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Capecitabine + trastuzumab is a combination therapy being evaluated by Fudan University, notably in the Phase II IRIS trial (NCT04252261), for the treatment of HER2-positive stage I breast cancer. Capecitabine is an oral prodrug of 5-fluorouracil (5-FU) that acts as an antimetabolite, inhibiting thymidylate synthase and disrupting DNA synthesis in rapidly dividing cancer cells. Trastuzumab is a humanized monoclonal antibody that targets the extracellular domain of the Human Epidermal Growth Factor Receptor 2 (HER2), blocking its activation and recruiting immune effector cells to mediate antibody-dependent cellular cytotoxicity (ADCC). This combination is being studied as a de-escalated adjuvant regimen to provide effective HER2-targeted therapy with reduced toxicity compared to standard multi-agent chemotherapy for patients with low-risk, early-stage disease.
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