Therapeutic innovation in oncology often requires the optimization of combi
nations with active drugs based on in vitro and in vivo data. This is exemp
lified by oxaliplatin for which several preclinical studies of combinations
have been realized Oxaliplatin has been combined with 5-fluoro-uracile, ge
mcitabine, topoisomerase I inhibitors, taxanes demonstrating synergy or add
itivity. Synergistic and additive effects are often due to the optimization
in the use of distinct mechanism of action or resistance and might be asso
ciated with no overlapping toxicity when combined in clinical trials.