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IMM-101 + gemcitabine + nab-paclitaxel is a **combination regimen** used or investigated in the treatment of advanced pancreatic cancer. IMM-101 is an immunotherapeutic comprising heat-killed whole cell *Mycobacterium obuense*, which acts by stimulating the innate and adaptive immune systems, particularly enhancing dendritic cell maturation and promoting cytotoxic T cell responses[3][7]. Gemcitabine is a nucleoside analogue chemotherapy (cytotoxic antimetabolite) inhibiting DNA synthesis in dividing cells[8], and nab-paclitaxel is paclitaxel bound to albumin nanoparticles, facilitating drug delivery to tumor cells and disrupting microtubule dynamics during cell division[4][8]. Clinical studies have assessed IMM-101 with gemcitabine for metastatic pancreatic cancer, showing improved (though modest) overall survival compared to gemcitabine alone[7]. Nab-paclitaxel with gemcitabine is considered a standard first-line regimen for metastatic pancreatic cancer, and the triple combination is under investigation, primarily for enhancing antitumor immune response and cytotoxicity[2][3][6][7].
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