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Everolimus + sorafenib is a combination of two small molecule targeted therapies used primarily in oncology research and clinical trials. Everolimus is an inhibitor of the mammalian target of rapamycin (mTOR), binding to FKBP-12 and blocking mTOR activity, which leads to cell cycle arrest, reduced proliferation, angiogenesis inhibition, and increased apoptosis[6]. Sorafenib is a multikinase inhibitor that targets serine/threonine kinases (including Raf-1 and B-Raf) as well as several receptor tyrosine kinases such as VEGFR-1/2/3, PDGFR-β, KIT, FLT3, and RET. This dual action blocks tumor cell proliferation via the RAF/MEK/ERK pathway and inhibits angiogenesis by targeting VEGF and PDGF signaling[8]. The combination has been studied in various cancers including hepatocellular carcinoma (HCC), thyroid cancer (differentiated thyroid cancer [DTC] and medullary thyroid cancer [MTC]), pancreatic cancer, adrenocortical carcinoma (ACC), osteosarcoma, among others. Preclinical studies suggest additive or synergistic effects on tumor growth inhibition; however, clinical benefit over monotherapy varies by indication[1][2][3][4][5].
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