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Atezolizumab + enfortumab vedotin is a combination therapy consisting of **atezolizumab**, a monoclonal antibody immune checkpoint inhibitor targeting programmed death-ligand 1 (PD-L1), and **enfortumab vedotin**, an antibody-drug conjugate (ADC) targeting Nectin-4 with a monomethyl auristatin E (MMAE) cytotoxic payload. Atezolizumab inhibits the PD-L1/PD-1 pathway, thereby potentiating T-cell mediated antitumor immune responses. Enfortumab vedotin binds to Nectin-4 on tumor cells, is internalized, and releases MMAE to disrupt microtubules and induce apoptosis. The combination aims to enhance antitumor immunity and direct cytotoxicity, and is under investigation for advanced urothelial carcinoma[2][3][4].
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