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irinotecan liposome + sintilimab is a combination therapy being investigated for the treatment of advanced gastric cancer. It consists of a liposomal formulation of irinotecan, a topoisomerase I inhibitor, and sintilimab, a recombinant humanized IgG4 monoclonal antibody that targets the programmed cell death protein 1 (PD-1) receptor. The liposomal delivery system for irinotecan is designed to enhance the drug's half-life and tumor accumulation, where it is converted to its active metabolite SN-38 to induce DNA damage. Sintilimab acts as a checkpoint inhibitor, blocking the interaction between PD-1 and its ligands (PD-L1 and PD-L2) to restore the anti-tumor activity of T cells. This specific combination is being evaluated in a Phase II clinical trial led by Ruijin Hospital as a second-line treatment for patients with progressive gastric cancer who have failed prior therapies.
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