This clinical trial focuses on treating patients with HER2-positive metastatic breast cancer who have developed cancer spread to the brain. The study evaluates a combination treatment using three medications: tucatinib (taken as tablets), pertuzumab, and trastuzumab (both given through infusion into a vein). This treatment approach is being studied in patients whose cancer has progressed in the brain while they were receiving previous treatments.
The purpose of this study is to determine how effective the addition of tucatinib is when combined with pertuzumab and trastuzumab in treating brain metastases. The treatment begins after patients have completed local treatment of their brain tumors through surgery and/or radiation therapy. Patients will receive regular brain scans to monitor how their cancer responds to the treatment.
Throughout the study, patients will take tucatinib tablets daily and receive regular infusions of pertuzumab and trastuzumab. The treatment will continue as long as it remains effective and the side effects are manageable. Patients will have regular check-ups to monitor their health and assess how well the treatment is working. Some patients may also receive additional hormone-blocking treatments such as anastrozole, letrozole, exemestane, or fulvestrant, depending on their specific type of breast cancer.



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