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A combination therapy consisting of apatinib, a selective small molecule tyrosine kinase inhibitor (TKI) of vascular endothelial growth factor receptor-2 (VEGFR-2), and fulvestrant, a selective estrogen receptor degrader (SERD). This regimen is primarily investigated for the treatment of hormone receptor-positive (HR+), human epidermal growth factor receptor 2-negative (HER2-) advanced or metastatic breast cancer. Apatinib inhibits tumor angiogenesis by blocking VEGFR-2 signaling, while fulvestrant binds to and promotes the degradation of the estrogen receptor, thereby inhibiting estrogen-mediated tumor growth. The combination is designed to overcome endocrine resistance by simultaneously targeting angiogenic and hormonal pathways. Clinical development of this combination has been notably advanced through investigator-initiated trials at institutions such as Sun Yat-Sen Memorial Hospital.
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