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The combination of spartalizumab and trametinib consists of **spartalizumab**, a monoclonal antibody that targets and inhibits the **programmed death receptor 1 (PD-1)**, and **trametinib**, a small molecule inhibitor of **mitogen-activated protein kinase kinase 1 (MEK1)** and **mitogen-activated protein kinase kinase 2 (MEK2)**. This combination is being investigated primarily for the treatment of **BRAF V600-mutant unresectable or metastatic melanoma**. Spartalizumab enhances antitumor immunity by blocking PD-1 and restoring T-cell activity, while trametinib blocks MEK1/2 in the MAPK pathway, inhibiting cell proliferation and survival. The COMBI-i trial evaluates this regimen, typically in combination with dabrafenib[3][5][7].
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