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D1:SG + VEGFRI is a combination therapeutic regimen consisting of the antibody-drug conjugate (ADC) sacituzumab govitecan and the anti-angiogenic monoclonal antibody bevacizumab. This regimen is being evaluated as a first-line treatment for patients with locally advanced or metastatic triple-negative breast cancer (TNBC) who are classified into the 'D1' molecular subtype (basal-like immune-suppressed, or BLIS) within the FUTURE-Trop2 umbrella trial (NCT05928780). Sacituzumab govitecan targets the trophoblast cell-surface antigen 2 (TROP2) and delivers the cytotoxic payload SN-38, a topoisomerase I inhibitor, directly into tumor cells. Bevacizumab targets vascular endothelial growth factor A (VEGF-A), inhibiting tumor angiogenesis. The combination is designed to exploit the specific sensitivity of the BLIS subtype to anti-VEGF therapy while utilizing the potent anti-tumor activity of the TROP2-directed ADC.
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