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Davoceticept (ALPN-202) in combination with pembrolizumab is an investigational immunotherapy regimen for advanced solid tumors. ALPN-202 is an engineered Fc fusion protein that combines a CD80 variant immunoglobulin domain, aiming to simultaneously provide PD-L1-dependent CD28 costimulation and dual checkpoint inhibition of both PD-L1 and CTLA-4. Pembrolizumab is a well-established monoclonal antibody targeting PD-1. The combination was intended to enhance antitumor immunity through synergistic immune checkpoint and costimulatory modulation. The regimen was evaluated in clinical trials (e.g., NEON-2), but the studies were terminated early due to fatal immune-mediated cardiac toxicities[1][3][6][7].
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