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This combination therapy consists of humanized monoclonal antibodies targeting B7.1 (CD80) and B7.2 (CD86). Developed by the Dana-Farber Cancer Institute, it is used for the *ex vivo* treatment of donor bone marrow prior to haploidentical transplantation. By blocking the interaction between B7 ligands on antigen-presenting cells and the CD28 receptor on T cells, the treatment prevents the costimulatory signals necessary for T-cell activation. This process, known as alloanergization, aims to induce alloantigen-specific hyporesponsiveness in donor cells, thereby reducing the risk of graft-versus-host disease (GVHD) while preserving the graft-versus-leukemia effect. It has been investigated in Phase 1 trials for patients with high-risk hematologic malignancies and bone marrow failure.
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