Antibody-drug conjugates: Current status and future perspectives
1Institute of Pharmaceutical Sciences, Department of Chemistry and Applied Biosciences, ETH Zürich, Vladimir-Prelog-Weg 1-5/10, CH 8053, Zurich, Switzerland.
Antibody-drug conjugates (ADCs) offer targeted cancer therapy by delivering potent drugs directly to tumors, improving efficacy and reducing side effects. Advances in payloads, linkers, and targets enhance ADC development for better cancer treatment outcomes.
Area of Science:
- Oncology
- Pharmacology
- Biotechnology
Background:
- Conventional chemotherapy lacks tumor selectivity, limiting efficacy and causing systemic toxicity.
- Monoclonal antibodies offer a targeted approach for drug delivery to neoplastic lesions.
- Antibody-drug conjugates (ADCs) represent a promising class of targeted biopharmaceuticals.
Purpose of the Study:
- To review advancements in antibody-drug conjugate (ADC) technology.
- To summarize pre-clinical and clinical examples of ADC improvements.
- To discuss combination therapies involving ADCs and checkpoint inhibitors.
Main Methods:
- Review of pre-clinical and clinical studies on ADCs.
- Analysis of diversification in payloads, linkers, conjugation technologies, ADC formats, and targets.
- Discussion of combination therapies with checkpoint inhibitors.
Main Results:
- Significant improvements in ADC technology have been observed.
- Diversification in payloads, linkers, conjugation methods, formats, and targets enhances ADC capabilities.
- Combination therapies of ADCs with checkpoint inhibitors show promising potential.
Conclusions:
- ADCs demonstrate potential for improved anti-cancer activity and selectivity.
- Ongoing technical advancements are crucial for successful ADC development.
- Combination strategies, particularly with checkpoint inhibitors, warrant further investigation for enhanced cancer treatment.
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