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Antibody-drug conjugates in HER-2 negative breast cancers with poor prognosis
Mirosława Püsküllüoğlu1, Agnieszka Rudzińska1, Renata Pacholczak-Madej2
1Department of Clinical Oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Krakow Branch, Garncarska Street 11, 31-115 Krakow, Poland.
Abstract:
Antibody drug conjugates (ADCs) comprise a rapidly growing class of targeted drugs that selectively deliver a cytotoxic agent to cancer cells, reducing the side effects associated with conventional chemotherapy. Breast cancer (BC) is a heterogeneous entity. The need for effective therapies for HER-2 negative BCs with poor prognosis, such as triple-negative or endocrine-resistant BC, remains unmet due to the lack of potential targets for treatments. These BC subtypes are not candidates for hormonal or anti-HER-2 agents. However, ongoing clinical trials exploring the use of ADCs with a wide range of targets have shown potential for this treatment modality. In this review, we present the current state of knowledge regarding the role of ADC and speculate on novel approaches including ADC combination therapies, new molecular targets, and the role of other subclasses of ADCs (bicycle drug conjugates, bispecific ADCs, immune modulating ADCs) in this clinical scenario.
Insights
Antibody drug conjugates (ADCs) offer targeted chemotherapy for breast cancer (BC). This review explores ADCs for HER-2 negative BC, addressing unmet needs and future therapeutic strategies.
Area of Science:
- Oncology
- Pharmacology
- Biotechnology
Background:
- Breast cancer (BC) is highly heterogeneous, with significant unmet needs for HER-2 negative subtypes like triple-negative or endocrine-resistant BC.
- Current treatments are limited for these BC subtypes due to a lack of specific molecular targets.
- Antibody drug conjugates (ADCs) represent a promising targeted therapy class, selectively delivering cytotoxic agents to cancer cells.
Purpose of the Study:
- To review the current role and potential of Antibody drug conjugates (ADCs) in treating HER-2 negative breast cancer.
- To explore novel therapeutic strategies involving ADCs for difficult-to-treat BC subtypes.
- To discuss emerging ADC subclasses and combination therapies.
Main Methods:
- Literature review of current research on Antibody drug conjugates (ADCs) in breast cancer.
- Analysis of clinical trial data for ADC efficacy in HER-2 negative BC.
- Exploration of future directions, including new molecular targets and ADC variations.
Main Results:
- ADCs demonstrate potential for targeted delivery of cytotoxic agents, reducing side effects.
- Ongoing clinical trials show promise for ADCs in various BC subtypes, including HER-2 negative cases.
- Novel targets and ADC subclasses are being investigated to expand therapeutic options.
Conclusions:
- ADCs are a rapidly advancing therapeutic modality for breast cancer, particularly for HER-2 negative subtypes.
- Future research should focus on identifying new molecular targets and exploring ADC combination therapies.
- Emerging ADC subclasses, such as bicycle drug conjugates and bispecific ADCs, hold significant promise for improved BC treatment outcomes.
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