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O-desmethyl dacomitinib is a major circulating active metabolite of dacomitinib, an irreversible pan-human epidermal growth factor receptor (HER) inhibitor. It is formed primarily through the oxidative metabolism of dacomitinib by the cytochrome P450 enzyme CYP2D6. This small molecule metabolite exhibits similar in vitro pharmacologic activity to its parent drug, dacomitinib, which is approved for the first-line treatment of metastatic non-small cell lung cancer (NSCLC) with specific epidermal growth factor receptor (EGFR) mutations.
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