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SHR-A1811 is a HER2-targeted antibody-drug conjugate (ADC) developed by Jiangsu Hengrui Pharmaceuticals. It consists of a humanized anti-HER2 monoclonal antibody (trastuzumab) covalently linked to a novel topoisomerase I inhibitor payload (SHR152852) via a cleavable linker. SHR-A1811 is designed to treat HER2-expressing or mutated solid tumors, including breast, gastric, and lung cancers. Itraconazole is a potent small molecule antifungal agent that also acts as a strong inhibitor of the cytochrome P450 3A4 (CYP3A4) enzyme and P-glycoprotein (P-gp). The combination of SHR-A1811 and itraconazole is primarily utilized in Phase 1 clinical pharmacology studies to evaluate the impact of CYP3A4 inhibition on the pharmacokinetics, safety, and tolerability of the ADC and its released payload, which is a critical step in understanding potential drug-drug interactions (DDI).
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