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Ifinatamab deruxtecan + atezolizumab is an investigational **combination regimen** being evaluated primarily in extensive-stage small cell lung cancer (ES-SCLC)[1][3]. The regimen combines ifinatamab deruxtecan (I-DXd), a **B7-H3–directed antibody-drug conjugate (ADC)** utilizing a DXd (deruxtecan) topoisomerase I inhibitor payload, with atezolizumab, an **immune checkpoint inhibitor** targeting PD-L1. I-DXd is designed to deliver a cytotoxic payload specifically to B7-H3-expressing tumor cells, while atezolizumab potentiates antitumor immunity by blocking the PD-1/PD-L1 axis. The combination aims to synergize targeted cytotoxicity with immune activation. This combination is being developed by Daiichi Sankyo and Merck, with Daiichi Sankyo responsible for manufacturing[4][6]. The main indication under development is as first-line induction or maintenance therapy or for relapsed ES-SCLC[1][3].
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