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**Geptanolimab + fruquintinib** is a combination therapy currently being investigated for the treatment of metastatic colorectal cancer (mCRC)[3][5][7]. **Geptanolimab** is a monoclonal antibody that targets programmed cell death protein 1 (PD-1), acting as a checkpoint inhibitor to enhance anti-tumor immune responses. **Fruquintinib** is an orally administered small molecule tyrosine kinase inhibitor that selectively inhibits vascular endothelial growth factor receptors (VEGFR1, VEGFR2, VEGFR3), blocking angiogenesis and tumor growth[1][4][6]. The combination aims to improve therapeutic efficacy through synergistic effects: fruquintinib's anti-angiogenic action may remodel the tumor microenvironment to make it more responsive to immunotherapy with geptanolimab[5]. Early clinical studies suggest manageable safety and promising anti-tumor activity[3][7]. Primary indication is metastatic colorectal cancer; development is supported by multicenter phase Ib trials[3][7].
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