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Zolbetuximab + nab-paclitaxel + gemcitabine is a combination therapy under clinical investigation for previously untreated, metastatic, Claudin 18.2 (CLDN18.2)-positive pancreatic adenocarcinoma. Zolbetuximab is an IgG1 monoclonal antibody that specifically binds to CLDN18.2 on tumor cells, leading to tumor cell lysis through antibody-dependent cellular cytotoxicity and complement-dependent cytotoxicity. Nab-paclitaxel is an albumin-bound formulation of paclitaxel, a microtubule inhibitor, while gemcitabine is a nucleoside analog that inhibits DNA synthesis. The combination aims to enhance anti-tumor activity by targeting the tumor antigen CLDN18.2 and disrupting cell division and DNA replication in cancer cells[1][3]. Clinical development is in phase II, focusing on the first-line treatment of CLDN18.2-positive metastatic pancreatic adenocarcinoma[3].
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