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This combination refers to a protocol-specified set of endocrine therapy (ET) agents used in a Phase II clinical trial led by Fudan University for the maintenance treatment of HER2-positive advanced breast cancer. The regimen includes aromatase inhibitors (letrozole, anastrozole, and exemestane), a selective estrogen receptor degrader (fulvestrant), and gonadotropin-releasing hormone (GnRH) agonists (leuprorelin and goserelin). These agents are administered following induction therapy with the antibody-drug conjugate trastuzumab rezetecan (SHR-A1811) and are combined with other targeted therapies like pyrotinib or dalpiciclib. The primary goal of this endocrine component is to suppress estrogen signaling in patients with hormone receptor-positive (HR+) disease, either by blocking estrogen production or by antagonizing the estrogen receptor itself.
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