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H2NVAC + trastuzumab emtansine is an investigational combination therapy for HER2-positive breast cancer. - **H2NVAC** is a multi-epitope HER2 peptide vaccine designed to stimulate the immune system to recognize and attack HER2-expressing tumor cells. - **Trastuzumab emtansine (T-DM1)** is an antibody-drug conjugate that combines the anti-HER2 monoclonal antibody trastuzumab with the cytotoxic agent DM1 (emtansine), targeting and killing HER2-overexpressing cancer cells by delivering chemotherapy directly into them[1][3][7]. This combination aims to enhance antitumor activity by both direct cytotoxicity (via T-DM1) and immune-mediated mechanisms (via vaccination with H2NVAC). The regimen has shown a favorable safety profile in early-phase clinical trials, with mostly mild adverse events such as injection site reactions and fatigue[1].
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