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Mitoxantrone hydrochloride liposome + enlonstobart is a combination therapy being investigated for the treatment of relapsed or refractory peripheral T-cell lymphoma (PTCL). Mitoxantrone hydrochloride liposome (PLM60) is a liposomal formulation of the synthetic anthracenedione antineoplastic agent mitoxantrone, designed to enhance tumor-specific delivery and reduce systemic toxicities, particularly cardiotoxicity. It acts by intercalating into DNA and inhibiting DNA topoisomerase II, leading to double-strand breaks and apoptosis. Enlonstobart (SG001) is an investigational humanized monoclonal antibody that targets the programmed cell death protein 1 (PD-1) receptor. By blocking the interaction between PD-1 and its ligands (PD-L1 and PD-L2), enlonstobart restores the anti-tumor activity of exhausted T-cells. This combination is currently being evaluated in a Phase Ib/II study sponsored by Sun Yat-Sen University Cancer Center to determine the optimal dose and assess the synergistic efficacy of cytotoxic chemotherapy and immune checkpoint inhibition in PTCL patients.
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