Details of the Drug

General Information of Drug (ID: DM04LR2)

• Drug Name: Floxuridine
• Synonyms: floxuridine; 50-91-9; 2'-Deoxy-5-fluorouridine; 5-Fluorodeoxyuridine; Fluorodeoxyuridine; Floxuridin; FUDR; Fluoruridine deoxyribose; Deoxyfluorouridine; 5-Fluoro-2'-deoxyuridine; FdUrd; Floxuridinum; Floxiridina; 5FdU; 5-fluoro-1-((2r,4s,5r)-4-hydroxy-5-(hydroxymethyl)tetrahydrofuran-2-yl)pyrimidine-2,4(1h,3h)-dione; 5-Fluoro-2-desoxyuridine; 5 Fluorodeoxyuridine; Floxuridinum [INN-Latin]; FDUR; Floxiridina [INN-Spanish]; beta-5-Fluoro-2'-deoxyuridine; 5-Fluoro-2-deoxyuridine; 5-FdUrd; 5-Fluorouracil deoxyriboside; Sterile fudr (TN); Floxuridine/5-fluorouracil

Indication

Disease Entry	ICD 11	Status	REF
Colorectal cancer	2B91.Z	Approved	[1]
Liver cancer	2C12	Approved	[2]
Solid tumour/cancer	2A00-2F9Z	Approved	[3]
Colon cancer	2B90.Z	Investigative	[2]
Gastric cancer	2B72	Investigative	[2]

• Drug Type: Small molecular drug
• #Ro5 Violations (Lipinski): 0:
  Molecular Weight (mw); 246.19
  Logarithm of the Partition Coefficient (xlogp); -1.2
  Rotatable Bond Count (rotbonds); 2
  Hydrogen Bond Donor Count (hbonddonor); 3
  Hydrogen Bond Acceptor Count (hbondacc); 6
• ADMET Property:
  Bioavailability: 90% of drug becomes completely available to its intended biological destination(s) [4]
  Metabolism: The drug is metabolized via the hepatic []
• Chemical Identifiers:
  Formula: C9H11FN2O5
  IUPAC Name: 5-fluoro-1-[(2R,4S,5R)-4-hydroxy-5-(hydroxymethyl)oxolan-2-yl]pyrimidine-2,4-dione
  Canonical SMILES: C1[C@@H]([C@H](O[C@H]1N2C=C(C(=O)NC2=O)F)CO)O
  InChI: InChI=1S/C9H11FN2O5/c10-4-2-12(9(16)11-8(4)15)7-1-5(14)6(3-13)17-7/h2,5-7,13-14H,1,3H2,(H,11,15,16)/t5-,6+,7+/m0/s1
  InChIKey: ODKNJVUHOIMIIZ-RRKCRQDMSA-N
• Cross-matching ID:
  PubChem CID: 5790
  ChEBI ID: CHEBI:60761
  CAS Number: 50-91-9
  DrugBank ID: DB00322
  TTD ID: D0TS1Z
  VARIDT ID: DR00682
  INTEDE ID: DR1754
• Repurposed Drugs (RPD): Click to Jump to the Detailed RPD Information of This Drug

Molecular Interaction Atlas of This Drug

Drug Therapeutic Target (DTT)

DTT Name	DTT ID	UniProt ID	MOA	REF
Candida Thymidylate synthase (Candi TMP1)	TTU6BFZ	TYSY_CANAL	Inhibitor	[5]

Drug-Metabolizing Enzyme (DME)

DME Name	DME ID	UniProt ID	MOA	REF
Thymidine phosphorylase (TYMP) Main DME	DE4HCYL	TYPH_HUMAN	Substrate	[6]

Drug Off-Target (DOT)

DOT Name	DOT ID	UniProt ID	Interaction	REF
C-1-tetrahydrofolate synthase, cytoplasmic (MTHFD1)	OTMKHVWC	C1TC_HUMAN	Drug Response	[7]
Cellular tumor antigen p53 (TP53)	OTIE1VH3	P53_HUMAN	Gene/Protein Processing	[8]
Complement component 1 Q subcomponent-binding protein, mitochondrial (C1QBP)	OTPYQX3K	C1QBP_HUMAN	Drug Response	[9]
Dihydrofolate reductase (DHFR)	OT3DVIGM	DYR_HUMAN	Drug Response	[7]
DNA mismatch repair protein Mlh1 (MLH1)	OTG5XDD8	MLH1_HUMAN	Drug Response	[10]
DNA mismatch repair protein Msh2 (MSH2)	OT10H1AB	MSH2_HUMAN	Drug Response	[10]
DNA repair nuclease/redox regulator APEX1 (APEX1)	OT53OI14	APEX1_HUMAN	Drug Response	[11]
DNA repair protein XRCC1	OTWRV4S2	XRCC1_HUMAN	Drug Response	[12]
DNA repair protein XRCC4	OT4SXOIZ	XRCC4_HUMAN	Drug Response	[13]
Folate receptor alpha (FOLR1)	OT0QZ0H6	FOLR1_HUMAN	Drug Response	[7]

Drug-Drug Interaction (DDI) Information of This Drug

Coadministration of a Drug Treating the Disease Different from Floxuridine (Comorbidity)

DDI Drug Name	DDI Drug ID	Severity	Mechanism	Comorbidity	REF
Roflumilast	DMPGHY8	Moderate	Additive immunosuppressive effects by the combination of Floxuridine and Roflumilast.	Asthma [CA23]	[14]
Ofloxacin	DM0VQN3	Minor	Decreased absorption of Floxuridine due to intestinal mucosa variation caused by Ofloxacin.	Bacterial infection [1A00-1C4Z]	[15]
Ciprofloxacin XR	DM2NLS9	Minor	Decreased absorption of Floxuridine due to intestinal mucosa variation caused by Ciprofloxacin XR.	Bacterial infection [1A00-1C4Z]	[15]
Trovafloxacin	DM6AN32	Minor	Decreased absorption of Floxuridine due to intestinal mucosa variation caused by Trovafloxacin.	Bacterial infection [1A00-1C4Z]	[15]
Sparfloxacin	DMB4HCT	Minor	Decreased absorption of Floxuridine due to intestinal mucosa variation caused by Sparfloxacin.	Bacterial infection [1A00-1C4Z]	[15]
Gemifloxacin	DMHT34O	Minor	Decreased absorption of Floxuridine due to intestinal mucosa variation caused by Gemifloxacin.	Bacterial infection [1A00-1C4Z]	[15]
Norfloxacin	DMIZ6W2	Minor	Decreased absorption of Floxuridine due to intestinal mucosa variation caused by Norfloxacin.	Bacterial infection [1A00-1C4Z]	[15]
ABT-492	DMJFD2I	Minor	Decreased absorption of Floxuridine due to intestinal mucosa variation caused by ABT-492.	Bacterial infection [1A00-1C4Z]	[15]
Levofloxacin	DMS60RB	Minor	Decreased absorption of Floxuridine due to intestinal mucosa variation caused by Levofloxacin.	Bacterial infection [1A00-1C4Z]	[15]
Lomefloxacin	DMVRH9C	Minor	Decreased absorption of Floxuridine due to intestinal mucosa variation caused by Lomefloxacin.	Bacterial infection [1A00-1C4Z]	[15]
Grepafloxacin	DMGLX0T	Minor	Decreased absorption of Floxuridine due to intestinal mucosa variation caused by Grepafloxacin.	Bronchitis [CA20]	[15]
Teriflunomide	DMQ2FKJ	Major	Additive immunosuppressive effects by the combination of Floxuridine and Teriflunomide.	Hyper-lipoproteinaemia [5C80]	[16]
Denosumab	DMNI0KO	Moderate	Additive immunosuppressive effects by the combination of Floxuridine and Denosumab.	Low bone mass disorder [FB83]	[17]
Thalidomide	DM70BU5	Major	Additive thrombogenic effects by the combination of Floxuridine and Thalidomide.	Multiple myeloma [2A83]	[18]
Tecfidera	DM2OVDT	Moderate	Additive immunosuppressive effects by the combination of Floxuridine and Tecfidera.	Multiple sclerosis [8A40]	[19]
Siponimod	DM2R86O	Major	Additive immunosuppressive effects by the combination of Floxuridine and Siponimod.	Multiple sclerosis [8A40]	[20]
Fingolimod	DM5JVAN	Major	Additive immunosuppressive effects by the combination of Floxuridine and Fingolimod.	Multiple sclerosis [8A40]	[21]
Ocrelizumab	DMEZ2KH	Moderate	Additive immunosuppressive effects by the combination of Floxuridine and Ocrelizumab.	Multiple sclerosis [8A40]	[22]
Ozanimod	DMT6AM2	Major	Additive immunosuppressive effects by the combination of Floxuridine and Ozanimod.	Multiple sclerosis [8A40]	[14]
Omacetaxine mepesuccinate	DMPU2WX	Moderate	Additive myelosuppressive effects by the combination of Floxuridine and Omacetaxine mepesuccinate.	Myeloproliferative neoplasm [2A20]	[23]
Gatifloxacin	DMSL679	Minor	Decreased absorption of Floxuridine due to intestinal mucosa variation caused by Gatifloxacin.	Respiratory infection [CA07-CA4Z]	[15]
Canakinumab	DM8HLO5	Moderate	Additive immunosuppressive effects by the combination of Floxuridine and Canakinumab.	Rheumatoid arthritis [FA20]	[24]
Rilonacept	DMGLUQS	Moderate	Additive immunosuppressive effects by the combination of Floxuridine and Rilonacept.	Rheumatoid arthritis [FA20]	[24]
Golimumab	DMHZV7X	Major	Additive immunosuppressive effects by the combination of Floxuridine and Golimumab.	Rheumatoid arthritis [FA20]	[25]
Leflunomide	DMR8ONJ	Major	Additive immunosuppressive effects by the combination of Floxuridine and Leflunomide.	Rheumatoid arthritis [FA20]	[16]
Anthrax vaccine	DM9GSWY	Moderate	Antagonize the effect of Floxuridine when combined with Anthrax vaccine.	Sepsis [1G40-1G41]	[26]
Azathioprine	DMMZSXQ	Moderate	Additive myelosuppressive effects by the combination of Floxuridine and Azathioprine.	Transplant rejection [NE84]	[20]
Cinoxacin	DM4EWNS	Minor	Decreased absorption of Floxuridine due to intestinal mucosa variation caused by Cinoxacin.	Urinary tract infection [GC08]	[15]
Nalidixic acid	DMRM0JV	Minor	Decreased absorption of Floxuridine due to intestinal mucosa variation caused by Nalidixic acid.	Urinary tract infection [GC08]	[15]
Enoxacin	DMYTE6L	Minor	Decreased absorption of Floxuridine due to intestinal mucosa variation caused by Enoxacin.	Urinary tract infection [GC08]	[15]
Ganciclovir	DM1MBYQ	Moderate	Additive myelosuppressive effects by the combination of Floxuridine and Ganciclovir.	Virus infection [1A24-1D9Z]	[20]
Valganciclovir	DMS2IUH	Moderate	Additive myelosuppressive effects by the combination of Floxuridine and Valganciclovir.	Virus infection [1A24-1D9Z]	[20]

References

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• [2] Floxuridine FDA Label
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