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TEGAFOX + S-1 is an investigational sequential adjuvant chemotherapy regimen primarily studied for the treatment of stage II-III gastric cancer following radical resection. The regimen consists of two phases: TEGAFOX, which is a combination of tegafur-uracil (UFT), leucovorin, and oxaliplatin, followed sequentially by S-1 (a combination of tegafur, gimeracil, and oteracil potassium). This approach utilizes multiple fluoropyrimidine-based agents and a platinum-based agent to inhibit DNA synthesis and induce DNA damage. Specifically, tegafur is a prodrug of 5-fluorouracil (5-FU), which inhibits thymidylate synthase, while oxaliplatin forms DNA cross-links. Gimeracil and oteracil in the S-1 component serve to enhance 5-FU levels and reduce gastrointestinal toxicity, respectively. The regimen is being evaluated by Lanzhou University in Phase 2/3 clinical trials.
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