• Médecine sciences : M/S · Dec 2019

    Review Historical Article

    [Antibody-drug conjugates in oncology. New strategies in development].

    • Alain Beck, Charles Dumontet, and Nicolas Joubert.
    • Institut de Recherche Pierre Fabre, Centre d'Immunologie Pierre Fabre, 5 Avenue Napoléon III, 74160 Saint Julien-en-Genevois, France.
    • Med Sci (Paris). 2019 Dec 1; 35 (12): 1043-1053.

    AbstractAn Antibody-Drug Conjugate (armed antibody) is a vectorized chemotherapy that results from the grafting of a cytotoxic agent on a monoclonal antibody via a judiciously designed spacer arm. ADCs have made considerable progress in 10 years. In 2009, only gemtuzumab ozogamicin (Mylotarg®) was used clinically. In 2019, 4 other ADCs have been approved and more than 80 others are in active clinical trials. The second part of this review will focus on new emerging strategies to address ADCs drawbacks and attempt to broaden their therapeutic window. Finally, combinations with conventional chemotherapy or checkpoint inhibitors will be discussed, in the pursuit to make Antibody-Drug Conjugates the embodiment of Paul Ehrlich's dream of the magic bullet.© 2019 médecine/sciences – Inserm.

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