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Ipilimumab is a human monoclonal antibody biologic that targets the immune checkpoint receptor CTLA-4 (cytotoxic T-lymphocyte-associated protein 4). In the RADVAX RCC clinical trial led by the University of Texas Southwestern Medical Center, ipilimumab is utilized in a combination regimen with nivolumab (a PD-1 inhibitor) and stereotactic body radiation therapy (SBRT) for patients with metastatic clear-cell renal cell carcinoma. This therapeutic approach aims to leverage the abscopal effect, where localized radiation (SBRT) to metastatic sites potentially enhances the systemic anti-tumor immune response triggered by dual checkpoint blockade. The regimen typically involves an induction phase of ipilimumab and nivolumab administered intravenously alongside SBRT, followed by maintenance therapy with nivolumab monotherapy.
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