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ONO-4578 + letrozole + abemaciclib is a **combination therapy** under investigation, consisting of ONO-4578 (a small molecule prostaglandin E2 receptor EP4 antagonist), letrozole (an aromatase inhibitor), and abemaciclib (a cyclin-dependent kinase 4/6 inhibitor)[1][4]. The therapeutic aim is to combine immune modulation (ONO-4578) with endocrine therapy (letrozole) and cell-cycle arrest (abemaciclib) for advanced or metastatic hormone receptor-positive, HER2-negative breast cancer in postmenopausal women[1][4].
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