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Capecitabine + irinotecan + bevacizumab is a combination chemotherapy regimen used primarily for the treatment of metastatic colorectal cancer. Capecitabine is an oral prodrug of 5-fluorouracil, which inhibits DNA synthesis in rapidly dividing cells. Irinotecan is a topoisomerase I inhibitor that prevents DNA replication and transcription in cancer cells. Bevacizumab is a monoclonal antibody targeting vascular endothelial growth factor A (VEGF-A), thereby inhibiting angiogenesis and tumor blood supply. This triplet regimen has demonstrated efficacy as first-line therapy for metastatic colorectal cancer, with studies showing improved progression-free survival and overall survival compared to doublet regimens[1][2][6]. The combination may be associated with increased toxicity, requiring dose adjustments in certain patient populations[3][4].
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