Drug intelligence / Profile preview

colchicine + dexamethasone + low molecular weight heparin + fluorouracil

Development stage
Unknown
Lead developer
Merck
Modality
Orthosteric Ligands → Classical Binding Small Molecules → Small Molecules, Metabolically Activated Prodrugs → Prodrugs/Conditional Activator Small Molecules → Small Molecules, Nucleic Acid-Directed Small Molecules → Small Molecules
Administration
Oral (colchicine), Intravenous (dexamethasone), Intramuscular (dexamethasone), Subcutaneous (low Molecular Weight Heparin), Intravenous (fluorouracil), Topical/dermal Application Possible For Fluorouracil Ointment
01

Overview

This is a combination regimen consisting of four distinct pharmaceutical agents: - **Colchicine** is an anti-inflammatory small molecule that disrupts microtubule polymerization, primarily used for the treatment and prevention of gout and familial Mediterranean fever. It inhibits neutrophil motility and activity, reducing inflammation[6][2]. - **Dexamethasone** is a synthetic glucocorticoid corticosteroid with potent anti-inflammatory and immunosuppressant properties. It acts by binding to the glucocorticoid receptor, modulating gene expression to suppress pro-inflammatory cytokines[9][2]. - **Low molecular weight heparin (LMWH)** is an anticoagulant that enhances the activity of antithrombin III, inhibiting factor Xa and thrombin to prevent blood clot formation. LMWHs are widely used for prophylaxis and treatment of venous thromboembolism[4]. - **Fluorouracil (5FU)** is an antimetabolite chemotherapy agent that inhibits thymidylate synthase, disrupting DNA synthesis in rapidly dividing cells. It is indicated for various cancers including those of the colon, breast, ovary, liver, pancreas, rectum, stomach, as well as some skin cancers when applied topically[7][10]. This combination does not correspond to any known marketed fixed-dose product or branded regimen but may be considered in specific clinical scenarios where all four mechanisms—anti-inflammation (colchicine/dexamethasone), anticoagulation (LMWH), and cytotoxicity against cancer cells (fluorouracil)—are desired.

Other names
Colchicine, Dexamethasone, LMWH, and 5-FU in Proliferative Vitreoretinopathy
02

Targets

F2 (Thrombin)TS (Thymidylate synthase)F10 (Factor Xa)TUBB (Tubulin (alpha and beta subunits))GR (Glucocorticoid receptor)

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