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Antibody‐drug conjugates (ADCs) are targeted biological agents composed of a cytotoxic drug linked to a monoclonal antibody through a linker. The monoclonal antibody targets tumor cells and transports small‐molecule cytotoxic drugs for specific delivery and minimal off‐target side effects. It is necessary for clinicians to understand the molecular characteristics and mechanisms of ADCs. Patients' survival mainly depends on the appropriate dose and course of treatment and also on proper management of adverse reactions. This consensus provides a systematic review of commercially available ADCs and further discusses the clinical application and management of ADCs.


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Expert consensus on the clinical application of antibody‐drug conjugates in the treatment of malignant tumors (2021 edition)

Abstract

Antibody‐drug conjugates (ADCs) are targeted biological agents composed of a cytotoxic drug linked to a monoclonal antibody through a linker. The monoclonal antibody targets tumor cells and transports small‐molecule cytotoxic drugs for specific delivery and minimal off‐target side effects. It is necessary for clinicians to understand the molecular characteristics and mechanisms of ADCs. Patients' survival mainly depends on the appropriate dose and course of treatment and also on proper management of adverse reactions. This consensus provides a systematic review of commercially available ADCs and further discusses the clinical application and management of ADCs.

Keywords: malignant tumors, antibody‐drug conjugates, monoclonal antibodies, cytotoxic drugs, safety management

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Received: 08 April 2022
Accepted: 23 April 2022
Published: 19 June 2022
Issue date: June 2022

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© 2022 The Authors.

Acknowledgements

Authors of the Consensus (in alphabetical order of last name).

Jiayu Wang (Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College), Yongkun Sun (Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College), Yuqin Song (Department of Medical Oncology, Peking University Cancer Hospital), Tienan Zhu (Department of Hematology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences).

Consensus Professional Members (in alphabetical order of last name).

Yi Ba (Department of Digestive Oncology, Tianjin Medical University Cancer Institute and Hospital), Jinfei Chen (Cancer Center, Taikang Xianlin Drum Tower Hospital, Nanjing University School of Medicine), Xia Chen (Clinical Medicine Research Center, Beijing Tiantan Hospital, Capital Medical University), Wei Cui (Department of Clinical Laboratory, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College), Huaping Dai (Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China‐Japan Friendship Hospital, Capital Medical University), Jifeng Feng (Department of Medical Oncology, Jiangsu Cancer Hospital, Affiliated Cancer Hospital of Nanjing Medical University), Chenyan Gao (Center for Drug Evaluation, China Food and Drug Administration), Ying Han (Department of Digestive Oncology, Xijing Hospital of Digestive Diseases, Air Force Medical University), Xichun Hu (Department of Medical Oncology, Fudan University Shanghai Cancer Center), Jian Huang (Department of Breast Surgery, The Second Affiliated Hospital, Zhejiang University School of Medicine), Yuchen Jiao (State Key Lab of Molecular Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College), Jie Jin (Department of Hematology, The First Affiliated Hospital of Zhejiang University, College of Medicine), Guohui Li (Department of Pharmacy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College), Bo Lan (Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College), Wei Li (Cancer Center, First Hospital of Jilin University), Mingsheng Liu (Department of Neurology, Peking Union Medical College Hospital), Yang Luo (Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College), Fei Ma (Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College), Hongzhi Mei (Department of Nursing Administration, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College), Quchang Ouyang (Department of Breast Cancer Medical Oncology, Hunan Cancer Hospital, the Affiliated Cancer Hospital of Xiangya Medical School, Central South University), Hongming Pan (Department of Medical Oncology, Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University), Yueyin Pan (Department of Medical Oncology, The First Affiliated Hospital of University of Science and Technology of China), Jiajia Qiu (Department of Nursing Administration, Shanghai Cancer Center, Fudan University), Chi Shao (Department of Respiratory Medicine, Peking Union Medical College Hospital), Lin Shen (Department of Gastrointestinal Oncology, Peking University Cancer Hospital and Institute), Erwei Song (Breast Tumor Center, Sun Yat‐Sen Memorial Hospital, Sun Yat‐Sen University), Yuqin Song (Department of Medical Oncology, Peking University Cancer Hospital), Tong Sun (Pathology Department, Yale School of Medicine/Yale New Haven Health/Bridgeport Hospital),Yongkun Sun (Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College), Zhongsheng Tong (Department of Breast Oncology, Tianjin Medical University Cancer Institute and Hospital), Jiayu Wang (Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College), Shuse Wang (Department of Medical Oncology, Sun Yat‐Sen University Cancer Center), Yanfeng Wang (Department of Comprehensive Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College), Zhehai Wang (Department of Internal Medicine‐Oncology, Shandong Cancer Hospital), Lin Xia (Center for Drug Evaluation, China Food and Drug Administration), Binghe Xu (Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College), Zhao Yan (Department of Clinical Pharmacology, Tianjin Medical University Cancer Institute and Hospital), Shune Yang (Department of Breast Cancer and Lymphoma, Affiliated Tumor Hospital of Xinjiang Medical University), Zhimin Yang (Center for Drug Evaluation, China Food and Drug Administration), Yu Yao (Department of Medical Oncology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an), Dingwei Ye (Department of Urology, Fudan University Shanghai Cancer Center), Yongmei Yin (Department of Medical Oncology, The First Affiliated Hospital of Nanjing Medical University), Xianglin Yuan (Department of Medical Oncology, Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology), Huilai Zhang (epartment of Lymphoma, Tianjin Medical University Cancer Institute and Hospital), Li Zhang (Medical Oncology Department, Sun Yat‐sen University Cancer Center), Qifu Zhang (Department of Urology, Jilin Provincial Cancer Hospital), Qingyuan Zhang (Department of Medical Oncology, Harbin Medical University Cancer Hospital), Yanqiao Zhang (Department of Gastrointestinal Medical Oncology, Harbin Medical University Cancer Hospital), Zhiren Zhang (Department of Cardiology, Harbin Medical University Cancer Hospital), Bin Zhao (Department of Pharmacy, Peking Union Medical College Hospital), Aiping Zhou (Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College), Caicun Zhou (Department of Medical Oncology, Shanghai Pulmonary Hospital & Thoracic Cancer Institute, Tongji University School of Medicine), Jianfeng Zhou (Department of Hematology and Cancer Biology Research Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology), Jun Zhu (Department of Lymphoma, Peking University Cancer Hospital and Institute), Tienan Zhu (Department of Hematology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences). Editorial Assistant: Lixi Li (Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College), Jiashu Han (MD program, Peking Union Medical College, Chinese Academy of Medical Sciences), Hewei Ge (Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College).

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