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NGC-Cap is a combination therapy developed by Processa Pharmaceuticals that consists of the irreversible dihydropyrimidine dehydrogenase (DPD) enzyme inhibitor PCS6422 and low-dose capecitabine, an oral prodrug of 5-fluorouracil (5-FU). The addition of PCS6422 inhibits DPD-mediated catabolism of 5-FU, resulting in increased exposure of cancer cells to the active metabolite and reduced formation of toxic byproducts. This approach aims to enhance anti-tumor efficacy while reducing side effects compared to standard capecitabine monotherapy. NGC-Cap is being developed primarily for advanced or metastatic breast cancer and has also shown activity in gastrointestinal cancers. Clinical trials have demonstrated improved safety profiles and preliminary efficacy signals over conventional regimens[1][3][4][5][6][7][8].
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