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This is a combination regimen of three drugs: tislelizumab, fruquintinib, and metronidazole. Tislelizumab is a humanized IgG4 monoclonal antibody that targets the programmed cell death protein 1 (PD-1) receptor on T cells, acting as an immune checkpoint inhibitor to enhance anti-tumor immunity. Fruquintinib is a highly selective small molecule inhibitor of vascular endothelial growth factor receptors 1, 2, and 3 (VEGFR1/2/3), blocking angiogenesis in tumors. Metronidazole is an antibiotic and antiprotozoal agent that disrupts DNA synthesis in anaerobic bacteria and certain protozoa; its inclusion may be intended to modulate the gut microbiome or manage infection risk during therapy. This combination is being investigated primarily for advanced or metastatic colorectal cancer with microsatellite stability or mismatch repair proficiency[1][2][3].
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