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**Telatinib + capecitabine + oxaliplatin** is an investigational combination therapy evaluated as a first-line treatment for HER2-negative advanced adenocarcinoma of the stomach or gastroesophageal junction. - **Telatinib** is an oral small molecule inhibitor targeting vascular endothelial growth factor receptors (VEGFR-2, VEGFR-3), platelet-derived growth factor receptor beta (PDGFR-β), and c-Kit, thereby inhibiting angiogenesis. - **Capecitabine** is an oral prodrug converted to 5-fluorouracil (5-FU), which inhibits thymidylate synthase, disrupting DNA synthesis and exerting cytotoxic effects on rapidly dividing cells. - **Oxaliplatin** is a platinum-based chemotherapeutic agent that forms DNA crosslinks and promotes cell death in proliferating cells. The combination is designed to synergistically inhibit tumor growth and angiogenesis, combining targeted anti-angiogenic mechanisms (telatinib) with cytotoxic chemotherapy (capecitabine and oxaliplatin)[2][5][8].
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