Capecitabine

Ovarian Neoplasms, Pancreatic Endocrine Carcinoma, refractory peritoneal cancer + 8 more

Treatment

8 FDA approvals

20 Active Studies for Capecitabine

What is Capecitabine

Capecitabine

The Generic name of this drug

Treatment Summary

Capecitabine is a chemotherapy pill that is used to treat metastatic breast and colorectal cancers. It works by entering the tumor and being converted into an anti-metabolite called fluorouracil, which stops the growth of cancer cells by stopping the production of DNA.

Xeloda

is the brand name

image of different drug pills on a surface

Capecitabine Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Xeloda

Capecitabine

1998

61

Approved as Treatment by the FDA

Capecitabine, otherwise known as Xeloda, is approved by the FDA for 8 uses including refractory, metastatic Colorectal carcinoma and Duke's C Colon cancer .

refractory, metastatic Colorectal carcinoma

Used to treat refractory, metastatic Colorectal carcinoma in combination with Oxaliplatin

Duke's C Colon cancer

Metastatic Colorectal Carcinoma

Metastatic Breast Cancer

Used to treat Metastatic Breast Cancer in combination with Docetaxel

Colorectal Carcinoma

Used to treat refractory, metastatic Colorectal carcinoma in combination with Oxaliplatin

Colorectal Neoplasms

Colorectal Neoplasms

Metastatic Breast Cancer

Used to treat Metastatic Breast Cancer in combination with Docetaxel

Effectiveness

How Capecitabine Affects Patients

Capecitabine is a medicine used to treat certain types of cancer, such as metastatic breast cancer and colon cancer. It is taken orally, and is converted by enzymes in the body into a medication called fluorouracil. This medication then breaks down in both healthy and cancerous cells into two components, 5-fluoro-2′-deoxyuridine 5′-monophosphate (FdUMP) and 5-fluorouridine triphosphate (FUTP).

How Capecitabine works in the body

Capecitabine is a drug that is designed to target tumor cells. It is converted into a toxic form, fluorouracil, by an enzyme that is found in larger amounts in tumors than other tissue. The toxic form then works to inhibit the formation of necessary molecules for cell division. It also causes faulty RNA production, which further interferes with cell growth.

When to interrupt dosage

The recommended measure of Capecitabine is contingent upon the diagnosed affliction, such as Pancreatic Metastatic Cancer, Malignant Neoplasms and Esophageal Cancer. The quantity of dosage can be found in the table below, depending on the mode of delivery (e.g. Tablet or Tablet, film coated - Oral).

Condition

Dosage

Administration

Colorectal Neoplasms

500.0 mg, , 150.0 mg, 300.0 mg

, Tablet, film coated, Tablet, film coated - Oral, Oral, Tablet - Oral, Tablet

Pancreatic Neoplasms

500.0 mg, , 150.0 mg, 300.0 mg

, Tablet, film coated, Tablet, film coated - Oral, Oral, Tablet - Oral, Tablet

Stomach Cancer

500.0 mg, , 150.0 mg, 300.0 mg

, Tablet, film coated, Tablet, film coated - Oral, Oral, Tablet - Oral, Tablet

Ovarian Neoplasms

500.0 mg, , 150.0 mg, 300.0 mg

, Tablet, film coated, Tablet, film coated - Oral, Oral, Tablet - Oral, Tablet

Pancreatic Endocrine Carcinoma

500.0 mg, , 150.0 mg, 300.0 mg

, Tablet, film coated, Tablet, film coated - Oral, Oral, Tablet - Oral, Tablet

refractory peritoneal cancer

500.0 mg, , 150.0 mg, 300.0 mg

, Tablet, film coated, Tablet, film coated - Oral, Oral, Tablet - Oral, Tablet

Colorectal Carcinoma

500.0 mg, , 150.0 mg, 300.0 mg

, Tablet, film coated, Tablet, film coated - Oral, Oral, Tablet - Oral, Tablet

Metastatic Breast Cancer

500.0 mg, , 150.0 mg, 300.0 mg

, Tablet, film coated, Tablet, film coated - Oral, Oral, Tablet - Oral, Tablet

Refractory Fallopian Tube Carcinoma

500.0 mg, , 150.0 mg, 300.0 mg

, Tablet, film coated, Tablet, film coated - Oral, Oral, Tablet - Oral, Tablet

Malignant Neoplasms

500.0 mg, , 150.0 mg, 300.0 mg

, Tablet, film coated, Tablet, film coated - Oral, Oral, Tablet - Oral, Tablet

Colorectal Neoplasms

500.0 mg, , 150.0 mg, 300.0 mg

, Tablet, film coated, Tablet, film coated - Oral, Oral, Tablet - Oral, Tablet

Warnings

There are 20 known major drug interactions with Capecitabine.

Common Capecitabine Drug Interactions

Drug Name

Risk Level

Description

2-Methoxyethanol

Major

The risk or severity of adverse effects can be increased when Capecitabine is combined with 2-Methoxyethanol.

9-(N-methyl-L-isoleucine)-cyclosporin A

Major

The risk or severity of adverse effects can be increased when Capecitabine is combined with 9-(N-methyl-L-isoleucine)-cyclosporin A.

Abetimus

Major

The risk or severity of adverse effects can be increased when Capecitabine is combined with Abetimus.

Abrocitinib

Major

The metabolism of Abrocitinib can be decreased when combined with Capecitabine.

Acetohexamide

Major

The metabolism of Acetohexamide can be decreased when combined with Capecitabine.

image of a doctor in a lab doing drug, clinical research

Capecitabine Novel Uses: Which Conditions Have a Clinical Trial Featuring Capecitabine?

337 active clinical trials are investigating the potential of Capecitabine to address Duke's C Colon cancer, Pancreatic Endocrine Carcinoma and refractory Peritoneal Carcinoma.

Condition

Clinical Trials

Trial Phases

Stomach Cancer

110 Actively Recruiting

Phase 2, Phase 3, Phase 1, Not Applicable, Phase 4

Colorectal Neoplasms

0 Actively Recruiting

Malignant Neoplasms

0 Actively Recruiting

Colorectal Carcinoma

0 Actively Recruiting

Metastatic Breast Cancer

1 Actively Recruiting

Phase 1, Phase 2

Colorectal Neoplasms

0 Actively Recruiting

Refractory Fallopian Tube Carcinoma

3 Actively Recruiting

Phase 1, Phase 2

Pancreatic Endocrine Carcinoma

10 Actively Recruiting

Phase 1, Not Applicable, Phase 2

Ovarian Neoplasms

0 Actively Recruiting

refractory peritoneal cancer

0 Actively Recruiting

Pancreatic Neoplasms

27 Actively Recruiting

Phase 2, Not Applicable, Phase 1, Early Phase 1, Phase 3

Capecitabine Reviews: What are patients saying about Capecitabine?

5

Patient Review

3/23/2019

Capecitabine for Breast Cancer that has Spread to Another Part of the Body

I had some nausea when I started taking this drug, but it went away after a few doses. This is the fourth cancer drug I've tried, and I feel better on this one than all the others. Hopefully, it will keep me alive until another cure comes along.

5

Patient Review

6/26/2022

Capecitabine for Colon and Rectal Cancer that has Spread to Another Area

So far, I've only experienced mild side-effects from this treatment. These include fatigue, weight gain, nausea, heartburn, dry eye, and swelling. I'm hoping that the cancer is gone after 9 cycles of this treatment.

5

Patient Review

12/27/2011

Capecitabine for Breast Cancer that has Spread to Another Part of the Body

My mother took this medication for two weeks and, unfortunately, had to be hospitalized due to severe diarrhea. I believe that this medicine ultimately caused her death.

4.7

Patient Review

6/26/2015

Capecitabine for Colon and Rectal Cancer that has Spread to Another Area

I swapped to this treatment from FOLFIRI i.v. drugs, and I'm much happier with it. The main side effects are fatigue and nausea, but the fatigue is worse with the i.v. medications while the nausea seems worse with these pills (although that might just be because you have to take them for two weeks).

4.3

Patient Review

1/8/2020

Capecitabine for Colon and Rectal Cancer that has Spread to Another Area

The only downside I experienced was with skin irritation on my hands and feet.

3.7

Patient Review

5/12/2018

Capecitabine for Breast Cancer that has Spread to Another Part of the Body

I experienced some vomiting when I first started taking these medication, but my doctor lowered the dose and increased my anti-nausea medication. After that, I was much better.

3

Patient Review

6/20/2009

Capecitabine for Lymph Node Positive Colon Cancer

2.3

Patient Review

2/2/2017

Capecitabine for Breast Cancer that has Spread to Another Part of the Body

The generic from Mylan caused severe gastric pain and bloating after two days of use. Discontinued use and returned to Xeloda, which does not have this side effect. Maybe it was an allergic reaction to an inactive ingredient, but there is no way to find out for sure. As a result, I am now hesitant to try other generics.

1.3

Patient Review

11/20/2015

Capecitabine for Colon and Rectal Cancer that has Spread to Another Area

My wife experienced terrible side effects from this medication. She was taking 500mg pills, twice a day. After just one week, her body started shutting down. She stopped eating and drinking and started vomiting uncontrollably for 30 minutes at a time. At the time, she was only 83 pounds and 4'11". Two months later, she passed away.

1

Patient Review

1/31/2010

Capecitabine for Colon and Rectal Cancer that has Spread to Another Area

image of drug pills surrounding a glass of water symbolizing drug consumption

Patient Q&A Section about capecitabine

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What class of chemotherapy is capecitabine?

"They "trick" the cell into incorporating them into the cellular machinery in place of the normal substance.

Capecitabine is a type of chemotherapy that is called an antimetabolite. Antimetabolites are similar to normal substances within the cell. They "trick" the cell into incorporating them into the cellular machinery in place of the normal substance."

Answered by AI

How does capecitabine fight cancer?

"Capecitabine can be used to treat breast, colon, or rectal cancer by slowing or stopping the growth of cancer cells."

Answered by AI

What are side effects of capecitabine?

"The following are potential side effects: stomach pain, loss of fingerprints, numbness, pain, tingling, or other unusual sensations in the palms of the hands or bottoms of the feet, pain, blistering, peeling, redness, or swelling of the palms of the hands or bottoms of the feet."

Answered by AI

What is the success rate of capecitabine?

"Overall, 89% of patients taking capecitabine were still alive after 3 years, compared to 84% of patients in the control group. After 5 years, 89% of capecitabine patients were alive, compared to 83% of control patients."

Answered by AI

Clinical Trials for Capecitabine

Image of NEXT Dallas in Dallas, United States.

JMT108 for Cancer

18+
All Sexes
Dallas, TX

The goal of this clinical trial is to test JMT108, a type of drug called a bispecific antibody in adult patients with locally advanced or metastatic solid tumors. The main questions it aims to answer are: * To assess the safety and tolerability of JMT108 at increasing doses and determine the dose and schedule to be used in the second part of the study (Phase 1a) * To assess effectiveness of JMT108 in participants with locally advanced or metastatic tumors (Phase 1b) * To evaluate how quickly JMT108 is metabolized by the body (pharmacokinetics or PK) * To evaluate if antibodies to the study drug develop (immunogenicity) * To evaluate preliminary efficacy to the drug * To explore the pharmacodynamic (PD) characteristics of JMT108 * To explore the correlation between biomarker levels and preliminary efficacy Participants will: * Provide written informed consent * Undergo screening tests to ensure they are eligible for study treatment * Attend all required study visits and receive JMT108 by intravenous injection every 2 weeks until the study doctor determines study treatment should be stopped, based on how well a participant is doing on treatment * Be followed for progression every 3 months for up to 2 years

Phase 1
Recruiting

NEXT Dallas (+2 Sites)

Conjupro Biotherapeutics, Inc.

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GEH300079 PET/CT for Colorectal Cancer

18+
All Sexes
Grand Rapids, MI

This study is a Phase 2/3, prospective, multicenter, open-label, non-randomized clinical trial, in which GEH300079 (68Ga) PET/CT images will be acquired in patients with primary colorectal, gastric, ovarian, or Pancreatic Ductal Adenocarcinoma (PDAC) cancers and known or suspected Peritoneal Carcinomatosis (PC) before or after institutional Standard of Care (SoC) imaging. The primary objective is to evaluate the diagnostic performance of GEH300079 (68Ga) PET/CT for the detection of PC in patients with colorectal, gastric, or ovarian primary cancers, using a composite standard of truth (SoT), in a region-based analysis. The detection of PC in patients with primary PDAC will be explored in the Phase 2 part of the study. The study is comprised of 2 distinct parts: Phase 2 aims to confirm the statistical and scientific assumptions for the Phase 3 part, and to confirm the optimal dose and timing of acquisition of GEH300079 (68Ga) PET/CT in the PC indication. Phase 2 includes 2 cohorts: Cohort A (participants with colorectal, ovarian and gastric primary cancer), and Cohort B (participants with primary PDAC), where analysis of Cohort B is descriptive only. Phase 3 aims to demonstrate the safety and efficacy of GEH300079 (68Ga) PET/CT for the detection of PC in patients with confirmed colorectal, gastric or ovarian primary cancers.

Phase 2 & 3
Waitlist Available

BAMF Health

GE Healthcare

Image of Carolina Biooncology in Huntersville, United States.

RNDO-564 + Pembrolizumab for Bladder Cancer

18+
All Sexes
Huntersville, NC

The main goal of this study is to evaluate how safe and tolerable RNDO-564 is and to identify the best dose of RNDO-564 as a single agent and in combination with pembrolizumab. The study is focused on participants with certain solid tumors that are in an advanced stage and have certain tumor makers. This will be done by measuring the side effects that participants experience and how severe they are. Additionally, the study will evaluate how RNDO-564 moves into, through, and out of the body and how the treatment affects the body. The second goal of this study is to evaluate how well RNDO-564 works by itself or in combination with pembrolizumab at treating participants' cancer. This will be done by measuring the number of participants who respond to the treatment. The length of time where the tumor does not grow or spread will also be measured. Participants will take RNDO-564 weekly on Days 1, 8 and 15 of a 21 day cycle. Participants in the combination arms will take RNDO-564 as described with pembrolizumab every 3 weeks.

Phase 1
Recruiting

Carolina Biooncology (+1 Sites)

Thomas Manley, MD

Rondo Therapeutics

Image of Helios CR Inc./RadNet in Cerritos, United States.

[18F]FAPI-74 PET for Stomach and Esophageal Cancer

18+
All Sexes
Cerritos, CA

This is a multi-site, open-label, non-randomized, single dose study to assess the clinical utility of \[¹⁸F\]FAPI-74 PET/CT in the detection of metastatic disease in individuals with pathologically confirmed gastric, gastroesophageal junction or esophageal cancer. Following screening, using a standardized administration protocol and dose, participants will undergo \[¹⁸F\]FAPI-74 PET/CT screening. SOC procedures and interventions will be captured during 3 months +/-14 days post injection. The primary objective is to evaluate the sensitivity and specificity of such \[¹⁸F\]FAPI-74 PET/CT using a composite SOT panel. The maximum expected duration of the trial is approximately 24 months from first patient screening to last patient SOC follow up. The participants will be followed-up for safety for 24 to 72 hours after the dose of \[¹⁸F\]FAPI-74 PET/CT.

Phase 3
Recruiting

Helios CR Inc./RadNet (+2 Sites)

Sherly Mosessian, Ph.D

SOFIE

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Imaging Tracer 68Ga-FAPi-46 for Cancer

18+
All Sexes
Los Angeles, CA

This phase I trial is evaluating a new imaging tracer (68Ga-FAPi-46) with positron emission tomography (PET)/computed tomography (CT) to determine where and to which degree the tracer (68Ga-FAPi-46) accumulates in normal and cancer tissues (the biodistribution) in patients with solid tumors or hematologic (blood) cancers. PET is an established imaging technique that utilizes small amounts of radioactivity attached to very minimal amounts of tracer, in the case of this research, 68Ga-FAPi-46. Because some cancers take up 68Ga-FAPi-46, it can be seen with PET. CT utilizes x-rays that traverse the body from the outside. CT images provide an exact outline of organs and potential inflammatory tissue where it occurs in a patient's body. Combining a PET scan with a CT scan can help make the image easier to interpret. PET/CT scans are hybrid scanners that combine both modalities into a single scan during the same examination.

Phase 1
Recruiting

UCLA / Jonsson Comprehensive Cancer Center

Jeremie Calais

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