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This combination therapy consists of nedaplatin, a second-generation platinum-based chemotherapeutic agent, and a liposomal formulation of paclitaxel, a microtubule-stabilizing taxane. It is being evaluated by the Chinese Academy of Medical Sciences as part of a concurrent chemoradiotherapy (CCRT) regimen following endoscopic resection for patients with high-risk stage I esophageal squamous cell carcinoma (ESCC). Nedaplatin acts by forming DNA adducts that inhibit DNA replication and transcription, while paclitaxel liposome interferes with the breakdown of microtubules during cell division, leading to cell cycle arrest and apoptosis. The liposomal delivery system for paclitaxel is designed to improve solubility and potentially reduce the incidence of hypersensitivity reactions compared to traditional solvent-based formulations.
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