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Updated: Oct 2, 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 Conjugate Targets, Drugs, and Linkers
Beverly A Teicher1, Joel Morris1
1Developmental Therapeutics Program, DCTD, National Cancer Institute, Bethesda, MD 20892, USA.
Abstract:
Antibody-drug conjugates offer the possibility of directing powerful cytotoxic agents to a malignant tumor while sparing normal tissue. The challenge is to select an antibody target expressed exclusively or at highly elevated levels on the surface of tumor cells and either not all or at low levels on normal cells. The current review explores 78 targets that have been explored as antibody-drug conjugate targets. Some of these targets have been abandoned, 9 or more are the targets of FDA-approved drugs, and most remain active clinical interest. Antibody-drug conjugates require potent cytotoxic drug payloads, several of these small molecules are discussed, as are the linkers between the protein component and small molecule components of the conjugates. Finally, conclusions regarding the elements for the successful antibody-drug conjugate are discussed.
Insights
Antibody-drug conjugates (ADCs) precisely deliver potent drugs to tumors. This review examines 78 potential ADC targets, highlighting successful FDA-approved options and ongoing clinical research for effective cancer therapy.
Area of Science:
- Oncology
- Pharmacology
- Biotechnology
Background:
- Antibody-drug conjugates (ADCs) represent a targeted cancer therapy approach.
- ADCs aim to deliver cytotoxic agents specifically to tumor cells, minimizing damage to healthy tissues.
- The efficacy of ADCs relies on identifying suitable antibody targets with high tumor cell expression and low normal cell expression.
Purpose of the Study:
- To review and analyze a comprehensive list of 78 potential antibody targets investigated for ADC applications.
- To discuss the characteristics of potent cytotoxic drug payloads and linker technologies essential for ADC development.
- To identify key factors contributing to the success of antibody-drug conjugate therapies.
Main Methods:
- Literature review and analysis of 78 antibody targets explored for ADC development.
- Discussion of cytotoxic payloads and linker chemistries used in ADCs.
- Evaluation of clinical success and ongoing interest in various ADC targets.
Main Results:
- A significant number of targets have been evaluated, with some abandoned and others leading to FDA-approved drugs.
- Several targets continue to be of high interest for active clinical development.
- The review covers various cytotoxic payloads and linker strategies employed in ADC design.
Conclusions:
- Successful ADCs depend on the careful selection of antibody targets with specific expression profiles.
- Potent cytotoxic payloads and appropriate linker stability are critical for ADC efficacy and safety.
- Ongoing research and development continue to advance the field of antibody-drug conjugates for cancer treatment.
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