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**golimumab + apalutamide** is an investigational combination therapy for castration-resistant prostate cancer. Golimumab is a human monoclonal antibody that inhibits tumor necrosis factor alpha (TNF-α), a cytokine involved in systemic inflammation. Apalutamide is a next-generation androgen receptor inhibitor that blocks the androgen receptor at the ligand-binding domain, preventing androgen-induced transcriptional activity and subsequent tumor cell proliferation. The rationale for the combination is to simultaneously target hormone-driven proliferation and the inflammatory microenvironment in advanced prostate cancer[1][9].
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