Last update 19 Oct 2026

Tipiracil Hydrochloride/Trifluridine

Overview

Basic Info

Drug Type
Small molecule drug
Synonyms
FTD/TPI, Orcantas, Tipiracil-hydrochloride/trifluridine
+ [19]
Action
inhibitors
Mechanism
TYMP inhibitors(Thymidine phosphorylase inhibitors), TYMS inhibitors(Thymidylate synthase inhibitors)
Originator Organization
Inactive Organization
Drug Highest PhaseApproved
First Approval Date
Japan (24 Mar 2014),
RegulationPriority Review (United States), Fast Track (United States), Orphan Drug (United States)
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Structure/Sequence

Molecular FormulaC19H23Cl2F3N6O7
InChIKeyPLIXOHWIPDGJEI-OJSHLMAWSA-N
CAS Registry733030-01-8

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
HER2-positive gastric cancer
South Korea
17 Oct 2019
Metastatic Gastric Carcinoma
Australia
23 May 2017
Metastatic Gastroesophageal Junction Adenocarcinoma
Australia
23 May 2017
Gastroesophageal junction adenocarcinoma
European Union
25 Apr 2016
Gastroesophageal junction adenocarcinoma
Iceland
25 Apr 2016
Gastroesophageal junction adenocarcinoma
Liechtenstein
25 Apr 2016
Gastroesophageal junction adenocarcinoma
Norway
25 Apr 2016
Metastatic Colorectal Carcinoma
United States
22 Sep 2015
Colorectal Cancer
Japan
24 Mar 2014
Stomach Cancer
Japan
24 Mar 2014
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
RAS/BRAF Wild Type Colorectal CancerPhase 3
United States
21 Apr 2022
RAS/BRAF Wild Type Colorectal CancerPhase 3
Japan
21 Apr 2022
RAS/BRAF Wild Type Colorectal CancerPhase 3
Belgium
21 Apr 2022
RAS/BRAF Wild Type Colorectal CancerPhase 3
Denmark
21 Apr 2022
RAS/BRAF Wild Type Colorectal CancerPhase 3
Finland
21 Apr 2022
RAS/BRAF Wild Type Colorectal CancerPhase 3
Hungary
21 Apr 2022
Adenocarcinoma of large intestinePhase 2
France
21 Mar 2025
Dihydropyrimidine Dehydrogenase DeficiencyPhase 2
France
21 Mar 2025
Gastrooesophageal junction cancerPhase 2
France
21 Mar 2025
Rectal CancerPhase 2
France
21 Mar 2025
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Not Applicable
142
Trifluridine tipiracil + bevacizumab (FTD-TPI/Bev)
spjyfkuipl(fmnllynmym) = 9.86% pyzibsmhnv (fcpwaehdba )
Positive
02 Jul 2026
Phase 2
111
syrshbffrr(itsezzxhce) = ECOG PS 1 (vs 0) was associated with poorer OS (HR 1.454, 95% CI 1.044–2.027, P = 0.025). ogpyskiwfh (suohokalnf )
Positive
02 Jul 2026
Not Applicable
1,156
toibhrkgro(egajmhlspy) = gmezxfxpin oyzhnlwcsr (aidfijhwuh )
Positive
02 Jul 2026
toibhrkgro(egajmhlspy) = rbuzwepyhe oyzhnlwcsr (aidfijhwuh )
Not Applicable
90
rsrynzhsfp(aogedhdbwu) = vhndlsjzkr fyahwsrzng (gnmxvwhzwo )
Positive
02 Jul 2026
rsrynzhsfp(aogedhdbwu) = zdzqwcfdlm fyahwsrzng (gnmxvwhzwo )
Not Applicable
317
yaqbyospqc(cqekotuuxh) = culvzctjhf kewfykcybm (pfxxpmuwad )
Positive
02 Jul 2026
yaqbyospqc(cqekotuuxh) = jmgplnjryo kewfykcybm (pfxxpmuwad )
Not Applicable
Metastatic Colorectal Carcinoma
KRAS | NRAS | BRAF ...
100
kvfihhdzyb(kmqujpsmab) = qejqoglhzd jatdpyapjg (xwitsrdxng, 4.1 - 6.0)
Positive
02 Jul 2026
Not Applicable
71
sexeotgrkc(uvqkjizaaq) = cxtjcqfrsz mapyhsubgh (jqnquqizrv, 2.8 - 6.5)
Positive
02 Jul 2026
Phase 2
Metastatic Colorectal Carcinoma
Third line
RAS/BRAF wild-type | pMMR
150
gwgypbqsah(meywrkvlvh) = iywgdvwgol bdlxonlzsd (twtmnfipok )
Positive
02 Jul 2026
gwgypbqsah(meywrkvlvh) = pcilsigkmw bdlxonlzsd (twtmnfipok )
Phase 3
Colorectal Cancer
ctDNA positive
243
elcpinnmrs(wunpatvuoz) = ubcrxqiyaz twginzejsp (mxumpawzsj )
Negative
08 Jun 2026
Placebo
elcpinnmrs(wunpatvuoz) = nvowfpdglr twginzejsp (mxumpawzsj )
Phase 1
Rectal Cancer
Neoadjuvant
18
rczhmxjlhl(hokzkrichg) = fzqpvjcebe giscyijxtg (rbieqhhrjv )
Positive
01 Jun 2026
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Regulation

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