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**SYHA1813 + regorafenib** is a combination of two orally available small molecule multi-kinase inhibitors targeting various receptor tyrosine kinases involved in tumor angiogenesis, stromal regulation, and oncogenic signaling. SYHA1813 selectively inhibits vascular endothelial growth factor receptors (VEGFR-1, VEGFR-2, VEGFR-3) and colony-stimulating factor 1 receptor (CSF1R), impairing angiogenesis and macrophage-mediated tumor microenvironment signaling. It activates the p53 pathway and impairs DNA repair in tumor cells[1][3][5]. Regorafenib inhibits multiple kinases including RET, VEGFR1, VEGFR2, VEGFR3, KIT, PDGFR-alpha, PDGFR-beta, FGFR1, FGFR2, TIE2, DDR2, and TrkA, disrupting angiogenic, stromal, and oncogenic signaling pathways[2][6][8].
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