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HRS-4642 + NALIRIFOX is an investigational combination therapy being evaluated for the treatment of pancreatic ductal adenocarcinoma (PDAC). HRS-4642 is a small molecule inhibitor specifically targeting the KRAS G12D mutation, which is a primary oncogenic driver in nearly 40% of pancreatic cancers. NALIRIFOX is a chemotherapy regimen consisting of liposomal irinotecan, oxaliplatin, 5-fluorouracil (5-FU), and leucovorin. This combination aims to provide a synergistic effect by combining targeted inhibition of the KRAS pathway with broad-spectrum cytotoxic chemotherapy. It is currently being investigated in Phase 2 clinical trials as a neoadjuvant therapy to improve resectability and outcomes in PDAC patients, sometimes in further combination with the PD-L1 inhibitor adebrelimab.
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