2021
DOI: 10.1248/cpb.c21-00258
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Recent Advances in Drug–Antibody Ratio Determination of Antibody–Drug Conjugates

Abstract: Antibody-drug conjugates (ADCs) are biopharmaceuticals produced by chemically linking small molecules (payloads) to antibodies that possess specific affinity for the target cell. The ADCs currently on the commercially market are the result of a stochastic conjugation of highly-potent payloads to multiple sites on the monoclonal antibody, resulting in a heterogeneous drug-antibody ratio (DAR) and drug distribution. The heterogeneity inherent to ADCs not produced site-specifically may not only be detrimental to … Show more

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Cited by 46 publications
(41 citation statements)
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“…Over the last two decades, antibody–drug conjugates (ADCs) have become a potential embodiment of Ehrlich’s notion. ADCs are promising cancer therapeutics consisting of recombinant monoclonal antibodies. Although this concept may seem simple, there is a critical issue with the synthesis of traditional ADCs. Non-specific drug conjugation on naturally available amino acid residues, such as lysine and reduced interchain cysteine residues, is used to construct the chemical links between the antibodies and payloads.…”
Section: Introductionmentioning
confidence: 99%
“…Over the last two decades, antibody–drug conjugates (ADCs) have become a potential embodiment of Ehrlich’s notion. ADCs are promising cancer therapeutics consisting of recombinant monoclonal antibodies. Although this concept may seem simple, there is a critical issue with the synthesis of traditional ADCs. Non-specific drug conjugation on naturally available amino acid residues, such as lysine and reduced interchain cysteine residues, is used to construct the chemical links between the antibodies and payloads.…”
Section: Introductionmentioning
confidence: 99%
“…Consistent DAR of the final product is of importance for reproducibility during manufacturing and safety for the patient. A variety of methods have therefore been described to evaluate DAR values to ensure batch-to-batch consistency, which are discussed elsewhere [156,157]. Studies suggest a DAR of roughly 3-4 to hit the sweet spot between efficacy and clearance for current small molecule toxin ADCs [158][159][160] and thereby maximizing the therapeutic index.…”
Section: Arming the Arsenal: Adc Payloadsmentioning
confidence: 99%
“…Promising conjugation technologies are required for efficacious/safe ADC production and the establishment of robust and streamline ADC manufacturing processes. Currently, the development of scalable ADC processes is still a highly challenging task for not only pharmaceutical companies but also for CDMOs [28,29]. From a straightforward CMC perspective, chemical conjugation is advantageous because this method requires only small molecular compounds such as cross-linkers and/or reductants besides the drug-linkers.…”
Section: F I G U R E 2 Typical Manufacturing Approaches To Produce Adcsmentioning
confidence: 99%