Treating Prostate Cancer by Antibody–Drug Conjugates

Prostate cancer is the most frequent malignancy in the worldwide male population; it is also one of the most common among all the leading cancer-related death causes. In the last two decades, the therapeutic scenario of metastatic castration-resistant prostate cancer has been enriched by the use of...

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Main Authors: Matteo Rosellini, Matteo Santoni, Veronica Mollica, Alessandro Rizzo, Alessia Cimadamore, Marina Scarpelli, Nadia Storti, Nicola Battelli, Rodolfo Montironi, Francesco Massari
Format: Article
Language:English
Published: MDPI AG 2021-02-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/22/4/1551
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author Matteo Rosellini
Matteo Santoni
Veronica Mollica
Alessandro Rizzo
Alessia Cimadamore
Marina Scarpelli
Nadia Storti
Nicola Battelli
Rodolfo Montironi
Francesco Massari
author_facet Matteo Rosellini
Matteo Santoni
Veronica Mollica
Alessandro Rizzo
Alessia Cimadamore
Marina Scarpelli
Nadia Storti
Nicola Battelli
Rodolfo Montironi
Francesco Massari
author_sort Matteo Rosellini
collection DOAJ
description Prostate cancer is the most frequent malignancy in the worldwide male population; it is also one of the most common among all the leading cancer-related death causes. In the last two decades, the therapeutic scenario of metastatic castration-resistant prostate cancer has been enriched by the use of chemotherapy and androgen receptor signaling inhibitors (ARSI) and, more recently, by immunotherapy and poly(ADP–ribose) polymerase (PARP) inhibitors. At the same time, several trials have shown the survival benefits related to the administration of novel ARSIs among patients with non-castration-resistant metastatic disease along with nonmetastatic castration-resistant cancer too. Consequently, the therapeutic course of this malignancy has been radically expanded, ensuring survival benefits never seen before. Among the more recently emerging agents, the so-called “antibody–drug conjugates” (ADCs) are noteworthy because of their clinical practice changing outcomes obtained in the management of other malignancies (including breast cancer). The ADCs are novel compounds consisting of cytotoxic agents (also known as the payload) linked to specific antibodies able to recognize antigens expressed over cancer cells’ surfaces. As for prostate cancer, researchers are focusing on STEAP1, TROP2, PSMA, CD46 and B7-H3 as optimal antigens which may be targeted by ADCs. In this paper, we review the pivotal trials that have currently changed the therapeutic approach to prostate cancer, both in the nonmetastatic castration-resistant and metastatic settings. Therefore, we focus on recently published and ongoing trials designed to investigate the clinical activity of ADCs against prostate malignancy, characterizing these agents. Lastly, we briefly discuss some ADCs-related issues with corresponding strategies to overwhelm them, along with future perspectives for these promising novel compounds.
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spelling doaj.art-1edf7ae0de6042e1a91d959f2d92251e2023-12-03T12:18:52ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672021-02-01224155110.3390/ijms22041551Treating Prostate Cancer by Antibody–Drug ConjugatesMatteo Rosellini0Matteo Santoni1Veronica Mollica2Alessandro Rizzo3Alessia Cimadamore4Marina Scarpelli5Nadia Storti6Nicola Battelli7Rodolfo Montironi8Francesco Massari9Division of Oncology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, ItalyOncology Unit, Macerata Hospital, 62100 Macerata, ItalyDivision of Oncology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, ItalyDivision of Oncology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, ItalySection of Pathological Anatomy, School of Medicine, United Hospitals, Polytechnic University of the Marche Region, 60126 Ancona, ItalySection of Pathological Anatomy, School of Medicine, United Hospitals, Polytechnic University of the Marche Region, 60126 Ancona, ItalyDirezione Sanitaria Azienda Sanitaria Unica Regionale, 60122 Ancona, ItalyOncology Unit, Macerata Hospital, 62100 Macerata, ItalySection of Pathological Anatomy, School of Medicine, United Hospitals, Polytechnic University of the Marche Region, 60126 Ancona, ItalyDivision of Oncology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, ItalyProstate cancer is the most frequent malignancy in the worldwide male population; it is also one of the most common among all the leading cancer-related death causes. In the last two decades, the therapeutic scenario of metastatic castration-resistant prostate cancer has been enriched by the use of chemotherapy and androgen receptor signaling inhibitors (ARSI) and, more recently, by immunotherapy and poly(ADP–ribose) polymerase (PARP) inhibitors. At the same time, several trials have shown the survival benefits related to the administration of novel ARSIs among patients with non-castration-resistant metastatic disease along with nonmetastatic castration-resistant cancer too. Consequently, the therapeutic course of this malignancy has been radically expanded, ensuring survival benefits never seen before. Among the more recently emerging agents, the so-called “antibody–drug conjugates” (ADCs) are noteworthy because of their clinical practice changing outcomes obtained in the management of other malignancies (including breast cancer). The ADCs are novel compounds consisting of cytotoxic agents (also known as the payload) linked to specific antibodies able to recognize antigens expressed over cancer cells’ surfaces. As for prostate cancer, researchers are focusing on STEAP1, TROP2, PSMA, CD46 and B7-H3 as optimal antigens which may be targeted by ADCs. In this paper, we review the pivotal trials that have currently changed the therapeutic approach to prostate cancer, both in the nonmetastatic castration-resistant and metastatic settings. Therefore, we focus on recently published and ongoing trials designed to investigate the clinical activity of ADCs against prostate malignancy, characterizing these agents. Lastly, we briefly discuss some ADCs-related issues with corresponding strategies to overwhelm them, along with future perspectives for these promising novel compounds.https://www.mdpi.com/1422-0067/22/4/1551prostate cancerantibody drug conjugatestarget therapyPSMASTEAP1TROP2
spellingShingle Matteo Rosellini
Matteo Santoni
Veronica Mollica
Alessandro Rizzo
Alessia Cimadamore
Marina Scarpelli
Nadia Storti
Nicola Battelli
Rodolfo Montironi
Francesco Massari
Treating Prostate Cancer by Antibody–Drug Conjugates
International Journal of Molecular Sciences
prostate cancer
antibody drug conjugates
target therapy
PSMA
STEAP1
TROP2
title Treating Prostate Cancer by Antibody–Drug Conjugates
title_full Treating Prostate Cancer by Antibody–Drug Conjugates
title_fullStr Treating Prostate Cancer by Antibody–Drug Conjugates
title_full_unstemmed Treating Prostate Cancer by Antibody–Drug Conjugates
title_short Treating Prostate Cancer by Antibody–Drug Conjugates
title_sort treating prostate cancer by antibody drug conjugates
topic prostate cancer
antibody drug conjugates
target therapy
PSMA
STEAP1
TROP2
url https://www.mdpi.com/1422-0067/22/4/1551
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AT alessiacimadamore treatingprostatecancerbyantibodydrugconjugates
AT marinascarpelli treatingprostatecancerbyantibodydrugconjugates
AT nadiastorti treatingprostatecancerbyantibodydrugconjugates
AT nicolabattelli treatingprostatecancerbyantibodydrugconjugates
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