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EO2463 + lenalidomide + rituximab is a combination investigational therapy being studied in patients with indolent non-Hodgkin lymphomas such as follicular lymphoma (FL) and marginal zone lymphoma (MZL)[3][7]. EO2463 is a microbial-derived peptide therapeutic cancer vaccine designed to activate commensal bacteria-specific memory T cells that cross-react with B cell markers (CD20, CD22, CD37, and CD268), thereby stimulating an anti-tumor immune response[3][1]. Lenalidomide is an immunomodulatory small molecule that enhances T cell and natural killer (NK) cell activity, leading to anti-tumor effects. Rituximab is a monoclonal antibody targeting CD20 on B cells, resulting in their depletion. The combination aims to synergize EO2463's immune priming with lenalidomide's immunomodulatory effects and rituximab's direct tumor cell targeting to improve anti-lymphoma efficacy[3][7][1]. Primary indications under investigation are follicular lymphoma and marginal zone lymphoma[3][7].
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