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Gicaxitinib (also known as JX05) is an orally bioavailable small molecule inhibitor of Janus kinase 2 (JAK2) being developed by Zhejiang Gicaxy Pharmaceutical. It is primarily investigated for the treatment of myeloproliferative neoplasms, specifically intermediate- to high-risk myelofibrosis, including primary myelofibrosis, post-polycythemia vera myelofibrosis, and post-essential thrombocythemia myelofibrosis. Gicaxitinib is designed to inhibit the JAK-STAT signaling pathway, which is constitutively active in these conditions due to mutations such as JAK2 V617F. Clinical development includes its use as a monotherapy and in combination with other agents, such as the XPO1 inhibitor selinexor, particularly in patients who have relapsed on or are refractory to prior JAK inhibitor therapy like ruxolitinib.
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