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Domatinostat + avelumab is an investigational combination therapy for cancer. Domatinostat is an orally administered small molecule that acts as a selective Class I histone deacetylase (HDAC) inhibitor, designed to enhance the body’s anti-tumor immune response by modulating the tumor microenvironment and facilitating immune cell infiltration into tumors. Avelumab is a monoclonal antibody targeting programmed death-ligand 1 (PD-L1), functioning as an immune checkpoint inhibitor to promote T-cell mediated anti-tumor activity. The combination aims to improve immunotherapy efficacy in advanced cancers, particularly those resistant or refractory to prior PD-(L)1 blockade, such as Merkel cell carcinoma and microsatellite-stable gastrointestinal cancers[1][2][5][7].
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