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This combination therapy consists of omipalisib (GSK2126458) and trametinib (GSK1120212), both originally developed by GSK. Omipalisib is a potent, orally bioavailable, dual inhibitor of phosphoinositide 3-kinase (PI3K) and the mammalian target of rapamycin (mTOR), targeting all four class I PI3K isoforms (alpha, beta, delta, and gamma) as well as mTORC1 and mTORC2. Trametinib is a highly selective, allosteric inhibitor of mitogen-activated protein kinase kinase 1 and 2 (MEK1/2). The combination was designed to achieve vertical inhibition of the PI3K/AKT/mTOR and RAS/RAF/MEK/ERK pathways, which are frequently co-activated in various malignancies. This dual-pathway inhibition strategy aims to enhance anti-tumor efficacy and overcome potential resistance mechanisms in advanced solid tumors, including colorectal, pancreatic, and gynecological cancers.
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