Bispecific antibodies for the treatment of breast cancer

Patrick M Dillon1, Jogender Tushir-Singh2, Lawrence G Lum1

  • 1Division of Hematology/Oncology, University of Virginia Charlottesville, VA, USA.

Abstract

Insights

Bispecific antibodies (BsAbs) show promise for breast cancer treatment by targeting cancer cells and the microenvironment. While no BsAb is approved yet, ongoing trials explore their potential in various breast cancer subtypes.

Area of Science:

  • Oncology
  • Immunotherapy
  • Antibody Engineering

Background:

  • Bispecific antibodies (BsAbs) represent a novel therapeutic strategy in oncology.
  • Over two dozen BsAbs are in development for breast cancer, employing diverse designs.
  • These agents aim to co-direct immune recognition, target unique cancer antigens, or modulate the tumor microenvironment.

Purpose of the Study:

  • To review the landscape of bispecific antibodies for breast cancer.
  • To cover potential targets, preclinical and clinical agents, combinatorial therapies, and future directions.

Main Methods:

  • Literature review of bispecific antibody development in breast cancer.
  • Analysis of preclinical data and ongoing clinical trials.
  • Evaluation of emerging therapeutic strategies and unmet needs.

Main Results:

  • BsAbs are being developed as antibody-drug conjugates and for engineered T-cell therapies.
  • While no BsAb approval is imminent, late-stage trials are progressing.
  • The HER2+ breast cancer space shows potential but is competitive; unmet needs persist in other subtypes.

Conclusions:

  • Bispecific antibodies hold future promise for breast cancer, particularly in estrogen receptor-positive disease and residual disease settings.
  • Further research and clinical trials are essential to realize the full potential of BsAbs in de-escalating chemotherapy and addressing current treatment gaps.

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