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A two-drug oral combination of the mTOR inhibitor everolimus and the multi‑target VEGF/PDGF receptor tyrosine kinase inhibitor sunitinib, investigated primarily in metastatic renal cell carcinoma to achieve simultaneous inhibition of the PI3K/AKT/mTOR pathway and angiogenic signaling. Phase I studies found the combination produced responses but was associated with significant acute and chronic toxicities, and was only tolerated at attenuated doses or modified schedules; daily coadministration was poorly tolerated, and weekly everolimus with reduced‑dose sunitinib was the most feasible regimen explored.[3][2][1]
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