Antibody-Drug Conjugates in Uro-Oncology.

Currently available treatment options for patients with refractory metastatic prostate, bladder, or kidney cancers are limited with the prognosis remaining poor. Advances in the pathobiology of tumors has led to the discovery of cancer antigens that may be used as the target for cancer treatment. An...

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Publicado en:Targeted Oncology Vol. 17; no. 3; pp. 203 - 222
Autores principales: Sigorski, Dawid, Różanowski, Paweł, Iżycka-Świeszewska, Ewa, Wiktorska, Katarzyna
Formato: research Journal Article
Publicado: Springer Nature May2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2022
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s11523-022-00872-3
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        atl: Antibody-Drug Conjugates in Uro-Oncology.
      aug:
        au:
          Sigorski, Dawid
          Różanowski, Paweł
          Iżycka-Świeszewska, Ewa
          Wiktorska, Katarzyna
        affil: Department of Oncology, Collegium Medicum, University of Warmia and Mazury, Olsztyn, Poland
      sug:
        subj:
          Carcinoma, Transitional Cell Drug Therapy
          Antineoplastic Agents Pharmacodynamics
          Antibodies Pharmacodynamics
          Antineoplastic Agents Therapeutic Use
          Antibodies Therapeutic Use
          Human
          Male
          Scales
          Male
      ab: Currently available treatment options for patients with refractory metastatic prostate, bladder, or kidney cancers are limited with the prognosis remaining poor. Advances in the pathobiology of tumors has led to the discovery of cancer antigens that may be used as the target for cancer treatment. Antibody-drug conjugates (ADCs) are a relatively new concept in cancer treatment that broaden therapeutic landscape. ADCs are examples of a 'drug delivery into the tumor' system composed of an antigen-directed antibody linked to a cytotoxic drug that may release cytotoxic components after binding to the antigen located on the surface of tumor cells. The clinical properties of drugs are influenced by every component of ADCs. Regarding uro-oncology, enfortumab vedotin (EV) and sacituzumab govitecan (SG) are currently registered for patients with locally advanced or metastatic urothelial cancer following previous treatment with an immune checkpoint inhibitor (iCPI; programmed death receptor-1 [PD-1] or programmed death-ligand 1 [PD-L1]) inhibitor) and platinum-containing chemotherapy. The EV-301 trial showed that EV significantly prolonged the overall survival compared with classic chemotherapy. The TROPHY-U-01 trial conducted to evaluate SG demonstrated promising results as regards the objective response rate and duration of response. The safety and efficacy of ADCs in monotherapy and polytherapy (mainly with iCPIs) for different cancer stages and tumor types are assessed in numerous ongoing clinical trials. The aim of this review is to present new molecular biomarkers, specific mechanisms of action, and ongoing clinical trials of ADCs in genitourinary cancers. In the expert discussion, we assess the place of ADCs in uro-oncology and discuss their clinical value.
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        Journal Article
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    language: English
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