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This is a four-drug combination regimen consisting of cadonilimab, regorafenib, gemcitabine, and cisplatin. - **Cadonilimab** is a bispecific monoclonal antibody targeting both PD-1 and CTLA-4 immune checkpoints to enhance anti-tumor immune responses. - **Regorafenib** is an oral small molecule multikinase inhibitor that targets angiogenic, stromal, and oncogenic receptor tyrosine kinases involved in tumor growth and progression. - **Gemcitabine** is a nucleoside analog antimetabolite that inhibits DNA synthesis in rapidly dividing cells. - **Cisplatin** is a platinum-based chemotherapeutic agent that causes DNA crosslinking and apoptosis in cancer cells. This combination brings together immunotherapy with targeted therapy and cytotoxic chemotherapy for synergistic anti-cancer effects.
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