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This is a **combination therapy** consisting of **212Pb-TCMC-trastuzumab**, a radiolabeled monoclonal antibody with the chelator TCMC binding the alpha-emitting isotope lead-212 (^212Pb^) to trastuzumab, plus **trastuzumab**, a humanized monoclonal antibody targeting HER2/neu. 212Pb-TCMC-trastuzumab delivers targeted alpha-particle radiotherapy directly to HER2-expressing cancer cells, inducing DNA damage, cell cycle arrest, and apoptosis via ionizing radiation. The added trastuzumab component provides immune-mediated antitumor mechanisms and may optimize targeting and distribution. This combination is experimental and primarily investigated for peritoneal metastases of HER2-positive cancers, notably ovarian and gastrointestinal malignancies, especially in cases refractory to standard treatments[1][2][4][3].
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