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Duvelisib + chidamide is a combination of two small molecule drugs used in investigational regimens for hematologic malignancies. Duvelisib is an oral inhibitor of phosphoinositide 3-kinase (PI3K) delta and gamma isoforms, which are critical for B-cell receptor signaling and immune cell function. It is approved for the treatment of relapsed or refractory chronic lymphocytic leukemia (CLL) and small lymphocytic lymphoma (SLL)[1][3][5]. Chidamide is an oral histone deacetylase (HDAC) inhibitor that modulates chromatin structure to suppress tumor cell growth and induce apoptosis. It has been approved in China for relapsed or refractory peripheral T-cell lymphoma and has shown activity in other hematologic cancers[6][7]. The combination targets both PI3K-mediated survival pathways and epigenetic regulation to enhance anti-tumor effects.
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