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This chemotherapy regimen is a combination of cisplatin, mitomycin C, and fluorouracil (5-FU) used in the treatment of locally advanced oropharyngeal cancer. It is specifically associated with the TopROC clinical trial (Transoral Surgery vs Radiochemotherapy for Oropharyngeal Cancer) conducted by the Universitätsklinikum Hamburg-Eppendorf. Cisplatin and mitomycin C function as DNA-damaging agents that induce cross-links and alkylation, thereby inhibiting DNA replication and transcription. Fluorouracil is an antimetabolite that inhibits thymidylate synthase, an enzyme essential for DNA synthesis. In the TopROC trial, this regimen is evaluated as part of primary radiochemotherapy or as adjuvant therapy following transoral head and neck surgery.
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