suggests that multiple amino acid substitutions are introduced to support the peptides stability against enzymatic degradation potentially: (1) Position 2 (Alanine D-Alanine): Introduces a D-form amino acid, which is less susceptible to standard enzymatic breakdown
But overall, the dominant pattern seems to be daily administration
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irAEs usually develop within weeks to 3 months after initiation of ICIs D
Patients should compare total cost across alternatives, including modern combination protocols, when planning a 6 to 12 month treatment cycle