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Toripalimab (Tuoyi) is a recombinant, humanized IgG4 monoclonal antibody directed against the programmed cell death protein 1 (PD-1) receptor. Developed by Shanghai Junshi Bioscience, it functions as an immune checkpoint inhibitor by blocking the interaction between PD-1 on T cells and its ligands, PD-L1 and PD-L2, thereby restoring the anti-tumor activity of cytotoxic T lymphocytes. In the specific clinical trial context at Shanghai First Maternity and Infant Hospital, toripalimab is being evaluated in combination with progesterone for the treatment of early-stage endometrial cancer or atypical endometrial hyperplasia in patients seeking fertility preservation. Progesterone, a steroid hormone, acts via the progesterone receptor to induce secretory changes in the endometrium and antagonize estrogen-driven proliferation. This combination therapy aims to improve complete pathological response rates compared to standard hormonal therapy alone, potentially allowing patients to avoid hysterectomy.
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