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  • Antibody-Drug Conjugates: A...
    Chari, Ravi V. J.; Miller, Michael L.; Widdison, Wayne C.

    Angewandte Chemie (International ed.), April 7, 2014, Letnik: 53, Številka: 15
    Journal Article

    Traditional cancer chemotherapy is often accompanied by systemic toxicity to the patient. Monoclonal antibodies against antigens on cancer cells offer an alternative tumor‐selective treatment approach. However, most monoclonal antibodies are not sufficiently potent to be therapeutically active on their own. Antibody–drug conjugates (ADCs) use antibodies to deliver a potent cytotoxic compound selectively to tumor cells, thus improving the therapeutic index of chemotherapeutic agents. The recent approval of two ADCs, brentuximab vedotin and ado‐trastuzumab emtansine, for cancer treatment has spurred tremendous research interest in this field. This Review touches upon the early efforts in the field, and describes how the lessons learned from the first‐generation ADCs have led to improvements in every aspect of this technology, i.e., the antibody, the cytotoxic compound, and the linker connecting them, leading to the current successes. The design of ADCs currently in clinical development, and results from mechanistic studies and preclinical and clinical evaluation are discussed. Emerging technologies that seek to further advance this exciting area of research are also discussed. Fight together: Antibody–drug conjugates (ADCs) are an emerging new class of targeted cancer therapeutics, with validation provided by the recent marketing approvals of the ADCs brentuximab vedotin and ado‐trastuzumab emtansine. Key considerations in the design of ADCs, pre‐clinical and clinical data of various ADCs in development, along with the current status and emerging advances are reviewed.