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Refametinib (BAY86-9766) is a potent and highly selective allosteric inhibitor of MEK1 and MEK2 kinases. It acts by inhibiting the phosphorylation of ERK, thereby blocking the MAPK/ERK signaling pathway involved in cell proliferation and survival. Refametinib has demonstrated antitumor activity in preclinical models of various cancers including melanoma, colorectal cancer, non-small cell lung cancer, epidermal carcinoma, and hepatocellular carcinoma. Gemcitabine is a nucleoside analog used as chemotherapy that inhibits DNA synthesis. The combination of refametinib with gemcitabine has been investigated in early-phase clinical trials for advanced or refractory solid tumors to evaluate safety and pharmacokinetics[1][3][4].
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