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Vepafestinib (TAS0953/HM06) is a next-generation, orally bioavailable, selective inhibitor of the proto-oncogene receptor tyrosine kinase rearranged during transfection (RET). It targets wild-type RET as well as fusion products and mutated forms associated with oncogenic driver alterations. Vepafestinib is designed to overcome resistance mutations in RET, including the G810 mutation, and demonstrates superior brain penetration compared to first-generation selective RET inhibitors. Its primary indications are advanced or metastatic non-small cell lung cancer (NSCLC), papillary thyroid cancer, medullary thyroid cancer, and other solid tumors harboring RET gene abnormalities. The drug is currently being evaluated in phase 1/2 clinical trials for patients with advanced solid tumors with RET gene abnormalities[1][2][5][6][7].
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