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This combination involves **Refnot**, a domestic immunomodulator that combines recombinant tumor necrosis factor-alpha and thymosin-α1, used to enhance antitumor and immunomodulating effects[5]. **Cisplatin** is a platinum-based chemotherapy drug that works by cross-linking DNA, which interferes with cell division by damaging DNA in several different ways to prevent cancer cells from reproducing[7]. **Gemcitabine** is a nucleoside analog used in chemotherapy, which works by inhibiting DNA synthesis, leading to cell death in rapidly dividing cells like cancer cells[6][8].
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