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**IDE-161 + pembrolizumab** is a combination of two investigational and approved oncology drugs: IDE-161, a small molecule inhibitor of Poly(ADP-ribose) glycohydrolase (PARG), and pembrolizumab, a monoclonal antibody that targets programmed cell death protein 1 (PD-1). IDE-161 is designed to disrupt DNA repair by inhibiting PARG, leading to enhanced DNA damage and cancer cell death, particularly in tumors with homologous recombination deficiency (HRD). Pembrolizumab is an immune checkpoint inhibitor that enhances anti-tumor immunity by blocking PD-1, thereby restoring T-cell activity against tumor cells. This combination is currently being investigated for advanced or metastatic endometrial cancer, including both microsatellite instability-high (MSI-high) and microsatellite stable (MSS) subtypes[1][3][5][7][9]. The rationale is to target both DNA repair and the immune microenvironment for a synergistic anti-tumor effect.
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