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This is a quadruple drug combination regimen used in oncology clinical trials, specifically as a second-line therapy for advanced biliary tract cancers. - **Nivolumab** is a monoclonal antibody checkpoint inhibitor targeting PD-1, enhancing antitumor immune response. - **Liposomal irinotecan** is a nanoparticle-formulated topoisomerase I inhibitor that delivers chemotherapy more effectively and with altered toxicity. - **5-fluorouracil** is a pyrimidine analog antimetabolite that inhibits thymidylate synthase, disrupting DNA synthesis in cancer cells. - **Leucovorin** is a folate analog that potentiates the activity of 5-fluorouracil by stabilizing its ternary complex with thymidylate synthase. The regimen is mainly investigated for patients with unresectable or metastatic biliary tract cancer who have progressed after platinum-based chemotherapy. Clinical trials report modest efficacy and tolerability, but the combination may prolong progression-free and overall survival in a subset of patients[1][3].
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