in Phase 3 development for Colorectal cancer. Also known as: UFT.

Tegafur-uracil (UFT) is a prodrug that is metabolized into 5-fluorouracil (5-FU), which then inhibits thymidylate synthase.

Tegafur-uracil (UFT) is a small molecule used in the treatment of Colorectal Cancer and Hepatocellular Carcinoma. It is often combined with other interventions, such as Calcium folinate (LV) and Krestin (PSK), in clinical trials.

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 nameTegafur-uracil (UFT)
Also known asUFT
SponsorMulticenter Clinical Study Group of Osaka, Colorectal Cancer Treatment Group
Drug classAntimetabolite
TargetThymidylate synthase
ModalitySmall molecule
Therapeutic areaOncology
PhasePhase 3

Mechanism of action

This inhibition of thymidylate synthase leads to a decrease in DNA synthesis and cell proliferation, ultimately resulting in cell death. 5-FU is a pyrimidine analog that is incorporated into DNA, causing strand breaks and apoptosis. The uracil component of UFT helps to maintain a steady level of 5-FU in the body by inhibiting its degradation.

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 Tegafur-uracil (UFT)

What is Tegafur-uracil (UFT)?

Tegafur-uracil (UFT) is a Antimetabolite drug developed by Multicenter Clinical Study Group of Osaka, Colorectal Cancer Treatment Group, indicated for Colorectal cancer.

How does Tegafur-uracil (UFT) work?

Tegafur-uracil (UFT) is a prodrug that is metabolized into 5-fluorouracil (5-FU), which then inhibits thymidylate synthase.

What is Tegafur-uracil (UFT) used for?

Tegafur-uracil (UFT) is indicated for Colorectal cancer.

Who makes Tegafur-uracil (UFT)?

Tegafur-uracil (UFT) is developed by Multicenter Clinical Study Group of Osaka, Colorectal Cancer Treatment Group (see full Multicenter Clinical Study Group of Osaka, Colorectal Cancer Treatment Group pipeline at /company/multicenter-clinical-study-group-of-osaka-colorectal-cancer-treatment-group).

Is Tegafur-uracil (UFT) also known as anything else?

Tegafur-uracil (UFT) is also known as UFT.

What drug class is Tegafur-uracil (UFT) in?

Tegafur-uracil (UFT) belongs to the Antimetabolite class. See all Antimetabolite drugs at /class/antimetabolite.

What development phase is Tegafur-uracil (UFT) in?

Tegafur-uracil (UFT) is in Phase 3.

What are the side effects of Tegafur-uracil (UFT)?

Common side effects of Tegafur-uracil (UFT) include Diarrhea, Nausea, Vomiting, Fatigue, Anemia.

What does Tegafur-uracil (UFT) target?

Tegafur-uracil (UFT) targets Thymidylate synthase and is a Antimetabolite.

Related

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