Antibody-drug conjugates in gynecologic malignancies

  • Elizabeth K. Lee
    Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA
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  • Joyce F. Liu
    Corresponding author at: Medical Gynecologic Oncology Program, Dana-Farber Cancer Institute, 450 Brookline Avenue, Boston, MA 02215, USA.
    Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA

    Division of Gynecologic Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA
    Search for articles by this author


      • ADCs are a rapidly growing class of oncologic agents that can confer tumor-specific delivery of a cytotoxic agent.
      • Mirvetuximab soravtansine is an anti-folate receptor alpha ADC currently in phase III clinical trials in ovarian cancer.
      • Mesothelin, tissue factor, MUC16 (CA125), NaPi2B, and Trop2 are additional ADC targets studied in gynecologic malignancies.


      Antibody drug conjugates (ADCs) are an exciting class of oncologic therapeutics. ADCs have been FDA approved in hematologic malignancies and breast cancer and are a growing area of study in numerous solid malignancies. The desire for tumor-specific therapies with decreased systemic toxicity has driven over a decade of research into the design and optimization of ADCs, which are now in a third generation of development. Gynecologic malignancies in particular suffer a dearth of novel therapies. This review will examine the field of ADCs in gynecologic cancers, focusing on ADCs targeting folate receptor alpha (FRα), mesothelin, tissue factor, MUC16 (CA125), NaPi2B, and Trop2.


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