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.
Abstract:
In recent years, remarkable breakthroughs have been reported on antibody-drug conjugates (ADCs), with 15 ADCs successfully entering the market over the past decade. This substantial development has positioned ADCs as one of the fastest-growing domains in the realm of anticancer drugs, demonstrating their efficacy in treating a wide array of malignancies. Nonetheless, there is still an unmet clinical need for wider application, better efficacy, and fewer side effects of ADCs. An ADC generally comprises an antibody, a linker and a payload, and the combination has profound effects on drug structure, pharmacokinetic profile and efficacy. Hence, optimization of the key components provides an opportunity to develop ADCs with higher potency and fewer side effects. In this review, we comprehensively reviewed the current development and the prospects of ADC, provided an analysis of marketed ADCs and the ongoing pipelines globally as well as in China, highlighted several ADC platforms and technologies specific to different pharmaceutical enterprises and biotech companies, and also discussed the new related technologies, possibility of next-generation ADCs and the directions of clinical research.
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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