Antibody-drug conjugates combinations in cancer treatment
Giulia Pretelli1, Kleida Mati2, Lucia Motta3,4
1Department of Medical Oncology, Vall d'Hebron Institute of Oncology (VHIO), 08035 Barcelona, Spain.
Abstract:
Antibody-drug conjugates (ADCs) have emerged as a promising class of anticancer agents. Currently, the Food and Drug Administration has granted approval to 12 compounds, with 2 later undergoing withdrawal. Moreover, several other compounds are currently under clinical development at different stages. Despite substantial antitumoral activity observed among different tumor types, adverse events and the development of resistance represent significant challenges in their use. Over the last years, an increasing number of clinical trials have been testing these drugs in different combinations with other anticancer agents, such as traditional chemotherapy, immune checkpoint inhibitors, monoclonal antibodies, and small targeted agents, reporting promising results based on possible synergistic effects and a potential for improved treatment outcomes among different tumor types. Here we will review combinations of ADCs with other antitumor agents aiming at describing the current state of the art and future directions.
Insights
Antibody-drug conjugates (ADCs) show promise in cancer treatment but face challenges. Combining ADCs with other therapies may improve outcomes and overcome resistance, representing a key area for future research.
Area of Science:
- Oncology
- Pharmacology
- Biotechnology
Background:
- Antibody-drug conjugates (ADCs) are a significant class of anticancer agents.
- While 12 ADCs are FDA-approved, 2 have been withdrawn, and many are in clinical development.
- ADCs demonstrate antitumoral activity but present challenges with adverse events and resistance.
Purpose of the Study:
- To review current combinations of ADCs with other antitumor agents.
- To describe the state-of-the-art in ADC combination therapies.
- To outline future directions for ADC combination strategies.
Main Methods:
- Literature review of clinical trials and preclinical studies.
- Analysis of combination therapies involving ADCs and agents like chemotherapy, immune checkpoint inhibitors, monoclonal antibodies, and targeted agents.
- Synthesis of data on efficacy, safety, and resistance mechanisms.
Main Results:
- Combinations of ADCs with other anticancer agents are being actively investigated in numerous clinical trials.
- Promising results indicate potential synergistic effects and improved treatment outcomes across various tumor types.
- Current research highlights the potential of combination therapies to enhance ADC efficacy and manage resistance.
Conclusions:
- ADC combination therapies represent a rapidly evolving field with significant therapeutic potential.
- Further research is needed to optimize combination strategies and overcome clinical challenges.
- Future directions include exploring novel combinations and personalized treatment approaches for enhanced cancer therapy.
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