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robatumumab + trastuzumab is an experimental combination of two monoclonal antibodies. **Robatumumab** is a fully human monoclonal antibody targeting the type I insulin-like growth factor 1 receptor (IGF-1R), developed to inhibit growth and survival signals in tumors dependent on IGF-1R signaling. **Trastuzumab** is a humanized anti-HER2 monoclonal antibody that inhibits HER2/neu (ERBB2) signaling, primarily used as targeted therapy in HER2-positive breast and gastric cancers. This combination is likely designed to simultaneously block two major oncogenic pathways—IGF-1R and HER2—potentially overcoming resistance seen with trastuzumab monotherapy. The combination has been investigated at the preclinical and early-phase clinical trial level for overcoming trastuzumab resistance, particularly in metastatic HER2-positive breast cancer[1].
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