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This is a combination regimen consisting of **OMP-59R5 (tarextumab)**, **gemcitabine**, and **nab-paclitaxel** evaluated for the treatment of previously untreated stage IV pancreatic cancer. OMP-59R5 (tarextumab) is a fully human IgG2 monoclonal antibody that inhibits the Notch2 and Notch3 receptors, disrupting Notch signaling important for cancer stem cells and tumor progression. Gemcitabine is a nucleoside analog that inhibits DNA synthesis, and nab-paclitaxel is a nanoparticle albumin-bound formulation of paclitaxel that stabilizes microtubules, thereby inhibiting cell division. This combination has been studied in randomized phase 1b/2 clinical trials, with evidence of anti-tumor efficacy, particularly in patients with higher tumor Notch3 expression[1][2][3][5][7][8].
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