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**AZD7648 + pegylated liposomal doxorubicin** is a combination therapy consisting of AZD7648, an oral small molecule inhibitor of DNA-dependent protein kinase (DNA-PK), and pegylated liposomal doxorubicin (PLD), an encapsulated formulation of doxorubicin designed to reduce toxicity. AZD7648 selectively inhibits DNA-PK, impairing double-strand break repair via the nonhomologous end joining (NHEJ) pathway and potentiating the cytotoxic effects of DNA-damaging agents such as PLD. The combination is under investigation as a treatment for advanced or metastatic solid tumors and ovarian cancer, aiming to enhance tumor cell death by blocking DNA repair while reducing systemic toxicity through pegylation of doxorubicin[2][4][7].
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