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Pegylated liposomal doxorubicin + rituximab is a combination regimen used primarily in the treatment of B-cell lymphomas, including diffuse large B-cell lymphoma and AIDS-related lymphoma. Pegylated liposomal doxorubicin is a formulation of the anthracycline chemotherapeutic agent doxorubicin encapsulated in pegylated liposomes, which improves pharmacokinetics and reduces cardiotoxicity compared to conventional doxorubicin. Doxorubicin acts by intercalating DNA and inhibiting topoisomerase II, leading to inhibition of DNA replication and apoptosis in rapidly dividing cells. Rituximab is a chimeric monoclonal antibody targeting CD20 on B lymphocytes, resulting in cell lysis through complement-dependent cytotoxicity, antibody-dependent cellular cytotoxicity, and direct induction of apoptosis. The combination leverages both direct cytotoxic effects on tumor cells (doxorubicin) and targeted immunotherapy against malignant B-cells (rituximab). This regimen has been studied as an alternative to standard CHOP-R regimens for patients at higher risk for cardiac toxicity or with comorbidities[1][2][3][9].
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