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Cetuximab sarotalocan + pembrolizumab is a **combination therapy** for recurrent/locally advanced or metastatic head and neck squamous cell carcinoma (HNSCC). Cetuximab sarotalocan is an antibody-drug conjugate consisting of cetuximab (an EGFR monoclonal antibody) conjugated to IRDye 700DX, administered intravenously and activated by near-infrared photoimmunotherapy (PIT). Pembrolizumab is a monoclonal antibody targeting PD-1, acting as an immune checkpoint inhibitor. The combination leverages direct tumor cell killing by PIT-induced cytotoxicity (cetuximab sarotalocan) and antitumor immunity via PD-1 blockade (pembrolizumab). Key indications are recurrent/metastatic or locally advanced HNSCC in patients with few treatment options. Rakuten Medical commercializes cetuximab sarotalocan (ASP-1929). Combination trials with pembrolizumab are ongoing, and preliminary results show promising clinical activity and tolerability[5][4].
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