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**Tovorafenib + pimasertib** is an investigational oral combination therapy of two selective small-molecule inhibitors targeting the MAPK signaling pathway, designed for the treatment of recurrent, progressive, or refractory solid tumors with MAPK pathway aberrations. - **Tovorafenib** is a highly selective, brain-penetrant, type II pan-RAF kinase inhibitor that inhibits RAF monomers and dimers. - **Pimasertib** is a highly selective inhibitor of mitogen-activated protein kinase 1 and 2 (MEK-1/-2). Preclinical and early clinical studies indicate that the combination produces vertical pathway inhibition and may be synergistically active, particularly in tumors driven by BRAF fusions or NF1-loss-of-function mutations, where monotherapy may be insufficient. Ongoing development focuses on adolescent and adult patients with solid tumors, especially those resistant to standard treatments and with MAPK pathway genetic alterations[1][2][6].
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