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CB-839 + irinotecan hydrochloride + panitumumab is an investigational combination therapy comprising three agents with distinct mechanisms of action for the treatment of cancer, particularly metastatic colorectal cancer. - **CB-839 (telaglenastat)** is a small molecule inhibitor of glutaminase (GLS), an enzyme critical for converting glutamine to glutamate in tumor cell metabolism. By inhibiting GLS, CB-839 disrupts energy production and biosynthesis in tumor cells, leading to reduced proliferation and increased apoptosis[1][2][3][4][5][7]. - **Irinotecan hydrochloride** is a topoisomerase I inhibitor that interferes with DNA replication in rapidly dividing cells by stabilizing the cleavable complex between topoisomerase I and DNA, resulting in DNA damage and cell death. - **Panitumumab** is a fully human monoclonal antibody targeting the epidermal growth factor receptor (EGFR). It binds EGFR on tumor cells, blocking ligand-induced activation and downstream signaling pathways involved in cell proliferation and survival. Panitumumab induces internalization of EGFR and inhibits tumor growth[6][8][10]. This combination aims to target metabolic vulnerabilities (glutaminase inhibition), disrupt DNA replication (topoisomerase inhibition), and block growth factor signaling (EGFR antagonism) for synergistic antineoplastic effects.
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