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Updated: Jun 7, 2026

Patient-Derived Tumor Explants As a "Live" Preclinical Platform for Predicting Drug Resistance in Patients
Published on: February 7, 2021
Abstract:
The treatment arsenal for small cell lung cancer could soon include antibody-drug conjugates, with early data from three phase I studies indicating robust response rates to CD56-targeting DXC006, DLL-3-targeting BL-M14D1, and B7-H3-targeting SYS6043. The latter also appears active in other tumor types, including ovarian and breast cancers. As well, phase II findings on a fourth ADC candidate, HER2-targeting trastuzumab brengitecan, suggest its strong efficacy in platinum-resistant ovarian cancer.
Insights
New antibody-drug conjugates show promising results for small cell lung cancer treatment. Early studies reveal high response rates for CD56, DLL-3, and B7-H3 targeting agents, with potential in other cancers too.
Area of Science:
- Oncology
- Pharmacology
- Biotechnology
Background:
- Small cell lung cancer (SCLC) has limited treatment options.
- Antibody-drug conjugates (ADCs) represent a novel therapeutic strategy.
- Targeted therapies are crucial for improving cancer treatment outcomes.
Purpose of the Study:
- To evaluate the efficacy and safety of novel ADC candidates in early-phase clinical trials.
- To explore the potential of ADCs targeting CD56, DLL-3, and B7-H3 in SCLC.
- To assess the activity of HER2-targeting trastuzumab brexucan in platinum-resistant ovarian cancer.
Main Methods:
- Phase I clinical studies of DXC006 (anti-CD56), BL-M14D1 (anti-DLL-3), and SYS6043 (anti-B7-H3).
- Phase II study of trastuzumab brexucan (anti-HER2).
- Assessment of response rates and activity across different tumor types.
Main Results:
- Robust response rates observed with DXC006, BL-M14D1, and SYS6043 in SCLC patients.
- SYS6043 demonstrated activity in ovarian and breast cancers.
- Trastuzumab brexucan showed strong efficacy in platinum-resistant ovarian cancer.
Conclusions:
- Antibody-drug conjugates targeting CD56, DLL-3, and B7-H3 show significant promise for SCLC treatment.
- SYS6043 may have broader applications beyond SCLC.
- Trastuzumab brexucan is a potential new therapy for platinum-resistant ovarian cancer.
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