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Sacituzumab govitecan + pembrolizumab is a combination therapy for advanced or metastatic triple-negative breast cancer (TNBC). **Sacituzumab govitecan** is a Trop-2-directed antibody-drug conjugate (ADC) that binds to Trop-2, a protein highly expressed on cancer cells, and delivers the cytotoxic agent SN-38, leading to cell death. **Pembrolizumab** is a monoclonal antibody checkpoint inhibitor targeting PD-1, enhancing anti-tumor immune responses. This combination is being investigated as a first-line treatment for unresectable, locally advanced or metastatic PD-L1–positive TNBC, and has demonstrated improved progression-free survival compared to pembrolizumab plus chemotherapy. The combo is also under study for early-stage TNBC. Sacituzumab govitecan is developed and manufactured by Gilead Sciences, while pembrolizumab is developed and manufactured by Merck[2][3][4][5].
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