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Actimab-A + cemiplimab is an investigational combination therapy being evaluated for the treatment of recurrent IDH-wildtype glioblastoma. Actimab-A (actinium Ac 225 lintuzumab) is a radioimmunoconjugate consisting of a humanized monoclonal antibody targeting CD33 (lintuzumab) labeled with the alpha-emitting radioisotope actinium-225. It is designed to deliver high-energy alpha radiation directly to CD33-expressing cells, which are found on glioblastoma cells and within the tumor microenvironment. Cemiplimab is a fully human monoclonal antibody that inhibits the programmed cell death protein 1 (PD-1) receptor, a key immune checkpoint. By blocking the PD-1/PD-L1 pathway, cemiplimab aims to restore and enhance the body's anti-tumor T-cell response. This combination is currently being studied in a Phase I dose-escalation trial sponsored by the National Cancer Institute (NCI) to determine safety and preliminary efficacy in patients with recurrent glioblastoma.
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