Carac

Breast Cancer, Carcinoma, Basal Cell, Rectal Cancer + 6 more

Treatment

1 FDA approval

20 Active Studies for Carac

What is Carac

Fluorouracil

The Generic name of this drug

Treatment Summary

Allantoin is a naturally occurring substance found in the human body and in some foods. It is produced in the body during exercise, when uric acid is converted to allantoin in the muscles. Allantoin is also used in a variety of commercial products such as toothpastes, shampoos, and skin care products. Studies have shown that allantoin can help speed up the wound healing process.

Efudex

is the brand name

image of different drug pills on a surface

Carac Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Efudex

Fluorouracil

1970

62

Approved as Treatment by the FDA

Fluorouracil, also known as Efudex, is approved by the FDA for 1 uses like Actinic keratosis .

Actinic keratosis

Used to treat hyperkeratotic actinic keratosis in combination with Salicylic acid

Effectiveness

How Carac Affects Patients

Research is still ongoing to understand the exact effects of allantoin, but studies suggest that it can help moisturize and soften skin, as well as increase the water content of the skin and help remove dead skin cells from the surface of the skin. These activities may help promote cell growth and speed up wound healing.

How Carac works in the body

It's unclear how allantoin works in the body, but studies suggest it helps wounds heal faster. This is seen in rats that were given allantoin and experienced increased blood flow, inflammation, and collagen production in their wounds compared to those that didn't receive treatment.

When to interrupt dosage

The recommended dosage of Carac is contingent upon the established condition, such as Dental cleaning treatment, Skin and Scarring. The amount of dosage is contingent upon the application approach featured in the table underneath.

Condition

Dosage

Administration

Actinic Keratosis

, 50.0 mg/mL, 0.005 mg/mg, 0.05 mg/mg, 0.04 mg/mg, 20.0 mg/mL, 5.0 %, 1.0 %, 0.5 %, 250.0 mg/mL, 0.01 mg/mg, 0.2 mg/mg, 10.0 mg/mL, 5.0 mg/mg, 125.0 mg/mL, 4.0 %, 100.0 mg/mL

, Intravenous, Injection, solution, Injection, solution - Intravenous, Cream - Topical, Topical, Cream, Solution - Topical, Solution, Solution - Intravenous, Liquid - Intravenous, Liquid, Kit, Injection, Injection - Intravenous

Breast Cancer

, 50.0 mg/mL, 0.005 mg/mg, 0.05 mg/mg, 0.04 mg/mg, 20.0 mg/mL, 5.0 %, 1.0 %, 0.5 %, 250.0 mg/mL, 0.01 mg/mg, 0.2 mg/mg, 10.0 mg/mL, 5.0 mg/mg, 125.0 mg/mL, 4.0 %, 100.0 mg/mL

, Intravenous, Injection, solution, Injection, solution - Intravenous, Cream - Topical, Topical, Cream, Solution - Topical, Solution, Solution - Intravenous, Liquid - Intravenous, Liquid, Kit, Injection, Injection - Intravenous

Warts

, 50.0 mg/mL, 0.005 mg/mg, 0.05 mg/mg, 0.04 mg/mg, 20.0 mg/mL, 5.0 %, 1.0 %, 0.5 %, 250.0 mg/mL, 0.01 mg/mg, 0.2 mg/mg, 10.0 mg/mL, 5.0 mg/mg, 125.0 mg/mL, 4.0 %, 100.0 mg/mL

, Intravenous, Injection, solution, Injection, solution - Intravenous, Cream - Topical, Topical, Cream, Solution - Topical, Solution, Solution - Intravenous, Liquid - Intravenous, Liquid, Kit, Injection, Injection - Intravenous

Actinic keratosis

, 50.0 mg/mL, 0.005 mg/mg, 0.05 mg/mg, 0.04 mg/mg, 20.0 mg/mL, 5.0 %, 1.0 %, 0.5 %, 250.0 mg/mL, 0.01 mg/mg, 0.2 mg/mg, 10.0 mg/mL, 5.0 mg/mg, 125.0 mg/mL, 4.0 %, 100.0 mg/mL

, Intravenous, Injection, solution, Injection, solution - Intravenous, Cream - Topical, Topical, Cream, Solution - Topical, Solution, Solution - Intravenous, Liquid - Intravenous, Liquid, Kit, Injection, Injection - Intravenous

Carcinoma, Basal Cell

, 50.0 mg/mL, 0.005 mg/mg, 0.05 mg/mg, 0.04 mg/mg, 20.0 mg/mL, 5.0 %, 1.0 %, 0.5 %, 250.0 mg/mL, 0.01 mg/mg, 0.2 mg/mg, 10.0 mg/mL, 5.0 mg/mg, 125.0 mg/mL, 4.0 %, 100.0 mg/mL

, Intravenous, Injection, solution, Injection, solution - Intravenous, Cream - Topical, Topical, Cream, Solution - Topical, Solution, Solution - Intravenous, Liquid - Intravenous, Liquid, Kit, Injection, Injection - Intravenous

Stomach Cancer

, 50.0 mg/mL, 0.005 mg/mg, 0.05 mg/mg, 0.04 mg/mg, 20.0 mg/mL, 5.0 %, 1.0 %, 0.5 %, 250.0 mg/mL, 0.01 mg/mg, 0.2 mg/mg, 10.0 mg/mL, 5.0 mg/mg, 125.0 mg/mL, 4.0 %, 100.0 mg/mL

, Intravenous, Injection, solution, Injection, solution - Intravenous, Cream - Topical, Topical, Cream, Solution - Topical, Solution, Solution - Intravenous, Liquid - Intravenous, Liquid, Kit, Injection, Injection - Intravenous

Rectal Cancer

, 50.0 mg/mL, 0.005 mg/mg, 0.05 mg/mg, 0.04 mg/mg, 20.0 mg/mL, 5.0 %, 1.0 %, 0.5 %, 250.0 mg/mL, 0.01 mg/mg, 0.2 mg/mg, 10.0 mg/mL, 5.0 mg/mg, 125.0 mg/mL, 4.0 %, 100.0 mg/mL

, Intravenous, Injection, solution, Injection, solution - Intravenous, Cream - Topical, Topical, Cream, Solution - Topical, Solution, Solution - Intravenous, Liquid - Intravenous, Liquid, Kit, Injection, Injection - Intravenous

Colon Cancer

, 50.0 mg/mL, 0.005 mg/mg, 0.05 mg/mg, 0.04 mg/mg, 20.0 mg/mL, 5.0 %, 1.0 %, 0.5 %, 250.0 mg/mL, 0.01 mg/mg, 0.2 mg/mg, 10.0 mg/mL, 5.0 mg/mg, 125.0 mg/mL, 4.0 %, 100.0 mg/mL

, Intravenous, Injection, solution, Injection, solution - Intravenous, Cream - Topical, Topical, Cream, Solution - Topical, Solution, Solution - Intravenous, Liquid - Intravenous, Liquid, Kit, Injection, Injection - Intravenous

Pancreatic Cancer

, 50.0 mg/mL, 0.005 mg/mg, 0.05 mg/mg, 0.04 mg/mg, 20.0 mg/mL, 5.0 %, 1.0 %, 0.5 %, 250.0 mg/mL, 0.01 mg/mg, 0.2 mg/mg, 10.0 mg/mL, 5.0 mg/mg, 125.0 mg/mL, 4.0 %, 100.0 mg/mL

, Intravenous, Injection, solution, Injection, solution - Intravenous, Cream - Topical, Topical, Cream, Solution - Topical, Solution, Solution - Intravenous, Liquid - Intravenous, Liquid, Kit, Injection, Injection - Intravenous

Warnings

Carac Contraindications

Condition

Risk Level

Notes

Pulse Frequency

Do Not Combine

There are 20 known major drug interactions with Carac.

Common Carac Drug Interactions

Drug Name

Risk Level

Description

2-Methoxyethanol

Major

The risk or severity of adverse effects can be increased when Fluorouracil is combined with 2-Methoxyethanol.

9-(N-methyl-L-isoleucine)-cyclosporin A

Major

The risk or severity of adverse effects can be increased when Fluorouracil is combined with 9-(N-methyl-L-isoleucine)-cyclosporin A.

Abetimus

Major

The risk or severity of adverse effects can be increased when Fluorouracil is combined with Abetimus.

Acenocoumarol

Major

The metabolism of Acenocoumarol can be decreased when combined with Fluorouracil.

Acteoside

Major

The risk or severity of adverse effects can be increased when Fluorouracil is combined with Acteoside.

Carac Toxicity & Overdose Risk

No tests have been conducted to determine the effects of long-term exposure to allantoin. Moreover, studies indicate that animals who were given allantoin did not develop significantly more tumors than those who were not treated. Because allantoin is found naturally in humans and considered safe, no additional tests are needed to evaluate toxicity, mutagenicity, or carcinogenicity.

Carac Novel Uses: Which Conditions Have a Clinical Trial Featuring Carac?

Seventeen active clinical trials are presently evaluating the potential of Carac to address Skin, Dental cleaning and Scarring conditions.

Condition

Clinical Trials

Trial Phases

Pancreatic Cancer

169 Actively Recruiting

Phase 2, Phase 3, Not Applicable, Phase 1, Early Phase 1, Phase 4

Stomach Cancer

171 Actively Recruiting

Phase 2, Phase 3, Phase 4, Phase 1, Not Applicable, Early Phase 1

Rectal Cancer

43 Actively Recruiting

Phase 3, Phase 2, Not Applicable, Phase 1

Colon Cancer

52 Actively Recruiting

Not Applicable, Phase 1, Phase 2

Breast Cancer

19 Actively Recruiting

Phase 2, Phase 1, Not Applicable

Actinic keratosis

0 Actively Recruiting

Carcinoma, Basal Cell

0 Actively Recruiting

Warts

0 Actively Recruiting

Actinic Keratosis

8 Actively Recruiting

Not Applicable, Phase 2, Phase 3, Phase 1, Phase 4

Carac Reviews: What are patients saying about Carac?

5

Patient Review

3/23/2015

Carac for Superficial Basal Cell Carcinoma of the Skin

I had great results using carac on my forehead and nose. The only downside was that it felt like a bad sunburn, but that went away after two weeks. My skin feels softer now and I'm reassured knowing that many precancerous spots are gone.

5

Patient Review

4/13/2016

Carac for Superficial Basal Cell Carcinoma of the Skin

The Carac cream really helped me. It was a bit aggressive at first, but it worked wonders.

5

Patient Review

11/12/2017

Carac for Superficial Basal Cell Carcinoma of the Skin

I've done this treatment three times over the years, and each time it's been incredibly effective. The side effects are tough to deal with but manageable, and the itching is awful. I don't use any moisturizer during the treatment as it seems to lessen the effectiveness of the drug. It's definitely worth it in the end though.

5

Patient Review

8/6/2014

Carac for Superficial Basal Cell Carcinoma of the Skin

Carac has been great at removing my skin cancers. The rashes it causes are unfortunately a bit of an annoyance, but they eventually clear up.

5

Patient Review

6/8/2013

Carac for Superficial Basal Cell Carcinoma of the Skin

This treatment is vastly superior to other options, like surgery.

4.7

Patient Review

9/16/2016

Carac for Roughened Red Patches of Skin due to Sun Exposure

I've been using this to treat pre-cancer on my scalp, and it's done a great job so far. The crusting and flaking has decreased by at least 50%, and there's very little redness or burning. I would caution people to make sure they cover the entire area when applying it, though.

4

Patient Review

1/30/2017

Carac for Roughened Red Patches of Skin due to Sun Exposure

I've had to have surgery a few times, but I've found that an annual treatment of Carac is much more tolerable. It usually takes two to three weeks for the cream to work on problem areas, but it's better than waiting for something worse to happen. The side effects are unpleasant but manageable.

3.3

Patient Review

2/17/2015

Carac for Superficial Basal Cell Carcinoma of the Skin

Carac was working well for the pre-cancerous lesions on my chest, but the side effects were unbearable. I couldn't make it more than five days before giving up.

3

Patient Review

1/1/2018

Carac for Roughened Red Patches of Skin due to Sun Exposure

This treatment effectively removed many precancerous spots from my face; however, I immediately began to lose large amounts of hair. Two months later, I have several bald spots and very thin hair. This is a rare side effect of the medication, and unfortunately it has had a drastic impact on my appearance.

2.3

Patient Review

12/21/2015

Carac for Superficial Basal Cell Carcinoma of the Skin

I haven't used this long enough to have a strong opinion either way.
image of drug pills surrounding a glass of water symbolizing drug consumption

Patient Q&A Section about carac

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Is Carac cream chemotherapy?

"Efudex and Carac creams for chemotherapy contain the active ingredient fluorouracil (5-FU). This ingredient stops abnormal cell growth, making the creams effective for treating skin cancers and precancerous lesions."

Answered by AI

How long does it take Carac cream to work?

"There is no need to increase the frequency of application of Carac Cream when extending the duration of treatment from 2 to 4 weeks, as local irritation is not markedly increased. Any irritation that does occur is generally resolved within 2 weeks of stopping treatment."

Answered by AI

What is Carac cream used for?

"This medication is used on the skin to treat pre-cancerous and cancerous skin growths. Fluorouracil is an anti-metabolite medication. It works by blocking the growth of abnormal cells that cause the skin condition."

Answered by AI

Is Carac cream the same as fluorouracil?

"Carac is a dermatologic cream that contains fluorouracil, a pyrimidine compound. The molecular formula for fluorouracil is C4H3FN2O2 and the molecule has a mass of 130.08 daltons."

Answered by AI

Clinical Trials for Carac

Image of HealthPartners Frauenshuh Cancer Research Center in Saint Louis Park, United States.

Axelopran for Cancer

18+
All Sexes
Saint Louis Park, MN

The primary objective of this single arm, open label, phase II trial is to determine if axelopran use impacts cancer control in patients with advanced cancers of the lung, breast, pancreas, and prostate. The primary study period for assessing the primary aim is through day 43 (6 weeks). The main questions it aims to answer are: * Does axelopran show a signal for efficacy in slowing tumor progression? * Is axelopran safe and tolerable for long-term use in this patient population? * Does axelopran show a signal for efficacy in improving bowel function and quality of life? * Does axelopran show a signal for efficacy in reducing systemic inflammation, cachexia, and prognostic serum biomarkers of inflammation? Patients will take axelopran as monotherapy after relapse or progression on or after standard systemic therapy. Clinician and patient must be willing to attempt a delay in next line of systemic cancer therapy (if available) until day 43 to assess change in cancer status on repeat imaging. Clinician can move to the next line of therapy whenever deemed clinically necessary. Participants will: * take oral axelopran capsules daily for up to 1 year, or longer if deriving benefit * attend 10 in-person study visits, each lasting approximately 1-2 hours * complete study procedures including but not limited to imaging exams, blood draws, electronic health surveys, and physical assessments

Phase 2
Waitlist Available

HealthPartners Frauenshuh Cancer Research Center (+1 Sites)

Dylan Zylla, MD, MS

Glycyx MOR Inc.

Image of Hoag Memorial Hospital Presbyterian in Newport Beach, United States.

DZ-002 for Pancreatic Cancer

18+
All Sexes
Newport Beach, CA

The goal of this clinical trial is to learn if drug DZ-002 works to treat adults with metastatic pancreatic adenocarcinoma. It will also learn about the safety of drug DZ-002. The main questions it aims to answer are: * To determine the appropriate dose of DZ-002; and * To assess the safety and efficacy of DZ-002. Participants will receive one of three different doses of the study drug through an IV over a 4-hour period on Days 1, 8, 15, and 22 of a 4-week period, or cycle. During the study, participants will have regular visits to the study clinic and multiple tests for safety and research purposes, including blood tests, along with other tests and scans. Participants will receive the study drug weekly in 4-week (28-day cycles) until there are side effects that cannot be tolerated, there is disease-worsening, or the researchers decide to stop. A post-treatment visit and a 30-day post-treatment follow up visit will be conducted after the last dose of study drug. Risks of DZ-002 include nausea, vomiting, diarrhea, chills, low levels of red blood cells, low levels of platelets, fatigue, skin rash, low blood pressure, and feeling unwell.

Phase 2
Waitlist Available

Hoag Memorial Hospital Presbyterian

Carlos Becerra, MD

Da Zen Theranostics Inc

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Image of NEXT Dallas in Dallas, United States.

JMT108 for Cancer

18+
All Sexes
Dallas, TX

The goal of this clinical trial is to test JMT108, a type of drug called a bispecific antibody in adult patients with locally advanced or metastatic solid tumors. The main questions it aims to answer are: * To assess the safety and tolerability of JMT108 at increasing doses and determine the dose and schedule to be used in the second part of the study (Phase 1a) * To assess effectiveness of JMT108 in participants with locally advanced or metastatic tumors (Phase 1b) * To evaluate how quickly JMT108 is metabolized by the body (pharmacokinetics or PK) * To evaluate if antibodies to the study drug develop (immunogenicity) * To evaluate preliminary efficacy to the drug * To explore the pharmacodynamic (PD) characteristics of JMT108 * To explore the correlation between biomarker levels and preliminary efficacy Participants will: * Provide written informed consent * Undergo screening tests to ensure they are eligible for study treatment * Attend all required study visits and receive JMT108 by intravenous injection every 2 weeks until the study doctor determines study treatment should be stopped, based on how well a participant is doing on treatment * Be followed for progression every 3 months for up to 2 years

Phase 1
Recruiting

NEXT Dallas (+2 Sites)

Conjupro Biotherapeutics, Inc.

Image of University of Colorado Cancer Center in Aurora, United States.

Brachytherapy for Rectal Cancer

18 - 100
All Sexes
Aurora, CO

Rectal cancer patients who do not achieve a complete response to standard of care chemotherapy and radiation often require surgical resection as part of curative intent therapy. This study will evaluate whether additional "focal" radiation delivered internally (rectal brachytherapy) can provide complete responses and thus spare the requirement for surgery. The main questions are whether: 1) rectal brachytherapy is safe in this clinical treatment paradigm and if 2) rectal brachytherapy improves organ preservation (no need for surgery). The trial involves an additional MRI pelvis and sigmoidoscopy with marker placement to define high-risk residual disease for radiation planning. Subsequently, 3 outpatient brachytherapy treatments are given on a weekly basis. If a patient achieves a complete response to brachytherapy, standard of care non-operative surveillance visits are conducted with study visits aligned during the first two years following brachytherapy.

Phase 2
Waitlist Available

University of Colorado Cancer Center (+2 Sites)

David Binder

Image of Washington University School of Medicine in St Louis, United States.

Supplemental Imaging for Breast Cancer

25 - 55
Female
St Louis, MO

Recent research has shown that, among women with extremely dense breasts and normal results on mammogram, magnetic resonance imaging (MRI) use has significantly reduced the occurrence of breast cancer that is diagnosed during the time between two regular screening mammograms (also known as interval cancers). The investigators have developed and validated an approach to use the whole mammogram image, develop a mammogram risk score (MRS), and calibrate this to the SEER breast cancer incidence rates for US women. This model (Prognosia Breast) generates an absolute 5-year risk of breast cancer and classifies approximately 5.7% of the population as high risk using the ASCO 3% cut point as used for endocrine therapy to reduce risk. Follow-up generates an incidence of 25.2 cases per 1,000 women per year.

Waitlist Available
Has No Placebo

Washington University School of Medicine

Tabassum Ahmad, M.D.

Have you considered Carac clinical trials?

We made a collection of clinical trials featuring Carac, we think they might fit your search criteria.
Go to Trials

Have you considered Carac clinical trials?

We made a collection of clinical trials featuring Carac, we think they might fit your search criteria.
Go to Trials