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Cyclophosphamide + etoposide is a combination chemotherapy regimen consisting of two small molecule cytotoxic agents. Cyclophosphamide is an alkylating agent that interferes with DNA replication by cross-linking DNA strands, leading to cell death. Etoposide is a topoisomerase II inhibitor that prevents the re-ligation of DNA strands during replication, resulting in DNA breaks and apoptosis. This combination has been used in the treatment of various cancers including small cell lung cancer, non-small-cell lung cancer, metastatic osteosarcoma, multiple myeloma (in multi-drug regimens), pediatric solid tumors, and leukemia. The regimen can be administered intravenously or orally depending on protocol[1][2][5][6].
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