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This combination therapy regimen is being investigated as a first-line treatment for extensive-stage small-cell lung cancer (ES-SCLC). It integrates four distinct therapeutic agents: surufatinib, a small-molecule multi-kinase inhibitor targeting VEGFR1/2/3, FGFR1, and CSF-1R; serplulimab, a humanized monoclonal antibody targeting the PD-1 receptor; and a standard chemotherapy doublet of etoposide and carboplatin. The rationale for this combination is to leverage the anti-angiogenic and tumor microenvironment-modulating effects of surufatinib alongside the immune-reinvigorating properties of serplulimab and the cytotoxic effects of chemotherapy. The regimen is currently being evaluated in a multicenter, open-label Phase I/II trial led by Fujian Cancer Hospital.
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