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**Trastuzumab deruxtecan + rilvegostomig** is a combination investigational therapy used in clinical trials for several advanced HER2-expressing cancers. Trastuzumab deruxtecan (T-DXd, DS-8201a) is an antibody-drug conjugate targeting HER2: its monoclonal antibody (trastuzumab) binds HER2 receptor and delivers a cytotoxic payload (deruxtecan) directly to cancer cells. Rilvegostomig (AZD2936) is a bispecific monoclonal antibody targeting both programmed cell death protein 1 (PD-1) and TIGIT, enhancing immune response by blocking these checkpoints to promote T-cell mediated tumor destruction. The combination aims to produce synergistic antitumor effects, combining direct cytotoxicity and immune checkpoint inhibition. Main indications under investigation include HER2-expressing endometrial cancer, gastric cancer, and biliary tract cancer[3][6][7][4].
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