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Modified FOLFOXIRI is a chemotherapy regimen that combines folinic acid (leucovorin), fluorouracil (5-FU), oxaliplatin, and irinotecan. It is used primarily for the treatment of metastatic colorectal cancer. The "m" prefix likely indicates a modification to the standard FOLFOXIRI dosing regimen. The standard FOLFOXIRI regimen works through multiple mechanisms: fluorouracil inhibits DNA synthesis, oxaliplatin forms DNA adducts resistant to repair, and irinotecan inhibits topoisomerase I. Folinic acid is not a chemotherapy drug but enhances the efficacy of fluorouracil. The modified regimen is typically administered every 14 days (2 weeks) and may be combined with biological agents such as bevacizumab.
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