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Combination of **rubitecan** (an oral camptothecin derivative, specifically a topoisomerase I inhibitor) and **gemcitabine** (a nucleoside analog) developed as combination chemotherapy for advanced solid tumors, particularly pancreatic cancer. Rubitecan inhibits topoisomerase I, causing single-strand DNA breaks, and is oral; gemcitabine interferes with DNA synthesis and repair as a pyrimidine antimetabolite, administered intravenously. This combination has shown activity in pancreatic and other solid tumors and has undergone Phase I–II testing, with established doses and some evidence for disease stabilization and response in gemcitabine-refractory cancers[1][2][3][4][5].
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