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JDQ443 + ribociclib is an investigational oral combination therapy targeting *KRAS^G12C^*-mutant solid tumors, primarily non-small cell lung cancer (NSCLC) and colorectal cancer. **JDQ443** (known as opnurasib) is a covalent, irreversible, small molecule inhibitor that selectively binds to and inhibits KRAS G12C in its inactive GDP-bound state, thereby suppressing oncogenic signaling[1][3]. **Ribociclib** is an oral selective CDK4/6 inhibitor that blocks cell cycle progression by inhibiting cyclin-dependent kinases 4 and 6, which are often dysregulated in cancer. The combination aims to leverage synthetic lethal interaction between KRAS and CDK4/6 pathways, improving outcomes beyond single-agent therapy as demonstrated in preclinical patient-derived xenograft models.
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