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**Irpagratinib + atezolizumab** is a combination therapy under clinical development for the treatment of advanced hepatocellular carcinoma (HCC), especially in patients with *FGF19* overexpression. Irpagratinib (ABSK-011) is a highly selective small molecule inhibitor of fibroblast growth factor receptor 4 (FGFR4), developed to target tumors driven by aberrant FGF19-FGFR4 pathway signaling. Atezolizumab is a monoclonal antibody targeting programmed death-ligand 1 (PD-L1), acting as an immune checkpoint inhibitor to enhance antitumor immune responses. This combination leverages both targeted pathway inhibition and immunomodulation, showing promising efficacy, including a reported objective response rate (ORR) of 50% in certain clinical trial cohorts, and a favorable safety profile. The combination is currently under investigation primarily by Abbisko Therapeutics, with atezolizumab manufactured by Roche/F. Hoffmann-La Roche[1][2][3][4].
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