Page last updated: 2024-11-07

5-fluorodihydrouracil

Description Research Excerpts Clinical Trials Roles Classes Pathways Study Profile Bioassays Related Drugs Related Conditions Protein Interactions Research Growth Market Indicators

Description

5-Fluorodihydrouracil (5-FDU) is a potent inhibitor of thymidylate synthase (TS), an enzyme crucial for DNA synthesis. It is a synthetic analog of dihydrouracil, where a fluorine atom is substituted at the 5-position. 5-FDU is a prodrug that is converted in vivo to 5-fluoro-2'-deoxyuridine monophosphate (FdUMP), a potent inhibitor of TS. FdUMP binds to the active site of TS and forms a stable ternary complex with the enzyme and methylenetetrahydrofolate, effectively blocking the enzyme’s catalytic activity. This inhibition leads to a depletion of thymidine, a crucial component of DNA, resulting in the disruption of DNA replication and cell growth. Due to its potent anti-cancer activity, 5-FDU has been investigated for its potential therapeutic use in treating various types of cancers, including colorectal, breast, and ovarian cancer. However, its clinical use has been limited due to its toxicity and poor bioavailability. Nonetheless, it has served as a foundational molecule for the development of more clinically effective TS inhibitors, such as 5-fluorouracil (5-FU), which is widely used in cancer chemotherapy. Research continues to explore ways to improve the efficacy and safety of 5-FDU and its analogs.'

5-fluorodihydrouracil: metabolite of 5-fluorouracil; RN given refers to parent cpd [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

Cross-References

ID SourceID
PubMed CID121997
CHEMBL ID219497
CHEBI ID80624
SCHEMBL ID2466350
MeSH IDM0071799

Synonyms (32)

Synonym
5-fluorodihydropyrimidine-2,4(1h,3h)-dione
5-fluorodihydrouracil
5,6-dihydro-5-fluorouracil
696-06-0
FT-0668638
FT-0668637
5-fluoro-1,3-diazinane-2,4-dione
AKOS006273182
5-fluorodihydro-2,4(1h,3h)-pyrimidinedione
clp4lm9hxk ,
unii-clp4lm9hxk
5,6-dihydrofluorouracil
2,4(1h,3h)-pyrimidinedione, 5-fluorodihydro-
dhfu
5-fluoro-5,6-dihydrouracil
5-fluorodihydropyrimidine-2,4-dione
CHEBI:80624 ,
CHEMBL219497
SCHEMBL2466350
5-fluoro-dihydropyrimidine-2,4-dione
5-fluoro-dihydro-pyrimidine-2,4-dione
mfcd00871150
dihydrofluorouracil
Q27149672
AS-47670
5-fluoro-5,6-dihydropyrimidine-2,4-diol
DTXSID90989678
RAIRJKWTBBDDAR-UHFFFAOYSA-N
hydrouracil, 5-fluoro-
F15142
PD057631
SY260387

Research Excerpts

Toxicity

ExcerptReferenceRelevance
" Gastro-intestinal adverse events graded according to the WHO criteria were recorded after the first cycle."( Population pharmacokinetic analysis of 5-FU and 5-FDHU in colorectal cancer patients: search for biomarkers associated with gastro-intestinal toxicity.
Bocci, G; Ciccolini, J; Danesi, R; Di Paolo, A; Iliadis, A; Lacarelle, B; Marouani, H; Woloch, C, 2012
)
0.38
" Predictive factors associated with occurrence of high grade gastro-intestinal adverse events were gender, dose and lean body mass suggesting serious cautions with the BSA-weighted dose for women."( Population pharmacokinetic analysis of 5-FU and 5-FDHU in colorectal cancer patients: search for biomarkers associated with gastro-intestinal toxicity.
Bocci, G; Ciccolini, J; Danesi, R; Di Paolo, A; Iliadis, A; Lacarelle, B; Marouani, H; Woloch, C, 2012
)
0.38

Pharmacokinetics

ExcerptReferenceRelevance
" FUra plasma levels declined rapidly with an apparent elimination half-life of 12."( Clinical pharmacokinetics of 5-fluorouracil and its metabolites in plasma, urine, and bile.
Cross, DS; Diasio, RB; Heggie, GD; Huster, WJ; Sommadossi, JP, 1987
)
0.27
"The use of pharmacokinetic studies for individual dose regimen adjustments in anticancer therapy is considered."( Advantages and limitations of pharmacokinetic studies in the rationalization of anticancer therapy: methotrexate and 5-FU.
Aubert, C; Cano, JP; Carcassone, Y; Coassolo, P; Gilli, R; Monjanel, S; Rigault, JP; Seitz, JF, 1981
)
0.26
" Pharmacokinetic analysis was performed on plasma levels of 5-fluorouracil and 5-fluoro-5,6-dihydrouracil obtained on day 1 of the first cycle of chemotherapy, and backward stepwise regression analysis was used to determine the optimal LSM on the basis of bias (percentage mean prediction error [MPE]) and precision (percentage root mean square prediction error [RMSE])."( Limited sampling model for the analysis of 5-fluorouracil pharmacokinetics in adjuvant chemotherapy for colorectal cancer.
Amadori, D; Cionini, L; Danesi, R; Del Tacca, M; Di Paolo, A; Falcone, A; Ibrahim, T; Mini, E; Vannozzi, F, 2002
)
0.31
" The effects of 18 covariables on pharmacokinetic parameters were also studied in a univariate correlation analysis."( Extensive hepatic replacement due to liver metastases has no effect on 5-fluorouracil pharmacokinetics.
De Vries, EG; Groen, HJ; Maring, JG; Piersma, H; Uges, DR; van Dalen, A, 2003
)
0.32
"To evaluate 5-fluorouracil (5-FU) and 5-fluoro-5,6-dihydrouracil (5-FDHU) pharmacokinetics and disease-free survival (DFS) in colorectal cancer patients given 5-FU-based adjuvant chemotherapy within a nonrandomized, retrospective, pharmacokinetic study."( 5-fluorouracil pharmacokinetics predicts disease-free survival in patients administered adjuvant chemotherapy for colorectal cancer.
Amatori, F; Bocci, G; Danesi, R; Del Tacca, M; Di Donato, S; Di Paolo, A; Falcone, A; Federici, F; Iannopollo, M; Lastella, M; Lencioni, M; Orlandini, C; Ricci, S, 2008
)
0.35
" Individual plasma concentrations of 5-FU and 5-FDHU were determined on day 1 of the first cycle with a validated high performance liquid chromatography method, and the main pharmacokinetic variables were determined."( 5-fluorouracil pharmacokinetics predicts disease-free survival in patients administered adjuvant chemotherapy for colorectal cancer.
Amatori, F; Bocci, G; Danesi, R; Del Tacca, M; Di Donato, S; Di Paolo, A; Falcone, A; Federici, F; Iannopollo, M; Lastella, M; Lencioni, M; Orlandini, C; Ricci, S, 2008
)
0.35
"Retrospective pharmacokinetic data of 5-FU and 5-FDHU from 127 colorectal cancer patients were used for the population pharmacokinetic analysis."( Population pharmacokinetic analysis of 5-FU and 5-FDHU in colorectal cancer patients: search for biomarkers associated with gastro-intestinal toxicity.
Bocci, G; Ciccolini, J; Danesi, R; Di Paolo, A; Iliadis, A; Lacarelle, B; Marouani, H; Woloch, C, 2012
)
0.38
"A three-compartment pharmacokinetic mixture model best described 5-FU and 5-FDHU kinetics profiles."( Population pharmacokinetic analysis of 5-FU and 5-FDHU in colorectal cancer patients: search for biomarkers associated with gastro-intestinal toxicity.
Bocci, G; Ciccolini, J; Danesi, R; Di Paolo, A; Iliadis, A; Lacarelle, B; Marouani, H; Woloch, C, 2012
)
0.38
"A population pharmacokinetic mixture model was developed to describe kinetic profiles of 5-FU and its major metabolite."( Population pharmacokinetic analysis of 5-FU and 5-FDHU in colorectal cancer patients: search for biomarkers associated with gastro-intestinal toxicity.
Bocci, G; Ciccolini, J; Danesi, R; Di Paolo, A; Iliadis, A; Lacarelle, B; Marouani, H; Woloch, C, 2012
)
0.38
" Thus, the aim of study is to investigate the pharmacokinetic interaction of XSLJZT and 5-FU."( The Herb-Drug Pharmacokinetic Interaction of 5-Fluorouracil and Its Metabolite 5-Fluoro-5,6-Dihydrouracil with a Traditional Chinese Medicine in Rats.
Cheng, YY; Hsieh, CH; Liu, JH; Tsai, TH, 2017
)
0.46
" However, pharmacokinetic analysis revealed that pretreatment with a high dose of XSLJZT (2400 mg/kg/day) extended the residence time and increased the volume of distribution of 5-FU."( The Herb-Drug Pharmacokinetic Interaction of 5-Fluorouracil and Its Metabolite 5-Fluoro-5,6-Dihydrouracil with a Traditional Chinese Medicine in Rats.
Cheng, YY; Hsieh, CH; Liu, JH; Tsai, TH, 2017
)
0.46
"Overall, the pharmacokinetic results confirm the safety of coadministering 5-FU with XSLJZT, and provide practical dosage information for clinical practice."( The Herb-Drug Pharmacokinetic Interaction of 5-Fluorouracil and Its Metabolite 5-Fluoro-5,6-Dihydrouracil with a Traditional Chinese Medicine in Rats.
Cheng, YY; Hsieh, CH; Liu, JH; Tsai, TH, 2017
)
0.46

Dosage Studied

ExcerptRelevanceReference
" Rats were dosed once weekly for 3 weeks with the following regimens: 100 mg/kg 5-FU (maximum tolerated dose), 10 mg/kg 5-FU 1 h after 1 mg/kg 5-EU, or 10 mg/kg 5-FU plus 90 mg/kg 5-FUH2 1 h after 1 mg/kg 5-EU."( Attenuation of the antitumor activity of 5-fluorouracil by (R)-5-fluoro-5,6-dihydrouracil.
Cao, S; Harrington, JA; Porter, DJ; Rustum, YM; Spector, T, 1995
)
0.29
" The findings indicate that a method is available to rationally address the design of dosing schedules in concurrent therapy regimens."( Alterations of intratumoral pharmacokinetics of 5-fluorouracil in head and neck carcinoma during simultaneous radiochemotherapy.
Bachert, P; Becker, M; Dietz, A; Knopp, MV; Rudat, V; Schlemmer, HP; van Kaick, G; Vanselow, B; Wannenmacher, M; Weidauer, H; Wollensack, P; Zuna, I, 1999
)
0.3
" Combined quantification of U and UH(2) with 5-FU and 5-FUH(2) may provide a pre-therapeutic assessment of DPD activity and further guide drug dosing during therapy."( LC-MS/MS method for simultaneous analysis of uracil, 5,6-dihydrouracil, 5-fluorouracil and 5-fluoro-5,6-dihydrouracil in human plasma for therapeutic drug monitoring and toxicity prediction in cancer patients.
Amstutz, U; Büchel, B; Bühr, C; Largiadèr, CR; Rhyn, P; Schürch, S, 2013
)
0.39
"Overall, the pharmacokinetic results confirm the safety of coadministering 5-FU with XSLJZT, and provide practical dosage information for clinical practice."( The Herb-Drug Pharmacokinetic Interaction of 5-Fluorouracil and Its Metabolite 5-Fluoro-5,6-Dihydrouracil with a Traditional Chinese Medicine in Rats.
Cheng, YY; Hsieh, CH; Liu, JH; Tsai, TH, 2017
)
0.46
"5-Fluorouracil (5-FU) is widely used in combination chemotherapy, and literature suggests pharmacokinetic-guided dosing to improve clinical efficacy and reduce toxicity."( Systemic exposure to 5-fluorouracil and its metabolite, 5,6-dihydrofluorouracil, and development of a limited sampling strategy for therapeutic drug management of 5-fluorouracil in patients with gastrointestinal malignancy.
Aruldhas, BW; Chacko, RT; Jacob, J; Mathew, BS; Mathew, SK; Prabha, R; Singh, A, 2021
)
0.62
"Using body surface area-based dosing with 5-FU, 50-60% of patients were outside of the therapeutic range."( Systemic exposure to 5-fluorouracil and its metabolite, 5,6-dihydrofluorouracil, and development of a limited sampling strategy for therapeutic drug management of 5-fluorouracil in patients with gastrointestinal malignancy.
Aruldhas, BW; Chacko, RT; Jacob, J; Mathew, BS; Mathew, SK; Prabha, R; Singh, A, 2021
)
0.62
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Drug Classes (1)

ClassDescription
pyrimidoneA pyrimidine carrying one or more oxo substituents.
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Pathways (2)

PathwayProteinsCompounds
Fluoropyrimidine Pathway, Pharmacokinetics248
Fluoropyrimidine activity015

Research

Studies (44)

TimeframeStudies, This Drug (%)All Drugs %
pre-199014 (31.82)18.7374
1990's7 (15.91)18.2507
2000's16 (36.36)29.6817
2010's6 (13.64)24.3611
2020's1 (2.27)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 10.63

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be weak demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index10.63 (24.57)
Research Supply Index3.87 (2.92)
Research Growth Index4.50 (4.65)
Search Engine Demand Index0.00 (26.88)
Search Engine Supply Index0.00 (0.95)

This Compound (10.63)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials3 (6.82%)5.53%
Reviews0 (0.00%)6.00%
Case Studies1 (2.27%)4.05%
Observational1 (2.27%)0.25%
Other39 (88.64%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]