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PF-03446962 + regorafenib is an investigational combination therapy evaluated for the treatment of refractory metastatic colorectal cancer. PF-03446962 is a fully human monoclonal antibody that targets activin receptor-like kinase 1 (ALK-1), a type I receptor in the TGF-beta superfamily involved in angiogenesis. By inhibiting ALK-1, PF-03446962 disrupts tumor blood vessel formation. Regorafenib is an oral small molecule multikinase inhibitor that blocks several protein kinases involved in tumor angiogenesis (including VEGFR1/2/3), oncogenesis, and the tumor microenvironment. The combination was studied to assess whether dual inhibition of ALK‑1 and VEGF pathways could enhance anti-tumor activity; however, clinical trials found unacceptable toxicity and limited efficacy in patients with metastatic colorectal cancer[1][2][8].
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