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Antibody–drug conjugates: pharmacotherapeutic properties and future perspectives

datacite.subject.sdg03:Saúde de Qualidade
datacite.subject.sdg09:Indústria, Inovação e Infraestruturas
datacite.subject.sdg17:Parcerias para a Implementação dos Objetivos
dc.contributor.authorAugusto, André
dc.contributor.authorCristiano, Maria de Lurdes
dc.contributor.authorConceição, Jaime
dc.date.accessioned2026-07-10T09:20:06Z
dc.date.available2026-07-10T09:20:06Z
dc.date.issued2026-04-12
dc.description.abstractBackground: The clinical landscape for antibody–drug conjugates (ADCs) is currently experiencing an unprecedented expansion, with more than 20 agents approved to date and hundreds presently under clinical evaluation, underscoring their growing impact in precision oncology. By combining the cytotoxic potency of chemotherapy with the selectivity of monoclonal antibodies, ADCs have redefined targeted cancer therapy. Nevertheless, challenges related to toxicity, resistance, and suboptimal drug delivery continue to limit their full clinical potential. Objectives: This review provides a comprehensive description of currently approved ADCs, with a particular focus on their pharmacotherapeutic properties, mechanisms of action, therapeutic indications, and safety profiles. By integrating currently available clinical data and pharmacological properties, it is possible to identify key translational gaps between ADC design and their real-world performance. This article also evaluates how the structural components contribute to both efficacy and toxicity of ADCs, offering a framework for rational molecular optimizations. Conclusions: Beyond the current oncology-centric paradigm, this review highlights the imminent pivot toward non-oncology applications, including targeted therapies for autoimmune, infectious, and neurodegenerative diseases. Importantly, this article highlights emerging innovations shaping the next generation of ADCs, including bispecific antibodies, novel cytotoxic payloads with improved therapeutic indices, and advanced linker technologies enabling more precise payload release. Despite current limitations, ongoing advances in ADC development, along with a rapidly expanding clinical pipeline, position these drugs in a dynamic therapeutic class with the potential to transform multiple complex diseases and improve the quality of life of patients who have them.eng
dc.identifier.doi10.3390/pharmaceutics18040468
dc.identifier.issn1999-4923
dc.identifier.urihttp://hdl.handle.net/10400.1/29250
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relation.ispartofPharmaceutics
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectAntibody–drug conjugates
dc.subjectFuture perspectives
dc.subjectMechanisms of action
dc.subjectPharmacotherapy
dc.subjectPharmacovigilance
dc.titleAntibody–drug conjugates: pharmacotherapeutic properties and future perspectiveseng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue4
oaire.citation.startPage468
oaire.citation.titlePharmaceutics
oaire.citation.volume18
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameAugusto
person.familyNameCristiano
person.familyNameConceição
person.givenNameAndré
person.givenNameMaria de Lurdes
person.givenNameJaime
person.identifier.ciencia-idE411-6006-5A01
person.identifier.orcid0009-0001-7676-4774
person.identifier.orcid0000-0002-9447-2855
person.identifier.orcid0000-0002-6201-3662
person.identifier.ridG-2345-2012
person.identifier.scopus-author-id9238724800
relation.isAuthorOfPublication584d2ddb-d951-47e0-bc85-775fd7edce81
relation.isAuthorOfPublicationb16751a6-748e-44b0-9c59-058cbd5b2cc3
relation.isAuthorOfPublication6a92b338-fb98-43f8-89d0-3e02662026f8
relation.isAuthorOfPublication.latestForDiscovery584d2ddb-d951-47e0-bc85-775fd7edce81

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