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This is a combination chemotherapy regimen that includes four anticancer drugs: cyclophosphamide, doxorubicin (also known as Adriamycin or hydroxydaunorubicin), fluorouracil (5-FU), and methotrexate. Each drug works through different mechanisms to attack cancer cells. Cyclophosphamide is an alkylating agent that damages DNA by binding to it and causing cross-links. Doxorubicin is an anthracycline that damages DNA by inserting itself between DNA bases. Fluorouracil and methotrexate are antimetabolites that stop cells from making and repairing DNA, causing cell death when they try to divide.
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