Abstract
Antibody therapeutics is a thriving field with currently over thirty treatments that are approved primarily for oncology and inflammatory disorders. Antibodies have many advantages as drugs, including high specificity to their targets, long half-lives, and generally highly favorable toxicity profiles. The majority of the currently approved antibody therapeutics are conventional immunoglobulin Gs directed at a single target. However, as the field of protein engineering has advanced, a significant number of new antibody-like formats have been developed that possess robust bioactivity and manufacturability profiles. A number of these molecules have demonstrated superiority to conventional monoclonal antibodies in preclinical settings and have entered clinical testing. This review will discuss engineering of antibody-like molecules that optimize efficacy by targeting multiple receptors or by incorporating additional mechanisms of action, including altered effector function against established therapeutic targets. These molecules are commonly termed biobetters, which, formally speaking, are biologic drugs that are developed against previously validated target antigens but have some properties that are superior compared to currently approved products for commercial use.
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Lugovskoy, A.A., Geddie, M.L. (2015). Antibody-Like Molecules Designed for Superior Targeting and Pharmacokinetics. In: Rosenberg, A., Demeule, B. (eds) Biobetters. AAPS Advances in the Pharmaceutical Sciences Series, vol 19. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2543-8_12
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