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This combination regimen consists of toripalimab, a humanized IgG4 monoclonal antibody targeting the programmed cell death protein 1 (PD-1) receptor, administered in conjunction with the cytotoxic antimetabolites gemcitabine and 5-fluorouracil (5-FU). Toripalimab acts as an immune checkpoint inhibitor, preventing the interaction between PD-1 and its ligands (PD-L1 and PD-L2) to reactivate T-cell-mediated anti-tumor immunity. Gemcitabine and 5-fluorouracil are chemotherapeutic agents that interfere with DNA synthesis; gemcitabine inhibits ribonucleotide reductase and incorporates into DNA, while 5-fluorouracil inhibits thymidylate synthase. This specific triple-combination therapy is being investigated in a Phase II single-arm clinical trial sponsored by Jiangmen Central Hospital for the treatment of patients with unresectable advanced cholangiocarcinoma.
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