Key Laboratory of Prevention and Treatment for Chronic Diseases by TCM in Gansu Province, Affiliated Hospital of Gansu University of Chinese Medicine, Lanzhou, China.
School of Life Science and Engineering, Lanzhou University of Technology, Lanzhou, China.
Drugs Today (Barc). 2022 May;58(5):213-222. doi: 10.1358/dot.2022.58.5.3400745.
Cervical cancer is one of the most common gynecological malignancies. At present, cytotoxic chemotherapeutic drugs and immunotherapy are the main therapeutic options for recurrent and metastatic cervical cancer. Tisotumab vedotin is an antibody-drug conjugate (ADC) and a potential novel treatment for cervical carcinoma. Tisotumab vedotin targets tissue factor (TF), which is highly expressed on the surface of cervical cancer cells, by delivering the cytotoxic agent monomethyl auristatin E (MMAE) directly into tumor cells. Currently, the U.S. Food and Drug Administration (FDA) has approved tisotumab vedotin for the treatment of adult female patients with recurrent or metastatic cervical cancer with disease progression on or after chemotherapy. This article reviews the results of preclinical studies and clinical trials of tisotumab vedotin. The findings suggest that tisotumab vedotin can induce clinically significant and long-lasting remission with controllable and tolerable safety in the difficult-to-treat group of cervical cancer patients.
宫颈癌是最常见的妇科恶性肿瘤之一。目前,细胞毒性化疗药物和免疫疗法是复发性和转移性宫颈癌的主要治疗选择。Tisotumab vedotin 是一种抗体药物偶联物(ADC),也是宫颈癌的一种潜在新型治疗方法。Tisotumab vedotin 通过将细胞毒性药物单甲基奥瑞他汀 E(MMAE)直接递送至肿瘤细胞,靶向组织因子(TF),TF 在宫颈癌细胞表面高度表达。目前,美国食品和药物管理局(FDA)已批准 tisotumab vedotin 用于治疗化疗后或化疗后疾病进展的复发或转移性宫颈癌的成年女性患者。本文综述了 tisotumab vedotin 的临床前研究和临床试验结果。研究结果表明,tisotumab vedotin 可诱导具有临床意义和持久缓解的疾病,在治疗困难的宫颈癌患者组中具有可控且可耐受的安全性。