Antibody-drug conjugates in urinary tumors: clinical application, challenge, and perspectives

Urinary tumors primarily consist of kidney, urothelial, and prostate malignancies, which pose significant treatment challenges, particularly in advanced stages. Antibody-drug conjugates (ADCs) have emerged as a promising therapeutic approach, combining monoclonal antibody specificity with cytotoxic...

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Published inFrontiers in oncology Vol. 13; p. 1259784
Main Authors Li, Keqiang, Xie, Guoqing, Deng, Xiyue, Zhang, Yu, Jia, Zhankui, Huang, Zhenlin
Format Journal Article
LanguageEnglish
Published Switzerland Frontiers Media S.A 20.12.2023
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Summary:Urinary tumors primarily consist of kidney, urothelial, and prostate malignancies, which pose significant treatment challenges, particularly in advanced stages. Antibody-drug conjugates (ADCs) have emerged as a promising therapeutic approach, combining monoclonal antibody specificity with cytotoxic chemotherapeutic payloads. This review highlights recent advancements, opportunities, and challenges in ADC application for urinary tumors. We discuss the FDA-approved ADCs and other novel ADCs under investigation, emphasizing their potential to improve patient outcomes. Furthermore, we explore strategies to address challenges, such as toxicity management, predictive biomarker identification, and resistance mechanisms. Additionally, we examine the integration of ADCs with other treatment modalities, including immune checkpoint inhibitors, targeted therapies, and radiation therapy. By addressing these challenges and exploring innovative approaches, the development of ADCs may significantly enhance therapeutic options and outcomes for patients with advanced urinary tumor.
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Edited by: Ronald M. Bukowski, Cleveland Clinic, United States
Reviewed by: Shawn C. Owen, The University of Utah, United States
These authors have contributed equally to this work and share first authorship
Jean-Marc Barret, GamaMabs Pharma, France
ISSN:2234-943X
2234-943X
DOI:10.3389/fonc.2023.1259784