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A combination chemotherapy regimen containing cyclophosphamide (an alkylating agent that damages DNA by causing cross-links), doxorubicin (an anthracycline antibiotic that damages DNA by inserting itself between DNA bases), lomustine (a nitrosourea alkylating agent), and vincristine (a vinca alkaloid that prevents cell division by binding to tubulin). This combination likely works by attacking cancer cells through multiple mechanisms to prevent cell replication and division.
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