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This is a combination immunotherapy regimen consisting of CD19-directed Chimeric Antigen Receptor T (CAR-T) cell therapy followed by maintenance treatment with chidamide and a Programmed Cell Death Protein 1 (PD-1) inhibitor. Developed for patients with relapsed or refractory (R/R) diffuse large B-cell lymphoma (DLBCL), the regimen utilizes chidamide (tucidinostat), an oral selective histone deacetylase (HDAC) inhibitor, to modulate the tumor microenvironment and upregulate target antigens, thereby enhancing CAR-T cell efficacy. The addition of a PD-1 inhibitor (such as sintilimab) aims to prevent T-cell exhaustion and maintain the cytotoxic activity of the infused CAR-T cells. Clinical studies led by Daihong Liu have demonstrated that this maintenance strategy can significantly improve progression-free and overall survival in high-risk aggressive B-cell lymphoma patients.
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