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A combination therapy regimen consisting of fruquintinib, a highly selective small-molecule tyrosine kinase inhibitor of VEGFR-1, 2, and 3, and a PD-1 checkpoint inhibitor (such as nivolumab, sintilimab, or tislelizumab). This combination is being investigated as a first-line maintenance therapy for patients with advanced HER-2 negative gastric cancer or gastroesophageal junction adenocarcinoma who have not progressed following initial chemo-immunotherapy. The rationale for this combination lies in the synergistic potential of antiangiogenic agents to normalize tumor vasculature and modulate the tumor microenvironment, thereby enhancing the antitumor activity of PD-1 blockade. Fruquintinib was developed by HUTCHMED, while the PD-1 inhibitors are developed by various companies including Bristol Myers Squibb, Innovent Biologics, and BeiGene.
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