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                                                                Synonyms: MA-1 | TAS-1-462
                                 tipiracil is an approved drug (Japan only) Compound class: 
                                                            Synthetic organic
                                 
                                    
                                        Comment: Tipracil is a a uracil derivative that inhibits thymidine phosphorylase (TYMP, P19971; a.k.a. platelet-derived endothelial cell growth factor), an enzyme which metabolises trifluridine. TAS-102 contains tipracil as the hydrochloride salt (PubChem CID 9903778). SARS-CoV-2: Tipracil has been shown to bind to the uridine-specific endoribonuclease Nsp15 of SARS-CoV-2, and this interaction inhibits the enzyme's uridine-degrading catalytic activity [1]. | 
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| No information available. | 
| Summary of Clinical Use  | 
| Tipracil is a component of the anticancer therapeutic Lonsurf® (code-named TAS-102) [4], which is approved in Japan for the treatment of metastatic/unresectable colorectal cancer. The other component of TAS-102 is trifluridine [3]. In addition, TAS-102 is being assessed in Phase 3 clinical trial for metastatic gastric cancer (NCT02500043). | 
| Mechanism Of Action and Pharmacodynamic Effects  | 
| By reducing the breakdown of trifluridine, tipiracil improves its antineoplastic activity by increasing its bioavailability. Thymidine phosphorylase is also reported to be involved in angiogenesis in human gastric cancer [2], suggesting that tipracil may have dual effects when used in combination antineoplastic therapies such as TAS-102. |