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QL1706 + fruquintinib is an investigational combination therapy consisting of epalolitovoreli (QL1706), a bispecific monoclonal antibody, and fruquintinib, a highly selective small-molecule tyrosine kinase inhibitor. Epalolitovoreli is designed to simultaneously target and block the PD-1 and CTLA-4 immune checkpoints, potentially providing a more robust anti-tumor immune response than single-agent checkpoint inhibitors. Fruquintinib selectively inhibits VEGFR-1, -2, and -3, thereby suppressing tumor angiogenesis and potentially modulating the tumor microenvironment to be more receptive to immunotherapy. This combination is being actively studied in patients with metastatic colorectal cancer, particularly those with microsatellite stable (MSS) or proficient mismatch repair (pMMR) status, often in conjunction with radiotherapy to enhance therapeutic efficacy in liver-metastatic disease.
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