Drug intelligence / Profile preview

fluorouracil + epirubicin + cyclophosphamide + taxane

Development stage
Unknown
Lead developer
Pfizer
Modality
Nucleic Acid-Directed Small Molecules → Small Molecules, Covalent Small Molecules → Small Molecules, Classical Binding Small Molecules → Small Molecules
Administration
Intravenous
01

Overview

This combination refers to a chemotherapy regimen commonly used in the treatment of breast cancer. It typically involves sequential administration of fluorouracil (5-FU), epirubicin, and cyclophosphamide (collectively known as FEC or CEF), followed by a taxane such as paclitaxel or docetaxel. The regimen is designed to maximize tumor cell kill through different mechanisms of action and reduce the risk of resistance. It is most often used in the adjuvant or neoadjuvant setting for early-stage or locally advanced breast cancer[4][2][5]. The mechanism involves DNA damage induction (fluorouracil and cyclophosphamide), topoisomerase II inhibition (epirubicin), and microtubule stabilization leading to mitotic arrest (taxanes).

Other names
FEC followed by paclitaxelCEF followed by paclitaxelsequential anthracycline/taxane regimen
02

Targets

TS (Thymidylate synthase)TOP2A (DNA topoisomerase II)DNATUBB (Tubulin (alpha and beta subunits))

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