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This combination therapy consists of the immune checkpoint inhibitor pembrolizumab, the PARP inhibitor olaparib, and the alkylating chemotherapy agent temozolomide. It is currently being evaluated in a Phase II clinical trial (NCT05188508) led by Memorial Sloan Kettering Cancer Center for the treatment of patients with recurrent glioma, specifically focusing on IDH-mutant cases and IDH-wildtype cases with homologous recombination deficiency (HRD). The therapeutic rationale involves a synergistic approach: temozolomide induces DNA damage, olaparib inhibits the repair of that damage (particularly effective in HRD-positive tumors), and pembrolizumab enhances the T-cell mediated immune response against the tumor cells. The regimen is administered in 21-day cycles, with pembrolizumab delivered intravenously and the other two agents administered orally.
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