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Tucatinib

Study design
RT–Drug Timing Window
Radiobiological rationale for RT–drug interaction
Radiosensitizing in HER2-overexpressing tumors (↓HER2/AKT/ERK, delayed DSB repair, ↑apoptosis/senescence) without sensitizing HER2-negative cells (Amrell et al., Cancer Cell International, 2024; Yu et al., Oncotarget, 2016). Antigen/driver-restricted sensitization limits theoretical field side-effects, though the pan-HER class effect of diarrhea and mucocutaneous adverse events could overlap with RT-related GI/mucosal reactions.
Data on this page refer exclusively to patients treated with Tucatinib combined with SBRT, without concurrent use of drugs from other classes. Combination therapy data and pooled group-level evidence are available on the HER(2) targeting TKI group page.