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This is a **four-drug combination regimen** consisting of SEA-CD40 (a monoclonal antibody agonist of CD40), pembrolizumab (a PD-1 immune checkpoint inhibitor), pemetrexed (a folate antimetabolite chemotherapy), and carboplatin (a platinum-based chemotherapy). SEA-CD40 binds CD40, amplifying immune activation and antitumor activity. Pembrolizumab blocks PD-1, releasing T-cell inhibition. Pemetrexed inhibits folate-dependent enzymes involved in DNA synthesis, and carboplatin causes DNA crosslinking and apoptosis. This combination is under clinical investigation for non-small cell lung cancer (NSCLC) and other advanced cancers. It is administered intravenously and is designed to augment antitumor immunity alongside standard chemotherapy[7].
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