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A combination therapy regimen consisting of the monoclonal antibody bevacizumab and a chemotherapy backbone of irinotecan and fluorouracil (modified FOLFIRI-3), followed by maintenance therapy with bevacizumab and capecitabine. Bevacizumab is a recombinant humanized monoclonal antibody that binds to and neutralizes vascular endothelial growth factor (VEGF), thereby inhibiting tumor angiogenesis. Irinotecan is a cytotoxic agent that inhibits DNA topoisomerase I, leading to double-strand DNA breaks. Fluorouracil and its oral prodrug capecitabine are antimetabolites that inhibit thymidylate synthase, disrupting DNA synthesis. This specific sequential regimen was investigated in a Phase II clinical trial (NCT00405379) sponsored by Hôpital Jean Minjoz for the treatment of patients with previously untreated metastatic colorectal adenocarcinoma.
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