(Albany, USA) DelveInsight’s ‘Antibody-drug Conjugates in Oncology Competitive Landscape 2024’ report provides comprehensive global coverage of available, marketed, and pipeline antibody-drug conjugates in various stages of clinical development, major pharmaceutical companies working to advance the pipeline space and future growth potential of the antibody-drug conjugates in oncology competitive domain.
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Key Takeaways from the Antibody-drug Conjugates in Oncology Pipeline Report
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Antibody-drug Conjugates in Oncology Overview
The introduction of monoclonal antibodies (mAbs) has transformed cancer treatment, yet this approach is frequently insufficient. Conversely, systemic therapy, such as chemotherapy, is usually too toxic. These characteristics result in the discovery of a new class of very potent biopharmaceutical medications known as antibody-drug conjugates (ADCs), sometimes known as “biological missiles,” which fill the gap between mAbs and chemotherapies. ADCs comprise an antibody, a cytotoxic payload, and a chemical linker. Certain proteins that are overexpressed in cancer cells, such as HER2, trop2, nectin4, EGFR, CD33, CD30, and others, are targeted by approved ADCs. Several aspects determine an ADC’s final efficacy and safety, including the choice of target antigen, antibody, cytotoxic payload, linker, and conjugation procedures.
The first-generation ADCs had a severe problem with major safety concerns since the payloads were dropped off before reaching the target tumors, resulting in toxicities. However, breakthroughs in ADC design are already paying dividends for organizations addressing difficult-to-treat malignancies. ENHERTU, a flagship medicine from Daiichi and AstraZeneca that is in high demand in HER2-positive breast and stomach malignancies, is a nice example of this scenario. Despite multiple obstacles and failures, the industry has advanced due to a better understanding of the modalities and refinement of the various components (target, payload, or linker) of ADCs in newer therapeutic candidates. As a result, ADCs have piqued the interest of clinicians. With multiple ADCs on the market, the potential of this modality is only now beginning to bear fruit.
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Antibody-drug Conjugates in Oncology Pipeline Analysis: Drug Profile
ENHERTU (trastuzumab deruxtecan): AstraZeneca/Daiichi Sankyo
ENHERTU is the lead prospective new drug in the Daiichi Sankyo Cancer Enterprise’s ADC Franchise. The US FDA granted it Breakthrough Therapy Designation (BTD) and Fast Track Designation (FTD) for HER2-positive, advanced or metastatic breast cancers, and the Japanese Ministry of Health, Labour, and Welfare (MHLW) granted it Sakigake designation for the treatment of HER2-positive advanced gastric or gastroesophageal junction cancer. ENHERTU was recently approved for the treatment of HER2-mutant metastatic NSCLC (2L) and HER2-low metastatic breast cancer (post-chemo). According to AstraZeneca’s most recent financial report, ENHERTU is the third best-selling ADC, with the strongest and fastest uptake of any licensed ADC therapy.
TRODELVY (sacituzumab govitecan-hziy): Gilead Sciences
The first and only TROP2 ADC to show a benefit in overall survival (OS) in breast cancer. TRODELVY has received full approval in the United States and Project Orbis countries for 2L+ metastatic triple-negative breast cancer, and it is also recommended as a Category 1, preferred treatment for metastatic HR+/HER2- breast cancer by the National Comprehensive Cancer Network (NCCN), as defined in the Clinical Practise Guidelines in Oncology (NCCN Guidelines). TRODELVY gained accelerated approval for 2L metastatic urothelial carcinoma in the United States. TRODELVY is also an important part of the company’s lung cancer strategy, which is represented by first-line and second-line Stage IV lung malignancies. However, potential competition may impact TRODELVY’s growth in the next years.
A snapshot of the Antibody-drug Conjugates in Oncology Pipeline Drugs mentioned in the report:
Antibody-drug Conjugates in Oncology
Company
Phase
Indication
Trastuzumab duocarmazine
Byondis
Preregistration
HER2-positive breast cancer
TRODELVY
Gilead Sciences
Phase III
Non-small cell lung cancer; Small cell lung cancer; Solid tumors
Telisotuzumab vedotin
AbbVie
Non-small cell lung cancer
Patritumab deruxtecan
Daiichi Sankyo Company
ENHERTU
AstraZeneca/Daiichi Sankyo
Phase II
Adenocarcinoma; Biliary cancer; Colorectal cancer; Solid tumors; Uterine cancer
Ladiratuzumab vedotin
Merck/Seagen
Adenocarcinoma; Breast cancer; Head and neck cancer; Malignant melanoma; Non-small cell lung cancer; Oesophageal cancer; Prostate cancer; Small cell lung cancer
Camidanlumab tesirine
ADC Therapeutics/Genmab
Hematological malignancies; Hodgkin’s disease
CX-2029
CytomX/AbbVie
Diffuse large B cell lymphoma; Gastric cancer; Head and neck cancer; Non-small cell lung cancer; Oesophageal cancer; Solid tumors
Pivekimab sunirine
ImmunoGen
Phase I/II
Acute myeloid leukemia; Blastic plasmacytoid dendritic cell neoplasm; Hematological malignancies
IMGC936
ImmunoGen/MacroGenics
Colorectal cancer; Gastric cancer; Non-small cell lung cancer; Pancreatic cancer; Solid tumors; Triple-negative breast cancer
Mipasetamab uzoptirine
ADC Therapeutics
Phase I
Solid tumors
ADCT-901
ADCT-701
Preclinical
ADCT-212
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Scope of the Antibody-drug Conjugates in Oncology Competitive Landscape Report
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Table of Contents
1. Antibody-drug Conjugates in Oncology Pipeline Report Introduction
2. Antibody-drug Conjugates in Oncology Pipeline Report Executive Summary
3. Antibody-drug Conjugates in Oncology Pipeline: Overview
4. Analytical Perspective In-depth Commercial Assessment
5. Antibody-drug Conjugates in Oncology Clinical Trial Therapeutics
6. Antibody-drug Conjugates in Oncology Pipeline: Late-Stage Products (Pre-registration)
7. Antibody-drug Conjugates in Oncology Pipeline: Late-Stage Products (Phase III)
8. Antibody-drug Conjugates in Oncology Pipeline: Mid-Stage Products (Phase II)
9. Antibody-drug Conjugates in Oncology Pipeline: Early-Stage Products (Phase I)
10. Antibody-drug Conjugates in Oncology Pipeline Therapeutic Assessment
11. Inactive Products in the Antibody-drug Conjugates in Oncology Pipeline
12. Company-University Collaborations (Licensing/Partnering) Analysis
13. Key Companies
14. Key Products in the Antibody-drug Conjugates in Oncology Pipeline
15. Unmet Needs
16. Market Drivers and Barriers
17. Future Perspectives and Conclusion
18. Analyst Views
19. Appendix
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