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5-FU and Calcipotriol (Topical)

5-Fluorouracil and Calcipotriol, Topical Senolytic Combination

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Intervention Data

Meta Information

ID:5-fu-calcipotriol
Name:5-FU and Calcipotriol
Schema Version:1.5

Alternate Names

  • 5-Fluorouracil and Calcipotriol
  • Topical Senolytic Combination

Intervention Type

synergistic_therapy

Expected Cost Mean

Low Cost:
100
High Cost:
300
Cost Type:
procedure
Description:
Cost for a single course of compounded prescription cream; not covered by insurance.

Summary

A combination topical therapy (5-fluorouracil plus the vitamin D analog calcipotriol) used as a field treatment for actinic keratoses, sun-induced precancerous skin lesions. Calcipotriol induces the alarmin TSLP, priming a CD4+ T-cell immune response that, with 5-FU, clears precancerous keratinocytes; randomized-trial evidence supports efficacy for actinic keratosis. Its relevance to skin healthspan is as a precancer field therapy that may also improve the appearance of photoaged skin.

Purpose

Topical senolytic therapy to clear aged cells from the skin.

Card Summary

A topical combination therapy that acts as a senolytic, selectively destroying senescent (aged) cells in the skin to improve skin health and appearance.

Drug Class

Drugs In Class

Empty Array

Impact

Score:
3.5
Justification:
A targeted topical senolytic for skin with no proven systemic healthspan benefits.

Evidence

Grade:
B
Score:
6.5
Justification:
A single human RCT demonstrated effective clearance of senescent cells in treated skin.

Safety

Score:
6.2
Justification:
Causes significant, expected local inflammation and skin reactions; requires medical supervision.

Flags

  • Causes significant skin irritation, redness, and peeling as part of its mechanism of action.
  • Systemic healthspan or longevity benefits beyond skin are currently speculative and unproven.
  • Should not be used by pregnant women or on open wounds.

Verdict

A proven and effective immunotherapy for actinic-keratosis with the added potential to reverse signs of photoaging.

Created

2026-04-26T15:56:21.021016Z

Model

Gemini 3.1 Pro (High)

Delivery

Route:
topical_skin
Scope:
  • local

Is Skin Health

True

Indication

Focus:
healthspan
Description:
This is a combination topical therapy that acts as a potent senolytic, an agent that selectively destroys senescent (aged) cells. 5-Fluorouracil (5-FU), a chemotherapy drug, induces cell death in sene...

Typical Protocol

  • Apply a topical cream containing 0.005% calcipotriol and 5% 5-fluorouracil twice daily for 2-4 days.

Non Healthspan

False