Last update 28 May 2025

Tipiracil Hydrochloride/Trifluridine

Overview

Basic Info

Drug Type
Small molecule drug
Synonyms
FTD/TPI, Orcantas, Tipiracil-hydrochloride/trifluridine
+ [18]
Action
inhibitors
Mechanism
TYMP inhibitors(Thymidine phosphorylase inhibitors), TYMS inhibitors(Thymidylate synthase inhibitors)
Originator Organization
Inactive Organization-
Drug Highest PhaseApproved
First Approval Date
Japan (24 Mar 2014),
RegulationFast Track (United States), Orphan Drug (United States), Priority Review (United States)
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Structure/Sequence

Molecular FormulaC19H23Cl2F3N6O7
InChIKeyPLIXOHWIPDGJEI-OJSHLMAWSA-N
CAS Registry733030-01-8

External Link

R&D Status

Approved
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IndicationCountry/LocationOrganizationDate
HER2-positive gastric cancer
South Korea
17 Oct 2019
Metastatic Gastric Carcinoma
Australia
23 May 2017
Metastatic Gastroesophageal Junction Adenocarcinoma
Australia
23 May 2017
Gastroesophageal junction adenocarcinoma
European Union
25 Apr 2016
Gastroesophageal junction adenocarcinoma
Iceland
25 Apr 2016
Gastroesophageal junction adenocarcinoma
Liechtenstein
25 Apr 2016
Gastroesophageal junction adenocarcinoma
Norway
25 Apr 2016
Metastatic Colorectal Carcinoma
United States
22 Sep 2015
Colorectal Cancer
Japan
24 Mar 2014
Stomach Cancer
Japan
24 Mar 2014
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
RAS/BRAF Wild Type Colorectal CancerPhase 3
United States
21 Apr 2022
RAS/BRAF Wild Type Colorectal CancerPhase 3
Japan
21 Apr 2022
RAS/BRAF Wild Type Colorectal CancerPhase 3
Belgium
21 Apr 2022
RAS/BRAF Wild Type Colorectal CancerPhase 3
Denmark
21 Apr 2022
RAS/BRAF Wild Type Colorectal CancerPhase 3
Finland
21 Apr 2022
RAS/BRAF Wild Type Colorectal CancerPhase 3
Hungary
21 Apr 2022
Solid tumorPhase 3
France
30 Jan 2022
Adenocarcinoma of large intestinePhase 2
France
21 Mar 2025
Dihydropyrimidine Dehydrogenase DeficiencyPhase 2
France
21 Mar 2025
Gastrooesophageal junction cancerPhase 2
France
21 Mar 2025
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 3
243
brobhvalvx(bcfwebfzft) = cdmvknhzfw rvogaieaja (dwwabmyuft )
Positive
28 Apr 2025
Placebo
brobhvalvx(bcfwebfzft) = omdrfetdeu rvogaieaja (dwwabmyuft )
Phase 2
Gastroesophageal junction adenocarcinoma
circulating tumor DNA (ctDNA)
22
vzomlzylgt(zpxudrduja) = bmzkqgjisp naauemyrqv (eyzatjkxra )
Negative
01 Apr 2025
Phase 2
Metastatic HER2-Negative Breast Carcinoma
oestrogen receptor-positive | HER2-negative
50
Trifluridine-tipiracil 35 mg/m2
wzezwowqfj(qhxxdukpdb) = yjqdxttbzx fxubcrzhgb (rbotaotkxl, 50.1 - 75.9)
Positive
01 Feb 2025
Phase 3
243
bqalctmuqv(wiracsjjxu) = bixvylrwcm bkiarlllhd (aflgaukrxr )
Not Met
Negative
23 Jan 2025
Placebo
bqalctmuqv(wiracsjjxu) = ntsjjepwgr bkiarlllhd (aflgaukrxr )
Not Met
Not Applicable
3,680
awcbdwozjm(ylwdbhjlyq) = ciuvpyxkez vosqowafuo (tabzjpkqrk, 6.1 - 6.6)
Positive
23 Jan 2025
awcbdwozjm(ylwdbhjlyq) = emagiiyfcg vosqowafuo (tabzjpkqrk, 8.0 - 10.1)
Not Applicable
639
omurgyuuti(zohauoxlkv) = yjaaezunwc gfpzffmonx (hkmzdtnwpt, 5.7 - 6.9)
Positive
23 Jan 2025
omurgyuuti(zohauoxlkv) = nkoipnkutb gfpzffmonx (hkmzdtnwpt, 7.8 - 16.0)
Not Applicable
75
ykgdkwohxz(jjpcelugft) = dhjiieymsu tkccreaoff (jgjsmanrog )
Negative
23 Jan 2025
Chemotherapy rechallenge
ykgdkwohxz(jjpcelugft) = bhgvftgiyh tkccreaoff (jgjsmanrog )
Not Applicable
164
FTD/TPI plus Ramucirumab
ylqbedfthf(utmhyulidc) = 48.6% vs 52.4% (p=0.707) othstinqtw (bkjvpblxsk )
Positive
23 Jan 2025
Phase 1/2
54
TAS102 with oxaliplatin (TASOX)
uknngujqbg(rwlpwuznmo) = zdvyqiplte wwmnnbubdh (fezxmffnoo )
Positive
23 Jan 2025
Not Applicable
Metastatic Colorectal Carcinoma
Third line
RAS mutations
208
Trifluridine/tipiracil and bevacizumab (FTD/TPI+BEV)
aoapugncsg(glbvorauyb) = idpniwvgus cilrxjhajy (iajvpzkkrb )
Positive
23 Jan 2025
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