U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

Details

Stereochemistry ABSOLUTE
Molecular Formula C9H12FN3O4
Molecular Weight 245.2077
Optical Activity UNSPECIFIED
Defined Stereocenters 4 / 4
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of 5'-DEOXY-5-FLUOROCYTIDINE

SMILES

C[C@H]1O[C@H]([C@H](O)[C@@H]1O)N2C=C(F)C(N)=NC2=O

InChI

InChIKey=YSNABXSEHNLERR-ZIYNGMLESA-N
InChI=1S/C9H12FN3O4/c1-3-5(14)6(15)8(17-3)13-2-4(10)7(11)12-9(13)16/h2-3,5-6,8,14-15H,1H3,(H2,11,12,16)/t3-,5-,6-,8-/m1/s1

HIDE SMILES / InChI

Molecular Formula C9H12FN3O4
Molecular Weight 245.2077
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 4 / 4
E/Z Centers 0
Optical Activity UNSPECIFIED

Description
Curator's Comment: description was created based on several sources, including: http://www.rxlist.com/xeloda-drug.htm https://www.drugs.com/mtm/capecitabine.html

Capecitabine is a fluoropyrimidine carbamate with antineoplastic activity. It is an orally administered systemic prodrug which is converted to 5-fluorouracil (5-FU). Both normal and tumor cells metabolize 5-FU to 5-fluoro-2’-deoxyuridine monophosphate (FdUMP) and 5-fluorouridine triphosphate (FUTP). These metabolites cause cell injury by two different mechanisms. First, FdUMP and the folate cofactor, N5-10-methylenetetrahydrofolate, bind to thymidylate synthase (TS) to form a covalently bound ternary complex. This binding inhibits the formation of thymidylate from 2’-deoxyuridylate. Thymidylate is the necessary precursor of thymidine triphosphate, which is essential for the synthesis of DNA, so that a deficiency of this compound can inhibit cell division. Second, nuclear transcriptional enzymes can mistakenly incorporate FUTP in place of uridine triphosphate (UTP) during the synthesis of RNA. This metabolic error can interfere with RNA processing and protein synthesis. Most common adverse reactions (≥30%) were diarrhea, hand-and-foot syndrome, nausea, vomiting, abdominal pain, fatigue/weakness, and hyperbilirubinemia. The concentration of 5-fluorouracil is increased and its toxicity may be enhanced by leucovorin.

CNS Activity

Curator's Comment: The CNS penetration of 5-FU (Capecitabine is a prodrug that is enzymatically converted to 5-fluorouracil (5-FU) in the body) in human was predicted based on the penetration in preclinical brain tumor, CSF, and human PK and the predicted free CNS concentration was below the antiproliferative potency.

Originator

Curator's Comment: # Hoffmann-La Roche Inc.

Approval Year

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
XELODA

Approved Use

Capecitabine tablets, USP are a nucleoside metabolic inhibitor with antineoplastic activity indicated for: • Adjuvant Colon Cancer (1.1) oPatients with Dukes’ C colon cancer • Metastatic Colorectal Cancer (1.1) oFirst-line as monotherapy when treatment with fluoropyrimidine therapy alone is preferred • Metastatic Breast Cancer (1.2) oIn combination with docetaxel after failure of prior anthracycline-containing therapy oAs monotherapy in patients resistant to both paclitaxel and an anthracycline-containing regimen 1.1 Colorectal Cancer •Capecitabine tablets, USP are indicated as a single agent for adjuvant treatment in patients with Dukes’ C colon cancer who have undergone complete resection of the primary tumor when treatment with fluoropyrimidine therapy alone is preferred. Capecitabine was non-inferior to 5-fluorouracil and leucovorin (5-FU/LV) for disease-free survival (DFS). Physicians should consider results of combination chemotherapy trials, which have shown improvement in DFS and OS, when prescribing single-agent capecitabine in the adjuvant treatment of Dukes’ C colon cancer. •Capecitabine tablets are indicated as first-line treatment of patients with metastatic colorectal carcinoma when treatment with fluoropyrimidine therapy alone is preferred. Combination chemotherapy has shown a survival benefit compared to 5-FU/LV alone. A survival benefit over 5-FU/LV has not been demonstrated with capecitabine monotherapy. Use of capecitabine instead of 5-FU/LV in combinations has not been adequately studied to assure safety or preservation of the survival advantage. 1.2 Breast Cancer •Capecitabine tablets, USP in combination with docetaxel are indicated for the treatment of patients with metastatic breast cancer after failure of prior anthracycline-containing chemotherapy. •Capecitabine tablets monotherapy is also indicated for the treatment of patients with metastatic breast cancer resistant to both paclitaxel and an anthracycline-containing chemotherapy regimen or resistant to paclitaxel and for whom further anthracycline therapy is not indicated (e.g., patients who have received cumulative doses of 400 mg/m2 of doxorubicin or doxorubicin equivalents). Resistance is defined as progressive disease while on treatment, with or without an initial response, or relapse within 6 months of completing treatment with an anthracycline-containing adjuvant regimen.

Launch Date

1998
Primary
XELODA

Approved Use

Capecitabine tablets, USP are a nucleoside metabolic inhibitor with antineoplastic activity indicated for: • Adjuvant Colon Cancer (1.1) oPatients with Dukes’ C colon cancer • Metastatic Colorectal Cancer (1.1) oFirst-line as monotherapy when treatment with fluoropyrimidine therapy alone is preferred • Metastatic Breast Cancer (1.2) oIn combination with docetaxel after failure of prior anthracycline-containing therapy oAs monotherapy in patients resistant to both paclitaxel and an anthracycline-containing regimen 1.1 Colorectal Cancer •Capecitabine tablets, USP are indicated as a single agent for adjuvant treatment in patients with Dukes’ C colon cancer who have undergone complete resection of the primary tumor when treatment with fluoropyrimidine therapy alone is preferred. Capecitabine was non-inferior to 5-fluorouracil and leucovorin (5-FU/LV) for disease-free survival (DFS). Physicians should consider results of combination chemotherapy trials, which have shown improvement in DFS and OS, when prescribing single-agent capecitabine in the adjuvant treatment of Dukes’ C colon cancer. •Capecitabine tablets are indicated as first-line treatment of patients with metastatic colorectal carcinoma when treatment with fluoropyrimidine therapy alone is preferred. Combination chemotherapy has shown a survival benefit compared to 5-FU/LV alone. A survival benefit over 5-FU/LV has not been demonstrated with capecitabine monotherapy. Use of capecitabine instead of 5-FU/LV in combinations has not been adequately studied to assure safety or preservation of the survival advantage. 1.2 Breast Cancer •Capecitabine tablets, USP in combination with docetaxel are indicated for the treatment of patients with metastatic breast cancer after failure of prior anthracycline-containing chemotherapy. •Capecitabine tablets monotherapy is also indicated for the treatment of patients with metastatic breast cancer resistant to both paclitaxel and an anthracycline-containing chemotherapy regimen or resistant to paclitaxel and for whom further anthracycline therapy is not indicated (e.g., patients who have received cumulative doses of 400 mg/m2 of doxorubicin or doxorubicin equivalents). Resistance is defined as progressive disease while on treatment, with or without an initial response, or relapse within 6 months of completing treatment with an anthracycline-containing adjuvant regimen.

Launch Date

1998
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
3515 ng/mL
1250 mg/m² 2 times / day multiple, oral
dose: 1250 mg/m²
route of administration: Oral
experiment type: MULTIPLE
co-administered:
.ALPHA.-FLUORO-.BETA.-ALANINE blood
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE
food status: UNKNOWN
9105 ng/mL
1000 mg/m² 2 times / day multiple, oral
dose: 1000 mg/m²
route of administration: Oral
experiment type: MULTIPLE
co-administered:
CAPECITABINE blood
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: MALE
food status: FED
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
45027 ng × h/mL
1250 mg/m² 2 times / day multiple, oral
dose: 1250 mg/m²
route of administration: Oral
experiment type: MULTIPLE
co-administered:
.ALPHA.-FLUORO-.BETA.-ALANINE blood
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE
food status: UNKNOWN
10238 ng × h/mL
1000 mg/m² 2 times / day multiple, oral
dose: 1000 mg/m²
route of administration: Oral
experiment type: MULTIPLE
co-administered:
CAPECITABINE blood
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: MALE
food status: FED
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
0.78 h
1000 mg/m² 2 times / day multiple, oral
dose: 1000 mg/m²
route of administration: Oral
experiment type: MULTIPLE
co-administered:
CAPECITABINE blood
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: MALE
food status: FED
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
65%
CAPECITABINE plasma
Homo sapiens
population: UNKNOWN
age: UNKNOWN
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
2500 mg 2 times / day multiple, oral
Highest studied dose
Dose: 2500 mg, 2 times / day
Route: oral
Route: multiple
Dose: 2500 mg, 2 times / day
Sources: Page: p.1799
unhealthy, 34-68
n = 7
Health Status: unhealthy
Condition: Breast cancer
Age Group: 34-68
Sex: F
Population Size: 7
Sources: Page: p.1799
DLT: Hand-and-foot syndrome, Diarrhea...
Dose limiting toxicities:
Hand-and-foot syndrome (grade 3, 28.6%)
Diarrhea (grade 3, 14.29%)
Sources: Page: p.1799
2000 mg 2 times / day multiple, oral
MTD
Dose: 2000 mg, 2 times / day
Route: oral
Route: multiple
Dose: 2000 mg, 2 times / day
Sources: Page: p.1799
unhealthy, 41-53
n = 7
Health Status: unhealthy
Condition: Breast cancer
Age Group: 41-53
Sex: F
Population Size: 7
Sources: Page: p.1799
DLT: Hand-and-foot syndrome...
Dose limiting toxicities:
Hand-and-foot syndrome (grade 3, 14.29%)
Sources: Page: p.1799
1250 mg/m2 2 times / day multiple, oral
Recommended
Dose: 1250 mg/m2, 2 times / day
Route: oral
Route: multiple
Dose: 1250 mg/m2, 2 times / day
Sources: Page: p.1
unhealthy
Health Status: unhealthy
Condition: Adjuv ant Colon Cancer|Metastatic Colorectal Cancer|Metastatic Breast Cancer
Sources: Page: p.1
Disc. AE: Coagulopathy, Diarrhea...
AEs leading to
discontinuation/dose reduction:
Coagulopathy
Diarrhea
Cardiotoxicity
Dehydration
Renal failure
Fetal damage
Mucocutaneous disorder (severe)
Stevens Johnson syndrome
Toxic epidermal necrolysis
Hyperbilirubinemia
Sources: Page: p.1
AEs

AEs

AESignificanceDosePopulation
Diarrhea grade 3, 14.29%
DLT
2500 mg 2 times / day multiple, oral
Highest studied dose
Dose: 2500 mg, 2 times / day
Route: oral
Route: multiple
Dose: 2500 mg, 2 times / day
Sources: Page: p.1799
unhealthy, 34-68
n = 7
Health Status: unhealthy
Condition: Breast cancer
Age Group: 34-68
Sex: F
Population Size: 7
Sources: Page: p.1799
Hand-and-foot syndrome grade 3, 28.6%
DLT
2500 mg 2 times / day multiple, oral
Highest studied dose
Dose: 2500 mg, 2 times / day
Route: oral
Route: multiple
Dose: 2500 mg, 2 times / day
Sources: Page: p.1799
unhealthy, 34-68
n = 7
Health Status: unhealthy
Condition: Breast cancer
Age Group: 34-68
Sex: F
Population Size: 7
Sources: Page: p.1799
Hand-and-foot syndrome grade 3, 14.29%
DLT
2000 mg 2 times / day multiple, oral
MTD
Dose: 2000 mg, 2 times / day
Route: oral
Route: multiple
Dose: 2000 mg, 2 times / day
Sources: Page: p.1799
unhealthy, 41-53
n = 7
Health Status: unhealthy
Condition: Breast cancer
Age Group: 41-53
Sex: F
Population Size: 7
Sources: Page: p.1799
Cardiotoxicity Disc. AE
1250 mg/m2 2 times / day multiple, oral
Recommended
Dose: 1250 mg/m2, 2 times / day
Route: oral
Route: multiple
Dose: 1250 mg/m2, 2 times / day
Sources: Page: p.1
unhealthy
Health Status: unhealthy
Condition: Adjuv ant Colon Cancer|Metastatic Colorectal Cancer|Metastatic Breast Cancer
Sources: Page: p.1
Coagulopathy Disc. AE
1250 mg/m2 2 times / day multiple, oral
Recommended
Dose: 1250 mg/m2, 2 times / day
Route: oral
Route: multiple
Dose: 1250 mg/m2, 2 times / day
Sources: Page: p.1
unhealthy
Health Status: unhealthy
Condition: Adjuv ant Colon Cancer|Metastatic Colorectal Cancer|Metastatic Breast Cancer
Sources: Page: p.1
Dehydration Disc. AE
1250 mg/m2 2 times / day multiple, oral
Recommended
Dose: 1250 mg/m2, 2 times / day
Route: oral
Route: multiple
Dose: 1250 mg/m2, 2 times / day
Sources: Page: p.1
unhealthy
Health Status: unhealthy
Condition: Adjuv ant Colon Cancer|Metastatic Colorectal Cancer|Metastatic Breast Cancer
Sources: Page: p.1
Diarrhea Disc. AE
1250 mg/m2 2 times / day multiple, oral
Recommended
Dose: 1250 mg/m2, 2 times / day
Route: oral
Route: multiple
Dose: 1250 mg/m2, 2 times / day
Sources: Page: p.1
unhealthy
Health Status: unhealthy
Condition: Adjuv ant Colon Cancer|Metastatic Colorectal Cancer|Metastatic Breast Cancer
Sources: Page: p.1
Fetal damage Disc. AE
1250 mg/m2 2 times / day multiple, oral
Recommended
Dose: 1250 mg/m2, 2 times / day
Route: oral
Route: multiple
Dose: 1250 mg/m2, 2 times / day
Sources: Page: p.1
unhealthy
Health Status: unhealthy
Condition: Adjuv ant Colon Cancer|Metastatic Colorectal Cancer|Metastatic Breast Cancer
Sources: Page: p.1
Hyperbilirubinemia Disc. AE
1250 mg/m2 2 times / day multiple, oral
Recommended
Dose: 1250 mg/m2, 2 times / day
Route: oral
Route: multiple
Dose: 1250 mg/m2, 2 times / day
Sources: Page: p.1
unhealthy
Health Status: unhealthy
Condition: Adjuv ant Colon Cancer|Metastatic Colorectal Cancer|Metastatic Breast Cancer
Sources: Page: p.1
Renal failure Disc. AE
1250 mg/m2 2 times / day multiple, oral
Recommended
Dose: 1250 mg/m2, 2 times / day
Route: oral
Route: multiple
Dose: 1250 mg/m2, 2 times / day
Sources: Page: p.1
unhealthy
Health Status: unhealthy
Condition: Adjuv ant Colon Cancer|Metastatic Colorectal Cancer|Metastatic Breast Cancer
Sources: Page: p.1
Stevens Johnson syndrome Disc. AE
1250 mg/m2 2 times / day multiple, oral
Recommended
Dose: 1250 mg/m2, 2 times / day
Route: oral
Route: multiple
Dose: 1250 mg/m2, 2 times / day
Sources: Page: p.1
unhealthy
Health Status: unhealthy
Condition: Adjuv ant Colon Cancer|Metastatic Colorectal Cancer|Metastatic Breast Cancer
Sources: Page: p.1
Toxic epidermal necrolysis Disc. AE
1250 mg/m2 2 times / day multiple, oral
Recommended
Dose: 1250 mg/m2, 2 times / day
Route: oral
Route: multiple
Dose: 1250 mg/m2, 2 times / day
Sources: Page: p.1
unhealthy
Health Status: unhealthy
Condition: Adjuv ant Colon Cancer|Metastatic Colorectal Cancer|Metastatic Breast Cancer
Sources: Page: p.1
Mucocutaneous disorder severe
Disc. AE
1250 mg/m2 2 times / day multiple, oral
Recommended
Dose: 1250 mg/m2, 2 times / day
Route: oral
Route: multiple
Dose: 1250 mg/m2, 2 times / day
Sources: Page: p.1
unhealthy
Health Status: unhealthy
Condition: Adjuv ant Colon Cancer|Metastatic Colorectal Cancer|Metastatic Breast Cancer
Sources: Page: p.1
PubMed

PubMed

TitleDatePubMed
Oral fluoropyrimidines: are they the equivalent of parenteral infusional 5-fluorouracil?
2001
Dose scheduling--Herceptin.
2001
Disease management considerations: disease management considerations.
2001
Improving chemoradiotherapy in rectal cancer.
2001
Integrating oxaliplatin into the management of colorectal cancer.
2001
Optimizing the use of irinotecan in colorectal cancer.
2001
Answering patients' needs: oral alternatives to intravenous therapy.
2001
The evolution of fluoropyrimidine therapy: from intravenous to oral.
2001
Thymidine phosphorylase (TP) activation: convenience through innovation.
2001
[Capecitabine (Ro09-1978) for therapy of advanced and recurrent gastric cancer].
2001 Apr
Metastatic breast cancer: understanding current management options.
2001 Apr
A physiologically based pharmacokinetic analysis of capecitabine, a triple prodrug of 5-FU, in humans: the mechanism for tumor-selective accumulation of 5-FU.
2001 Aug
Capecitabine for 5-fluorouracil-resistant brain metastases from breast cancer.
2001 Aug
[Coronary insufficiency after an oral intake of capecitabine].
2001 Aug-Sep
Capecitabine and oxaliplatin in advanced colorectal cancer: a dose-finding study.
2001 Dec
Combination chemotherapy of the taxanes and antimetabolites: its use and limitations.
2001 Dec
Capecitabine in breast cancer: current status.
2001 Jan
Investigation of 5-FU disposition after oral administration of capecitabine, a triple-prodrug of 5-FU, using a physiologically based pharmacokinetic model in a human cancer xenograft model: comparison of the simulated 5-FU exposures in the tumour tissue between human and xenograft model.
2001 Jan
Capecitabine (Xeloda).
2001 Jan-Feb
Capecitabine monotherapy in metastatic colorectal cancer.
2001 Jul
New chemotherapy approaches in colorectal cancer.
2001 Jul
Thymidine phosphorylase expression and effect of doxifluridine: a phase II study.
2001 Jul-Aug
[Tumoral levels of thymidine phosphorylase and dihydropyrimidine dehydrogenase in elderly colorectal cancer patients].
2001 Jun
Role of the human concentrative nucleoside transporter (hCNT1) in the cytotoxic action of 5[Prime]-deoxy-5-fluorouridine, an active intermediate metabolite of capecitabine, a novel oral anticancer drug.
2001 Jun
A phase I and pharmacologic study of capecitabine and paclitaxel in breast cancer patients.
2001 May
Acute cardiotoxicity during capecitabine treatment: a case report.
2001 May-Jun
Mucositis as a treatment-limiting side effect in the use of capecitabine for the treatment of metastatic breast cancer.
2001 Nov
Clinical picture: leopard-like vitiligo with capecitabine.
2001 Nov 10
From the Food and Drug Administration.
2001 Nov 7
Recent advances in the use of radiosensitizing nucleosides.
2001 Oct
Multicenter, Phase II study of capecitabine in taxane-pretreated metastatic breast carcinoma patients.
2001 Oct 1
[New therapeutic options in chemotherapy of advanced colorectal cancer].
2001 Oct 15
Randomized, open-label, phase II trial of oral capecitabine (Xeloda) vs. a reference arm of intravenous CMF (cyclophosphamide, methotrexate and 5-fluorouracil) as first-line therapy for advanced/metastatic breast cancer.
2001 Sep
Capecitabine: a novel agent for the treatment of solid tumors.
2001 Sep
Onychomadesis and onycholysis associated with capecitabine.
2001 Sep
Role of thymidine phosphorylase in biomodulation of fluoropyrimidines.
2001 Sep
A randomized study comparing oral and standard regimens for metastatic breast cancer.
2001 Sep-Oct
Incidence and severity of hand-foot syndrome in colorectal cancer patients treated with capecitabine: a single-institution experience.
2002
Prediction of the response of colorectal cancer to systemic therapy.
2002 Feb
Recent development of anti-cancer drugs for treatment of GI malignancies in Japan.
2002 Feb
Capecitabine as first-line treatment in colorectal cancer. Pooled data from two large, phase III trials.
2002 Feb
Clinical experience of capecitabine in metastatic breast cancer.
2002 Feb
Rational development of capecitabine.
2002 Feb
An evolving role for oral fluoropyrimidine drugs.
2002 Feb 15
Taxanes and capecitabine in combination: rationale and clinical results.
2002 Jan
Immunohistochemical variation of human equilibrative nucleoside transporter 1 protein in primary breast cancers.
2002 Jan
Xeloda. Warning: drug interaction increase bleeding risks.
2002 Mar
The effect of adjuvant 5'-deoxy-5-fluorouridine in early stage breast cancer patients: results from a multicenter randomized controlled trial.
2002 Mar
Dear doctor: we really are not sure what dose of capecitabine you should prescribe for your patient.
2002 Mar 15
Treatment of patients with superficial bladder cancer by intravesical instillation of anticancer drugs plus oral chemotherapy following TUR-Bt: a randomized controlled trial.
2002 Mar-Apr
Patents

Sample Use Guides

Take XELODA with water within 30 min after a meal. Monotherapy: 1250 mg/m2 twice daily orally for 2 weeks followed by a one week rest period in 3-week cycles.
Route of Administration: Oral
After 48 hours treatment of MCF7 cell line with capecitabine, in the concentration of 1147.9 μg/ml 50% of cells have been inhibited. After 72 hours treatment of the cells with capecitabine, at the concentration of 921 μg/ml 50% of cells have been inhibited.
Substance Class Chemical
Created
by admin
on Sat Dec 16 05:50:24 GMT 2023
Edited
by admin
on Sat Dec 16 05:50:24 GMT 2023
Record UNII
8RWB05I6ON
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
5'-DEOXY-5-FLUOROCYTIDINE
Systematic Name English
CAPECITABINE RELATED COMPOUND A [USP IMPURITY]
Common Name English
CYTIDINE, 5'-DEOXY-5-FLUORO-
Systematic Name English
5'-DFCR
Common Name English
CAPECITABINE RELATED COMPOUND A
USP   USP-RS  
Common Name English
CYTIDINE, 5'-DEOXY-5-FLUORO
Common Name English
CAPECITABINE RELATED COMPOUND A [USP-RS]
Common Name English
Code System Code Type Description
EPA CompTox
DTXSID00216543
Created by admin on Sat Dec 16 05:50:24 GMT 2023 , Edited by admin on Sat Dec 16 05:50:24 GMT 2023
PRIMARY
PUBCHEM
10037499
Created by admin on Sat Dec 16 05:50:24 GMT 2023 , Edited by admin on Sat Dec 16 05:50:24 GMT 2023
PRIMARY
FDA UNII
8RWB05I6ON
Created by admin on Sat Dec 16 05:50:24 GMT 2023 , Edited by admin on Sat Dec 16 05:50:24 GMT 2023
PRIMARY
CAS
66335-38-4
Created by admin on Sat Dec 16 05:50:24 GMT 2023 , Edited by admin on Sat Dec 16 05:50:24 GMT 2023
PRIMARY
RS_ITEM_NUM
1090717
Created by admin on Sat Dec 16 05:50:24 GMT 2023 , Edited by admin on Sat Dec 16 05:50:24 GMT 2023
PRIMARY
Related Record Type Details
PARENT -> METABOLITE
by carboxylesterase
Related Record Type Details
PARENT -> IMPURITY