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This combination therapy is a four-drug regimen being evaluated as a first-line treatment for advanced pancreatic cancer. It consists of **tunlametinib** (HL-085), a potent and selective small-molecule inhibitor of mitogen-activated protein kinase kinase 1 and 2 (MEK1/2); **gemcitabine**, a nucleoside metabolic inhibitor; **albumin-bound paclitaxel**, a microtubule inhibitor; and **cetuximab β**, a monoclonal antibody targeting the epidermal growth factor receptor (EGFR). The rationale for this combination is to simultaneously inhibit the MAPK pathway (via MEK inhibition) and the EGFR pathway while utilizing standard-of-care cytotoxic chemotherapy (gemcitabine/nab-paclitaxel) to overcome resistance and improve clinical outcomes in treatment-naive patients with advanced pancreatic adenocarcinoma. The study is led by the Tianjin Medical University Cancer Institute and Hospital.
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