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Tunlametinib + pucotenlimab + hydroxychloroquine is an investigational triple-drug combination therapy being evaluated for the treatment of locally advanced or metastatic NRAS-mutant melanoma. The regimen combines tunlametinib (HL-085), a potent and selective oral small-molecule MEK1/2 inhibitor; pucotenlimab (HX008), an anti-PD-1 monoclonal antibody; and hydroxychloroquine, a small-molecule autophagy inhibitor. The combination aims to overcome resistance and enhance anti-tumor activity by modulating the MAPK/RAS-RAF signaling pathway, blocking the PD-1/PD-L1 immune checkpoint, and inhibiting autophagy-mediated lysosomal degradation to increase tumor immunogenicity. A Phase 2 clinical trial sponsored by Sun Yat-sen University is currently investigating the efficacy and safety of this triplet in patients with NRAS-mutated advanced melanoma.
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