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This combination therapy involves the co-administration of gemcitabine, dasatinib, and erlotinib for the treatment of advanced pancreatic adenocarcinoma. Gemcitabine is a pyrimidine nucleoside analog that functions as a chemotherapy agent by inhibiting DNA synthesis and ribonucleoside reductase. Dasatinib is a potent, multi-targeted small molecule inhibitor of Src family kinases and BCR-ABL. Erlotinib is a small molecule tyrosine kinase inhibitor targeting the epidermal growth factor receptor (EGFR). This specific triple combination was evaluated in a Phase I dose-escalation study (NCT01660971) sponsored by the National Cancer Institute (NCI) to investigate whether dual inhibition of the Src and EGFR pathways could enhance the efficacy of gemcitabine in patients with locally advanced or metastatic pancreatic cancer. The study aimed to determine the maximum tolerated dose and safety profile of this regimen based on preclinical data showing cooperative attenuation of tumor growth.
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