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The combination of ponatinib and trametinib is an investigational therapy for KRAS-mutant non-small cell lung cancer (NSCLC). Ponatinib is a multi-tyrosine kinase inhibitor targeting BCR-ABL, FGFR, PDGFR, VEGFR2, KIT, FLT3, and RET. Trametinib is a selective allosteric inhibitor of MEK1 and MEK2. The rationale for combining these agents is based on preclinical data showing synergistic inhibition of the MAPK pathway and tumor shrinkage in KRAS-mutant NSCLC models. Clinical trials have evaluated this combination in patients with advanced NSCLC harboring KRAS mutations who have progressed after standard therapies[1][3][6].
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