Antibody-drug conjugates in triple negative breast cancer

Future Oncol. 2018 Oct;14(25):2651-2661. doi: 10.2217/fon-2018-0131. Epub 2018 Sep 3.

Abstract

Triple negative breast cancer (TNBC) is a heterogeneous disease that comprises 15-20% of all breast cancers and is more frequently seen in younger women, African-Americans, and BRCA1 expression. Advanced TNBC carries aggressive features and is associated with overall poor outcomes. Unfortunately, there are no targeted therapies available for non-BRCA associated TNBC, which remains a high unmet therapeutic need. One emerging treatment modality includes antibody-drug conjugates which are highly selective monoclonal antibodies conjugated to cytotoxic agents, designed to deliver cytotoxic drugs to antigen-expressing tumor cells. This review will highlight three antibody-drug conjugates currently being evaluated in TNBC (CDX-011, SGN-LIV1a, IMMU-132), including one that has been given Breakthrough Therapy designation from the US FDA.

Keywords: biological; breast neoplasm; drug delivery.

Publication types

  • Review

MeSH terms

  • Antibodies, Monoclonal / therapeutic use
  • Antibodies, Monoclonal, Humanized / therapeutic use
  • Camptothecin / analogs & derivatives
  • Camptothecin / therapeutic use
  • Clinical Trials as Topic
  • Female
  • Humans
  • Immunoconjugates / therapeutic use*
  • Membrane Glycoproteins / analysis
  • Poly(ADP-ribose) Polymerase Inhibitors / therapeutic use
  • Triple Negative Breast Neoplasms / drug therapy*
  • Triple Negative Breast Neoplasms / immunology

Substances

  • Antibodies, Monoclonal
  • Antibodies, Monoclonal, Humanized
  • GPNMB protein, human
  • Immunoconjugates
  • Membrane Glycoproteins
  • Poly(ADP-ribose) Polymerase Inhibitors
  • SGN-LIV1A
  • glembatumumab vedotin
  • sacituzumab govitecan
  • Camptothecin