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This investigational combination therapy regimen consists of tislelizumab, a humanized IgG4 anti-PD-1 monoclonal antibody, administered in conjunction with platinum-based chemotherapy and focal radiotherapy. Tislelizumab, developed by BeiGene, is specifically engineered to minimize binding to Fcγ receptors on macrophages, a design intended to prevent antibody-dependent cellular phagocytosis (ADCP) of T cells and potentially enhance anti-tumor activity. The regimen is currently being evaluated in a Phase II clinical trial at Fujian Cancer Hospital as a postoperative adjuvant treatment for patients with high-risk stage III N2 non-small cell lung cancer (NSCLC). The combination aims to leverage the systemic immune-potentiating effects of PD-1 blockade, the cytotoxic effects of platinum-based chemotherapy, and the localized tumor control provided by focal radiotherapy to improve progression-free and overall survival in this patient population.
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