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Bevacizumab + sorafenib + cyclophosphamide is a combination chemotherapy and targeted therapy regimen being investigated by St. Jude Children's Research Hospital for the treatment of various refractory or recurrent pediatric cancers. The regimen, studied in the Phase I ANGIO1 trial, combines the anti-VEGF monoclonal antibody bevacizumab with the multi-kinase inhibitor sorafenib and low-dose oral cyclophosphamide. This approach aims to synergistically inhibit tumor angiogenesis and growth by targeting the vascular endothelial growth factor (VEGF) and platelet-derived growth factor (PDGF) pathways while utilizing the cytotoxic and metronomic anti-angiogenic properties of cyclophosphamide. It is primarily indicated for pediatric patients with solid tumors, leukemia, lymphoma, sarcoma, and central nervous system tumors who have failed standard therapies.
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