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Datopotamab deruxtecan + pembrolizumab is an investigational combination therapy consisting of an antibody-drug conjugate (datopotamab deruxtecan) and an immune checkpoint inhibitor (pembrolizumab). Datopotamab deruxtecan (Dato-DXd) is composed of a humanized anti-TROP2 monoclonal antibody linked to a potent topoisomerase I inhibitor payload via a tetrapeptide-based linker. Once bound to TROP2 on cancer cells, the conjugate is internalized, and the payload is released in lysosomal compartments, causing DNA damage and triggering cellular apoptosis. Pembrolizumab is an anti-PD-1 monoclonal antibody that enhances T-cell immune responses against tumor cells. The combination is being evaluated in several Phase 3 clinical trials for non-small cell lung cancer (NSCLC), with early data showing promising efficacy and manageable safety profile.
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