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Tabelecleucel + pembrolizumab is an investigational combination therapy being studied primarily for platinum-pretreated, recurrent/metastatic Epstein-Barr Virus-associated nasopharyngeal carcinoma (EBV+ NPC). Tabelecleucel is an allogeneic, off-the-shelf EBV-specific cytotoxic T-cell immunotherapy designed to target and eliminate EBV-infected cells. It is administered intravenously and is selected from a donor bank based on human leukocyte antigen (HLA) matching. Pembrolizumab is a monoclonal antibody that targets programmed cell death protein 1 (PD-1), blocking its interaction with ligands and facilitating T-cell–mediated anti-tumor immune responses. The combination aims to enhance anti-tumor efficacy by leveraging direct cytotoxic elimination of EBV-positive cells (tabelecleucel) and releasing T-cell inhibition (pembrolizumab)[1][2][5][6].
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