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Abemaciclib + letrozole is an oral combination regimen of two small molecule drugs used primarily in the treatment of hormone receptor-positive, HER2-negative advanced or metastatic breast cancer and recurrent estrogen receptor (ER)-positive endometrial cancer. Abemaciclib is a selective inhibitor of cyclin-dependent kinases 4 and 6 (CDK4/6), which blocks cell cycle progression from G1 to S phase, thereby inhibiting tumor cell proliferation. Letrozole is a nonsteroidal aromatase inhibitor that reduces estrogen production by blocking the conversion of androgens to estrogens in peripheral tissues, leading to decreased stimulation of ER-positive tumor cells. The combination targets both hormonal signaling and cell cycle regulation pathways, providing synergistic antitumor activity[1][3][4][5][6].
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