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Palboxen is an orally bioavailable small molecule inhibitor of cyclin-dependent kinases 4 and 6 (CDK4/6), developed and manufactured by Everest Pharmaceuticals as a generic version of palbociclib. It functions by binding to the ATP-binding site of CDK4 and CDK6, preventing the formation of the active kinase complex with D-type cyclins. This inhibition blocks the phosphorylation of the retinoblastoma (Rb) protein, which is a critical step for the cell cycle to progress from the G1 phase to the S phase. By inducing G1 cell cycle arrest, Palboxen effectively inhibits the proliferation of cancer cells, particularly in hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative breast cancer. It is typically used in combination with endocrine therapies such as aromatase inhibitors or fulvestrant to overcome or delay resistance to hormonal treatment.
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