Beyond the hype: Antibody-Drug Conjugates are advancing faster than our clinical strategy.

Notini, Giulia; Bianchini, Giampaolo; Pérez-García, José Manuel; Cortés, Javier · PLoS Med · 2026

review · Level V

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Abstract

Antibody-drug conjugates are redefining treatment options in advanced breast cancer, demonstrating efficacy across all breast cancer subtypes. However, their rapid clinical expansion has resulted in several unresolved challenges, including the need for rational sequencing strategies, appropriate and ethical trial design, drug tolerability, and the limitation of mono-national development programs.

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