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This is an investigational **combination regimen** of **biricodar (VX-710, Incel)**, a chemosensitizer and multidrug resistance inhibitor, with the established cytotoxic agents **doxorubicin** and **vincristine**. Biricodar acts by inhibiting efflux pumps such as **P-glycoprotein** (ABCB1) and **multidrug resistance-associated protein 1** (MRP1), restoring drug sensitivity to tumor cells that have become resistant to chemotherapy. Doxorubicin and vincristine are both classic chemotherapeutic agents: doxorubicin intercalates DNA and inhibits topoisomerase II, while vincristine inhibits microtubule formation, both leading to apoptosis of rapidly dividing cancer cells. The combination has been studied primarily in **chemotherapy-resistant solid tumors**, notably in **small cell lung cancer** and **soft tissue sarcoma**, seeking to overcome multidrug resistance and improve response rates[9][7][3][5].
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