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**Doxorubicin** and **epirubicin** are distinct anthracycline antineoplastic antibiotics; epirubicin is a stereoisomeric analog of doxorubicin. Both intercalate into DNA, inhibit topoisomerase II, and promote oxidative damage, causing DNA strand breaks and cancer-cell death. They are established cytotoxic chemotherapies used principally in breast cancer and in multi-agent regimens for other malignancies. The supplied clinical-trial text uses \"doxorubicin (epirubicin)\" as an alternative anthracycline component rather than identifying one single active substance.
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