Drug intelligence / Profile preview

fluorouracil + cisplatin

Development stage
Unknown
Lead developer
Assertio
Modality
Small Molecules
Administration
Intravenous
01

Overview

Fluorouracil + cisplatin is a combination chemotherapy regimen consisting of the antimetabolite fluorouracil (5-FU) and the platinum-based alkylating agent cisplatin. In the context of the Japan Clinical Oncology Group (JCOG) 9907 trial, this regimen was evaluated as a neoadjuvant (preoperative) treatment for patients with stage II/III esophageal squamous cell carcinoma (ESCC). Fluorouracil acts by inhibiting thymidylate synthase, thereby interfering with DNA synthesis, while cisplatin forms DNA cross-links that impede DNA replication and transcription, leading to apoptosis. The JCOG9907 trial established neoadjuvant FP therapy followed by surgery as the standard of care in Japan for locally advanced ESCC after demonstrating superior overall survival compared to postoperative administration.

Brand names
AdrucilPlatinol
Other names
5-FU + cisplatin5-fluorouracil + cisplatinJCOG9907 regimenJCOG-9907 regimenJCOG 9907 regimen
02

Targets

TS (Thymidylate synthase)

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