Bispecific therapeutics: a state-of-the-art review on the combination of immune checkpoint ‎inhibition with costimulatory and non-checkpoint targeted therapy.

IF 3.6 3区 医学 Q2 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Expert Opinion on Biological Therapy Pub Date : 2024-11-18 DOI:10.1080/14712598.2024.2426636
Samin Mortaheb, Parmida Sadat Pezeshki, Nima Rezaei
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Abstract

Introduction: Immune checkpoint inhibitors (ICIs) have revolutionized the field of cancer immunotherapy and have enhanced the survival of patients with malignant tumors. However, the overall efficacy of ICIs remains unsatisfactory and is faced with two major concerns of resistance development and occurrence of immune-related adverse events (irAEs). Bispecific antibodies (bsAbs) have emerged as promising strategies with unique mechanisms of action to achieve a better efficacy and safety than monoclonal antibodies (mAbs) or even their combination. BsAbs along with other bispecific platforms such as bispecific fusion proteins, nanobodies, and CAR-T cells may help to avoid development of resistance and reduce irAEs caused by on-target/off-tumor binding effects of mAbs.

Areas covered: A literature search was performed using PubMed for English-language articles to provide a comprehensive overview of preclinical and clinical studies on bsAbs specified for both immune checkpoints and non-checkpoint molecules as a well-enhanced class of therapeutics.

Expert opinion: Identifying suitable targets and selecting effective engineering platforms enhance the potential of bsAbs to address the challenges associated with conventional therapies such as ICIs, positioning them as a promising class of therapeutics in the landscape of cancer immunotherapy.

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双特异性疗法:关于免疫检查点抑制与成本刺激和非检查点靶向疗法相结合的最新综述。
简介免疫检查点抑制剂(ICIs)彻底改变了癌症免疫治疗领域,提高了恶性肿瘤患者的生存率。然而,免疫检查点抑制剂的总体疗效仍不尽如人意,并面临耐药性产生和免疫相关不良事件(irAEs)发生两大问题。双特异性抗体(bsAbs)以其独特的作用机制成为一种很有前景的策略,它比单克隆抗体(mAbs)甚至它们的组合具有更好的疗效和安全性。BsAbs与其他双特异性平台(如双特异性融合蛋白、纳米抗体和CAR-T细胞)一起,可能有助于避免耐药性的产生,并减少mAbs的靶上/靶下结合效应引起的irAEs:使用PubMed对英文文章进行了文献检索,以全面概述针对免疫检查点和非检查点分子的bsAbs临床前和临床研究,并将其作为一类强化治疗药物:专家意见:确定合适的靶点和选择有效的工程平台可增强 bsAbs 的潜力,以应对 ICIs 等传统疗法所面临的挑战,使其成为癌症免疫疗法领域中一类前景广阔的疗法。
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来源期刊
Expert Opinion on Biological Therapy
Expert Opinion on Biological Therapy 医学-生物工程与应用微生物
CiteScore
8.60
自引率
0.00%
发文量
96
审稿时长
3-8 weeks
期刊介绍: Expert Opinion on Biological Therapy (1471-2598; 1744-7682) is a MEDLINE-indexed, international journal publishing peer-reviewed research across all aspects of biological therapy. Each article is structured to incorporate the author’s own expert opinion on the impact of the topic on research and clinical practice and the scope for future development. The audience consists of scientists and managers in the healthcare and biopharmaceutical industries and others closely involved in the development and application of biological therapies for the treatment of human disease. The journal welcomes: Reviews covering therapeutic antibodies and vaccines, peptides and proteins, gene therapies and gene transfer technologies, cell-based therapies and regenerative medicine Drug evaluations reviewing the clinical data on a particular biological agent Original research papers reporting the results of clinical investigations on biological agents and biotherapeutic-based studies with a strong link to clinical practice Comprehensive coverage in each review is complemented by the unique Expert Collection format and includes the following sections: Expert Opinion – a personal view of the data presented in the article, a discussion on the developments that are likely to be important in the future, and the avenues of research likely to become exciting as further studies yield more detailed results; Article Highlights – an executive summary of the author’s most critical points.
期刊最新文献
Comparing anti-drug antibody signal-to-noise ratios to assess immunogenicity and interchangeability in adalimumab biosimilar studies. Bispecific therapeutics: a state-of-the-art review on the combination of immune checkpoint ‎inhibition with costimulatory and non-checkpoint targeted therapy. Endoscopic endpoints in biologic clinical trials and beyond: the case for Crohn's Disease. Immunobiology of biliary tract cancer and recent clinical findings in approved and upcoming immune checkpoint inhibitors. Emerging peptide-based technology for biofilm control.
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