Development of antibody-drug conjugates in cancer: Overview and prospects

Dan-Yun Ruan1,2, Hao-Xiang Wu1,2, Qi Meng1,2

  • 1Department of Clinical Research, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University, Guangzhou, Guangdong, P. R. China.

Insights

Antibody-drug conjugates (ADCs) are rapidly advancing anticancer drugs, with ongoing research focused on optimizing components for improved efficacy and reduced side effects in cancer treatment.

Area of Science:

  • Oncology
  • Pharmacology
  • Biotechnology

Background:

  • Antibody-drug conjugates (ADCs) represent a significant advancement in oncology, with 15 approved in the last decade.
  • ADCs are a rapidly growing class of anticancer drugs, showing efficacy across various malignancies.
  • Despite successes, unmet needs remain regarding wider application, enhanced efficacy, and minimized side effects.

Purpose of the Study:

  • To provide a comprehensive review of current antibody-drug conjugate (ADC) development and future prospects.
  • To analyze marketed ADCs and global/China pipelines, highlighting key platforms and technologies.
  • To discuss next-generation ADCs and future clinical research directions.

Main Methods:

  • Systematic review of recent literature on antibody-drug conjugates (ADCs).
  • Analysis of marketed ADCs and ongoing clinical/preclinical pipelines.
  • Examination of ADC platforms, technologies, and component optimization strategies.

Main Results:

  • Significant growth in ADC approvals and market presence over the past decade.
  • Identification of key components (antibody, linker, payload) influencing ADC performance.
  • Overview of diverse ADC platforms and emerging technologies from various companies.

Conclusions:

  • Optimization of ADC components is crucial for developing more potent and safer anticancer therapies.
  • Continued research into next-generation ADCs and clinical strategies is essential.
  • The field of ADCs holds substantial promise for improving cancer treatment outcomes.

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