The clinical development of antibody-drug conjugates for non-small cell lung cancer therapy

Xinlin Liu1,2, Junwen Deng1,2, Renshuai Zhang1,2

  • 1The Affiliated Hospital of Qingdao University, Qingdao University, Qingdao, China.

Frontiers in Immunology
|January 1, 2024
PubMed

Insights

Antibody-drug conjugates (ADCs) show promise for non-small cell lung cancer (NSCLC) treatment, offering new options beyond current therapies. This review covers recent advancements, efficacy, and limitations of novel ADCs in NSCLC clinical research.

Area of Science:

  • Oncology
  • Pharmacology

Background:

  • Standard non-small cell lung cancer (NSCLC) treatments like targeted therapy and immune checkpoint inhibitors face challenges due to intrinsic and acquired resistance.
  • Antibody-drug conjugates (ADCs) represent a significant advancement in cancer therapeutics, demonstrating notable clinical success.
  • The 2022 approval of trastuzumab deruxtecan for HER2-mutated NSCLC highlights the therapeutic potential of ADCs in this disease.

Purpose of the Study:

  • To review recent clinical research on novel antibody-drug conjugates (ADCs) for non-small cell lung cancer (NSCLC).
  • To discuss the mechanisms of action, clinical efficacy, and limitations of emerging ADCs in NSCLC treatment.

Main Methods:

  • Literature review of recent clinical trials and studies involving ADCs for NSCLC.
  • Analysis of data on ADC mechanisms, efficacy, and safety profiles.

Main Results:

  • Trastuzumab deruxtecan's approval signifies a breakthrough for ADCs in HER2-mutated NSCLC.
  • Numerous ADCs are in clinical trials, indicating a growing pipeline of potential NSCLC treatments.
  • ADCs offer a promising alternative or addition to existing NSCLC treatment strategies.

Conclusions:

  • ADCs are emerging as a vital therapeutic class for non-small cell lung cancer.
  • Ongoing clinical trials are crucial for evaluating the future role of novel ADCs in NSCLC management.
  • Understanding ADC mechanisms, efficacy, and limitations is key to optimizing their use in NSCLC treatment.