Emerging Perspectives on Breast Cancer and Antibody–Drug Conjugates Treatment: From Bench to Bedside

A special issue of Biomedicines (ISSN 2227-9059). This special issue belongs to the section "Cancer Biology and Oncology".

Deadline for manuscript submissions: 31 August 2024 | Viewed by 1327

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Guest Editor
1. Medical Oncology and Hematology Unit, IRCCS Humanitas Research Hospital, 20089 Rozzano, Italy
2. Department of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, Italy
Interests: breast cancer; treatment
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Special Issue Information

Dear Colleagues,

In recent years, the therapeutic landscape of breast cancer has transitioned from broad-spectrum chemotherapies to precision-targeted treatments, rendering the path to optimizing patient outcomes increasingly complex. In this dynamically evolving scenario, antibody–drug conjugates (ADCs) stand out as a pioneering treatment strategy, promising a transformation in breast cancer care.

ADCs embody the epitome of oncological innovation. Their innovative design, characterized by targeted drug delivery, offers a novel paradigm in cancer therapeutics. By merging the selectivity of targeted therapies with the powerful cytotoxic effects of chemotherapy, ADCs not only minimize systemic toxicity, but also offer broad efficacy, even among patients with a low expression of target antigens.

Currently, three ADCs have gained approval for breast cancer treatment, each targeting distinct antigens and exhibiting remarkable efficacy. Although ADCs are likely to replace traditional agents in the breast cancer therapeutic arsenal, several challenges still persist. Ongoing research is exploring new therapeutic targets, bispecific ADCs, dual-payload ADCs and the potential synergistic interaction between ADCs and other agents, such as immune checkpoint inhibitors.

This Special Issue, entitled "Emerging Perspectives on Breast Cancer and Antibody-Drug Conjugates Treatment: from Bench to Bedside", aims to explore the depths of knowledge surrounding ADCs in the preclinical and clinical arena. We welcome the submission of insightful research articles and reviews that delve into mechanisms of action, biomarker identification, and toxicity management, and those that aim to unravel resistance patterns and strategize treatment pathways. Our aim is to present a comprehensive overview of the field while promoting a more profound and holistic understanding of the topic.

Dr. Alberto Zambelli
Guest Editor

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Keywords

  • breast cancer
  • antibody–drug conjugates (ADCs)
  • mechanisms of action
  • biomarkers identification
  • toxicity management
  • resistance mechanisms
  • treatment sequence

Published Papers (1 paper)

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Review

14 pages, 741 KiB  
Review
Charting the Course in Sequencing Antibody-Drug Conjugates in Breast Cancer
by Giuseppe Saltalamacchia, Rosalba Torrisi, Rita De Sanctis, Giovanna Masci, Chiara Miggiano, Mariangela Gaudio, Chiara Benvenuti, Flavia Jacobs, Riccardo Gerosa, Armando Santoro and Alberto Zambelli
Biomedicines 2024, 12(3), 500; https://doi.org/10.3390/biomedicines12030500 - 23 Feb 2024
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Abstract
Based on the unprecedented results observed in recent clinical trials, antibody-drug conjugates (ADCs) have revolutionized the treatment algorithm of metastatic breast cancer (mBC). The strategy of sequencing different ADCs in other lines of therapy is highly attractive, but the proportion of patients who [...] Read more.
Based on the unprecedented results observed in recent clinical trials, antibody-drug conjugates (ADCs) have revolutionized the treatment algorithm of metastatic breast cancer (mBC). The strategy of sequencing different ADCs in other lines of therapy is highly attractive, but the proportion of patients who have undergone such a strategy in the context of published clinical trials is still limited, especially for modern ADCs. HER2-positive disease is primarily managed with a sequence of different ADCs. Historically, trastuzumab emtansine (T-DM1) has been the most commonly used ADC for both early and metastatic HER2-positive disease. Considering the recent evidence related to trastuzumab deruxtecan (T-DXd), it is expected to assume the role of the main ADC in our clinical practice. Herein, we report a retrospective analysis of the sequence of different ADCs relying on available published data from clinical trials. Full article
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