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SHR-A1811 + fluorouracil is a combination of two anticancer agents used in the treatment of advanced solid tumors, including colorectal cancer and HER2-mutant non-small cell lung cancer. SHR-A1811 is an antibody-drug conjugate (ADC) composed of an anti-HER2 monoclonal antibody (trastuzumab), a cleavable linker, and a topoisomerase I inhibitor payload. It targets HER2-expressing or mutated tumor cells, delivering the cytotoxic payload directly to these cells to induce apoptosis through DNA damage by inhibiting topoisomerase I[4][6][8]. Fluorouracil is a small molecule antimetabolite that inhibits thymidylate synthase, thereby interfering with DNA synthesis and slowing or stopping the growth of rapidly dividing cancer cells[2]. The combination aims to enhance antitumor efficacy by leveraging both targeted delivery (via SHR-A1811) and broad cytotoxic activity (via fluorouracil). Clinical trials are ongoing for this combination in advanced solid tumors[3][7].
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