It is intended to provide a medicament and a method for treating cancer, comprising a compound having MDM2 inhibiting activity and a DNA methyltransferase inhibitor in combination. The present invention provides a medicament comprising (3′;R,4′;S,5′;R)—;N-[(3R,6S)-6-carbamoyltetrahydro-2H-pyran-3-yl]-6″;-chloro-4′;-(2-chloro-3-fluoropyridin-4-yl)-4,4-dimethyl-2″;-oxo-1″;,2″;-dihydrodispiro[cyclohexane-1,2′;-pyrrolidine-3′;,3″;-indole]-5′;-carboxamide or a pharmaceutically acceptable salt thereof and a DNA methyltransferase inhibitor in combination, and a treatment method using the compound or a salt thereof and a DNA methyltransferase inhibitor in combination.