Pioneering the Way: The Revolutionary Potential of Antibody-Drug Conjugates in NSCLC

Curr Treat Options Oncol. 2024 Apr;25(4):556-584. doi: 10.1007/s11864-024-01196-2. Epub 2024 Mar 23.

Abstract

Despite targeted therapy and immunotherapy being recognized as established frontline treatments for advanced non-small cell lung cancer (NSCLC), the unavoidable development of resistance and disease progression poses ongoing challenges. Antibody-drug conjugates (ADCs) offer a potent treatment option for NSCLC through the specific delivery of cytotoxic agents to tumor cells that display distinct antigens. This review delves into the latest evidence regarding promising ADC agents for NSCLC, focusing on their targets, effectiveness, and safety assessments. Additionally, our study provides insights into managing toxicities, identifying biomarkers, devising methods to counter resistance mechanisms, tackling prevailing challenges, and outlining prospects for the clinical implementation of these innovative ADCs and combination regimens in NSCLC.

Keywords: Antibody–drug conjugate (ADC); Combination therapy; Non-small cell lung cancer (NSCLC); Resistance; Toxicity.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents* / pharmacology
  • Antineoplastic Agents* / therapeutic use
  • Carcinoma, Non-Small-Cell Lung* / drug therapy
  • Humans
  • Immunoconjugates* / therapeutic use
  • Immunotherapy
  • Lung Neoplasms* / drug therapy

Substances

  • Immunoconjugates
  • Antineoplastic Agents