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Retlirafusp alfa + apatinib is an investigational combination therapy consisting of retlirafusp alfa (SHR-1701), a bifunctional fusion protein, and apatinib, a small-molecule tyrosine kinase inhibitor. Retlirafusp alfa is designed to simultaneously block the PD-1/PD-L1 and TGF-β signaling pathways by combining an anti-PD-L1 monoclonal antibody with the extracellular domain of the TGF-β receptor II (TGF-βRII). Apatinib is a selective inhibitor of vascular endothelial growth factor receptor-2 (VEGFR-2), which inhibits tumor angiogenesis. This combination is being evaluated for its synergistic potential in treating advanced solid tumors, particularly hepatocellular carcinoma (HCC), by modulating the tumor microenvironment and enhancing anti-tumor immune responses.
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