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Fluorouracil

Generic Name
Fluorouracil
Brand Names
Actikerall, Carac, Efudex, Fluoroplex, Tolak
Drug Type
Small Molecule
Chemical Formula
C4H3FN2O2
CAS Number
51-21-8
Unique Ingredient Identifier
U3P01618RT

Overview

A pyrimidine analog that is an antineoplastic antimetabolite. It interferes with DNA synthesis by blocking the thymidylate synthetase conversion of deoxyuridylic acid to thymidylic acid.

Indication

For the topical treatment of multiple actinic or solar keratoses. In the 5% strength it is also useful in the treatment of superficial basal cell carcinomas when conventional methods are impractical, such as with multiple lesions or difficult treatment sites. Fluorouracil injection is indicated in the palliative management of some types of cancer, including colon, esophageal, gastric, rectum, breast, biliary tract, stomach, head and neck, cervical, pancreas, renal cell, and carcinoid.

Associated Conditions

  • Actinic Keratosis (AK)
  • Breast Cancer
  • Colon Cancer
  • Gastric Cancer
  • Pancreatic Cancer
  • Rectal Cancer
  • Superficial Basal Cell Carcinoma
  • Verruca (Warts)
  • Hyperkeratotic actinic keratosis

Clinical Trials

Title
Posted
Study ID
Phase
Status
Sponsor
2025/07/31
Not Applicable
Not yet recruiting
2025/07/31
Not Applicable
Not yet recruiting
2025/07/22
Not Applicable
Not yet recruiting
2025/07/17
Not Applicable
Recruiting
2025/07/17
Not Applicable
Not yet recruiting
2025/07/09
Not Applicable
Recruiting
Zhejiang Doer Biologics Co., Ltd.
2025/06/29
Not Applicable
Not yet recruiting
2025/06/27
Not Applicable
Not yet recruiting
2025/06/19
Phase 2
Not yet recruiting
GERCOR - Multidisciplinary Oncology Cooperative Group
2025/06/17
Phase 1
Recruiting

FDA Drug Approvals

Approved Product
Manufacturer
NDC Code
Route
Strength
Effective Date
Encube Ethicals Private Limited
21922-041
TOPICAL
50 mg in 1 mL
11/7/2023
BluePoint Laboratories
68001-524
INTRAVENOUS
50 mg in 1 mL
10/27/2023
Taro Pharmaceutical Industries Ltd.
52549-4118
TOPICAL
50 mg in 1 g
8/18/2010
NuCare Pharmaceuticals,Inc.
68071-3489
TOPICAL
50 mg in 1 g
8/24/2023
Mayne Pharma Inc.
51862-362
TOPICAL
50 mg in 1 g
11/4/2021
Bausch Health US, LLC
0187-5200
TOPICAL
5 mg in 1 g
5/17/2021
NuCare Pharmaceuticals,Inc.
68071-2961
TOPICAL
50 mg in 1 g
3/20/2023
Accord Healthcare, Inc.
16729-276
INTRAVENOUS
50 mg in 1 mL
2/23/2017
Mylan Pharmaceuticals Inc.
0378-8078
TOPICAL
5 mg in 1 g
1/15/2019
Fresenius Kabi USA, LLC
63323-117
INTRAVENOUS
50 mg in 1 mL
4/24/2017

EMA Drug Approvals

Approved Product
Authorization Holder
Status
Issued Date
No EMA approvals found for this drug.

HSA Drug Approvals

Approved Product
Manufacturer
Approval Number
Dosage Form
Strength
Approval Date
FLUOROURACIL INJECTION 50 mg/ml
SIN09904P
INJECTION
50 mg/ml
7/23/1998
DBL Fluorouracil Injection BP 50mg/mL
SIN05050P
INJECTION
50 MG/ML
9/6/1990
VERRUMAL SOLUTION
SIN04266P
SOLUTION
0.5 g/100 g
4/30/1990

NMPA Drug Approvals

Approved Product
Company
Approval Number
Drug Type
Dosage Form
Approval Date
No NMPA approvals found for this drug.

PPB Drug Approvals

Approved Product
Registration No.
Company
Licence No.
Strength
Registration Date
No PPB approvals found for this drug.

Health Canada Drug Approvals

Approved Product
Company
DIN
Dosage Form
Strength
Market Date
FLUOROURACIL INJECTION
generic medical partners inc
02476711
Solution - Intravenous
250 MG / 5 ML
N/A
FLUOROURACIL INJECTION
biolyse pharma corporation
02473771
Solution - Intravenous
5 G / 100 ML
6/6/2019
ADRUCIL
02063921
Solution - Intravenous
50 MG / ML
12/31/1995
FLUOROPLEX CREAM 1%
allergan herbert skin care division of allergan inc.
01982311
Cream - Topical
1 %
12/31/1992
FLUOROURACIL INJECTION
generic medical partners inc
02476746
Solution - Intravenous
1000 MG / 20 ML
N/A
ACTIKERALL
02428946
Solution - Topical
0.5 % / W/W
2/19/2016
EFUDEX
bausch health, canada inc.
00330582
Cream - Topical
5 % / W/W
12/31/1975
ADRUCIL INJ 50MG/ML
adria laboratories of canada ltd.
00428493
Liquid - Intravenous
500 MG / 10 ML
12/31/1978
FLUOROURACIL INJ 50MG/ML
david bull laboratories (pty) ltd.
00891754
Liquid - Intravenous
50 MG / ML
12/31/1993
FLUOROURACIL INJECTION USP
02182742
Solution - Intravenous
50 MG / ML
11/25/1998

CIMA AEMPS Drug Approvals

Approved Product
Company
Registration Number
Pharmaceutical Form
Prescription Type
Status
TOLAK 40 MG/G CREMA
Pierre Fabre Iberica S.A.
84849
CREMA
Medicamento Sujeto A Prescripción Médica
Commercialized
FLUOROURACILO ACCORD 50 mg/ml SOLUCION INYECTABLE O PARA PERFUSION EFG
71868
SOLUCIÓN INYECTABLE Y PARA PERFUSIÓN
Uso Hospitalario
Commercialized
ACTIKERALL 5 MG/G + 100 MG/G SOLUCION CUTANEA
77675
SOLUCIÓN CUTÁNEA
Medicamento Sujeto A Prescripción Médica
Commercialized
VERRUCUTAN 5 MG/G + 100 MG/G SOLUCION CUTANEA
Mibe Pharma Espana S.L.
86061
SOLUCIÓN CUTÁNEA
Medicamento Sujeto A Prescripción Médica
Commercialized

Philippines FDA Drug Approvals

Approved Product
Company
License Number
Dosage Form
Strength
Approval Date
No Philippines FDA approvals found for this drug.

Saudi SFDA Drug Approvals

Approved Product
Company
License Number
Dosage Form
Strength
Approval Date
No Saudi SFDA approvals found for this drug.

Malaysia NPRA Drug Approvals

Approved Product
Company
Registration Number
Dosage Form
Strength
Approval Date
No Malaysia NPRA approvals found for this drug.

UK EMC Drug Information

Medicine Name
MA Holder
MA Number
Pharmaceutical Form
Active Ingredient
Authorization Date
No UK EMC drug information found for this drug.

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