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Cancers (Basel). 2021 Feb 01;13(3). doi: 10.3390/cancers13030549.

Bispecific Antibodies in Prostate Cancer Therapy: Current Status and Perspectives.

Cancers

Jonas S Heitmann, Martin Pfluegler, Gundram Jung, Helmut R Salih, Elpus

Affiliations

  1. Clinical Collaboration Unit Translational Immunology, German Cancer Consortium (DKTK), Department of Internal Medicine, University Hospital Tübingen, 72076 Tübingen, Germany.
  2. DFG Cluster of Excellence 2180 "Image-Guided and Functional Instructed Tumor Therapy" (IFIT), University of Tübingen, 72076 Tübingen, Germany.
  3. Department of Immunology, Interfaculty Institute for Cell Biology, University of Tübingen, 72076 Tübingen, Germany.
  4. German Cancer Consortium (DKTK), DKFZ Partner Site Tübingen, 72076 Tübingen, Germany.

PMID: 33535627 PMCID: PMC7867165 DOI: 10.3390/cancers13030549

Abstract

Prostate carcinoma (PC) is the second most common cancer in men. When the disease becomes unresponsive to androgen deprivation therapy, the remaining treatment options are of limited benefit. Despite intense efforts, none of the T cell-based immunotherapeutic strategies that meanwhile have become a cornerstone for treatment of other malignancies is established in PC. This refers to immune checkpoint inhibition (CI), which generally reinforces T cell immunity as well as chimeric antigen receptor T (CAR-T) cells and bispecific antibodies (bsAbs) that stimulate the T cell receptor/CD3-complex and mobilize T cells in a targeted manner. In general, compared to CAR-T cells, bsAb would have the advantage of being an "off the shelf" reagent associated with less preparative effort, but at present, despite enormous efforts, neither CAR-T cells nor bsAbs are successful in solid tumors. Here, we focus on the various bispecific constructs that are presently in development for treatment of PC, and discuss underlying concepts and the state of clinical evaluation as well as future perspectives.

Keywords: CRPC; bispecific antibody; prostate cancer

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