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**Peluntamig + carboplatin + etoposide** is an investigational combination therapy studied for the treatment of advanced or refractory cancers, especially extensive-stage small cell lung cancer (ES-SCLC), large cell neuroendocrine carcinoma of the lung (LCNEC), and extrapulmonary neuroendocrine carcinoma (EP-NEC). **Peluntamig (PT217)** is a first-in-class bispecific antibody targeting **Delta-like protein 3 (DLL3)**, involved in tumor growth through the Notch signaling pathway, and **CD47**, which sends a "don't eat me" signal to immune cells (SIRPalpha interaction), thereby helping cancer cells evade immune surveillance[1][2][4]. Carboplatin and etoposide are standard platinum-based chemotherapeutic agents commonly used in the management of small cell lung cancer[5]. This combination therapy is being evaluated for enhanced anti-tumor efficacy, leveraging both immune-mediated (peluntamig) and cytotoxic (carboplatin + etoposide) mechanisms. The development includes orphan drug and fast track designations for SCLC, NEC, and neuroendocrine prostate cancer[2][4].
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