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Monoclonal Antibodies in Cancer

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Pharmaceutical Biotechnology

Abstract

Cancer is the second leading cause of death in the United States with one of every four deaths attributable to cancer (Jemal et al. 2006). The first references to cancer date back to Egyptian papyrus circa 1600 BC. The introduction of nitrogen mustards in the 1940s can be considered the origin of modern, systemic antineoplastic therapies (Papac 2001). Rapid improvements in the understanding of cancer biology, medicinal chemistry, and biopharmaceutical technology have provided rationally designed drugs exploiting differences in normal and malignant cells. Monoclonal antibodies (MABs) bind to a specific epitope. This allows for a targeting approach for the development of effective anticancer compounds with relatively less and/or nonoverlapping toxicity compared to other cytotoxic drugs used to treat cancer. In cancer treatment, MABs have been developed that exert a wide array of pharmacologic effects. This chapter focuses on FDA-approved MABs for the treatment of cancer and cancer-related symptoms. Antibodies are organized based on their target. Table 17.1 summarizes the current FDA-approved MABs for cancer indications, year of approval, target, and the indications that are discussed within the chapter.

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Correspondence to Trevor McKibbin PharmD, MS, BCPS .

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Grimsley, A., Shah, K.S., McKibbin, T. (2013). Monoclonal Antibodies in Cancer. In: Crommelin, D., Sindelar, R., Meibohm, B. (eds) Pharmaceutical Biotechnology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6486-0_17

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