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This combination therapy consists of disitamab vedotin (RC48), a HER2-targeted antibody-drug conjugate (ADC), and bicalutamide, a non-steroidal androgen receptor (AR) antagonist. Disitamab vedotin is composed of a humanized anti-HER2 monoclonal antibody conjugated to the microtubule-disrupting agent monomethyl auristatin E (MMAE) via a protease-cleavable valine-citrulline linker. Bicalutamide acts by competitively inhibiting the binding of androgens to the androgen receptor. This specific combination is being investigated in a Phase 2 clinical trial led by Fudan University for the treatment of advanced extramammary Paget disease (EMPD) of the scrotum in patients whose tumors express both HER2 and AR. The dual-targeting approach aims to inhibit tumor growth by simultaneously disrupting HER2 signaling and androgen-mediated pathways.
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