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This is a triple combination therapy being investigated for metastatic non-small cell lung cancer (NSCLC) patients who have progressed after first-line immune checkpoint inhibitor therapy. The combination leverages the complementary mechanisms of action of each component: docetaxel (a taxane chemotherapy agent), pembrolizumab (a PD-1 inhibitor immunotherapy), and plinabulin (a selective immunomodulating microtubule-binding agent). Plinabulin promotes dendritic cell maturation and enhances anti-tumor T cell responses, potentially overcoming resistance to immunotherapy when combined with pembrolizumab and docetaxel.
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