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Pertuzumab + erlotinib is an investigational combination therapy comprising the HER2-targeted monoclonal antibody pertuzumab (Perjeta) and the EGFR-targeted tyrosine kinase inhibitor erlotinib (Tarceva). The combination was developed by Roche and Genentech to achieve enhanced antitumor activity through the dual blockade of the human epidermal growth factor receptor (HER) family signaling. It has been primarily studied in patients with relapsed non-small cell lung cancer (NSCLC) and refractory pancreatic adenocarcinoma. However, clinical trials in NSCLC (such as NCT00855894) were halted early due to poor tolerability, with a high incidence of grade 3 or greater adverse events, including pneumatosis intestinalis, which has limited its further clinical development in that indication.
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