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A combination regimen comprising **zimberelimab** (an anti-programmed cell death protein-1 [PD-1] monoclonal antibody), **domvanalimab** (an Fc-silent anti-TIGIT monoclonal antibody), and **sacituzumab govitecan-hziy** (an antibody-drug conjugate targeting Trop-2 and delivering the cytotoxic SN-38 payload). This combination is being tested as investigational first-line therapy in patients with **PD-L1 positive advanced or metastatic triple-negative breast cancer (TNBC)**. The scientific rationale is to combine checkpoint inhibition (PD-1 and TIGIT) with targeted cytotoxicity to enhance anti-tumor immune response and direct tumor cell killing. Zimberelimab and domvanalimab are developed by Arcus Biosciences and Gilead Sciences, while sacituzumab govitecan-hziy is developed by Gilead Sciences. This combination is currently under investigation in a phase II trial[1].
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