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**Penpulimab + chemotherapy** is a combination drug regimen consisting of the anti–PD-1 monoclonal antibody penpulimab and platinum-based chemotherapy agents (cisplatin or carboplatin) plus gemcitabine. Penpulimab is a humanized IgG1 monoclonal antibody engineered to block programmed death receptor-1 (PD-1) on T cells, thereby preventing the binding of its ligands (PD-L1 and PD-L2), releasing immune “brakes” and allowing cytotoxic T-cell activity against cancer cells. The combination, approved by the FDA in 2025, is indicated for the first-line treatment of adults with recurrent or metastatic non-keratinizing nasopharyngeal carcinoma (NPC). Chemotherapy agents (cisplatin/carboplatin and gemcitabine) induce DNA damage and cytotoxicity against rapidly dividing tumor cells, providing additive or synergistic effects with immunotherapy.
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