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Brivanib alaninate + capecitabine is a **combination therapy** comprising two agents: brivanib alaninate, an orally bioavailable prodrug of brivanib, and capecitabine, an oral prodrug of 5-fluorouracil. **Brivanib alaninate** is a small molecule that acts as a potent selective dual inhibitor of **vascular endothelial growth factor receptor (VEGFR)** and **fibroblast growth factor receptor (FGFR)** tyrosine kinases, blocking autocrine and paracrine signaling pathways that drive tumor angiogenesis and growth[4][6][2]. **Capecitabine** is metabolized to 5-fluorouracil in tumor tissue, acting as an antimetabolite to inhibit DNA synthesis and cell proliferation. This combination is evaluated for enhanced **anti-tumor efficacy** by combining targeted inhibition of cancer cell angiogenesis (brivanib) with cytotoxic chemotherapy (capecitabine), especially in gastrointestinal and hepatic cancers.
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