Evidence map›Paper›PMID 41637006›Full record

ReviewTargeted oncology2026

Bispecific Antibodies in Breast Cancer Immunotherapy: Mechanisms, Advances, and Translational Challenges.

Marianna Rita Brogna, Gerardo Ferrara, Valeria Varone, Angela Montone, Adriana Fava, Maria Rosaria Schiano, Michele DelSesto, Nubia Pizza, Annalisa Prota, Carmela Barra and 1 more

Abstract readReview
In one paragraph

Review in Targeted oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Marianna Rita BrognaPathology Unit, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Naples, Italy. brognamarianna@gmail.com.ORCID http://orcid.org/0000-0003-4709-633X
Gerardo FerraraPathology Unit, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Naples, Italy.
Valeria VaronePathology Unit, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Naples, Italy.
Angela MontonePathology Unit, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Naples, Italy.
Adriana FavaPathology Unit, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Naples, Italy.
Maria Rosaria SchianoPathology Unit, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Naples, Italy.
Michele DelSestoPathology Unit, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Naples, Italy.
Nubia PizzaPathology Unit, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Naples, Italy.
Annalisa ProtaPathology Unit, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Naples, Italy.
Carmela BarraPathology Unit, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Naples, Italy.
Francesca CollinaPathology Unit, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Breast cancer remains a leading cause of cancer-related mortality despite advances in targeted therapies and immune checkpoint inhibitors (ICIs). While ICIs have reshaped therapeutic paradigms in multiple solid tumors, their clinical efficacy in breast cancer is predominantly restricted to triple-negative breast cancer (TNBC), underscoring the necessity for innovative immunotherapeutic modalities with broader applicability. Bispecific antibodies (BsAbs) are engineered molecules capable of simultaneously engaging tumor-associated antigens (TAAs) such as EGFR, EpCAM, Trop-2, CEACAM5, MUC1, and PSMA, in addition to B7-H4, HER2, and PD-L1, alongside immune effector cells, primarily CD3+ T lymphocytes. This dual targeting promotes the formation of a cytolytic immunological synapse, leading to T-cell activation, proliferation, and targeted tumor cell lysis via granzyme/perforin pathways. Advances in BsAb design-including optimization of affinity constants, valency, Fc engineering to modulate effector functions, and molecular formats (e.g., BiTEs, DARTs, tandem scFvs)-have improved tumor penetration, pharmacokinetics, and reduced off-target toxicity. Preclinical and early-phase clinical data demonstrate robust antitumor activity of BsAbs, both as monotherapy and in synergistic combinations with chemotherapy, targeted agents, or ICIs, potentially overcoming tumor microenvironment-mediated immunosuppression and immune escape mechanisms. Major challenges include heterogeneity and temporal variability of TAA expression, cytokine release syndrome (CRS) mitigation strategies, pharmacodynamic optimization, and delivery methods to maximize tumor bioavailability while limiting systemic toxicity. This review details the molecular mechanisms, preclinical evidence, clinical trial outcomes, and translational challenges for BsAbs in breast cancer, highlighting their transformative potential in expanding immunotherapeutic efficacy beyond current limitations.

Indexed as

Antibodies, BispecificBreast NeoplasmsImmunotherapyAnimalsFemaleHumansAntibodies, Bispecific

Identifiers

PMID41637006
PMCPMC13031251

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.