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Pembrolizumab + cyclophosphamide + G100 is a combination therapy investigated primarily for advanced soft tissue sarcomas and other cancers. Pembrolizumab is a monoclonal antibody that targets the programmed cell death protein 1 (PD-1) receptor on T cells, blocking its interaction with PD-L1 and PD-L2 to enhance anti-tumor immune responses. Cyclophosphamide is an alkylating agent that suppresses regulatory T cells and has immunomodulatory effects in addition to its cytotoxic activity. G100 is a synthetic toll-like receptor 4 (TLR4) agonist administered via intra-tumoral injection; it stimulates innate immunity within the tumor microenvironment to promote local and systemic anti-tumor immune responses. The rationale for this combination is to sensitize tumors—especially those lacking tertiary lymphoid structures—to immunotherapy by enhancing both innate and adaptive immune activation[1][3][6]. This regimen has been studied in phase II trials for metastatic soft tissue sarcoma[1][6], with additional exploration in other solid tumors.
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