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**Idarubicin-ZHER2 affibody conjugate** is an experimental HER2-targeted peptide-drug conjugate in which the anthracycline cytotoxic payload idarubicin is covalently linked to a dimeric ZHER2 affibody targeting ligand. The affibody binds human epidermal growth factor receptor 2 on HER2-overexpressing tumor cells to preferentially deliver idarubicin, whose intracellular anthracycline activity includes DNA intercalation and inhibition of DNA topoisomerase II. Published preclinical studies reported preferential cytotoxicity in HER2-overexpressing ovarian cancer and head and neck squamous cell carcinoma cell models; an additional mouse study evaluated its immunogenicity following intravenous administration. ([pmc.ncbi.nlm.nih.gov](https://pmc.ncbi.nlm.nih.gov/articles/PMC8085286/))
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