“…The successful preclinical trials of Padcev for treating urothelial carcinoma have demonstrated the efficacy of targeting Nectin-4 in cancer drug development [ 42 ], concurrently propelling the advancement of Nectin-4 ADCs. Given the high production costs, limited tissue penetration, binding site barriers, and off-target toxicity associated with monoclonal antibodies (mAb)-based ADCs, small-sized carriers, such as antigen-binding peptides [ 11 ], scFv [ 38 , 43 ], Fab [ 44 , 45 ], and Nb [ 16 , 21 ], have been developed to address the narrow therapeutic window of ADCs. Among these, Nb stands out for its advantages, including a small molecular size, high stability, low immunogenicity, and cost-effectiveness.…”