Antibody drug conjugates for patients with breast cancer

Arielle Medford1, Laura M Spring1, Beverly Moy1

  • 1Massachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA.

Insights

Antibody drug conjugates (ADCs) offer new targeted therapies for aggressive triple-negative breast cancer (TNBC) lacking hormone receptors and HER2. This review covers approved and investigational ADCs, highlighting their potential to improve outcomes for various breast cancer subtypes.

Area of Science:

  • Oncology
  • Pharmacology
  • Biotechnology

Background:

  • Breast cancer treatment relies on receptor status (Hormone Receptor+, HER2+).
  • Triple-negative breast cancer (TNBC) lacks these receptors, presenting a therapeutic challenge due to limited targeted options.
  • Aggressive TNBC subtypes often lack targetable genomic alterations, necessitating novel treatment strategies.

Purpose of the Study:

  • To review current FDA-approved antibody drug conjugate (ADC) therapies for breast cancer.
  • To discuss investigational ADCs in advanced development stages.
  • To explore the potential of ADCs across diverse breast cancer subtypes.

Main Methods:

  • Literature review of FDA-approved ADCs for breast cancer.
  • Analysis of clinical trial data for investigational ADCs.
  • Examination of ADC targeting strategies for different breast cancer subtypes.

Main Results:

  • Sacituzumab govitecan is an FDA-approved ADC for breast cancer.
  • Several other ADCs are in advanced stages of clinical investigation.
  • ADCs demonstrate potential therapeutic applications across various breast cancer subtypes, including TNBC.

Conclusions:

  • ADCs represent a promising new class of therapeutics for breast cancer, particularly for TNBC.
  • Targeted antigen delivery via ADCs may overcome limitations of traditional therapies.
  • Future ADC advancements could potentially redefine breast cancer classification and treatment paradigms.