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OMP-21M18 + FOLFIRI is a combination regimen used in oncology clinical trials, particularly for metastatic colorectal cancer. - **OMP-21M18** (also known as Demcizumab) is a humanized monoclonal antibody that targets delta-like ligand 4 (DLL4), a key ligand in the Notch signaling pathway. Inhibition of DLL4 disrupts tumor angiogenesis and cancer stem cell activity, impairing tumor growth and reducing tumor-initiating cell frequency. - **FOLFIRI** is a widely used chemotherapy combination consisting of leucovorin calcium (folinic acid), fluorouracil, and irinotecan hydrochloride. Together, these drugs target cell proliferation and DNA synthesis via multiple cytotoxic mechanisms.
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