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The combination of docetaxel, oxaliplatin, and 5-fluorouracil (DOF) is a chemotherapy regimen primarily used for the treatment of advanced or metastatic gastric cancer and gastroesophageal junction adenocarcinoma. Docetaxel is a microtubule-targeting agent that stabilizes microtubules and inhibits cell division. Oxaliplatin is a platinum-based compound that forms DNA crosslinks leading to apoptosis. 5-Fluorouracil (5-FU) is an antimetabolite that inhibits thymidylate synthase, disrupting DNA synthesis in rapidly dividing cells. This combination exploits different mechanisms to maximize cytotoxicity against cancer cells[1][6]. The regimen may be referred to as FLOT when leucovorin/folinic acid is added[2][7].
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