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This combination therapy involves the PD-1 inhibitor pembrolizumab administered alongside anti-CD20 monoclonal antibodies, specifically rituximab or obinutuzumab. Pembrolizumab is a humanized monoclonal antibody that blocks the interaction between the Programmed cell death protein 1 (PD-1) receptor and its ligands (PD-L1 and PD-L2), thereby enhancing T-cell mediated anti-tumor immune responses. Rituximab and obinutuzumab are monoclonal antibodies targeting the CD20 antigen on B-cells, inducing cell death through antibody-dependent cellular cytotoxicity (ADCC) and complement-dependent cytotoxicity (CDC). The University of Washington evaluated this combination in a Phase II clinical trial (NCT03401853) for patients with relapsed or refractory follicular lymphoma and diffuse large B-cell lymphoma. Results from the study indicated that while the regimen was tolerable, it demonstrated limited clinical efficacy in these specific lymphoma populations.
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