Evidence map›Paper›PMID 42207299›Full record

ReviewCancer chemotherapy and pharmacology2026

Antibody-drug conjugates in colorectal cancer: molecular design, preclinical advances, and translational challenges.

Md Arif Ansari, Md Abubakar, Mohd Mazharuddin Ansari, Nabeeha Koya, Janmejay Gupta, Maria Aazam, Sonali Sandeep Shinde, Sana Ahmed, Amita Rai, Krishna Murti and 5 more

Abstract readReview
In one paragraph

Review in Cancer chemotherapy and pharmacology, 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

15 authors.

Md Arif AnsariDepartment of Pharmacology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India.ORCID http://orcid.org/0009-0001-2676-1153
Md AbubakarDepartment of Pharmacology and Toxicology, National Institute of Pharmaceutical Education and Research, Hajipur, Vaishali, Bihar, 844102, India.
Mohd Mazharuddin AnsariDepartment of Pharmacology and Toxicology, National Institute of Pharmaceutical Education and Research, Hajipur, Vaishali, Bihar, 844102, India.
Nabeeha KoyaDepartment of Pharmacology and Toxicology, National Institute of Pharmaceutical Education and Research, Hajipur, Vaishali, Bihar, 844102, India.
Janmejay GuptaDepartment of Pharmacology and Toxicology, National Institute of Pharmaceutical Education and Research, Hajipur, Vaishali, Bihar, 844102, India.
Maria AazamDepartment of Pharmacology and Toxicology, National Institute of Pharmaceutical Education and Research, Hajipur, Vaishali, Bihar, 844102, India.
Sonali Sandeep ShindeDepartment of Pharmaceutical Chemistry, Dr. D. Y. Patil Institute of Pharmaceutical Sciences and Research, Pimpri, Pune, 411008, Maharashtra, India.
Sana AhmedDepartment of Pharmaceutics, Deccan School of Pharmacy, Darussalam, Aghapura, Nampally, Hyderabad, 500 001, Telangana, India.
Amita RaiDepartment of Pharmaceutical Analysis, National Institute of Pharmaceutical Education and Research, Hajipur, Vaishali, Bihar, 844102, India.
Krishna MurtiDepartment of Pharmacy Practice, National Institute of Pharmaceutical Education and Research, Hajipur, Vaishali, Bihar, 844102, India.
Biplab PalDepartment of Pharmacy Practice, School of Pharmaceutical Science, Lovely Professional University, Phagwara, 144401, Punjab, India.
Sachchida Nand RaiUniversity Centre for Research and Development (UCRD), Chandigarh University, Mohali, 140413, Punjab, India.
Palwinder KaurSchool of Pharmaceutical Sciences, Lovely Professional University, Phagwara, 144411, Punjab, India.
Smita ShenoyDepartment of Pharmacology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India. smita.shenoy@manipal.edu.ORCID http://orcid.org/0000-0002-7578-1855
Nitesh KumarDepartment of Pharmacology and Toxicology, National Institute of Pharmaceutical Education and Research, Hajipur, Vaishali, Bihar, 844102, India. niteshkumar43@gmail.com.ORCID http://orcid.org/0000-0002-4929-3954

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Colorectal cancer (CRC) remains a leading cause of cancer-related morbidity and mortality worldwide, largely because of tumor heterogeneity, therapeutic resistance, and the limited efficacy of existing targeted therapies in advanced disease. Antibody-drug conjugates (ADCs) have emerged as a promising class of targeted anticancer therapeutics that combine the specificity of monoclonal antibodies with the cytotoxic potency of highly active payloads, thereby enabling selective tumor cell killing while minimizing systemic toxicity. Although ADCs have demonstrated substantial clinical success in several solid and hematological malignancies, their translation to CRC has been relatively limited, underscoring the need for a focused evaluation of CRC-specific ADC development. This review provides a comprehensive and critical overview of recent advances in ADC design and preclinical development for CRC, with emphasis on molecular architecture, linker-payload chemistry, antigen selection, and pharmacological mechanisms of action. Key components of ADCs, including antibody formats, cleavable and noncleavable linkers, and cytotoxic payload classes such as auristatins, maytansinoids, duocarmycins, and topoisomerase inhibitors, are discussed in the context of optimizing the therapeutic index and tumor selectivity. Mechanistic aspects of ADC activity, including antigen-mediated internalization, intracellular trafficking, payload release, and the bystander effect, are highlighted for their relevance to heterogeneous CRC tumors. This review systematically summarizes emerging preclinical ADC candidates targeting CRC-associated antigens, including EGFR, CEACAM5, c-Met, RON, DDR1, GPR56, LGR5, Claudin-2, and CD98hc. Finally, key translational challenges-including antigen heterogeneity, limited internalization, and off-target toxicity-are discussed alongside future perspectives emphasizing biomarker-driven patient selection and rational ADC design.

Indexed as

Colorectal NeoplasmsImmunoconjugatesAnimalsAntibodies, MonoclonalAntineoplastic AgentsDrug DesignHumansAntibodies, MonoclonalAntineoplastic AgentsImmunoconjugatesAntibody‒drug conjugatesColorectal cancerEGFRMonoclonal antibodies

Identifiers

PMID42207299
PMCPMC13219184

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.