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ZN-A-1041 (also known as ZN-1041 or Perzebertinib) is a brain-permeable, selective oral tyrosine kinase inhibitor targeting the human epidermal growth factor receptor 2 (HER2). It is specifically designed to cross the blood-brain barrier and has demonstrated high selectivity and a broad safety margin in preclinical studies. The drug shows promising antitumor activity both as monotherapy and in combination with other agents such as capecitabine and trastuzumab for patients with HER2-positive breast cancer with brain metastases. Clinical trials have shown encouraging efficacy—including partial responses and disease control—in heavily pretreated patients with HER2-positive advanced solid tumors, especially those with central nervous system involvement. The most common adverse events are generally mild to moderate gastrointestinal symptoms or laboratory abnormalities; serious toxicities are rare[1][4][6][8].
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