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**Irofulven + capecitabine + prednisone** is an experimental **combination regimen** investigated primarily for the treatment of **hormone-refractory (castration-resistant) prostate cancer** that has progressed after docetaxel.\n- **Irofulven** is a semisynthetic derivative of illudin S, functioning as a DNA alkylating agent, causing DNA damage and apoptosis in cancer cells.\n- **Capecitabine** is an oral prodrug of 5-fluorouracil (5-FU) that inhibits thymidylate synthase, blocking DNA synthesis and cell proliferation.\n- **Prednisone** is a synthetic glucocorticoid that exerts anti-inflammatory and immunosuppressive effects, often used in prostate cancer to reduce tumor-related symptoms and hormone-related inflammation.\nThis combination has been used in phase II trials comparing its efficacy and safety to other regimens in metastatic prostate cancer patients, notably after resistance to docetaxel[1][2][5].
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