Improving fluorouracil chemotherapy with novel orally administered fluoropyrimidines

During the 40 years since the initial synthesis of fluorouracil, there have been many attempts to improve fluoropyrimidine chemotherapy. These have in cluded the utilisation of different schedules of fluorouracil administratio n, modulation of the metabolism of fluorouracil with other drugs to increas e its therapeutic benefit, and the synthesis of prodrugs of fluorouracil th at are potentially more effective and less toxic. Of particular interest at present is the clinical evaluation of several new fluoropyrimidine drugs t hat can be orally administered. These include capecitabine, tegafur/uracil (UFT(R)), eniluracil (GW-776C85; 5-ethynyl-uracil), S-l, and emitefur (BOF- A2). The pharmacological principles that have influenced the development of these new drugs are initially presented. This is followed by a review of o ur current knowledge of the clinical pharmacology of each of these new agen ts, focusing on antitumour activity and toxicity from studies conducted in the US. Studies of capecitabine, tegafur/uracil, and early studies with eni luracil indicate that these drugs have at least similar activity to protrac ted fluorouracil infusion but with additional quality-of-life and economic benefits.