Evidence map›Paper›PMID 40307936›Full record

ReviewJournal of hematology & oncology2025

Antibody-Drug Conjugates (ADCs): current and future biopharmaceuticals.

Ruili Wang, Baohui Hu, Ziyu Pan, Chongxia Mo, Xin Zhao, Guojia Liu, Ping Hou, Qi Cui, Zhao Xu, Wenjia Wang and 7 more

Abstract readReview
In one paragraph

Review in Journal of hematology & oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 165 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
165citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

165 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Prevalence of antibody drug conjugated-induced nausea and vomiting (ADCINV) in patients with cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  17. Antibody-drug conjugate engineering: from design to efficacy and safety.Signal transduction and targeted therapy · 2026
    Review
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  19. Review
  20. Article

105 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Ruili WangDepartment of Pharmacology, School of Pharmacy, China Medical University, Shenyang, 110122, China.
Baohui HuDepartment of Pharmacology, School of Pharmacy, China Medical University, Shenyang, 110122, China.
Ziyu PanDepartment of Pharmacology, School of Pharmacy, China Medical University, Shenyang, 110122, China.
Chongxia MoDepartment of Pharmacology, School of Pharmacy, China Medical University, Shenyang, 110122, China.
Xin ZhaoDepartment of Pharmacology, School of Pharmacy, China Medical University, Shenyang, 110122, China.
Guojia LiuDepartment of Pharmacology, School of Pharmacy, China Medical University, Shenyang, 110122, China.
Ping HouDepartment of Pharmacology, School of Pharmacy, China Medical University, Shenyang, 110122, China.
Qi CuiDepartment of Pharmacology, School of Pharmacy, China Medical University, Shenyang, 110122, China.
Zhao XuDepartment of Pharmacology, School of Pharmacy, China Medical University, Shenyang, 110122, China.
Wenjia WangDepartment of Pharmacology, School of Pharmacy, China Medical University, Shenyang, 110122, China.
Zhaojin YuDepartment of Pharmacology, School of Pharmacy, China Medical University, Shenyang, 110122, China.
Lin ZhaoDepartment of Pharmacology, School of Pharmacy, China Medical University, Shenyang, 110122, China.
Miao HeDepartment of Pharmacology, School of Pharmacy, China Medical University, Shenyang, 110122, China.
Yan WangDepartment of Pharmacology, School of Pharmacy, China Medical University, Shenyang, 110122, China.
Chen FuDepartment of Pharmacology, School of Pharmacy, China Medical University, Shenyang, 110122, China. cfu@cmu.edu.cn.
Minjie WeiDepartment of Pharmacology, School of Pharmacy, China Medical University, Shenyang, 110122, China. mjwei@cmu.edu.cn.
Lifeng YuDepartment of Pharmacology, School of Pharmacy, China Medical University, Shenyang, 110122, China. lfyu@cmu.edu.cn.

Funding

Liaoning Province Scientific Research Foundation 2023JH2/20200126National Natural Science Foundation of China NSFC, No. 81903658, 82272797, 82304564, ChinaNSFC-Liaoning joint fund key program No. U20A20413, China
6 · The paper itself

Abstract

Antibody-drug conjugates (ADCs) represent a novel class of biopharmaceuticals comprising monoclonal antibodies covalently conjugated to cytotoxic agents via engineered chemical linkers. This combination enables targeted delivery of cytotoxic agents to tumor site through recognizing target antigens by antibody while minimizing off-target effects on healthy tissues. Clinically, ADCs overcome the limitations of traditional chemotherapy, which lacks target specificity, and enhance the therapeutic efficacy of monoclonal antibodies, providing higher efficacy and fewer toxicity anti-tumor biopharmaceuticals. ADCs have ushered in a new era of targeted cancer therapy, with 15 drugs currently approved for clinical use. Additionally, ADCs are being investigated as potential therapeutic candidates for autoimmune diseases, persistent bacterial infections, and other challenging indications. Despite their therapeutic benefits, the development and application of ADCs face significant challenges, including antibody immunogenicity, linker instability, and inadequate control over the release of cytotoxic agent. How can ADCs be designed to be safer and more efficient? What is the future development direction of ADCs? This review provides a comprehensive overview of ADCs, summarizing the structural and functional characteristics of the three core components, antibody, linker, and payload. Furthermore, we systematically assess the advancements and challenges associated with the 15 approved ADCs in cancer therapy, while also exploring the future directions and ongoing challenges. We hope that this work will provide valuable insights into the design and optimization of next-generation ADCs for wider clinical applications.

Indexed as

Antineoplastic AgentsBiological ProductsImmunoconjugatesNeoplasmsAnimalsAntibodies, MonoclonalHumansAntibodies, MonoclonalAntineoplastic AgentsBiological ProductsImmunoconjugatesAntibody–drug conjugatesClinical applicationCytotoxic agentsLinkersMonoclonal antibodyTargeted therapy

Identifiers

PMID40307936
PMCPMC12044742

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.