trifluridine   Click here for help

GtoPdb Ligand ID: 8697

Synonyms: TFT | trifluorothymidine
Approved drug
trifluridine is an approved drug (Japan, FDA (2015), EMA (2016))
Compound class: Synthetic organic
Comment: Trifluridine was originally approved by the US FDA in 1980, and was used for its antiviral effects (marketed as Vitroptic®). The drug is now being investigated for its antineoplastic (cytotoxic) effect.
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 5
Hydrogen bond donors 3
Rotatable bonds 3
Topological polar surface area 104.55
Molecular weight 296.06
XLogP 0.1
No. Lipinski's rules broken 0
SMILES / InChI / InChIKey
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Canonical SMILES OCC1OC(CC1O)n1cc(c(=O)[nH]c1=O)C(F)(F)F
Isomeric SMILES OC[C@H]1O[C@H](C[C@@H]1O)n1cc(c(=O)[nH]c1=O)C(F)(F)F
InChI InChI=1S/C10H11F3N2O5/c11-10(12,13)4-2-15(9(19)14-8(4)18)7-1-5(17)6(3-16)20-7/h2,5-7,16-17H,1,3H2,(H,14,18,19)/t5-,6+,7+/m0/s1
InChI Key VSQQQLOSPVPRAZ-RRKCRQDMSA-N
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Summary of Clinical Use Click here for help
Trifluridine is a component of the anticancer therapeutic Lonsurf® (code-named TAS-102), that was first approved in Japan for the treatment of metastatic/unresectable colorectal cancer. The other component of TAS-102 is tipiracil [1]. In September 2015, the US FDA approved Lonsurf® for the treatment of patients with RAS wild type, metastatic colorectal cancer who have already received chemotherapy, anti-VEGF, and anti-EGFR therapies. Lonsurf® was EMA approved in 2016. TAS-102 is being assessed in Phase 3 clinical trial for metastatic gastric cancer (NCT02500043).
Mechanism Of Action and Pharmacodynamic Effects Click here for help
Trifluridine is a modified form of deoxyuridine (nucleoside analogue). Trifluridine is metabolised to its monophosphate-derivative and this inhibits thymidylate synthase, one of the rate-limiting enzymes in pyrimidine de novo deoxynucleotide synthesis. Thymidylate synthase is therefore crucial for DNA synthesis. In addition, if trifluridine is incorporated directly in to DNA during replication, the -CF3 group of trifluridine blocks base pairing. These actions underly the compound's cytotoxic effect [2].
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