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**Gilvetmab** is a caninized monoclonal antibody developed by Merck Animal Health as the first immune checkpoint inhibitor for veterinary use in dogs. It binds to canine programmed cell death receptor-1 (PD-1) on CD4+ and CD8+ T lymphocytes, blocking the interaction with PD-L1/L2 to prevent immune suppression by cancer cells, thereby reactivating the dog's immune system to attack tumors. It is conditionally approved by the USDA for treating stage I-III mast cell tumors (MCTs) and stage II-III melanomas, with clinical trials showing 73% tumor shrinkage or stabilization in MCTs and 60% in melanomas over 20 weeks, and it is administered intravenously every 2 weeks.[1][2][4][7][10]
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