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Ipafricept is a first-in-class recombinant fusion protein composed of the extracellular cysteine-rich domain of the human frizzled family receptor 8 (FZD8) fused to the Fc region of human IgG1. It acts as a decoy receptor that binds and sequesters Wnt ligands, thereby inhibiting Wnt signaling, which is implicated in tumor cell dedifferentiation and cancer stem cell function. Ipafricept was developed for potential antineoplastic activity in solid tumors, including ovarian, pancreatic, and liver cancers. Clinical development was suspended due to dose-limiting bone toxicity observed at higher doses[1][3][4][5][6][7].
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