A review of antibody-based immunotherapy clinical trials for adult acute myeloid leukemia (AML): monoclonal antibodies (mAbs) and beyond.

IF 4 3区 医学 Q2 BIOTECHNOLOGY & APPLIED MICROBIOLOGY
Expert Opinion on Biological Therapy Pub Date : 2025-04-01 Epub Date: 2025-03-17 DOI:10.1080/14712598.2025.2479014
Kaitlyn C Dykes, Edward D Ball
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引用次数: 0

Abstract

Introduction: Antibody-based immunotherapies are a class of therapeutics under active investigation in clinical trials for the treatment of acute myeloid leukemia (AML). Our review provides a comprehensive examination of trials published to date, focusing on recurrent challenges and promising aspects of antibody-based therapeutics.

Areas covered: We described antibody-based immunotherapies for AML, specifically, an overview of the most prominent antigen targets in published clinical trials investigating monoclonal antibodies, antibody-drug conjugates, bispecific antibodies, and chimeric antigen receptor therapies. Manuscripts and abstracts describing clinical trials investigating antibody-based therapies for AML published through December 2024, identified by searching Google Scholar and PubMed, were included.

Expert opinion: Antibody-based immunotherapies for AML have encountered limitations, including imperfect target antigens with significant associated toxicity such as myelosuppression, in addition to challenges specific to the AML patient population. The majority of trials have targeted CD33, CD123, CD371 (CLL1/Clec12), and CD47. For successful implementation of antibody-based therapeutics in AML treatment, future directions require creative applications of antibody-based therapeutics specifically engineered to minimize limiting toxicities and tailoring of therapies for this unique patient population.

成人急性髓性白血病(AML)基于抗体的免疫治疗临床试验综述:单克隆抗体(mab)及其他。
基于抗体的免疫疗法是一类治疗急性髓性白血病(AML)的临床试验中正在积极研究的治疗方法。我们的综述提供了迄今为止发表的试验的全面检查,重点关注基于抗体的治疗方法的复发性挑战和有希望的方面。涵盖领域:我们描述了针对AML的基于抗体的免疫疗法,特别是在已发表的研究单克隆抗体、抗体-药物偶联物、双特异性抗体和嵌合抗原受体疗法的临床试验中最突出的抗原靶点的概述。通过搜索谷歌Scholar和PubMed,纳入了截至2024年12月发表的描述研究基于抗体的AML治疗的临床试验的手稿和摘要。专家意见:基于抗体的AML免疫疗法遇到了局限性,包括不完美的靶抗原和显著的相关毒性,如骨髓抑制,以及AML患者群体特有的挑战。大多数试验针对CD33、CD123、CD371 (CLL1/Clec12)和CD47。为了在AML治疗中成功实施基于抗体的治疗方法,未来的方向需要创造性地应用基于抗体的治疗方法,专门设计以最大限度地减少限制毒性和针对这一独特患者群体的治疗方法。
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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.
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