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This combination therapy consists of the PD-1 inhibitor tislelizumab, the multi-kinase inhibitor lenvatinib, and a liposomal formulation of the cytotoxic agent irinotecan. It is being investigated by the Anhui Provincial Cancer Hospital for the treatment of advanced or metastatic esophageal squamous cell carcinoma (ESCC). Tislelizumab is a humanized IgG4 monoclonal antibody that enhances the anti-tumor immune response by blocking the PD-1/PD-L1 pathway. Lenvatinib targets multiple receptor tyrosine kinases, including VEGFR and FGFR, to inhibit angiogenesis and tumor cell proliferation, while also potentially modulating the tumor microenvironment to enhance immunotherapy. Irinotecan liposomes provide a sustained-release formulation of the topoisomerase I inhibitor, leading to DNA damage and apoptosis in rapidly dividing cancer cells. The regimen aims to provide synergistic anti-tumor activity through immune activation, anti-angiogenesis, and direct cytotoxicity.
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