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Capecitabine + finolitimab + bevacizumab is a combination therapeutic regimen being investigated as an adjuvant treatment for patients with high-risk biliary tract cancer (BTC) following surgical resection. The regimen consists of capecitabine, an oral fluoropyrimidine carbamate that acts as a prodrug of 5-fluorouracil (5-FU); finolitimab (also known as serplulimab or HLX10), a humanized monoclonal antibody targeting the programmed cell death protein 1 (PD-1) receptor; and bevacizumab, a humanized monoclonal antibody that inhibits vascular endothelial growth factor A (VEGF-A). This combination strategy aims to leverage the cytotoxic activity of chemotherapy, the restoration of anti-tumor immune responses via checkpoint inhibition, and the inhibition of angiogenesis to reduce the risk of postoperative recurrence. It is currently being evaluated in a Phase II clinical trial (ChiCTR2500112470) led by West China Hospital.
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