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Ficlatuzumab + cetuximab is an investigational combination therapy consisting of ficlatuzumab, a humanized IgG1 monoclonal antibody targeting hepatocyte growth factor (HGF), and cetuximab, a chimeric IgG1 monoclonal antibody targeting epidermal growth factor receptor (EGFR). This combination is designed to inhibit two complementary pathways involved in tumor growth and resistance: ficlatuzumab blocks HGF/c-MET signaling, which is implicated as an escape mechanism for EGFR blockade, while cetuximab prevents EGFR activation. Dual inhibition may help overcome resistance in cancers such as head and neck squamous cell carcinoma (HNSCC), particularly in patients who have become refractory to standard therapies. The regimen has shown clinical activity and safety in phase 1 and 2 trials in cetuximab-resistant, recurrent/metastatic HNSCC, notably in HPV-negative disease. Ficlatuzumab is under development by AVEO Oncology; cetuximab is marketed as Erbitux by Eli Lilly[1][2][3][4][5][9].
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