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Anti-ErbB2 immunotherapeutics: struggling to make better antibodies for cancer therapy
1Biotechnology Research and Development, Alfasigma SpA, Rome, Italy.
Abstract:
Over the past 3 decades, monoclonal antibodies and their related derivatives, including recently approved antibody-drug conjugates, conquered a central role in cancer therapy because of their contribution to improve survival, time to progression and quality of life of patients compared to chemotherapy protocols. This review summarizes information on approved original and biosimilar products, as well as investigational antibody-based therapeutics, targeting ErbB2. This target has been selected as a paradigmatic example because of its relevant role in sustaining the malignancy of major cancer diseases including, breast, gastric and other chemotherapy-resistant solid tumors. This work analyzes the drivers affecting research and development of next-generation anti-ErbB2 immunotherapeutics, taking into account unmet medical needs and pharmacoeconomic issues related to sustainability. The analysis may help with the design of future research and development strategies.
Insights
Monoclonal antibodies targeting ErbB2 have become vital in cancer therapy, improving patient outcomes. This review examines current and future antibody-based treatments for ErbB2-positive cancers, considering medical needs and costs.
Area of Science:
- Oncology
- Immunotherapy
- Pharmacoeconomics
Background:
- Monoclonal antibodies (mAbs) and antibody-drug conjugates (ADCs) have significantly advanced cancer treatment over 30 years.
- These therapies offer improved survival, progression-free survival, and quality of life compared to traditional chemotherapy.
- ErbB2 is a key target in major cancers like breast and gastric, often resistant to chemotherapy.
Purpose of the Study:
- To review approved and investigational anti-ErbB2 antibody therapeutics.
- To analyze factors driving the development of next-generation anti-ErbB2 immunotherapies.
- To consider unmet medical needs and pharmacoeconomic sustainability in future strategies.
Main Methods:
- Literature review of approved original and biosimilar anti-ErbB2 products.
- Analysis of investigational antibody-based therapeutics targeting ErbB2.
- Examination of research and development drivers, including clinical and economic aspects.
Main Results:
- ErbB2-targeted antibody therapies have a central role in treating various solid tumors.
- Significant advancements have been made in developing novel anti-ErbB2 immunotherapeutics.
- Pharmacoeconomic considerations are crucial for the sustainability of these advanced therapies.
Conclusions:
- Anti-ErbB2 antibody therapies represent a major therapeutic advance in oncology.
- Future development should address unmet needs and economic viability.
- Strategic planning is essential for advancing next-generation ErbB2-targeted treatments.
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