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Trastuzumab Emtansine

Study design
RT–Drug Timing Window
Radiobiological rationale for RT–drug interaction
Radiosensitizing in a HER2-selective manner (DM1 G2/M arrest, ↑DSBs) (Adams et al., Nature Communications, 2016; Cazzamalli et al., Nature Cancer, 2025). The principal theoretical added toxicity is enhanced CNS normal-tissue injury (symptomatic brain radionecrosis) where the maytansinoid payload sensitizes tissue coinciding with intracranial radiation fields.
Data on this page refer exclusively to patients treated with Trastuzumab Emtansine combined with SBRT, without concurrent use of drugs from other classes. Combination therapy data and pooled group-level evidence are available on the ADC group page.