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IMA402 + pembrolizumab is an investigational combination therapy being developed by Immatics for the treatment of PRAME-positive solid tumors. IMA402 is a next-generation T-cell engaging receptor (TCER) bispecific molecule designed to target a peptide derived from the PRAME (preferentially expressed antigen in melanoma) protein presented by HLA-A*02:01. Uniquely, IMA402 utilizes mRNA-enabled technology for in vivo expression of the bispecific molecule, which redirects and activates T cells against cancer cells. Pembrolizumab (Keytruda) is a programmed death receptor-1 (PD-1) blocking monoclonal antibody that serves as an immune checkpoint inhibitor. By combining these two agents, the therapy aims to recruit T cells to the tumor site via IMA402 and simultaneously prevent their exhaustion or inhibition via pembrolizumab-mediated PD-1 blockade. The combination is currently in Phase 1 clinical development for patients with advanced melanoma, gynecologic cancers, and other solid tumors.
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