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This combination regimen consists of four agents: - **TQB2868**, a fusion protein that targets PD-1 and TGF-β, acting as an immune checkpoint inhibitor and TGF-β pathway modulator to combat tumor immunosuppression and desmoplastic stroma in pancreatic cancer[1][3]. - **Anlotinib**, a small molecule multikinase inhibitor, primarily targeting vascular endothelial growth factor receptor (VEGFR), platelet-derived growth factor receptor (PDGFR), fibroblast growth factor receptor (FGGR), and c-Kit, with antiangiogenic and antitumor effects. - **Gemcitabine**, a nucleoside analog chemotherapeutic agent, inhibits DNA synthesis by incorporation into DNA, leading to chain termination and apoptosis[2][6]. - **Nab-paclitaxel**, an albumin-bound nanoparticle formulation of paclitaxel, enhances chemotherapy delivery to tumor cells and stabilizes microtubules, inhibiting cell division and promoting apoptosis[2][4][6]. This four-drug combination is being evaluated as first-line treatment for metastatic or locally advanced pancreatic cancer. Early-phase and pivotal trials showed tolerability and promising antitumor activity with this regimen in pancreatic adenocarcinoma patients[1][3][7].
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