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This is a combination of three immunosuppressive drugs commonly used in organ transplantation to prevent rejection. Everolimus is an mTOR inhibitor that suppresses T-cell activation and proliferation by inhibiting the mammalian target of rapamycin pathway. Cyclosporine and tacrolimus are calcineurin inhibitors that block T-cell activation by inhibiting the phosphatase activity of calcineurin through binding to cyclophilin (cyclosporine) or FK506-binding protein (tacrolimus). These agents are often used together or in various combinations with other immunosuppressants to optimize efficacy while minimizing toxicity. Everolimus is primarily developed by Novartis; cyclosporine was originally developed by Sandoz/Novartis; tacrolimus was developed by Astellas. The combination is mainly indicated for prevention of organ transplant rejection[1][4][5][6].
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