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70 There are three principle challenges associated with anti-IGF-1R hormonal therapy: (1) most of the anti-IGF-1R antibodies are reported to have minor responses, 86 (2) the therapy targeting IGF-1R causes hyperglycemia due either to disruption of GH homeostasis or direct inhibition of IR by TKIs, 87 and (3) chronic exposure to anti-IGF-1R might induce resistance

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Source: FDA briefing document, Pharmacy Compounding Advisory Committee, July 2026

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