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Anlotinib + iodine-131 is an investigational combination regimen consisting of the oral multi-kinase tyrosine kinase inhibitor anlotinib and the therapeutic radiopharmaceutical iodine-131 (radioiodine). Anlotinib targets tumor angiogenesis and proliferation pathways by inhibiting VEGFR, FGFR, PDGFR, and c-Kit, and has been shown to potentially enhance or restore radioactive iodine uptake in thyroid cancer cells. Iodine-131 delivers targeted cytotoxic beta and gamma radiation to iodine-avid thyroid tumor cells. This combination is being evaluated in clinical trials, including a single-arm Phase II study, for the treatment of distant metastatic differentiated thyroid cancer (dmDTC).
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