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This combination consists of **vatalanib**, a small molecule inhibitor of several receptor tyrosine kinases involved in angiogenesis, and the established chemotherapy regimen **oxaliplatin + 5-fluorouracil + leucovorin** (known as FOLFOX). Vatalanib targets all known vascular endothelial growth factor receptors (VEGFRs), platelet-derived growth factor receptor beta (PDGFR-β), and c-Kit; at higher concentrations, it may also inhibit epidermal growth factor receptor (EGFR) and fibroblast growth factor receptors. The chemotherapy agents include oxaliplatin (a platinum-based DNA crosslinker), 5-fluorouracil (a pyrimidine analog inhibitor of thymidylate synthase), and leucovorin (which enhances 5-FU’s activity). This combination is primarily studied for the treatment of **metastatic colorectal cancer** and other advanced solid tumors, with trials demonstrating improved progression-free survival in certain subgroups, such as patients with high LDH[1][2][4][5].
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