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.

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.