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This combination therapy consists of the PD-1 inhibitor sintilimab, the anti-angiogenic agent bevacizumab, and the cytotoxic chemotherapy gemcitabine. It is being evaluated by Zhejiang Cancer Hospital as an induction regimen for patients with locoregionally advanced nasopharyngeal carcinoma (NPC) who are ineligible for cisplatin-based therapy. Sintilimab is a humanized monoclonal antibody that blocks the interaction between PD-1 and its ligands, thereby restoring T-cell mediated anti-tumor immunity. Bevacizumab is a recombinant humanized monoclonal antibody that binds to VEGF-A, preventing its interaction with receptors and inhibiting tumor angiogenesis. Gemcitabine is a nucleoside metabolic inhibitor that, once phosphorylated, inhibits ribonucleotide reductase and incorporates into DNA, leading to chain termination and apoptosis. The regimen is designed to provide a non-platinum-based alternative for induction therapy in NPC.
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