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HMPL-453 + itraconazole is a drug combination used in clinical pharmacology studies to evaluate the pharmacokinetic impact of CYP3A and P-glycoprotein (P-gp) inhibition on HMPL-453 (fanregratinib). HMPL-453 is an investigational, highly selective, and potent small molecule inhibitor of fibroblast growth factor receptors (FGFR) 1, 2, and 3, developed by HUTCHMED. It is being investigated for the treatment of advanced solid tumors, including intrahepatic cholangiocarcinoma and gastric cancer. Itraconazole, a known potent inhibitor of the CYP3A4 enzyme and P-gp transporter, is co-administered in these trials to determine if HMPL-453 is a substrate for these pathways and to guide dosing recommendations in the presence of metabolic inhibitors.
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