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This combination comprises **vandetanib** (an orally administered small molecule tyrosine kinase inhibitor of VEGFR, EGFR, and RET pathways) and **pegylated liposomal doxorubicin** (an anthracycline chemotherapeutic encapsulated in pegylated liposomes for enhanced tumor delivery and prolonged circulation). Vandetanib disrupts angiogenesis and tumor proliferation by blocking vascular endothelial growth factor receptor (VEGFR), epidermal growth factor receptor (EGFR), and RET signaling. Pegylated liposomal doxorubicin inhibits DNA replication by intercalating into DNA and inhibiting topoisomerase II; its pegylated liposome formulation increases tumor deposition and decreases exposure to healthy tissues, reducing some toxicities. The combination is under investigation for recurrent platinum-resistant or refractory ovarian cancer; feasibility was shown, but with notable toxicity requiring dose adjustments or cessation in a subset of patients[1][2][4][6].
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