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This combination therapy consists of lapatinib (GW572016) administered in conjunction with the GEMOX regimen, which comprises gemcitabine and oxaliplatin. Lapatinib is a small molecule dual tyrosine kinase inhibitor that targets both the epidermal growth factor receptor (EGFR) and the human epidermal growth factor receptor 2 (HER2). Gemcitabine is a nucleoside analog that interferes with DNA synthesis, while oxaliplatin is a platinum-based antineoplastic agent that induces DNA cross-linking. This specific combination was evaluated in the BrUOG-PA-205 Phase I clinical trial sponsored by Brown University, specifically targeting patients with advanced pancreaticobiliary cancers, including pancreatic cancer and biliary tract cancer. Cohort 3 of this trial specifically investigated the safety and efficacy of 1000 mg/day of lapatinib combined with the GEMOX regimen.
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