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BPF-CCRT is a neoadjuvant combination treatment regimen consisting of bevacizumab, a humanized monoclonal antibody targeting vascular endothelial growth factor A (VEGF-A), administered concurrently with platinum-based chemotherapy (typically cisplatin), 5-fluorouracil (5-FU), and radiation therapy. This regimen was specifically investigated by National Taiwan University Hospital in a Phase 2 clinical trial for patients with locally advanced (Stage III) esophageal squamous cell carcinoma (ESCC). The therapeutic rationale is to inhibit tumor angiogenesis via bevacizumab while utilizing the cytotoxic and radiosensitizing properties of the PF-CCRT backbone to improve pathological complete response rates and overall survival in a patient population where high VEGF-A expression is linked to poor prognosis.
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