Current Cancer Drug Targets

Current Cancer Drug Targets

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ISSN (Print): 1568-0096
ISSN (Online): 1873-5576

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Review Article

Mechanism of Bispecific Antibodies and Clinical Research Advances in Lung Cancer

Author(s): Jie Yang, Yangyueying Liang, Meiying Zhu, Yuan Meng, Xuerui Wang, Minghui Yu, Longhui Li and Fanming Kong*

Volume 26, Issue 2, 2026

Published on: 12 June, 2025

Page: [136 - 152] Pages: 17

DOI: 10.2174/0115680096353819250127065001

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Abstract

Lung cancer is an aggressive malignancy and one of the leading causes of cancerrelated mortality worldwide. Compared with traditional treatments, the development of precision treatment programs, such as targeted therapy and immunotherapy, has progressively transformed non-small cell lung cancer (NSCLC) with driver mutations, becoming a clinically controllable chronic disease. Among the treatments for lung cancer, monospecific antibodies gradually show effectiveness but also expose their susceptibility to drug resistance, off-target effects, and other limitations. Therefore, bispecific antibodies have been developed, which have two different antigen-binding sites so that they can bind two distinct antigens or two distinct epitopes of the same antigen with adjustable specificity and do not easily produce drug resistance. This article reviews the design strategies and mechanism of bispecific antibodies, summarizes the latest progress in clinical trials involving bispecific antibodies for lung cancer, and analyzes the current challenges and future directions in this area of research.

Keywords: Bispecific antibody, lung cancer, immunotherapy, targeted therapy, design strategies, mechanism of action.

Graphical Abstract