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**EGEN-001 + FOLFIRI** is a combination therapy utilizing EGEN-001—an investigational gene therapy—alongside FOLFIRI, a standard chemotherapy regimen consisting of irinotecan, fluorouracil (5-FU), and folinic acid (leucovorin)[2][3][4][7]. EGEN-001 is designed for gene therapy delivery, encoding human interleukin-12 (IL-12), and is under investigation for use in cancer treatment, specifically targeting mechanisms involved in tumor immunomodulation and anti-cancer immune activation. FOLFIRI acts by cytotoxic mechanisms: - **Irinotecan** inhibits topoisomerase I, preventing DNA replication. - **Fluorouracil** (5-FU) is an antimetabolite disrupting DNA and RNA synthesis. - **Folinic acid** enhances the efficacy of 5-FU by stabilizing its interaction with target enzymes[2][3][4][7]. Use of EGEN-001 + FOLFIRI, where studied, aims to leverage both direct tumor cell kill (chemotherapy) and immune engagement (gene therapy), with primary indications in gastrointestinal and colorectal cancers.
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