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Review
. 2025 May;42(5):274-285.
doi: 10.1016/j.rmr.2025.03.003. Epub 2025 Apr 21.

[Diffuse interstitial lung disease induced by antibody-drug conjugates]

[Article in French]
Affiliations
Review

[Diffuse interstitial lung disease induced by antibody-drug conjugates]

[Article in French]
L Maurier et al. Rev Mal Respir. 2025 May.

Abstract

Introduction: Antibody-drug conjugates (ADCs) represent a promising new therapeutic class in non-small-cell lung cancer (NSCLC) patients. Studies assessing ADC have highlighted a pulmonary toxicity profile in the form of interstitial lung disease (ILD).

State of the art: Several ADCs for NSCLC are currently being developed. In studies evaluating Trastuzumab-Deruxtecan (Her-2 target), incidence of drug-induced ILD ranged from 10.7 to 26.0%, and from 3.6 to 25.0% in those evaluating Datopotamab-Deruxtecan (TROP-2 target). Incidence of 9.9 and 5% of ILD was observed with Telisotuzumab-Vedotin (c-MET target) and Patritumab-Deruxtecan (Her-3 target), respectively. No cases of ILD have been reported with Sacituzumab-Govitecan (TROP-2 target) or Tusamitamab-Ravtansine (CEACAM5 target).

Perspectives: Several risk factors for ADC-induced ILD seem to emerge, including respiratory comorbidities, renal insufficiency, or type and dosage of ADC. Current studies are focusing on the combination of ADC and immunotherapy, although there are few data now available on pulmonary toxicity profiles.

Conclusion: Among the many ADCs being developed, several can cause ILD of varying grades and intensity. Knowledge of their risks, diagnostic and therapeutic modalities is required in order to quickly detect and treat ADC-induced ILD.

Keywords: Antibody-drug conjugate; Cancer pulmonaire non à petites cellules; Carcinoma non-small-cell lung; Conjugués anticorps-médicaments; Facteurs de risque; Lung diseases interstitial; Pneumopathie interstitielle; Risk factors; Toxicity; Toxicité.

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Conflict of interest statement

Déclaration de liens d’intérêts Au cours des 5 dernières années, J.C. a perçu des honoraires ou financements pour participation à des congrès des laboratoires DAIICHI SANKYO. Au cours des 5 dernières années, P.H. a perçu des honoraires ou financements pour participation à des congrès des laboratoires DAIICHI SANKYO. Au cours des 5 dernières années, E.P.T. a perçu des honoraires ou financements pour participation à des congrès de la part des laboratoires DAIICHI SANKYO et ASTRA ZENECA ; et à des groupes d’experts de la part du laboratoire DAIICHI SANKYO. Au cours des 5 dernières années, E.P.T. a été investigateur principal responsable scientifique d’études sur les anticorps conjugués promues par ASTRA ZENECA et DAICHII SANKYO.

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