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The Combination of a BCL-xL PROTAC and an mTOR Inhibitor Sensitizes Pancreatic Ductal Adenocarcinoma to KRASsup.G12D Inhibitor Treatment
The Combination of a BCL-xL PROTAC and an mTOR Inhibitor Sensitizes Pancreatic Ductal Adenocarcinoma to KRASsup.G12D Inhibitor Treatment
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The Combination of a BCL-xL PROTAC and an mTOR Inhibitor Sensitizes Pancreatic Ductal Adenocarcinoma to KRASsup.G12D Inhibitor Treatment
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The Combination of a BCL-xL PROTAC and an mTOR Inhibitor Sensitizes Pancreatic Ductal Adenocarcinoma to KRASsup.G12D Inhibitor Treatment
The Combination of a BCL-xL PROTAC and an mTOR Inhibitor Sensitizes Pancreatic Ductal Adenocarcinoma to KRASsup.G12D Inhibitor Treatment

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The Combination of a BCL-xL PROTAC and an mTOR Inhibitor Sensitizes Pancreatic Ductal Adenocarcinoma to KRASsup.G12D Inhibitor Treatment
The Combination of a BCL-xL PROTAC and an mTOR Inhibitor Sensitizes Pancreatic Ductal Adenocarcinoma to KRASsup.G12D Inhibitor Treatment
Journal Article

The Combination of a BCL-xL PROTAC and an mTOR Inhibitor Sensitizes Pancreatic Ductal Adenocarcinoma to KRASsup.G12D Inhibitor Treatment

2026
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Overview
Pancreatic ductal adenocarcinoma (PDAC) is an aggressive cancer with poor survival and lacks effective treatments. MRTX1133, a new investigational drug targeting the KRAS G12D mutation, which is common in PDAC, shows promise in preclinical studies but is unlikely to be effective as a single agent. In this study, we combined MRTX1133 with a BCL-xL-targeting degrader (DT2216) and the mTOR inhibitor everolimus for enhanced therapeutic efficacy. The triple combination more effectively killed KRAS G12D-mutant PDAC cells in culture and slowed tumor growth in mice than MRTX1133 alone, which was associated with simultaneously strengthening pro-death signals and blocking survival mechanisms in cancer cells. Notably, the triple combination also showed efficacy against mouse tumors that developed resistance to MRTX1133. These findings suggest that combining MRTX1133 with DT2216 and everolimus could be a more effective treatment strategy for patients with KRAS G12D-mutant PDAC.
Publisher
MDPI AG