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This is a combination chemotherapy regimen consisting of three cytotoxic agents: - **Fluorouracil (5-FU):** An antimetabolite that inhibits thymidylate synthase, disrupting DNA synthesis and repair by mimicking uracil and being incorporated into RNA and DNA. - **Semustine (MeCCNU):** A nitrosourea alkylating agent that crosslinks DNA, leading to inhibition of DNA replication and cell death. - **Vincristine:** A vinca alkaloid that binds to tubulin, inhibiting microtubule formation during mitosis, resulting in cell cycle arrest at metaphase. This combination has been studied primarily for the treatment of advanced or metastatic colorectal cancer. It is not a branded regimen but rather an investigational or historical protocol used in clinical trials[1][2][8]. The mechanism involves multi-pronged disruption of cancer cell proliferation through interference with nucleic acid synthesis (fluorouracil), direct DNA damage (semustine), and mitotic arrest (vincristine).
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