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The LEAP regimen is an investigational combination therapy consisting of the PD-1 checkpoint inhibitor sintilimab, the asparagine-depleting enzyme pegaspargase, and the multi-target tyrosine kinase inhibitor anlotinib. This regimen is specifically being evaluated for the treatment of stage IV extranodal NK/T-cell lymphoma (ENKTL) in patients who are unfit for high-intensity chemotherapy. Sintilimab works by blocking the interaction between PD-1 and its ligands, thereby enhancing the anti-tumor immune response. Pegaspargase, a pegylated form of L-asparaginase, depletes the amino acid L-asparagine, which is essential for the survival of NK/T lymphoma cells that lack asparagine synthetase. Anlotinib provides anti-angiogenic and anti-proliferative effects by inhibiting several receptor tyrosine kinases, including VEGFR, FGFR, PDGFR, and c-Kit.
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