Trail P A, Bianchi A B
Bristol-Myers Squibb Pharmaceutical Research Institute, P.O. Box 4000, Princeton, NJ 08543, USA.
Curr Opin Immunol. 1999 Oct;11(5):584-8. doi: 10.1016/s0952-7915(99)00012-6.
Monoclonal antibodies directed to tumor-associated antigens have been chemically conjugated to drugs with different mechanisms of action and different levels of potency. Monoclonal-antibody-directed drug delivery has the potential to both improve efficacy and reduce systemic toxicity. Several immunoconjugates have demonstrated impressive antigen-specific antitumor activity in preclinical models. Phase I trials of a calicheamicin immunoconjugate for treatment of acute myeloid leukemia and a doxorubicin immunoconjugate for treatment of carcinoma have recently been completed.
针对肿瘤相关抗原的单克隆抗体已与具有不同作用机制和不同效力水平的药物进行化学偶联。单克隆抗体导向的药物递送既有可能提高疗效,又能降低全身毒性。几种免疫偶联物在临床前模型中已显示出令人印象深刻的抗原特异性抗肿瘤活性。一种用于治疗急性髓性白血病的加利车霉素免疫偶联物和一种用于治疗癌症的阿霉素免疫偶联物的I期试验最近已经完成。