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Updated: Oct 17, 2025

Genetic Encoding of a Non-Canonical Amino Acid for the Generation of Antibody-Drug Conjugates Through a Fast Bioorthogonal Reaction
Published on: September 14, 2018
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.
Abstract:
The receptor-based classification of breast cancer predicts its optimal therapy. Hormone Receptor (HR) positive breast cancer is treated with endocrine therapy, and HER2+ disease is treated with HER2-targeted therapy. Triple negative breast cancer (TNBC), defined as tumors lacking HR and HER2, represents an aggressive subtype of breast cancer associated with poor prognosis. Development of targeted therapy for this subtype has been challenging since TNBC usually lacks targetable genomic alterations. However, the advent of antibody drug conjugates (ADC) to target antigens overexpressed in breast cancer has opened the door to a new class of breast cancer therapeutics. In this review, we describe the current FDA-approved ADC therapies for breast cancer, including sacituzumab govitecan, as well as agents currently in advanced stages of investigation. In addition, we review the potential therapeutic application of ADCs across different breast cancer subtypes. In the future, therapeutic advances in ADCs targeting different antigens could redefine the current receptor-based classification of breast cancer.
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.
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