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Ado-trastuzumab emtansine + osimertinib is an investigational drug combination consisting of two targeted therapies: ado-trastuzumab emtansine (T-DM1), an antibody-drug conjugate targeting HER2, and osimertinib, a third-generation epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor. This combination was studied primarily in patients with EGFR-mutated non–small cell lung cancer (NSCLC) who developed resistance to EGFR inhibitors associated with HER2 overexpression. The rationale for this regimen is dual blockade of EGFR and HER2 pathways to overcome acquired resistance mechanisms. Clinical trials have shown that while the safety profile is favorable compared to cytotoxic chemotherapy, efficacy has been limited, with low response rates and short progression-free survival[1][2][3][5].
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