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OMP-54F28 (ipafricept) is a recombinant fusion protein that combines the cysteine-rich domain of the frizzled family receptor 8 (Fzd8) with the immunoglobulin Fc domain. It acts as a decoy receptor to antagonize Wnt signaling by competing with native Fzd8 for its ligands. Inhibition of Wnt signaling reduces tumor growth and cancer stem cell frequency. Sorafenib is an oral small molecule multikinase inhibitor that targets cell surface tyrosine kinase receptors and downstream intracellular kinases involved in tumor proliferation and angiogenesis. The combination has been studied in phase 1b clinical trials for hepatocellular carcinoma[2][3][4].
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