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**LioCyx-M + lenvatinib** is a combination therapy under clinical investigation for the treatment of hepatitis B virus (HBV)-related hepatocellular carcinoma (HCC). It consists of two components: - **LioCyx-M004** is an mRNA-encoded T-cell receptor (TCR)-T cell therapy product developed to target HBV-specific antigens. The therapy employs autologous T cells genetically engineered to express TCRs that recognize epitopes from the HBV virus, aiming to selectively eliminate HBV-infected hepatocytes and malignant liver cells presenting viral antigens. This approach seeks to restore anti-HBV immunity, which is functionally exhausted in these patients, enabling effective cytotoxic targeting of both cancerous and infected cells. - **Lenvatinib** is a small molecule, multi-kinase inhibitor approved as a first-line agent for advanced, unresectable HCC. Its mechanism includes inhibition of various receptor tyrosine kinases involved in tumor angiogenesis (VEGFR1, VEGFR2, VEGFR3), tumor proliferation (FGFR1-4), and the tumor microenvironment (PDGFRα, RET, KIT). The rationale for the combination is that lenvatinib modulates the tumor microenvironment to promote an immune-supportive profile, potentially enhancing T cell infiltration and efficacy. The combination is being evaluated in a multicenter Phase 2 clinical trial after FDA IND and Fast Track designation, targeting patients with HBV-related HCC refractory or relapsed to systemic therapies[1][3][4][5].
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