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**Pertuzumab + capecitabine** is a combination of two distinct antineoplastic agents used primarily in clinical trials for advanced or metastatic HER2-positive cancers. **Pertuzumab** is a humanized monoclonal antibody that inhibits HER2 dimerization, thereby blocking downstream signaling pathways involved in tumor cell growth and survival. **Capecitabine** is an oral prodrug of 5-fluorouracil (5-FU), a small molecule antimetabolite that interferes with DNA synthesis and repair by inhibiting thymidylate synthase. This combination has been explored especially in patients who progressed after standard HER2-directed therapies, showing tolerability and some disease stabilization in early-phase studies. The primary mechanism is **dual HER2 blockade with cytotoxic chemotherapy**[1][3].
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