An overview of antibody-drug conjugates in oncological practice

Charalampos Theocharopoulos1, Panagiotis-Petros Lialios1, Helen Gogas1

  • 1First Department of Medicine, National and Kapodistrian University of Athens, School of Medicine, Laiko General Hospital, Athens, Greece.

Insights

Antibody-drug conjugates (ADCs) offer targeted cancer therapy with reduced side effects. This review details eight FDA-approved ADCs, their clinical evolution, and future potential in oncology.

Area of Science:

  • Oncology
  • Pharmacology
  • Biotechnology

Background:

  • Antibody-drug conjugates (ADCs) represent a precision medicine approach, combining antibody-based targeting with potent chemotherapy.
  • ADCs aim to improve the therapeutic index by selectively delivering cytotoxic agents to cancer cells, minimizing systemic toxicity.
  • Advancements in ADC technology and clinical experience are accelerating their development and application in various cancers.

Purpose of the Study:

  • To provide an updated overview of ADCs approved by the US Food and Drug Administration (FDA).
  • To examine the clinical evolution and pivotal trials of these approved ADCs.
  • To review ongoing late-stage studies and emerging ADC candidates in oncology.

Main Methods:

  • Review of FDA-approved ADCs and their indications.
  • Analysis of clinical trial data supporting ADC approvals.
  • Survey of current research on ADCs in non-approved settings and new candidates.

Main Results:

  • Eight ADCs have been approved by the FDA for oncological practice.
  • Significant clinical development has occurred, with four new ADCs approved recently.
  • Ongoing studies are exploring expanded indications and new ADC therapies.

Conclusions:

  • ADCs are a rapidly advancing therapeutic modality in oncology.
  • The clinical utility of ADCs is expected to grow with further research and data.
  • ADCs are poised to significantly reshape future cancer treatment strategies.

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