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MK-4621 + pembrolizumab is an investigational combination therapy comprised of MK-4621, a double-stranded 5'-triphosphate RNA oligonucleotide agonist of retinoic acid-inducible gene I (RIG-I), and pembrolizumab, a monoclonal antibody targeting programmed cell death 1 (PD-1). MK-4621 activates the RIG-I pathway, inducing type I interferon signaling and innate immune activation, with direct tumor cell death preferentially in malignant cells. Pembrolizumab inhibits the interaction of PD-1 on immune cells with PD-L1/PD-L2 on tumor cells, preventing immune exhaustion and enhancing antitumor immune responses. The combination is developed as an immunotherapy approach for advanced or metastatic solid tumors with the hypothesis that RIG-I agonism could augment checkpoint blockade efficacy by promoting a stronger immune response within tumors[1][3][4][6].
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