Drugs / Raltitrexed
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Raltitrexed

Small molecule targets TYMS via inhibition

Developed for
colorectal cancer · hepatocellular carcinoma · gastric cancer · rectal cancer · metastasis from malignant tumor of colon · cancer of unknown primary site · colon carcinoma · colorectal carcinoma
+19 more · head and neck squamous cell carcinoma · malignant mesothelioma · rectal carcinoma · bile duct adenoma · childhood acute lymphoblastic leukemia · childhood acute myeloid leukemia · colorectal neoplasm · esophageal cancer · esophageal squamous cell carcinoma · gastroesophageal junction adenocarcinoma · intrahepatic cholangiocarcinoma · malignant colon neoplasm · malignant pancreatic neoplasm · nasopharyngeal carcinoma · neoplasm · peritoneal carcinomatosis · colon adenocarcinoma · metastatic neoplasm · rectum adenocarcinoma
Investigated by
Fudan University · National Cancer Institute (NCI) · Jiangsu Cancer Institute & Hospital · Second Affiliated Hospital, School of Medicine, Zhejiang University · The First Affiliated Hospital of Dalian Medical University · AstraZeneca
+62 more · China Medical University, China · Chinese Academy of Medical Sciences · European Organisation for Research and Treatment of Cancer - EORTC · Gang Wu · Pfizer · The Second Affiliated Hospital of Dalian Medical University · Abramson Cancer Center at Penn Medicine · Affiliated Hospital of Jiangnan University · Anshan Tumor Hospital · BeiGene · Beijing Xisike Clinical Oncology Research Foundation · Benxi Cental Hospital · Centre Georges Francois Leclerc · Centre Hospitalier Universitaire de Besancon · Changzhou Cancer Hospital of Soochow University · Chinese PLA General Hospital · Donghai People's Hospital · First Affiliated Hospital of Wenzhou Medical University · First Affiliated Hospital of Zhejiang University · Fox Chase Cancer Center · General Hospital of Shenyang Military Region · Guangzhou Development District Hospital · Hebei Tumor Hospital · Henan Cancer Hospital · Huai'an First People's Hospital · Hubei Cancer Hospital · IRCCS Azienda Ospedaliero-Universitaria di Bologna · Institut du Cancer de Montpellier - Val d'Aurelle · Jinhua Central Hospital · Liaoning Cancer Hospital & Institute · Medical Research Council · Memorial Sloan Kettering Cancer Center · Meng Qiu · Nanfang Hospital, Southern Medical University · Nanjing BenQ Hospital · Nanjing Chia-tai Tianqing Pharmaceutical · National Cancer Institute, France · Northern Jiangsu People's Hospital · Peking University Cancer Hospital & Institute · People's Hospital of Ganyu · Qilu Hospital of Shandong University · RenJi Hospital · Second Affiliated Hospital of Guangzhou Medical University · Second Affiliated Hospital of Wenzhou Medical University · Shanxi Province Cancer Hospital · Shaoxing People's Hospital · Shengjing Hospital · Shenzhen People's Hospital · The Affiliated Shunde Hospital of Jinan University · The East Hospital of Lianyungang · The First Affiliated Hospital of Nanchang University · The First Affiliated Hospital with Nanjing Medical University · The First People's Hospital of Lianyungang · The People's Hospital of Liaoning Province · The Second Hospital of Nanjing Medical University · The Third Affiliated Hospital of Wenzhou Medical University · Zhejiang Cancer Hospital · Zhejiang University · Zhongnan Hospital · Zhongshan People's Hospital, Guangdong, China · Zhu Xu · Zhujiang Hospital

Trials 62 · started per year

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PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 01 trial
Phase 0 NCT05007587 Jul 2021 → Jun 2022 hepatocellular carcinoma Zhejiang Cancer Hospital Unknown No outcome recorded
Phase 17 trials
Phase 1 NCT07349043 Jan 2026 → Oct 2027 expected colorectal cancer, peritoneal carcinomatosis Second Affiliated Hospital, School of Medicine, Zhejiang University Recruiting No outcome recorded
Phase 1 NCT04761185 Sep 2020 → Dec 2024 colorectal cancer Fudan University Completed No outcome recorded
Phase 1 NCT00003528 Sep 1998 → Jun 2002 childhood acute lymphoblastic leukemia, childhood acute myeloid leukemia National Cancer Institute (NCI) Completed No outcome recorded
Phase 1 NCT00003109 Dec 1997 → Oct 2000 cancer of unknown primary site Fox Chase Cancer Center Completed No outcome recorded
Phase 1 NCT00002902 Apr 1997 → ? cancer of unknown primary site Abramson Cancer Center at Penn Medicine Completed No outcome recorded
Phase 1 NCT00002828 Apr 1995 → Nov 2001 colorectal cancer Memorial Sloan Kettering Cancer Center Completed No outcome recorded
Phase 1 NCT00001341 Sep 1993 → Jun 2001 neoplasm National Cancer Institute (NCI) Completed No outcome recorded
Phase 1/21 trial
Phase 1/2 NCT05426811 Jul 2022 → Jul 2025 colorectal neoplasm China Medical University, China Unknown No outcome recorded
Phase 242 trials
Phase 2 NCT07327788 Dec 2025 → Dec 2027 expected hepatocellular carcinoma, portal vein thrombosis Nanfang Hospital, Southern Medical University Recruiting No outcome recorded
Phase 2 NCT06812039 Jan 2025 → Dec 2026 expected hepatocellular carcinoma Fudan University Recruiting No outcome recorded
Phase 2 NCT06652412 Nov 2024 → Nov 2027 expected colon carcinoma, rectal carcinoma Fudan University Not yet recruiting No outcome recorded
Phase 2 NCT06665087 Nov 2024 → Nov 2027 expected colon carcinoma, rectal cancer Fudan University Not yet recruiting No outcome recorded
Phase 2 NCT06475287 Jul 2024 → Jul 2025 overdue hepatocellular carcinoma Fudan University Not yet recruiting No outcome recorded
Phase 2 NCT06441019 Jul 2024 → May 2025 hepatocellular carcinoma Fudan University Unknown No outcome recorded
Phase 2 NCT06397235 May 2024 → Apr 2027 expected hepatocellular carcinoma Second Affiliated Hospital of Guangzhou Medical University Recruiting No outcome recorded
Phase 2 NCT06423937 May 2024 → Jul 2026 overdue colorectal cancer Fudan University Not yet recruiting No outcome recorded
Phase 2 NCT06427005 Feb 2023 → Aug 2025 — Meng Qiu Unknown No outcome recorded
Phase 2 NCT05628038 Nov 2022 → Dec 2024 overdue rectal carcinoma Fudan University Recruiting No outcome recorded
Phase 2/31 trial
Phase 2/3 NCT00234429 Nov 2003 → Jun 2006 colorectal cancer AstraZeneca Completed No outcome recorded
Phase 35 trials · 1 met primary
Phase 3 NCT05766605 Jan 2023 → Jan 2026 hepatocellular carcinoma Zhujiang Hospital Unknown No outcome recorded
Phase 3 NCT02453490 Oct 2015 → Sep 2018 metastasis from malignant tumor of colon Zhejiang University Terminated No outcome recorded Stop: Enrollment
Phase 3 NCT02485548 Jun 2015 → Jun 2018 head and neck squamous cell carcinoma Jiangsu Cancer Institute & Hospital Unknown No outcome recorded
Phase 3 NCT00004920 Nov 1999 → Jan 2003 malignant mesothelioma European Organisation for Research and Treatment of Cancer - EORTC Completed Met primary
Phase 3 NCT00002893 Jun 1995 → ? colorectal cancer Medical Research Council Unknown No outcome recorded
Phase 44 trials
Phase 4 NCT06118762 Oct 2023 → Oct 2026 expected colorectal cancer The First Affiliated Hospital of Nanchang University Recruiting No outcome recorded
Phase 4 NCT03196843 Sep 2017 → Aug 2020 head and neck squamous cell carcinoma The First Affiliated Hospital of Dalian Medical University Unknown No outcome recorded
Phase 4 NCT02557490 Jan 2015 → Dec 2016 metastasis from malignant tumor of colon Zhu Xu Unknown No outcome recorded
Phase 4 NCT01959061 Sep 2013 → Dec 2017 colorectal cancer Nanjing Chia-tai Tianqing Pharmaceutical Unknown No outcome recorded
Phase not applicable1 trial
— NCT06519578 Aug 2024 → Jul 2026 overdue hepatocellular carcinoma RenJi Hospital Recruiting No outcome recorded
Comparator or background therapy7 trials
Phase 2 NCT06525428 Background Apr 2024 → Dec 2026 expected colorectal cancer Fudan University Recruiting No outcome recorded
Phase 2 NCT06841159 Background Mar 2024 → Mar 2026 overdue colorectal cancer Fudan University Recruiting No outcome recorded
Phase 2 NCT03823079 Background Feb → Sep 2019 colorectal carcinoma, thrombocytopenia Fudan University Unknown No outcome recorded
Phase 2 NCT01703910 Comparator Nov 2012 colon adenocarcinoma, metastatic neoplasm, rectum adenocarcinoma Spanish National Cancer Research Centre Completed No outcome recorded
Phase 2 NCT01481545 Background Dec 2006 → Jul 2011 rectal cancer National Cancer Institute, Naples Completed No outcome recorded

Evidence & citations 9 cited values

Every value below carries the sentence it was read from. 71 sources stand behind the page.

FieldValueCited text
Known as raltitrexed “Second-line standard systemic therapies in cohort B include: FOLFOX/XELOX+ bevacizumab, FOLFOX/XELOX+cetuximab (KRAS/NRAS/BRAF WT),...” NCT06841159 ↗
66

“transarterial chemoembolization (TACE) plus Hepatic Arterial Infusion Chemotherapy (HAIC) with oxaliplatin and raltitrexed for Barcelona stage C hepatocellular carcinoma (HCC)” NCT04597970 ↗

“The ROX regimen was administered via hepatic artery: oxaliplatin , 100mg/m2 , from hour 0 to 4 on day1 ;raltitrexed , 3mg/m2 , from hour 4 to 5 on day 1.” NCT05007587 ↗

“RALOX-based regimen for hepatic arterial infusion chemotherapy: oxaliplatin, 85 mg/m2 infusion for 2 hours; Raltitrexed, 3 mg/m2 infusion for 0.5 hour.” NCT06397235 ↗

“Arterial infusion chemotherapy (THP + oxaliplatin + raltitrexed) and THP combined with lipiodol embolization for 2 times, with an interval of 1 month.” NCT05361161 ↗

“Raltitrexed contained regimen: Raltitrexed 3mg/m2 on day 1; ± Bevacizumab 7.5mg/kg, repeating every 3 weeks; Raltitrexed 2mg/m2 on day 1” NCT03485027 ↗

“The chemotherapy regimen consists of oxaliplatin 85 mg/m² over 2 hours and raltitrexed 2 mg/m² over 1 hour.” NCT06812039 ↗

“TOMOX(Raltitrexed 2 mg/m2, Oxaliplatin 85mg/m2)/ TOMIRI(Raltitrexed 2 mg/m2 ,Irinotecan 120mg/m2)” NCT06423937 ↗

“Then, 50 mg of lobaplatin plus 4 mg of raltitrexed was injected into the vascular artery.” NCT02678806 ↗

“Oxaliplatin 85 mg/m² over 2 to 4 hours, and Raltitrexed 3 mg/m² over 1 to 2 hours” NCT07327788 ↗

“Oxaliplatin(85 mg/m2); Raltitrexed (3 mg/m2) ,continuous infusion for 3 hours.” NCT06239532 ↗

Show 56 more sources

Known as raltitrexed for injection “Drug: raltitrexed for injection” NCT04581876 ↗
Known as Tomudex “We investigated the activity and toxicity of raltitrexed (Tomudex) as a single agent treatment in patients with Malignant Pleural Mesothelioma (MPM) in a multicentre phase II...” PMID 12565988 ↗ Feb 2003
3

“15 min intravenous infusion Raltitrexed (Tomudex ®) 3 mg/m2” NCT02723253 ↗

“ZD1694 (TOMUDEX)” NCT00001341 ↗

NCT00590278 ↗

Known as ZD-16 ChEMBL registry synonym — accepted as the source's own label CHEMBL225071 ↗
Known as ZD1694 ClinicalTrials.gov intervention name — accepted as the source's own label NCT00001341 ↗
Action Inhibit “Thymidylate synthase inhibitor” CHEMBL225071 ↗
1

“directly inhibits TS” NCT00001341 ↗

Modality Small molecule “new quinazolone folate analog” NCT00001341 ↗
Route Intravenous “administered as a 15 minute IV infusion” NCT00001341 ↗
Target TYMS “Thymidylate synthase inhibitor” CHEMBL225071 ↗