Monthly docetaxel, combined with weekly gemcitabine, has significant but manageable hematologic toxicity. Despite frequent dose adjustments, this doublet is very active in metastatic breast cancer, producing a high proportion of durable responses associated with favorable survival.
BACKGROUND • Programmed cell death ligand 1 (PD-L1) is expressed on many cancer and immune cells; by binding the receptor programmed cell death 1 (PD-1), a negative regulator of T-lymphocyte activation, it can block cancer immune detection 1 • Monoclonal antibodies targeting the PD-pathway and other immunecheckpoint inhibitors have shown anticancer activity in different tumor types 2 • Immune-related adverse events (AEs), including interstitial pneumonitis, colitis, and transaminitis, are known toxicities of PD-1/PD-L1 axisblocking antibodies. These toxicities are considerably higher when dual checkpoint inhibition is implemented 2-6
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