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Benmelstobart + gemcitabine + cisplatin is a combination chemo-immunotherapy regimen being evaluated for the first-line treatment of advanced biliary tract cancer. Benmelstobart (TQB2450) is a humanized monoclonal antibody that targets and blocks the Programmed Death-Ligand 1 (PD-L1), thereby enhancing the immune system's ability to detect and destroy tumor cells. Gemcitabine is a pyrimidine antimetabolite that inhibits DNA synthesis by replacing cytidine during DNA replication, while cisplatin is a platinum-based chemotherapy agent that causes DNA cross-linking, leading to apoptosis. This combination aims to leverage the synergistic effects of cytotoxic chemotherapy and immune checkpoint inhibition to improve progression-free survival in patients with advanced biliary tract malignancies.
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