Efudex

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

Treatment

1 FDA approval

20 Active Studies for Efudex

What is Efudex

Fluorouracil

The Generic name of this drug

Treatment Summary

Capecitabine is a medicine used to slow or stop the growth of cancer cells. It works by interfering with the ability of cancer cells to make copies of themselves, by blocking the enzyme needed for DNA synthesis.

Efudex

is the brand name

image of different drug pills on a surface

Efudex 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 Efudex Affects Patients

Fluorouracil is a drug used to treat cancer. It works by preventing the body from using certain molecules (the building blocks of DNA) during the cell cycle, which stops cells from growing and dividing. This drug blocks an enzyme needed to make DNA and also prevents the body from creating new DNA.

How Efudex works in the body

Fluorouracil is thought to work by binding to thymidylate synthase, which helps make DNA and RNA. When it binds to this enzyme, it stops the formation of thymidylate, which prevents DNA and RNA from being made. It can also be incorporated into RNA in place of uridine triphosphate, which disrupts RNA processing and protein synthesis. This leads to cell death.

When to interrupt dosage

The suggested measure of Efudex is contingent upon the diagnosed condition, including Actinic Keratosis, Verruca (Warts) and non-immunocompromised. The quantity of dosage shifts, as indicated by the technique of administration (e.g. Solution - Topical or Injection, solution) shown 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

Efudex Contraindications

Condition

Risk Level

Notes

Pulse Frequency

Do Not Combine

There are 20 known major drug interactions with Efudex.

Common Efudex 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.

Efudex Toxicity & Overdose Risk

The lowest toxic dose of this drug in mice has been found to be 230mg/kg when taken orally.

image of a doctor in a lab doing drug, clinical research

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

1138 active clinical trials are presently being conducted to assess the potential of Efudex for the management of Stomach Cancer, Colon Cancer and Rectal Cancer.

Condition

Clinical Trials

Trial Phases

Pancreatic Cancer

168 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

53 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

Efudex Reviews: What are patients saying about Efudex?

5

Patient Review

10/8/2019

Efudex for Roughened Red Patches of Skin due to Sun Exposure

I was apprehensive about this treatment after reading a lot of negative reviews online. I'm glad I didn't let that dissuade me, because it was actually really easy to use and very effective.

5

Patient Review

4/28/2022

Efudex for Roughened Red Patches of Skin due to Sun Exposure

This treatment is very effective, but it is also quite painful. I did my treatment by applying the cream to one arm twice a day for 21 days, and then repeating the process with the other arm. My skin became very red and swollen, and I had to use ice packs to help with the pain. I also took Benadryl at night to relieve the itching so that I could sleep. The results are worth it though; my skin is now baby-smooth, and all of my basal cell carcinomas are gone. During the healing phase, I used Aquafor ointment to help speed up the process

5

Patient Review

7/21/2018

Efudex for Superficial Basal Cell Carcinoma of the Skin

It's crucial to wash the area before using this cream. I found that it speeds up the process and helps with scabbing. Make sure you let the area dry completely before applying the cream.

4

Patient Review

8/20/2019

Efudex for Superficial Basal Cell Carcinoma of the Skin

My dermatologist has a different approach for his patients. Once a week for a month then twice a week for 5 months. Few side effects. I'll finish next week. Dr said none of his patients would use it the other way.

4

Patient Review

5/23/2021

Efudex for Roughened Red Patches of Skin due to Sun Exposure

I experienced a quick reduction of redness, burning, and irritation. So much so that I had to stop after only seven days. My skin began peeling within ten days, but it was worth the temporary discomfort because my face has improved significantly.

3.3

Patient Review

1/21/2020

Efudex for Roughened Red Patches of Skin due to Sun Exposure

I have found that every time I use Efudex, I feel mildly nauseated and my skin gets painfully dry. Doctors keep telling me that this isn't caused by the Efudex, but I'm not so sure.

3

Patient Review

3/28/2022

Efudex for Roughened Red Patches of Skin due to Sun Exposure

I've been using the cream on my upper chest and neck for ten days now. I was expecting some redness and inflammation, but what I wasn't expecting was the watery diarrhea. It's not bloody, but it is very uncomfortable and has been going on for about eight days now. If anyone has any suggestions, I would greatly appreciate them!

2

Patient Review

11/21/2021

Efudex for Roughened Red Patches of Skin due to Sun Exposure

I would rather endure one hundred paper cuts than use this cream again. It was incredibly painful, burning, and caused my skin to bleed and stiffen.
image of drug pills surrounding a glass of water symbolizing drug consumption

Patient Q&A Section about efudex

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

How long does Efudix take to heal?

"The healing process generally takes 1-2 months following the end of treatment. The skin around the treated area may briefly turn red, but should soon return to its normal coloration once treatment ceases."

Answered by AI

What does Efudex do to your skin?

"Fluorouracil is a medication used to treat pre-cancerous and cancerous skin growths. It is classified as an anti-metabolite, which means it inhibits the growth of abnormal cells."

Answered by AI

Does Efudex damage healthy skin?

"The cream shouldn't do any damage to healthy skin. People should keep using it until there's a noticeable inflammatory response from the treated area, which is a good sign that the treatment is working, especially if there's some erosion in the case of pre-malignant conditions. If the treatment is causing severe discomfort, people can try using topical steroid cream to see if that helps."

Answered by AI

How long does it take for Efudix cream to work?

"After a few weeks, your skin will be red, crusty, and uncomfortable. This is what we want to happen. In some cases, it might take longer to get to this stage. The cream can then be stopped, to allow healing."

Answered by AI

Clinical Trials for Efudex

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 Efudex clinical trials?

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

Have you considered Efudex clinical trials?

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