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DSP107 + azacitidine is a combination regimen of a first-in-class bispecific fusion protein (DSP107) and the hypomethylating agent azacitidine. DSP107 is designed to simultaneously block the CD47/SIRPα "don't eat me" signal on tumor cells, which inhibits phagocytosis, and activate the 4-1BB costimulatory receptor on T cells, thereby enhancing both innate (macrophages, neutrophils) and adaptive (T cells) antitumor immunity in the tumor microenvironment. Azacitidine is a pyrimidine nucleoside analogue that incorporates into DNA and RNA, disrupting nucleic acid metabolism and inhibiting DNA methyltransferase, leading to hypomethylation and apoptosis of malignant hematopoietic cells. Both agents are investigated in combination for hematologic malignancies, such as myelodysplastic syndromes (MDS) and acute myeloid leukemia (AML), aiming to synergistically promote antitumor immune responses and epigenetic modulation[2][3][5].
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