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**xentuzumab + abemaciclib + anastrozole** is an investigational combination therapy, primarily studied in hormone receptor-positive, HER2-negative metastatic breast cancer. - **Xentuzumab** is a monoclonal antibody that neutralizes insulin-like growth factors IGF-1 and IGF-2, blocking their activation of IGF-1R and thus impeding tumor cell growth signaling. - **Abemaciclib** is a small molecule inhibitor of cyclin-dependent kinases CDK4 and CDK6, causing cell cycle arrest through inhibition of Rb1 protein phosphorylation, restricting cancer cell proliferation. - **Anastrozole** is an aromatase inhibitor, lowering circulating estrogen by blocking aromatase enzyme activity, used in hormone receptor-positive breast cancer treatment, especially postmenopausal women. The combination aims to synergistically target hormone signaling, cell cycle progression, and IGF-mediated survival pathways to improve antitumor efficacy in advanced breast cancer[5][1][3].
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