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Plitidepsin + sorafenib is an investigational combination therapy composed of two distinct anticancer agents. Plitidepsin is a cyclic depsipeptide originally isolated from the sea squirt Aplidium albicans and now produced synthetically. Its primary mechanism involves inhibition of eukaryotic translation elongation factor 1 alpha 2 (eEF1A2), leading to cell cycle arrest, induction of oxidative stress, and apoptosis in tumor cells. Sorafenib is a small molecule multikinase inhibitor that targets several kinases involved in tumor cell proliferation and angiogenesis, including RAF kinases and vascular endothelial growth factor receptor (VEGFR). Sorafenib is approved for advanced renal cell carcinoma, hepatocellular carcinoma not amenable to surgery, and certain types of thyroid cancer. The combination has been studied in early-phase clinical trials for advanced solid tumors or lymphomas[3][4][5].
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