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Crizotinib + temozolomide is an investigational combination therapy evaluated primarily for the treatment of newly diagnosed glioblastoma. Crizotinib is a small molecule tyrosine kinase inhibitor targeting ALK, ROS1, and MET kinases, while temozolomide is an oral alkylating agent that induces DNA damage in tumor cells. The rationale for combining these agents lies in the role of MET-signaling and midkine (an ALK ligand) in promoting glioma cell maintenance and resistance to anticancer therapies; thus, dual inhibition with crizotinib may enhance the efficacy of standard chemoradiotherapy with temozolomide. In clinical studies, this combination has shown a manageable safety profile and encouraging efficacy signals when used alongside radiotherapy in patients with newly diagnosed glioblastoma[1][2][7].
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