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Samuraciclib + elacestrant is an investigational combination therapy being developed by Carrick Therapeutics in collaboration with the Menarini Group. It consists of samuraciclib (CT7001), a small-molecule inhibitor of cyclin-dependent kinase 7 (CDK7), and elacestrant (Orserdu), an oral selective estrogen receptor degrader (SERD). The combination is primarily targeted at patients with hormone receptor-positive (HR+), HER2-negative metastatic or locally advanced breast cancer who have progressed on prior CDK4/6 inhibitor therapy. By inhibiting CDK7, samuraciclib disrupts the transcriptional machinery and cell cycle progression, while elacestrant degrades the estrogen receptor, providing a dual-pathway blockade to overcome endocrine resistance.
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