抗体药物偶联物(haitibody-drug conjugate,ADC)是一类通过特定的连接头将靶标特异性的单克隆抗体与高杀伤性的细胞毒性药物偶联起来的靶向生物药剂,以单克隆抗体为载体将小分子细胞毒性药物以靶向方式高效地运输至目标肿瘤细胞中。因此,近年来ADC药物一直是肿瘤精准治疗领域的热门研究方向之一。目前,全球已有8种ADC药物获得批准用于临床(包括血液系统肿瘤和实体瘤领域,表1)。
表1 已获批用于临床的ADC药物
由于抗体和细胞毒性药物不同,不同ADC药物的不良反应也不同。在用药期间应密切监测相应的不良反应,对可能产生严重后果的不良反应进行积极预防或给予支持治疗;在疑似发生不良症状时密切关注并及时诊断,确定发生不良反应后给予对应处置方案,同时调整药物治疗方案,进行延期治疗或减量处理,严重不良反应要及时停药;对于难以处理的不良反应,应及时开展多学科会诊,探讨解决方案。
表2 常见ADC药物相关不良反应及注意事项
产品cas号 | 产品名称 |
cas:159858-22-7 | Fmoc-Val-Cit-PAB |
cas:863971-53-3 | Fmoc-Val-Cit-PAB-PNP |
cas:55750-63-5 | 6-Maleimidohexhaioic acid N-hydroxysuccinimide ester |
cas:159857-79-1 | Val-cit-PAB-OH |
cas:1116085-99-4 | Phe-Lys(Trt)-PAB |
cas:1116086-09-9 | Fmoc-Phe -Lys(Trt)-PAB-PNP |
cas:159857-79-1 | Val-Cit-PAB |
cas:253863-34-2 | Aloc-D-Ala-Phe-Lys(Aloc)-PAB-PNP |
cas:159857-90-6 | Cbz‐Phe‐(Alloc)Lys‐PAB‐PNP |
cas:1160844-44-9 | Boc‐Phe‐(Alloc)Lys‐PAB‐PNP |
cas:55750‐61‐3 | N-SMP |
cas:103750-03-4 | 5-Maleimidovalericacid-NHS |
cas:1325208-25-0 | Mal-PEG4-NHS |
cas:1260092-50-9 | Mal-PEG-NHS |
cas:756525-99-2 | Mal-PEG4-NHS-ester |
cas:1263044-56-9 | MC-PEG2-C2-NHS ester |
cas:132178-37-1 | 4-pentynoic acid succinimidyl ester |
cas:906564-59-8 | 5-hexynoic NHS ester |
cas:944251-24-5 | NHS-PEG4-azide |
cas:65869-64-9 | Bis-PEG1-NHS ester |
cas:65869-63-8 | Bis-PEG2-NHS Ester |
cas:1314378‐16‐9 | Bis-PEG3-NHS Ester |
cas:1314378-11-4 | NHS-PEG3-NHS |
cas:150244‐18‐1 | sulfo-LC-SPDP |
cas:1347750-84-8 | MAL-Tetra-EG-OPFP |
cas:1315355-92-0 | Mal-PEG5-NHS |
cas:1137109-21-7 | Mal-amido-PEG6-NHS |
cas:756525-93-6 | |
cas:1137109-22-8 | Mal-PEG10-NHS |
cas:824426-32-6 | Aeide-C1-NHS ester |
cas:1610796-02-5 | NHS-PEG12-azide |
cas:756526-03-1 | Bis-PEG5-NHS ester |
cas:1008402-79-6 | Bis-PEG9-NHS ester |
cas:870487-10-8 | Boc-Val-Cit-PAB-PNP |
cas:55683-37-9 | Propargyl-PEG1-acid |
cas:1174157-65-3 | Propargyl-PEG1-NHS ester |
cas:488150-84-1 | Propargyl-PEG1-Boc |
cas:3973-18-0 | Propynol Ethoxylate |
cas:203740-63-0 | Propargyl-PEG3-bromide |
cas:40842-04-4 | Bis-propargyl-PEG1 |
cas:1835759-76-6 | Alkyne-PEG2-methylamine |
cas:1347750-80-4 | Alkyne-PEG4-thiol |
cas:1422540-81-5 | Alkyne-PEG4-5-nitrophenyl carbonate |
cas:89635-82-5 | Propargyl-PEG3-methhaie |
cas:1872433-63-0 | Alkyne-PEG4-(CH2)3-methyl ester |
cas:2183440-36-8 | APN-C3-PEG4-alkyne |
cas:52436-42-7 | Alkyne-PEG2-acrylate |
cas:2354291-37-3 | Gly-PEG3-endo-BCN, TFA salt |
cas:2110444-63-6 | Boc-Gly-PEG3-endo-BCN |
cas:15579-01-8 | Aminoethyl-SS-ethylalcohol |
cas:15579-00-7 | Aminoethyl-SS-propionic acid |
cas:51-85-4 | Aminoethyl-SS-ethylamine |
cas:485800-26-8 | t-Boc-Cystamine |
cas:2228857-32-5 | N3-SS-propionic acid |
cas:2144777-72-8 | N3-SS-PEG2-acid |
cas:2243566-44-9 | N3-SS-propionic NHS ester |
cas:1807540-82-4 | N3-SS-ethylalcohol |
cas:352305-38-5 | N3-SS-N3 |
cas:1310827-27-0 | N3-PEG3-SS-PEG3-N3 |
cas:2144777-83-1 | N3-PEG2-t-Butyl ester |
cas:1391914-41-2 | Alkyne-PEG1-SS-alcohol |
cas:1807503-85-0 | Alkyne-PEG1-SS-PEG1-acid |
cas:1817735-30-0 | Alkyne-PEG1-SS-PEG1-PFP ester |
cas:1964503-40-9 | Alkyne-PEG1-SS-PEG1-Alkyne |
cas:1807518-78-0 | Alkyne-PEG1-SS-PEG1-t-butyl ester |
cas:1807539-10-1 | Acid-PEG-SS-PEG-acid |
cas:485800-27-9 | Boc-NH-ethyl-SS-propionic acid |
cas:2128735-21-5 | Boc-aminooxy-ethyl-SS-prophaiol |
cas:864235-83-6 | Fmoc-NH-ethyl-SS-propionic acid |
cas:2128735-23-7 | Fmoc-NH-ethyl-SS-propionic NHS ester |
cas:2128735-24-8 | Mal-NH-ethyl-SS-propionic acid |
cas:5662-81-7 | Hydroxy-PEG3-SS-PEG3-alcohol |
cas:877864-04-5 | THP-SS-alcohol |
cas:1807503-88-3 | THP-SS-PEG1-t-butyl ester |
cas:1807512-37-3 | THP-SS-PEG1-Tos |
cas:1807530-16-0 | 2-hydroxyethyl disulfide mono-Tosylate |
cas:69981-39-1 | Bis-Tos-(2-hydroxyethyl disulfide) |
cas:1620523-64-9 | N3-SS-biotin |
cas:1430408-09-5 | DBCO-S-S-PEG3-biotin |
cas:142439-92-7 | Biotin-bisamido-SS-NHS |
cas:122266-55-1 | NHS-SS-biotin |
cas:325143-98-4 | Sulfo-NHS-SS-biotin |
cas:1869922-24-6 | PC Biotin-PEG3-alkyne |
cas:1937270-46-6 | PC Biotin-PEG3-N3 |
cas:2353409-93-3 | PC Biotin-PEG3-NHS carbonate ester |
cas:1802907-98-7 | PC Alkyne-PEG4-NHS carbonate ester |
cas:1408057-91-9 | PC Methyltetrazine-PEG4-NHS carbonate ester |
cas:2353409-91-1 | PC N3-PEG11-NHS carbonate ester |
cas:2055041-38-6 | Mal-PEG2-Val-Cit-PAB-OH |
cas: | Mal-PEG1-Val-Cit-PAB-PNP |
cas:2112738-13-1 | Mal-amido-PEG2-Val-Cit-PAB-PNP |
cas:2055024-65-0 | N3-PEG3-Val-Cit-PAB-OH |
cas:2055047-18-0 | N3-PEG3-Val-Cit-PAB-PNP |
cas:2353409-45-5 | BCN-PEG3-VC-PFP Ester |
cas:1367918-21-5 | Methylamino-PEG1-acid |
cas:1807521-03-4 | Methylamino-PEG1-Boc |
cas:1355197-57-7 | Methylamino-PEG-N3 (PEG1-PEGn) |
cas:85475-01-0 | Methylamino-PEG-Hydroxy (PEG1-PEGn) |
cas:2279944-69-1 | N,N'-DME-N-PEG2-tert-butyl ester |
cas:1817735-39-9 | N3-PEG2-sulfonic acid |
cas:255831-16-4 | Sulfonic acid-PEG3-sulfonic acid |
cas:112724-27-3 | Hydroxy-PEG2-C2-sulfonic acid |
cas:787524-78-1 | m-PEG4-sulfonic acid |
cas:1817735-29-7 | Sulfonic acid-PEG4-alkyne |
cas:1817735-32-2 | Boc-NH-PEG3-sulfonic acid |
cas:1817735-40-2 | Sulfonic acid-PEG2-t-Butoxycarbonyl |
cas:144942-89-2 | Amino-PEG-acid (PEG1-PEGn) |
cas:134978-97-5 | Amino-PEG-CH2COOH (PEG1-PEGn) |
cas:1263046-77-0 | Amino-PEG-(CH2)3COOH (PEG1-PEGn) |
cas:1260092-46-3 | Amino-PEG-t-butyl ester (PEG1-PEGn) |
cas:929-06-6 | Amino-PEG-alcohol (PEG1-PEGn) |
cas:2752-17-2 | Amino-PEG-Amine (PEG1-PEGn) |
cas:464190-91-8 | Amino-PEG-N3 (PEG1-PEGn) |
cas:1835759-88-0 | N3-PEG-methylamine (PEG1-PEGn) |
cas:1817735-43-5 | Amino-PEG-sulfonic acid (PEG1-PEGn) |
cas:2100306-60-1 | Amino-PEG-t-Boc-Hydrazide (PEG1-PEGn) |
cas:31576-51-9 | Amino-PEG-methyl (PEG1-PEGn) |
cas:122116-12-5 | Alkyne-PEG-amine (PEG1-PEGn) |
cas:1835759-76-6 | Propargyl-PEG2-methylamine |
cas:127828-22-2 | t-Boc-N-Amido-PEG-amine (PEG1-PEGn) |
cas:1351397-21-1 | Amino-PEG-benzyl ester (PEG1-PEGn) |
cas:1872433-72-1 | Trifluoroethyl-PEG-Amine (PEG1-PEGn) |
cas:2110448-97-8 | Gly-PEG-amine (PEG1-PEGn) |
cas:1020112-73-5 | 2-Amino-1,3-bis(carboxylethoxy)prophaie HCl salt |
cas:2055042-59-4 | N-(Amino-PEG3)-N-bis(PEG3-acid) HCl salt |
cas:2183440-35-7 | N-(acid-PEG3)-N-bis(PEG3-amine) |
cas:2183440-70-0 | N-(N3-PEG3)-N-(PEG2-amine)-PEG3-acid |
cas:174362-95-9 | Amino-Tri-(carboxyethoxymethyl)-methhaie |
cas:2100306-47-4 | N-(Amino-PEG1)-N-bis(PEG2-alkyne) HCl salt |
cas:2055040-99-6 | N-(Mal-PEG6)-N-bis(PEG3-amine) TFA salt |