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Chemopreventive Agents
Class of Agent Chemical/
Generic/Brand name®
Uses Outside
Cancer Prevention Research
Under Study to Prevent Cancer in These Organ Systems Comments
Anti-Androgens Flutamide/Eulexin® Treatment of prostatic carcinoma Prostate Finasteride blocks new testosterone production while flutamide blocks the androgen receptor
BBIC Bowman-Birk Inhibitor Concentrate     Obtained from soy extract
Carotenoids Lycopene   Prostate Lycopene provides the natural red pigment in tomatoes and tomato products such as ketchup and spaghetti sauce. It is also found in smaller amounts in grapefruit, guava, watermelon, and papaya.
Curcumin Curcumin Demethoxycurcumin Bis-demethoxy-
curcumin.
  Colon Spice commonly known as turmeric, curcumin is used in curries and mustards for color and flavor. It is a yellow pigment extracted from turmeric, which is the powdered root of the perennial herb Curcuma longa. This spice contains three similar compounds known as curcuminoids.
Epidermal growth factor receptor –tyrosine kinase (EGRF-TK) inhibitors Erlotinib/Tarceva® Treatment of carcinoma of pancreas, non-small cell lung cancer Colon, lung Both compounds have related quinazoline structures
Gefitinib/Iressa® Non-small cell lung cancer,
Indoles Di-indolylmethane, (DIM)   Colon Indole-3-carbinol (I3C) is found in vegetables such as broccoli, cabbage, and cauliflower. Eating these vegetables may decrease cancer risk.
Indole-3-carbinol (I3C)  
Isothiocyanates Phenethylisothio-
cyanate, (PEITC)
  Colon PEITC occurs naturally in horseradish, canola oil, and vegetables such as watercress, turnip, Chinese cabbage, cabbage, broccoli, and cauliflower. People who eat vegetables with PEITC may have a decreased cancer risk
NO-releasing NSAIDS NCX-4016   Colon NCX-4016 acts as both an aspirin and a nitric oxide releasing agent
NSAIDS Celecoxib/Celebrex® Anti-inflammatory for arthritis Colon, breast, prostate, bladder, esophagus. skin Aspirin is the first pain-relieving drug developed in a group of pharmaceuticals called nonsteroidal anti-inflammatory drugs (NSAIDS). They work through cyclo-oxygenase (COX) inhibition. Celecoxib is COX 2 selective, Aspirin and sulindac are mixed COX-1 and COX-2
Sulindac/Clinoril® Anti-inflammatory
Aspirin Anti-inflammatory, anti-coagulant
Ornithine decarboxylase Inhibitor Difluoromethylornithine (DFMO) Eflornithine/Ornidyl® Not approved in the US Anti-protozoal in Africa Bladder, colon A synthetic compound, DFMO interferes with the activity of the enzyme ornithine decarboxylase (ODC), which is essential for cell proliferation. It is used as an antiprotozoan in tropical medicine.
Polyphenols Green Tea Catechins   Colon, lung, skin, prostate, Basal cell carcinoma, osteosarcoma Tea Polyphenols are compounds in the tea leaves that contain natural plant antioxidants. Antioxidants prevent damage caused by free radicals to DNA and other molecules.
Grape seed polyphenols  
PPAR gamma agonists Pioglitazone Antidiabetic Head and neck, oral leukoplakia Peroxisome proliferator activated receptor
Rosiglitazone Antidiabetic
Resveratrol Grape/wine constituent   Colon The resveratrol content of wine is related to the length of time the grape skins are present during the fermentation process. Grape juice, which is not a fermented beverage, is not a significant source of resveratrol.
Resiquimod Imuno-modulator related to imiquimod/Aldara®   Atypical nevi (skin) Imiquimod is approved for treatment of genital warts. Resiquimod has a more favorable profile than imiquimod
Retinoids All-trans-Retinoic acid Tretinoin/Retin-A® Smoothing wrinkles Cervix, esophagus, larynx, lung, nasopharynx, oral cavity, and ovary. Vitamin A-like compounds
9-cis-Retinoic Acid alitretinoin/Panretin® Kaposi’s sarcoma in AIDS
13-cis-Retinoic acid Isotretinoin/Accutane® Severe acne
4-Hydroxyretinamide, (4-HPR) fenretinide  
Rexanoids Bexarotene/Targretin® T-Cell lymphoma Basal cell carcinoma, Breast Bexarotene is used to treat problems associated with cutaneous T-cell lymphoma (CTCL), a disease in which certain cells of the lymph system (T lymphocytes) become cancerous and affect the skin.
Tararotene/Zorac® Topical keratolytic in psoriasis
Selective Estrogen Receptor Modulators (SERMS) Tamoxifen/
Nolvadex®
Recurrent breast cancer Breast Arzoxifene, a selective estrogen receptor modulator (SERM), is an improved form of the drug raloxifene. Arzoxifene is more easily absorbed by the body than raloxifene, which is used to prevent osteoporosis in postmenopausal women, and it is being clinically tested against the drug tamoxifen for breast cancer prevention.
Arzoxifene  
Acolbifene  
Raloxifene/Evista® Post menopausal osteoporosis
Selenium compounds Selenized yeast   Bladder, breast, colon, rectum, lung, bladder and prostate L-Selenome-
thionine is a synthetic form of selenium, an essential nonmetallic trace element in grains, meat, yeast, and certain vegetables.
Selenomethionine  
Selenomethylcysteine  
Soy Isoflavones Genistein, Daidzein and Glycitein   Breast, colon Soy Isoflavones are several different plant-derived substances known to interact with human estrogen receptors.. Soy Isoflavones also produce non-hormonal effects. Isoflavones, such as genistein and daidzein, are found in soybeans and soy food products like tofu and textured vegetable protein.
Statins Atorvastatin/Lipitor® Cholesterol reduction Colon Atorvastatin calcium and the related drug lovastatin are competitive inhibitors of HMG-CoA reductase, which catalyzes the early step in cholesterol biosynthesis. Unlike other statins, atorvastatin can also reduce blood triglycerides.
Sulfur containing Antioxidants Anethole trithione/Sialor® (Canadian) Salivation increasing agent Breast, lung, colon and bladder These are based on sulforaphane found in vegetables like cabbage and Brussels sprouts.
Vitamin D analogs Provitamin D
Vit. D2/ergocalciferol
Vit. D3/cholecalciferol
Anti-rachitic promoting calcification Skin, ovary, colon,breast Vitamin D (D2 and D3) compounds are needed for healthy bone growth. The skin can produce Vitamin D3 from sunlight, and both compounds are found naturally in foods.

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