Master of advanced studies
English

In vivo safety testing of antibody drug conjugates

ContributorsPretto, Francesca
Master program titleMaster of Advanced Studies in Toxicology
Defense date2020-06-22
Abstract

Antibody Drug Conjugates (ADCs) are complex multi-domain biotherapeutics which combine, with the aid of a chemical linker, the tumor targeting properties of antibodies to the potent cytotoxicity of a selected small molecule (also called warhead or payload) to obtain novel pharmaceuticals for the treatment of cancer. ADCs are a rapidly growing class of pharmaceuticals with seven FDA-approved drugs already on the market and over eighty investigated at different stages of clinical development (1). The careful design of each of the ADC's building blocks allows to maximize anti-tumor efficacy while reducing the toxicity to healthy tissues. The preclinical characterization of these novel therapeutics requires the careful balance of the known requisites for small and biotechnology-derived molecules with a keen eye to the need of new effective treatments in the fight against cancer. From the analysis of official approval documents, available literature and current guidelines, this thesis will present the common features and peculiarities of the in vivo safety assessment of this emerging group of drugs. Moreover, this document will highlight the need for integrated and novel strategies for the preclinical evaluation of ADCs, stemming from their complex multi domain structure which sets them apart from both standard chemotherapy and antibody-based products.

Keywords
  • ADA Anti-Drug-Antibody
  • ADC Antibody Drug Conjugate
  • ADCC Antibody-Dependent Cell-mediated Cytotoxicity
  • ADCP Antibody-Dependent Cellular Phagocytosis
  • ADME Absorption Distribution Metabolism and Excretion
  • ALCL Anaplastic Large-Cell Lymphoma
  • AML Acute Myeloid Leukemia
  • BBB Blood Brain Barrier
  • CDC Complement Dependent Cytotoxicity
  • CMC Chemistry Manufacturing and Control
  • CYP Cytochrome P450
  • DAR Drug-to-Antibody Ratio
  • EFD Embryofetal development
  • EPR Enhanced Permeability and Retention
  • FACS Fluorescence-Activated Cell Sorting
  • FcRn neonatal Fc Receptor
  • FcRγ Fc Gamma Receptor
  • FDA Food and Drug Administration
  • FIH First In Human
  • HL Hodgkin Lymphoma
  • HNSTD Highest Non-Severely Toxic Dose
  • IC50 half maximal Inhibitory Concentration
  • ICH International Conference on Harmonisation
  • Ig Immunoglobulin
  • IHC Immunohistochemistry
  • ILD Interstitial Lung Disease
  • MAb monoclonal Antibody
  • MHC Major Histocompatibility Complex
  • MMP Matrix Metalloproteinase
  • MTD Maximum Tolerated Dose
  • NHP Nonhuman Primates
  • NOAEL No Observed Adverse Effect Level
  • PEC Predicted Environmental Concentration
  • PK Pharmacokinetic
  • PPND Peri- and Postnatal development
  • QWBA Quantitative whole-body autoradiography
  • STD10 Severely Toxic Dose in 10% of the animals
  • TI Therapeutic Index
  • TMDD Target Mediated Drug Disposition
  • UGT UDP-glucuronosyltransferase
  • VEGFR Vascular Endothelial Growth Factor Receptor
Citation (ISO format)
PRETTO, Francesca. In vivo safety testing of antibody drug conjugates. Master of advanced Studies, 2020.
Main files (1)
Master thesis
accessLevelRestricted
Identifiers
  • PID : unige:157106
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Technical informations

Creation07/12/2021 14:50:00
First validation07/12/2021 14:50:00
Update time16/03/2023 03:03:48
Status update16/03/2023 03:03:48
Last indexation01/11/2024 01:06:49
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