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**HRS-4642 + SHR-A1904** is an investigational combination therapy consisting of *HRS-4642*, a potent and selective small molecule inhibitor of KRAS G12D, and *SHR-A1904*, an antibody-drug conjugate targeting claudin-18 isoform 2 (CLDN18.2). HRS-4642 binds non-covalently to KRAS G12D with high affinity, inhibiting its oncogenic signaling pathway, while SHR-A1904 delivers a DNA topoisomerase I inhibitor payload specifically to CLDN18.2-expressing tumor cells, facilitating cytotoxicity. The combination targets solid tumors, particularly those harboring KRAS G12D mutations, such as advanced pancreatic and gastric cancers. Clinical studies aim to evaluate synergy, safety, recommended dose, and anti-tumor efficacy in these populations[6][8][9][3].
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