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The PRO regimen is a chemotherapy-free combination therapy consisting of polatuzumab vedotin, rituximab, and orelabrutinib. Polatuzumab vedotin is a CD79b-directed antibody-drug conjugate (ADC) that delivers the microtubule inhibitor monomethyl auristatin E (MMAE) to B cells. Rituximab is a chimeric monoclonal antibody that targets the CD20 antigen on the surface of B-lymphocytes, leading to cell death through various immune-mediated mechanisms. Orelabrutinib is a highly selective, irreversible inhibitor of Bruton's tyrosine kinase (BTK), which plays a crucial role in B-cell receptor signaling. This combination is currently being evaluated in a Phase 2 clinical trial led by the Affiliated Hospital of Nantong University for the treatment of elderly, frail, treatment-naive patients with non-germinal center B-cell-like (non-GCB) diffuse large B-cell lymphoma (DLBCL).
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