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A combination therapy approach where tetracycline antibiotics are used prophylactically or concurrently with afatinib to manage skin toxicities, particularly acneiform rash, associated with afatinib treatment in non-small cell lung cancer (NSCLC) patients. Afatinib is a second-generation, irreversible ErbB-family blocker that covalently binds to and blocks signaling from EGFR, HER2, ErbB3, and ErbB4, while tetracyclines are used to prevent or reduce the severity of skin reactions, which are common adverse effects of EGFR inhibitors.
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