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**Pembrolizumab + cisplatin + TS-1** is a combination regimen used mainly in clinical trials for advanced or metastatic gastric and gastroesophageal junction cancer, specifically in HER2-negative, PD-L1-positive patients. Pembrolizumab is a monoclonal antibody acting as an immune checkpoint inhibitor targeting PD-1, thereby enhancing the immune system’s response against tumor cells. Cisplatin is a platinum-based chemotherapeutic agent causing DNA cross-linking and apoptosis in cancer cells. TS-1 (also known as S-1) is an oral fluoropyrimidine derivative that inhibits DNA synthesis by interfering with thymidylate synthase activity. This combination aims to leverage immune-mediated anti-tumor activity and direct cytotoxicity for improved outcomes in gastric cancer patients. Its use has demonstrated promising efficacy and manageable safety in phase II studies among Japanese patients with advanced gastric/gastroesophageal junction cancer[3][2][1].
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