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This investigational combination regimen consists of bevacizumab, nab-paclitaxel (albumin-bound paclitaxel), and S-1 (a combination of tegafur, gimeracil, and oteracil potassium). Bevacizumab is a recombinant humanized monoclonal antibody that acts as an anti-angiogenic agent by binding to vascular endothelial growth factor (VEGF), preventing its interaction with receptors on endothelial cells. Nab-paclitaxel is a taxane chemotherapy agent that stabilizes microtubules, thereby inhibiting cell division. S-1 is an oral fluoropyrimidine chemotherapy that includes tegafur (a prodrug of 5-fluorouracil), gimeracil (which inhibits the degradation of 5-FU), and oteracil potassium (which reduces gastrointestinal toxicity). This triplet regimen is being evaluated as a second-line therapy for patients with advanced biliary tract adenocarcinoma who have progressed on or are intolerant to first-line treatments.
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