Department of Drug Development and Innovation (D3i), Institut Curie, Paris, France.
Department of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna, Italy.
Curr Opin Oncol. 2024 May 1;36(3):147-154. doi: 10.1097/CCO.0000000000001022. Epub 2024 Feb 7.
To summarize the actual antibody-drug conjugates (ADCs) tested for patients with advanced head and neck squamous cell carcinoma (HNSCC), outlining the results of safety and efficacy through published clinical trials.
ADCs combine the specificity of mAbs with the cytotoxic drug (known as payload) via a chemical linker and it is designed to selectively deliver the ultratoxic payload directly to the target cancer cells. To date, various ADCs have been investigated in multiple solid malignancies and others are in clinical development. In this study, we provide an overview of the structure and biology of ADC and we review recent clinical experience with the ADC in patients with advanced HNSCC, followed by a brief discussion of the evolvement of ADC conception, drug resistance and future perspectives.
ADC strategy is emerging as a potential active treatment in previously treated patients with advanced HNSCC. However, the recent improvement in the bioengineering of ADC and a better comprehension of sequencing and association strategies could provide more benefit to HNSCC patients in need of innovative therapy.
总结用于晚期头颈部鳞状细胞癌(HNSCC)患者的实际抗体药物偶联物(ADC),通过已发表的临床试验概述安全性和疗效的结果。
ADC 将单克隆抗体的特异性与通过化学连接子结合的细胞毒性药物(称为有效载荷)结合在一起,旨在将超高毒性有效载荷选择性地直接递送至靶癌细胞。迄今为止,已在多种实体恶性肿瘤中研究了各种 ADC,其他 ADC 也在临床开发中。在这项研究中,我们概述了 ADC 的结构和生物学,并综述了 ADC 在晚期 HNSCC 患者中的最新临床经验,随后简要讨论了 ADC 概念、耐药性和未来展望的演变。
ADC 策略正在成为先前治疗的晚期 HNSCC 患者的一种有潜力的积极治疗方法。然而,ADC 的生物工程的最新改进和对测序和关联策略的更好理解可能会为需要创新疗法的 HNSCC 患者带来更多益处。