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**parsaclisib + bendamustine + obinutuzumab** is an experimental three-drug combination regimen for the treatment of B-cell malignancies. Parsaclisib is a selective phosphoinositide 3-kinase delta (PI3Kδ) inhibitor (a small molecule), bendamustine is an alkylating agent (a small molecule chemotherapeutic), and obinutuzumab is a humanized anti-CD20 monoclonal antibody. The combination aims to leverage the complementary mechanisms: parsaclisib targets B-cell receptor signaling, bendamustine induces DNA crosslinking and apoptosis, and obinutuzumab mediates B-cell depletion via multiple immune-mediated mechanisms. The regimen is under investigation for indications such as relapsed or refractory follicular lymphoma and other B-cell non-Hodgkin lymphomas by combining direct cytotoxicity, immune modulation, and B-cell targeting.
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