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Paclitaxel + carboplatin + pembrolizumab is a combination regimen used in the treatment of several cancers, including non-small cell lung cancer (NSCLC), endometrial carcinoma, head and neck squamous cell carcinoma (HNSCC), and breast cancer. Paclitaxel is a chemotherapy drug classified as an anti-microtubule inhibitor that disrupts microtubule function during cell division, leading to apoptosis of rapidly dividing tumor cells. Carboplatin is an alkylating agent that causes DNA crosslinking and damage, inhibiting DNA synthesis and function. Pembrolizumab is a monoclonal antibody checkpoint inhibitor targeting programmed death-1 (PD-1) on T cells; it blocks the interaction with PD-L1/PD-L2 ligands on tumor cells or other immune cells, thereby enhancing T-cell mediated antitumor immunity. This combination leverages both cytotoxic chemotherapy and immunotherapy for synergistic antitumor effects[7][8][10].
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