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This investigational combination therapy consists of the PD-1 inhibitor nivolumab, the taxane chemotherapy docetaxel, and androgen deprivation therapy (ADT). It is being evaluated in a Phase 2 clinical trial (NCT04126070) led by Dr. Xiao X. Wei for the treatment of metastatic hormone-sensitive prostate cancer (mHSPC). The regimen aims to leverage the synergistic effects of hormonal suppression, cytotoxic chemotherapy, and immune checkpoint blockade. Patients are stratified based on DNA damage repair (DDR) defects and tumor inflammation status (PD-L1 and CD8+ T-cell infiltration). ADT in this regimen typically involves GnRH agonists like leuprolide or goserelin, or GnRH antagonists like degarelix, to suppress testosterone production and inhibit androgen receptor-driven tumor growth.
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