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This drug entry refers to a specific neoadjuvant combination regimen being evaluated in the OPTIMAL-BC clinical trial. The regimen consists of **Liporaxel** (an oral solution of paclitaxel) administered alongside a fixed-dose combination of the HER2-targeted monoclonal antibodies **pertuzumab** and **trastuzumab** for subcutaneous injection. Liporaxel, developed by Daehwa Pharmaceutical, is a lipid-based oral formulation of the microtubule stabilizer paclitaxel designed to improve patient convenience and eliminate the need for Cremophor EL, which is associated with hypersensitivity reactions in intravenous formulations. Pertuzumab and trastuzumab are monoclonal antibodies that bind to different domains of the Human Epidermal Growth Factor Receptor 2 (HER2), providing a dual blockade that synergistically inhibits HER2-mediated signaling and promotes antibody-dependent cellular cytotoxicity (ADCC). This combination is specifically being studied for the neoadjuvant treatment of HER2-positive breast cancer.
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