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A combination regimen consisting of **durvalumab** (a monoclonal antibody targeting the programmed death-ligand 1, PD-L1), **tremelimumab** (a monoclonal antibody targeting cytotoxic T-lymphocyte-associated protein 4, CTLA-4), **oxaliplatin** (a platinum-based chemotherapeutic agent that induces DNA crosslinking), **5-fluorouracil** (a pyrimidine analog that inhibits thymidylate synthase, disrupting DNA synthesis), and **leucovorin** (a reduced folate used to enhance the efficacy of 5-fluorouracil). This combination has been evaluated as a first-line regimen for metastatic or advanced colorectal cancer, particularly microsatellite stable (MSS) disease. Durvalumab and tremelimumab provide checkpoint inhibition (immunotherapy), while oxaliplatin, 5-fluorouracil, and leucovorin comprise the mFOLFOX6 chemotherapy backbone[6].
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