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Sunitinib + sorafenib is a combination of two small-molecule multi-targeted receptor tyrosine kinase inhibitors (TKIs), each approved individually for the treatment of advanced renal cell carcinoma and other malignancies. Both drugs inhibit multiple kinases involved in tumor angiogenesis and proliferation. Sunitinib targets vascular endothelial growth factor receptors (VEGFR-1, VEGFR-2, VEGFR-3), platelet-derived growth factor receptors (PDGFR-alpha and PDGFR-beta), KIT (CD117), RET, Flt3, and colony-stimulating factor 1 receptor (CSF-1R). Sorafenib inhibits CRAF, BRAF, VEGFRs 1–3, PDGFR-beta/3, RET, Flt3 and c-Kit. The combination has been explored primarily in sequential therapy for metastatic renal cell carcinoma due to their overlapping but distinct target profiles[1][2][8]. Both agents are orally administered.
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