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Apatinib + irinotecan + S-1 is a combination chemotherapy and targeted therapy regimen, specifically referred to as the ApaIRIS regimen in clinical trial contexts. Apatinib is a selective small molecule tyrosine kinase inhibitor that targets vascular endothelial growth factor receptor-2 (VEGFR-2), thereby inhibiting tumor angiogenesis and blood vessel formation. Irinotecan is a cytotoxic agent that acts as a DNA topoisomerase I inhibitor, leading to DNA damage and cell death. S-1 is an oral fluoropyrimidine combination consisting of tegafur (a 5-fluorouracil prodrug), gimeracil (a dihydropyrimidine dehydrogenase inhibitor), and oteracil (an orotate phosphoribosyltransferase inhibitor). This specific combination is being evaluated by Fudan University in a Phase II clinical trial as a second-line treatment for patients with metastatic pancreatic cancer who have failed prior chemotherapy with albumin-bound paclitaxel plus gemcitabine.
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