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This refers to a specific clinical trial regimen evaluated at The University of Texas M.D. Anderson Cancer Center for the treatment of advanced solid tumors with liver metastases. The protocol utilizes a localized delivery method known as hepatic arterial infusion (HAI) for oxaliplatin, a platinum-based chemotherapy agent that forms DNA crosslinks to inhibit replication. This targeted delivery to the liver is combined with a systemic chemotherapy backbone consisting of 5-fluorouracil (5-FU), leucovorin, and the anti-VEGF monoclonal antibody bevacizumab. Depending on the patient's K-RAS mutational status, the anti-EGFR antibody cetuximab may also be included. The regimen is designed to maximize the concentration of chemotherapy reaching liver tumors while utilizing systemic agents to address potential extrahepatic disease.
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