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This entry refers to a **combination therapy of OH2 (an oncolytic virus, also described as recombinant human herpes simplex virus type 1 or rHSV1) and capecitabine (an orally administered small molecule prodrug of 5-fluorouracil)**. Capecitabine is an antimetabolite chemotherapeutic used in various solid tumors—most notably colorectal, gastric, and breast cancer—where it blocks DNA synthesis by incorporating 5-fluorouracil metabolites into DNA/RNA, leading to cytotoxicity against rapidly dividing cells[4][5][6]. OH2 is an engineered oncolytic virus designed to selectively replicate within and lyse tumor cells, and may also stimulate anti-tumor immune responses. The combination is being clinically investigated for synergistic anti-tumor effects; capecitabine may enhance the efficacy of oncolytic viruses via immunomodulation and by upregulating thymidine phosphorylase, which activates the prodrug to 5-FU within tumors[5].
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