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The combination of anlotinib and trastuzumab deruxtecan is being investigated as a treatment option for various types of breast cancer, particularly HER2-positive and HER2-low breast cancer with brain metastases. This combination therapy leverages two distinct mechanisms: trastuzumab deruxtecan, an antibody-drug conjugate that targets HER2 receptors and releases a topoisomerase I inhibitor (deruxtecan/DXd) intracellularly, and anlotinib, a multi-target tyrosine kinase inhibitor. This dual approach aims to improve efficacy, especially in challenging settings like brain metastases.
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