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**tazemetostat + tafasitamab + lenalidomide** is a triple drug combination investigated for the treatment of adult patients with relapsed or refractory large B-cell lymphoma who are not eligible for transplant[2][4][7]. Tazemetostat is a small molecule inhibitor of **enhancer of zeste homolog 2 (EZH2)**, a histone methyltransferase involved in epigenetic silencing and oncogenesis. Tafasitamab is a humanized monoclonal antibody targeting **CD19** on B-cells, designed to enhance antibody-dependent cellular cytotoxicity and phagocytosis. Lenalidomide is an **immunomodulatory agent** that boosts natural killer cell-mediated ADCC and has antiproliferative and pro-apoptotic activities. The combination is under phase II clinical investigation and aims to increase response rates, shrink tumors, and prolong progression-free intervals by targeting multiple mechanisms in lymphoma pathophysiology[2][4][7].
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