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FOLFIRINOX + gemcitabine is a combination chemotherapy regimen evaluated by Campus Bio-Medico University for the treatment of pancreatic ductal adenocarcinoma. The regimen consists of an induction phase using the FOLFIRINOX protocol—a combination of oxaliplatin (a platinum-based DNA alkylating agent), irinotecan (a topoisomerase I inhibitor), leucovorin (a folate analog that enhances the activity of fluorouracil), and fluorouracil (a pyrimidine analog and thymidylate synthase inhibitor). This is followed by a consolidation phase involving weekly gemcitabine (a nucleoside analog that inhibits DNA synthesis) administered concurrently with radiation therapy. This sequential approach is designed to provide systemic control of micrometastatic disease while intensifying local treatment for locally advanced or borderline resectable pancreatic tumors.
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