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**Cyclophosphamide** is an alkylating agent that works by inhibiting DNA replication, causing cell death, particularly in rapidly dividing cells like cancer cells[4]. **Thalidomide** acts as an immunomodulatory agent, affecting multiple pathways to inhibit cancer growth, including anti-angiogenic effects and immune system modulation[8]. Their combination is used in treating multiple myeloma, often alongside other drugs like dexamethasone.
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