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Liposomal irinotecan + cisplatin is an investigational combination chemotherapy regimen consisting of a nanoliposomal formulation of irinotecan (a topoisomerase I inhibitor) and cisplatin (a platinum-based DNA crosslinking agent). The regimen is being evaluated in the Phase I ICONIC study, sponsored by the National Health Research Institutes (NHRI) in Taiwan, for the treatment of advanced or metastatic solid malignancies. The liposomal delivery system for irinotecan is designed to improve the drug's pharmacokinetic profile and tumor penetration by protecting the active lactone form of the drug and extending its half-life in circulation. Cisplatin works synergistically by forming inter- and intra-strand DNA crosslinks, which induce DNA damage and subsequent apoptosis in cancer cells.
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