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Durvalumab + FLOT is a combination therapy for cancer that combines **durvalumab**, a monoclonal antibody immune checkpoint inhibitor targeting programmed death-ligand 1 (PD-L1), with the **FLOT regimen**, a four-drug chemotherapy protocol consisting of fluorouracil (5-FU), leucovorin, oxaliplatin, and docetaxel. Durvalumab exerts its effect by blocking PD-L1, enhancing T-cell-mediated antitumor immune responses. FLOT is a cytotoxic chemotherapy regimen commonly used in perioperative treatment of resectable gastric and gastroesophageal junction (GEJ) adenocarcinoma. Clinical trial data (MATTERHORN, phase 3) show that the combination improves event-free and overall survival compared to FLOT alone in patients with resectable gastric and GEJ cancers.
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