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A combination chemotherapy regimen consisting of cisplatin, methotrexate, mitomycin C, and vinblastine. This four-drug combination has been studied primarily for the treatment of unresectable non-small cell lung cancer, showing an overall response rate of 54% with responses observed across various cancer subtypes including squamous cell, adenocarcinoma, and undifferentiated large cell lung cancer. The regimen works through multiple mechanisms: cisplatin damages DNA, methotrexate inhibits dihydrofolate reductase, mitomycin C cross-links DNA, and vinblastine interferes with microtubule formation.
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