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A triplet combination therapy consisting of fulvestrant (a selective estrogen receptor degrader), neratinib (an irreversible pan-HER tyrosine kinase inhibitor), and trastuzumab (a HER2-targeting monoclonal antibody). This combination has shown efficacy in hormone receptor-positive, HER2-negative metastatic breast cancer harboring HER2 mutations, particularly in patients who have progressed on CDK4/6 inhibitors.
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