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**isatuximab + SAR439459 + dexamethasone** is a combination regimen under clinical investigation for the treatment of relapsed or refractory multiple myeloma. Isatuximab is a monoclonal antibody targeting CD38 on malignant plasma cells, leading to cell death via immune effector mechanisms and direct apoptosis. SAR439459 is an investigational agent targeting the transforming growth factor beta (TGF-beta) pathway, potentially counteracting immunosuppressive tumor microenvironments and enhancing anti-tumor immune responses. Dexamethasone is a synthetic glucocorticoid used as a backbone agent in myeloma regimens for its anti-inflammatory and cytotoxic effects on plasma cells. This combination is studied to evaluate synergistic benefit in advanced myeloma patients who have previously received multiple therapies, with endpoints including safety, efficacy (response rates), progression-free survival, and overall survival[1][6].
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