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ONO-7475 + gemcitabine + nab-paclitaxel is an investigational drug combination for the treatment of metastatic pancreatic cancer evaluated in Phase 1 trials. - **ONO-7475** is a small molecule inhibitor of the receptor tyrosine kinases AXL and MERTK, implicated in cancer cell survival, proliferation, metastasis, and drug resistance. - **Gemcitabine** is a nucleoside analog antineoplastic that interferes with DNA synthesis by inhibiting DNA polymerase and ribonucleotide reductase, leading to cell death. - **Nab-paclitaxel** (paclitaxel albumin-bound, commercial name Abraxane) is a microtubule stabilizer that impairs cell division by binding to tubulin, leading to mitotic arrest and apoptosis. This triple-combination aims to potentiate antitumor efficacy by: targeting survival and resistance pathways (AXL/MERTK inhibition), and enhancing cytotoxicity via chemotherapy (gemcitabine and nab-paclitaxel). Its use is studied as a first-line regimen in metastatic pancreatic cancer[2][6].
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