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This triplet chemotherapy regimen is a neoadjuvant treatment strategy being evaluated by the Chinese Academy of Medical Sciences for patients with resectable, locally advanced colorectal cancer (specifically stage IIIb/T4N2M0). The regimen consists of oxaliplatin (a platinum-based antineoplastic agent that forms DNA crosslinks) and irinotecan (a topoisomerase I inhibitor), combined with a fluoropyrimidine backbone. The fluoropyrimidine component is flexible within the study protocol, allowing for the administration of either intravenous 5-fluorouracil with leucovorin (folinic acid), or oral alternatives such as capecitabine or S-1. By combining three active cytotoxic agents, the regimen aims to maximize tumor shrinkage and improve surgical outcomes in the neoadjuvant setting.
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