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Surufatinib + durvalumab is an investigational combination regimen being studied for the treatment of extensive-stage small-cell lung cancer (ES-SCLC). **Surufatinib** (Sulanda) is a small-molecule multi-kinase inhibitor that targets vascular endothelial growth factor receptors (VEGFR 1, 2, and 3), fibroblast growth factor receptor 1 (FGFR1), and colony-stimulating factor 1 receptor (CSF1R). By inhibiting these pathways, surufatinib provides anti-angiogenic activity and modulates the tumor microenvironment by reducing tumor-associated macrophages. **Durvalumab** (Imfinzi) is a human monoclonal antibody that targets programmed death-ligand 1 (PD-L1), blocking its interaction with PD-1 and CD80 to restore T-cell mediated anti-tumor immune responses. The combination aims to leverage the synergistic potential of multi-kinase inhibition and immune checkpoint blockade to improve clinical outcomes in solid tumors.
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