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Disitamab vedotin + camrelizumab is a combination therapy consisting of a HER2-targeted antibody-drug conjugate (ADC) and a programmed cell death protein 1 (PD-1) inhibitor. Disitamab vedotin (RC48) is a humanized anti-HER2 monoclonal antibody conjugated to the microtubule-disrupting agent monomethyl auristatin E (MMAE) via a protease-cleavable valine-citrulline linker. Camrelizumab is a humanized IgG4 monoclonal antibody that blocks the interaction between PD-1 and its ligands (PD-L1 and PD-L2), thereby restoring T-cell mediated anti-tumor immune responses. This combination is primarily investigated for the treatment of HER2-expressing advanced or metastatic urothelial carcinoma, including squamous cell carcinoma and adenocarcinoma subtypes. The rationale for the combination lies in the potential synergistic effect where the ADC-induced immunogenic cell death enhances the efficacy of the checkpoint inhibitor by promoting a more inflamed tumor microenvironment.
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