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Erdafitinib + osimertinib is an investigational combination therapy consisting of two small molecule tyrosine kinase inhibitors. Erdafitinib is a pan-fibroblast growth factor receptor (FGFR) inhibitor, while osimertinib is a third-generation epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor. This combination has been studied as a strategy to overcome acquired resistance to EGFR-targeted therapies in non-small cell lung cancer (NSCLC), particularly in cases where FGFR1 amplification or other resistance mechanisms emerge after progression on osimertinib monotherapy. The rationale for combining these agents lies in targeting both the primary oncogenic driver (EGFR mutations) and bypass signaling pathways such as FGFR, which can mediate resistance to EGFR inhibition[1].
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