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**anbenitamab repodatecan + capecitabine + enlonstobart** (also known as JSKN003 + capecitabine + SG001) is an investigational combination regimen being developed by Alphamab Oncology and CSPC Pharmaceutical Group for the treatment of HER2-positive advanced or metastatic solid tumors, particularly gastric cancer and gastroesophageal junction (GEJ) adenocarcinoma. The regimen combines three therapeutic agents with distinct, synergistic mechanisms of action: anbenitamab repodatecan (JSKN003), a biparatopic antibody-drug conjugate (ADC) targeting two non-overlapping epitopes of HER2 (extracellular domains II and IV) conjugated to a topoisomerase I inhibitor payload; capecitabine, an oral fluoropyrimidine carbamate prodrug that is enzymatically converted to 5-fluorouracil (5-FU) to inhibit thymidylate synthase and disrupt DNA synthesis; and enlonstobart (SG001), a fully humanized IgG4 monoclonal antibody targeting the programmed cell death protein 1 (PD-1) immune checkpoint. By combining targeted cytotoxic delivery, systemic chemotherapy, and immune checkpoint inhibition, this regimen aims to enhance anti-tumor efficacy, overcome resistance, and promote T-cell-mediated anti-tumor immune responses. It is currently being evaluated in Phase II clinical trials as a first-line treatment for HER2-positive advanced gastric and GEJ cancers.
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