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This combination chemotherapy regimen, studied by Clinical Oncology Research Associates, consists of a fluoropyrimidine (either the oral prodrug capecitabine or intravenous fluorouracil) administered alongside the taxane docetaxel. The regimen is typically investigated in conjunction with concurrent radiotherapy for the treatment of advanced non-small cell lung cancer (NSCLC). Capecitabine and fluorouracil act as antimetabolites that inhibit thymidylate synthase, thereby disrupting DNA synthesis and repair. Docetaxel works by stabilizing microtubules, which prevents their depolymerization and leads to cell cycle arrest and apoptosis. This specific protocol utilizes hypofractionated chest radiotherapy to enhance local tumor control while the chemotherapy agents provide both systemic activity and radiosensitization.
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