The production of ADCs is a complex process that involves several meticulous steps, such as conjugating monoclonal antibodies with cytotoxic agents and linkers. This process requires exceptional precision and control, especially when the Occupational Exposure Limits (OELs) for these substances fall below 30 ng/m³. The stability of ADCs is critically dependent on both the antibody and the linker-toxin components, each presenting its own unique challenges. Integrating these components into a final product adds an additional layer of complexity.
If the linker-toxin is unstable, the ADC may degrade, releasing toxic substances prematurely, which can diminish therapeutic efficacy and pose significant safety concerns for patients. To mitigate this risk, ADCs can be lyophilized (freeze-dried) from early stages of development. Cytotoxins, being highly potent and complex, require careful handling and production within high-containment facilities. Given their potency, only minute quantities are needed, which necessitates specialized techniques that are often impractical for large-scale drug manufacturing.
Production typically involves multiple steps that may be distributed across various manufacturing facilities. Each stage—ranging from antibody production and linker-toxin synthesis to their conjugation and final drug formulation—might be handled by different companies. This adds complexity and requires meticulous coordination and specialized testing to confirm that the ADC is safe, effective, and manufactured consistently. 1