Pushing the Envelope: Advancement of ADCs Outside of Oncology
Michael J McPherson1, Adrian D Hobson2
1Abbvie Global Biologics, AbbVie Bioresearch Center, Worcester, MA, USA. michael.mcpherson@abbvie.com.
Abstract:
The majority of ADCs in preclinical and clinical development are for oncology indications where cytotoxic payloads are targeted to antigen-expressing cancer cells. However, the modulation of pathogenic cellular activity via ADC-mediated delivery of bioactive small molecules is also an attractive concept for non-oncology indications leading to an expanded application of the technology. Here we summarize those ADCs that have been described so far for non-oncology applications and which cover a variety of payload mechanisms beyond cell killing, from early in vitro proof-of-concept experiments to clinical trials. As our understanding of ADC technology continues to grow, it is anticipated that the development of ADCs as therapeutics for disease areas outside of oncology will also increase.
Insights
Antibody-drug conjugates (ADCs) are expanding beyond cancer treatment. This review highlights ADCs for non-oncology diseases, showcasing diverse payload mechanisms and their potential for broader therapeutic applications.
Area of Science:
- Biotechnology
- Pharmacology
- Drug Discovery
Background:
- Antibody-drug conjugates (ADCs) are primarily developed for oncology, utilizing cytotoxic payloads to target cancer cells.
- The application of ADCs is expanding to non-oncology indications by modulating pathogenic cellular activity.
Purpose of the Study:
- To summarize existing ADCs for non-oncology applications.
- To review diverse payload mechanisms beyond simple cell killing.
- To highlight the progression from in vitro studies to clinical trials for non-oncology ADCs.
Main Methods:
- Literature review of ADCs described for non-oncology applications.
- Analysis of payload mechanisms and therapeutic targets.
- Examination of study stages, from in vitro proof-of-concept to clinical trials.
Main Results:
- Several ADCs for non-oncology indications have been reported.
- Payload mechanisms extend beyond cytotoxicity, including modulation of cellular pathways.
- Development spans early research to clinical investigations.
Conclusions:
- ADC technology offers promising therapeutic strategies for non-oncology diseases.
- The scope of ADC applications is expected to broaden significantly.
- Further development of ADCs for non-oncology indications is anticipated.
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