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However, as it is not yet approved, there are no official prescribing guidelines or standard dosing recommendations for public use

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Moreover, a mechanistic study addressing the development of resistance to the anti- human epidermal growth factor receptor 2 (HER2) monoclonal antibody trastuzumab in HER2-positive (HER(+)) gastric cancer found that endoplasmic reticulum stress induces resistance to trastuzumab in HER2(+) gastric cancer cells by activating IGF-1R and FGFR1 signaling pathways, through a microRNA (miR)-301a-3p-dependent mechanism (76)

Its minimal side effect profile and low risk of drug interactions also support adherence, especially in polypharmacy contexts