Enfortumab vedotin in metastatic urothelial carcinoma: the solution EVentually?

Metastatic urothelial carcinoma (mUC) is an aggressive malignancy with a dismal prognosis. Enfortumab vedotin (EV) is an antibody-drug conjugate consisting of an antibody targeting Nectin-4. This protein is highly expressed in UC cells. After binding, monomethyl auristatin E is released into cells,...

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Main Authors: Brigida Anna Maiorano, Martina Catalano, Evaristo Maiello, Giandomenico Roviello
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-09-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2023.1254906/full
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author Brigida Anna Maiorano
Martina Catalano
Evaristo Maiello
Giandomenico Roviello
author_facet Brigida Anna Maiorano
Martina Catalano
Evaristo Maiello
Giandomenico Roviello
author_sort Brigida Anna Maiorano
collection DOAJ
description Metastatic urothelial carcinoma (mUC) is an aggressive malignancy with a dismal prognosis. Enfortumab vedotin (EV) is an antibody-drug conjugate consisting of an antibody targeting Nectin-4. This protein is highly expressed in UC cells. After binding, monomethyl auristatin E is released into cells, causing UC cell death. EV has been approved as a single agent for pre-treated mUC, with interesting improvements in response rate and survival in a setting with limited treatment options. More recently, EV approval occurred in cisplatin-ineligible naïve mUC patients in combination with pembrolizumab. Our review aims to summarize the pharmacological properties, clinical studies, and future developments of EV in mUC.
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spelling doaj.art-df894699978d4c0a9429f227930c59d62023-09-13T22:18:56ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-09-011310.3389/fonc.2023.12549061254906Enfortumab vedotin in metastatic urothelial carcinoma: the solution EVentually?Brigida Anna Maiorano0Martina Catalano1Evaristo Maiello2Giandomenico Roviello3Oncology Unit, IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, ItalyDepartment of Health Sciences, Section of Clinical Pharmacology and Oncology, University of Florence, Florence, ItalyOncology Unit, IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, ItalyDepartment of Health Sciences, Section of Clinical Pharmacology and Oncology, University of Florence, Florence, ItalyMetastatic urothelial carcinoma (mUC) is an aggressive malignancy with a dismal prognosis. Enfortumab vedotin (EV) is an antibody-drug conjugate consisting of an antibody targeting Nectin-4. This protein is highly expressed in UC cells. After binding, monomethyl auristatin E is released into cells, causing UC cell death. EV has been approved as a single agent for pre-treated mUC, with interesting improvements in response rate and survival in a setting with limited treatment options. More recently, EV approval occurred in cisplatin-ineligible naïve mUC patients in combination with pembrolizumab. Our review aims to summarize the pharmacological properties, clinical studies, and future developments of EV in mUC.https://www.frontiersin.org/articles/10.3389/fonc.2023.1254906/fullenfortumab vedotinADCantibody-drug conjugatenectin-4urothelial carcinomabladder cancer
spellingShingle Brigida Anna Maiorano
Martina Catalano
Evaristo Maiello
Giandomenico Roviello
Enfortumab vedotin in metastatic urothelial carcinoma: the solution EVentually?
Frontiers in Oncology
enfortumab vedotin
ADC
antibody-drug conjugate
nectin-4
urothelial carcinoma
bladder cancer
title Enfortumab vedotin in metastatic urothelial carcinoma: the solution EVentually?
title_full Enfortumab vedotin in metastatic urothelial carcinoma: the solution EVentually?
title_fullStr Enfortumab vedotin in metastatic urothelial carcinoma: the solution EVentually?
title_full_unstemmed Enfortumab vedotin in metastatic urothelial carcinoma: the solution EVentually?
title_short Enfortumab vedotin in metastatic urothelial carcinoma: the solution EVentually?
title_sort enfortumab vedotin in metastatic urothelial carcinoma the solution eventually
topic enfortumab vedotin
ADC
antibody-drug conjugate
nectin-4
urothelial carcinoma
bladder cancer
url https://www.frontiersin.org/articles/10.3389/fonc.2023.1254906/full
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AT evaristomaiello enfortumabvedotininmetastaticurothelialcarcinomathesolutioneventually
AT giandomenicoroviello enfortumabvedotininmetastaticurothelialcarcinomathesolutioneventually