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A combination of the small-molecule tyrosine kinase inhibitor nintedanib and the mTOR inhibitor everolimus. Nintedanib inhibits multiple receptor tyrosine kinases involved in angiogenesis and fibrosis, including VEGFR1-3, PDGFRα/β, FGFR1-3 (and FLT3 and certain Src-family kinases), thereby reducing fibroblast proliferation, migration, and angiogenic signaling. Everolimus forms a complex with FKBP12 to inhibit mTOR, blocking downstream signaling that drives cell-cycle progression, proliferation, angiogenesis, and glucose uptake. This combination is investigational; no fixed-dose co-formulation is approved. Potential pharmacokinetic interaction: nintedanib may decrease the metabolism of everolimus (raising exposure). Uses of each component separately include interstitial lung diseases and NSCLC for nintedanib, and various cancers and transplant-related indications for everolimus.
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