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BDC-1001 + pertuzumab is a combination therapy being investigated for HER2-positive breast cancer. BDC-1001 is a HER2-targeted Immune-Stimulating Antibody Conjugate (ISAC) comprising a HER2-targeting biosimilar of trastuzumab conjugated with a non-cleavable linker to a proprietary TLR7/8 agonist. Pertuzumab (Perjeta) binds to a distinct HER2 epitope from the trastuzumab component of BDC-1001, which may increase the amount of clustered Fc or "eat me signals" on the tumor surface. This combination is hypothesized to trigger enhanced antibody-dependent cellular phagocytosis, a key element of the BDC-1001 mechanism of action, resulting in further propagation of BDC-1001-driven immune activation and anti-tumor efficacy.
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