Multitargeted antifolate; inhibits thymidylate synthase as well as other folate dependent enzymes. Prepn: E. C. Taylor et al., EP 432677; idem, US 5344932 (1991, 1994 both to Trustees Princeton Univ.); idem et al., J. Med. Chem. 35, 4450 (1992). Profile of enzyme inhibition: C. Shih et al., Adv. Enzyme Regul. 38, 135 (1998). HPLC determn in plasma: C. L. Hamilton, J. A. Kirkwood, J. Chromatogr. B 654, 297 (1994). Clinical pharmacokinetics in cancer patients: A. C. McDonald et al., Clin. Cancer Res. 4, 605 (1998). Clinical evaluation in colorectal carcinoma: W. John et al., Cancer 88, 1807 (2000); in pancreatic cancer: K. D. Miller et al., Ann. Oncol. 11, 101 (2000).
Antineoplastic.
Antineoplastic; Antimetabolites; Folic Acid Analogs/Antagonists