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Sirexatamab is a monoclonal antibody targeting Dickkopf-1 (DKK1), developed as an anti-cancer agent. It is being investigated primarily for the treatment of advanced microsatellite stable (MSS) colorectal cancer, particularly in patients with high DKK1 expression. Sirexatamab has been studied in combination with bevacizumab and chemotherapy, where it demonstrated improved overall response rates and progression-free survival compared to control arms, especially in biomarker-selected populations. The drug’s mechanism involves binding to DKK1, a modulator of Wnt signaling implicated in tumor growth and immune evasion. Sirexatamab is not yet approved but has shown promising results in phase 2 clinical trials.
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