Article
CYP2A6 and the plasma level of 5-chloro-2, 4-dihydroxypyridine are determinants of the pharmacokinetic variability of tegafur and 5-fluorouracil, respectively, in Japanese patients with cancer given S-1.
Cancer science - 1 May 2008
Fujita Ken-ichi, Yamamoto Wataru, Endo Shoji, Endo Hisashi, Nagashima Fumio, Ichikawa Wataru, Tanaka Ryuhei, Miya Toshimichi, Araki Kazuhiro, Kodama Keiji, Sunakawa Yu, Narabayashi Masaru, Miwa Keisuke, Ando Yuichi, Akiyama Yuko, Kawara Kaori, Kamataki Tetsuya, Sasaki Yasutsuna
Abstract excerpt
S-1 is an oral anticancer agent composed of tegafur (FT), 5-chloro-2,4-dihydroxypyridine (CDHP), and potassium oxonate. CDHP is added to prevent degradation of 5-fluorouracil (5-FU) by inhibiting dihydropyrimidine dehydrogenase. CYP2A6 is involved in the biotransformation of FT to 5-FU. Thus, we prospectively analyzed the effects of the CYP2A6 genotype, plasma level of CDHP, and patient characteristics on the...
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