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Onfekafusp alfa + temozolomide is a **combination therapy of an antibody-cytokine fusion protein (onfekafusp alfa, also known as L19TNF) and the alkylating chemotherapeutic agent temozolomide**, primarily investigated for use in aggressive cancers such as glioblastoma and soft tissue sarcoma[1][4][8]. - Onfekafusp alfa is a fusion protein consisting of the L19 antibody, which targets the ED-B domain of fibronectin expressed in tumor neovasculature, fused to the immune-activating cytokine tumor necrosis factor alpha (TNFα)[1][6][9]. - Temozolomide is a standard oral DNA-alkylating agent that is cytotoxic to cancer cells. This combination is being studied for potentially improving tumor-targeted immune response and direct tumor cytotoxicity beyond what is achieved with standard chemotherapy alone[1][4][8].
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