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AZD0901 + chemotherapy refers to the combination of **AZD0901**, an antibody-drug conjugate (ADC) targeting Claudin 18.2 (CLDN18.2) on tumor cells, with one or more chemotherapeutic agents. AZD0901 is composed of a humanized anti-CLDN18.2 IgG1 antibody conjugated via a protease-cleavable linker to monomethyl auristatin E (MMAE), a cytotoxic microtubule inhibitor. The drug's mechanism includes targeted cytotoxic delivery, antibody-dependent cellular cytotoxicity (ADCC), and complement-dependent cytotoxicity (CDC). Combination strategies (as in ongoing phase 2 trials) frequently pair AZD0901 with chemotherapy agents such as 5-fluorouracil, leucovorin, irinotecan, nanoliposomal irinotecan, and gemcitabine for the treatment of various CLDN18.2-expressing advanced solid tumors, especially in pancreatic ductal adenocarcinoma and potentially other gastrointestinal cancers[1][3][4][5].
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