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TCG is a combination chemotherapy regimen comprising gemcitabine, paclitaxel, and carboplatin. It was developed by the AGO Study Group (Arbeitsgemeinschaft Gynaekologische Onkologie) as a first-line treatment for epithelial ovarian cancer, fallopian tube cancer, and related tumors. The regimen's mechanism of action involves the synergistic effects of its three components: paclitaxel, a taxane that stabilizes microtubules to inhibit cell division; carboplatin, a platinum-based agent that causes DNA cross-linking; and gemcitabine, a nucleoside analog that inhibits DNA synthesis by targeting ribonucleotide reductase and incorporating into DNA strands. Although evaluated in the large Phase III AGO-OVAR 9 trial, the TCG triplet did not show a survival advantage over the standard paclitaxel and carboplatin doublet and was associated with increased hematological toxicity.
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