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This combination regimen consists of a liposomal formulation of the topoisomerase I inhibitor irinotecan, the oral fluoropyrimidine prodrug capecitabine, and the PD-1 monoclonal antibody enlansubemab. It is currently being investigated as a neoadjuvant therapy in combination with short-course radiotherapy (SCRT) for patients with locally advanced rectal cancer (LARC). The treatment strategy aims to leverage the cytotoxic effects of chemotherapy and radiation to induce immunogenic cell death, which is further enhanced by the immune checkpoint blockade provided by enlansubemab. This multi-modal approach is designed to improve pathological complete response (pCR) rates and potentially allow for organ preservation through a 'Watch and Wait' (W&W) strategy in responsive patients.
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