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Pembrolizumab + tamoxifen is a combination therapy under investigation for the treatment of estrogen receptor-positive (ER+) breast cancer, particularly in patients who have developed resistance to hormone therapy. Pembrolizumab is a humanized monoclonal antibody that targets and inhibits the programmed cell death protein 1 (PD-1) receptor on T-cells, thereby blocking immune checkpoint signaling and enhancing anti-tumor immune responses. Tamoxifen is a selective estrogen receptor modulator (SERM) that antagonizes estrogen receptors in breast tissue, inhibiting the growth of ER+ cancer cells. This combination aims to leverage both immunotherapy and endocrine therapy mechanisms to improve outcomes in hormone-resistant breast cancer[1][3][6].
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