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A combination chemotherapy regimen comprising **methotrexate**, **bleomycin**, **doxorubicin**, and **cisplatin**. Each component is a small molecule antineoplastic agent with a distinct mechanism of action: methotrexate is a folate antimetabolite inhibiting dihydrofolate reductase; bleomycin is a glycopeptide antibiotic causing DNA strand breaks; doxorubicin is an anthracycline that intercalates DNA and produces free radicals; cisplatin is a platinum compound inducing DNA crosslinking. This specific four-drug combination is used primarily in the treatment of osteosarcoma.
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