2014
DOI: 10.1016/j.bmcl.2014.10.021
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Antibody–drug conjugates—A new wave of cancer drugs

Abstract: Antibody-drug conjugates (ADCs) consist of cytotoxic drugs covalently linked to monoclonal antibodies directed to antigens differentially overexpressed in tumor cells. These loaded antibodies are expected to selectively deliver lethal cargoes to tumor cells and provide sustained clinical benefit to pre-selected cancer patients while, at the same time, minimizing systemic toxicity. Although on-target adverse events are not completely avoided and the true efficacy of these innovative agents still requires furthe… Show more

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Cited by 167 publications
(138 citation statements)
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“…The selectivity relies on this differential expression being sufficient to allow a killing action on the target cells without substantial damage to normal tissues. Our discriminating Fab thus might be a potential candidate for conversion of its single chain to clinically relevant-molecules: 1) conjugated with chemotherapy drug, 51 2) linked with an immunotoxin, 52 or 3) formatted as an IgG with effector functions such as antibody-dependent cell-mediated cytotoxicity. 53 In addition, studies on genetically modified T cells with CARs, including anti-mesothelin CAR T cells, report significant efficacy in different malignancies.…”
Section: Discussionmentioning
confidence: 99%
“…The selectivity relies on this differential expression being sufficient to allow a killing action on the target cells without substantial damage to normal tissues. Our discriminating Fab thus might be a potential candidate for conversion of its single chain to clinically relevant-molecules: 1) conjugated with chemotherapy drug, 51 2) linked with an immunotoxin, 52 or 3) formatted as an IgG with effector functions such as antibody-dependent cell-mediated cytotoxicity. 53 In addition, studies on genetically modified T cells with CARs, including anti-mesothelin CAR T cells, report significant efficacy in different malignancies.…”
Section: Discussionmentioning
confidence: 99%
“…However, this technology has faced many challenges, but with 3 conjugates gaining FDA approval, each using drugs that are active at picomolar concentrations (so-called ultratoxic drugs), it appeared that the major hurdles facing this technology had been overcome and that a core platform on which similar agents could be developed was available (1)(2)(3)(4)(5). Our group departed from the current popular approach, and instead developed an ADC with a more moderately toxic agent, SN-38.…”
Section: Introductionmentioning
confidence: 99%
“…Its natural analogues from L. majuscula, curacin A, B, C and D (Gerwick et al 1994;Yoo and Gerwick 1995;Márquez et al 1998) were unable to produce anticancer effectivity during in vivo animal trails; but, synthetic analogue(s) of curacin served the development of anticancer agents (Wipf et al 2004). Updated clinical information reveals that most Lyngbya-compounds, their several synthetic analogues individually and antibody-drug conjugates (ADCs) are in the process of development as anticancer drugs (Bouchard et al 2014; Table 2). ADCs are nearer to development as potent anticancer drugs, since those have proved as the sought after anticancer agents, simulating the classical magic bullet theory of Paul Ehrlich in the use of an antibiotic.…”
Section: Cyanobacterial Bioactive Molecules Under Clinical Trialsmentioning
confidence: 98%