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Osimertinib + anlotinib is a combination therapy of two small molecule tyrosine kinase inhibitors used primarily in the treatment of advanced non-small cell lung cancer (NSCLC), particularly in patients who have developed resistance to prior EGFR-targeted therapies. Osimertinib is a third-generation, irreversible epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor that selectively targets both EGFR-sensitizing and T790M resistance mutations. Anlotinib is a multi-targeted tyrosine kinase inhibitor that inhibits vascular endothelial growth factor receptors (VEGFR1/2/3), fibroblast growth factor receptors (FGFR1–4), platelet-derived growth factor receptors (PDGFRα/β), and c-Kit, thereby suppressing tumor angiogenesis and proliferation. The combination has shown efficacy in overcoming acquired resistance to osimertinib by targeting additional pathways involved in tumor progression and drug resistance, such as the c-MET/MYC/AXL axis[1][2][3][4][5]. Clinical studies indicate this regimen can improve outcomes for patients with advanced NSCLC after failure of previous lines of therapy.
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