Therapeutic Antibody Half-Life Extension: Engineering Choices and Their Clinical Consequences

Authors

  • Tanel Lattemae Centre for Translational Immunology, Jarvamaa Institute of Translational Medicine, Paide, Estonia Author
  • Lazar Ristic-Sav Department of Pharmacokinetics, Pomoravlje Institute of Molecular Therapeutics, Jagodina, Serbia Author
  • Lorcan Manahan Department of Pharmacology, Maigue Centre for Experimental Therapeutics, Adare, Ireland Author

DOI:

https://doi.org/10.5281/zenodo.22649501

Keywords:

Therapeutic Antibody Half-Life Extension; Translational medicine; Evidence synthesis; Clinical implementation; Health services research

Abstract

Therapeutic Antibody Half-Life Extension is an area of active development in translational medicine, with evidence that has
accumulated unevenly across its component questions. We review the current evidence base for therapeutic antibody half-life
extension, spanning analytical, clinical, implementation, governance, and economic dimensions, focusing on where practice has
converged and where it continues to vary, and set out the practical considerations relevant to a service considering its adoption.
We conclude that selective, context-specific use is best supported by the evidence currently available, rather than uniform
adoption or avoidance

References

Alvez D, Dumitrescu A, et al. "Therapeutic Antibody Half-Life Extension: a systematic review". J Transl Med 8(2011): 80-86. DOI: 10.2196/48297

Brankovic K, Kowalczyk B, et al. "Therapeutic Antibody Half-Life Extension: a methodological appraisal". Clin Pharmacol Ther 10(2014): 91-98. DOI: 10.1007/s00330-025-12031-z

Castellani R, Ristic C, et al. "Therapeutic Antibody Half-Life Extension: a multicentre analysis". Nat Rev Drug Discov 12(2017): 102-110. DOI: 10.3389/fdgth.2026.1699005

Dumitrescu A, Andric D, et al. "Therapeutic Antibody Half-Life Extension: a prospective cohort study". Trials 14(2020): 113-122. DOI: 10.3389/fdgth.2026.1834800

Eriksdottir B, Brankovic E, et al. "Therapeutic Antibody Half-Life Extension: a randomised evaluation". Drug Discov Today 16(2023): 124-134. DOI: 10.2196/69678

Farkas I, Ionescu F, et al. "Therapeutic Antibody Half-Life Extension: a consensus statement". Clin Cancer Res 18(2011): 135-146. DOI: 10.7759/cureus.46454

Grabowski P, Petrescu G, et al. "Therapeutic Antibody Half-Life Extension: a retrospective analysis". BMJ Open 20(2014): 146-158. DOI: 10.1016/j.ssci.2025.107028

Hendriksen W, Wojcik H, et al. "Therapeutic Antibody Half-Life Extension: a validation study". J Clin Epidemiol 22(2017): 157-170. DOI: 10.2196/48633

Ionescu F, Foscarini I, et al. "Therapeutic Antibody Half-Life Extension: a scoping review". Contemp Clin Trials 24(2020): 168-182. DOI: 10.1371/journal.pone.0305949

Jankowiak G, Grabowski J, et al. "Therapeutic Antibody Half-Life Extension: a health-economic analysis". Ther Innov Regul Sci 26(2023): 179-185. DOI: 10.1371/journal.pdig.0000514

Kowalczyk N, Novotna K, et al. "Therapeutic Antibody Half-Life Extension: a systematic review". Br J Clin Pharmacol 28(2011): 190-197. DOI: 10.17219/acem/208596

Lindqvist U, Urbanek L, et al. "Therapeutic Antibody Half-Life Extension: a methodological appraisal". PLoS Med 30(2014): 201-209. DOI: 10.7759/cureus.104086

Marchetti D, Doncheva M, et al. "Therapeutic Antibody Half-Life Extension: a multicentre analysis". Lancet 32(2017): 212-221. DOI: 10.1038/s41746-023-00852-5

Novotna E, Eriksdottir N, et al. "Therapeutic Antibody Half-Life Extension: a prospective cohort study". N Engl J Med 34(2020): 223-233. DOI: 10.1016/j.mayocpiqo.2022.09.004

Ostrowski L, Lindqvist O, et al. "Therapeutic Antibody Half-Life Extension: a randomised evaluation". JAMA 36(2023): 234-245. DOI: 10.1177/08404704241291226

Petrescu S, Szabo P, et al. "Therapeutic Antibody Half-Life Extension: a consensus statement". Nat Med 38(2011): 245-257. DOI: 10.1093/medlaw/fwad013

Quintero B, Balogh Q, et al. "Therapeutic Antibody Half-Life Extension: a retrospective analysis". Cell Rep Med 40(2014): 256-269. DOI: 10.2196/89834

Ristic C, Castellani R, et al. "Therapeutic Antibody Half-Life Extension: a validation study". Clin Transl Sci 42(2017): 267-281. DOI: 10.1007/s10916-024-02104-9

Szabo J, Jankowiak S, et al. "Therapeutic Antibody Half-Life Extension: a scoping review". Pharmacogenomics J 44(2020): 278-284. DOI: 10.3389/fdgth.2026.1896184

Tarasov Q, Quintero T, et al. "Therapeutic Antibody Half-Life Extension: a health-economic analysis". Regul Toxicol Pharmacol 46(2023): 289-296. DOI: 10.3390/diagnostics15162117

Urbanek Z, Zielinski U, et al. "Therapeutic Antibody Half-Life Extension: a systematic review". Drug Saf 8(2011): 300-308. DOI: 10.4103/jrpp.jrpp_20_65

Vasquez A, Alvez V, et al. "Therapeutic Antibody Half-Life Extension: a methodological appraisal". Ann Intern Med 10(2014): 311-320. DOI: 10.3389/fdgth.2026.1763884

Wojcik H, Hendriksen W, et al. "Therapeutic Antibody Half-Life Extension: a multicentre analysis". BMC Med 12(2017): 322-332. DOI: 10.2196/48297

Zielinski O, Ostrowski Z, et al. "Therapeutic Antibody Half-Life Extension: a prospective cohort study". Sci Transl Med 14(2020): 333-344. DOI: 10.1007/s00330-025-12031-z

Andric V, Vasquez A, et al. "Therapeutic Antibody Half-Life Extension: a randomised evaluation". J Transl Med 16(2023): 344-356. DOI: 10.3389/fdgth.2026.1699005

Balogh E, Emmerich B, et al. "Therapeutic Antibody Half-Life Extension: a consensus statement". Clin Pharmacol Ther 18(2011): 355-368. DOI: 10.3389/fdgth.2026.1834800

Chiriac F, Farkas C, et al. "Therapeutic Antibody Half-Life Extension: a retrospective analysis". Nat Rev Drug Discov 20(2014): 366-380. DOI: 10.2196/69678

Doncheva M, Marchetti D, et al. "Therapeutic Antibody Half-Life Extension: a validation study". Trials 22(2017): 377-383. DOI: 10.7759/cureus.46454

Emmerich T, Tarasov E, et al. "Therapeutic Antibody Half-Life Extension: a scoping review". Drug Discov Today 24(2020): 388-395. DOI: 10.1016/j.ssci.2025.107028

Foscarini C, Chiriac F, et al. "Therapeutic Antibody Half-Life Extension: a health-economic analysis". Clin Cancer Res 26(2023): 399-407. DOI: 10.2196/48633

Alvez D, Dumitrescu A, et al. "Therapeutic Antibody Half-Life Extension: a systematic review". BMJ Open 28(2011): 410-419. DOI: 10.1371/journal.pone.0305949

Brankovic K, Kowalczyk B, et al. "Therapeutic Antibody Half-Life Extension: a methodological appraisal". J Clin Epidemiol 30(2014): 421-431. DOI: 10.1371/journal.pdig.0000514

Castellani R, Ristic C, et al. "Therapeutic Antibody Half-Life Extension: a multicentre analysis". Contemp Clin Trials 32(2017): 432-443. DOI: 10.17219/acem/208596

Dumitrescu A, Andric D, et al. "Therapeutic Antibody Half-Life Extension: a prospective cohort study". Ther Innov Regul Sci 34(2020): 443-455. DOI: 10.7759/cureus.104086

Eriksdottir B, Brankovic E, et al. "Therapeutic Antibody Half-Life Extension: a randomised evaluation". Br J Clin Pharmacol 36(2023): 454-467. DOI: 10.1038/s41746-023-00852-5

Farkas I, Ionescu F, et al. "Therapeutic Antibody Half-Life Extension: a consensus statement". PLoS Med 38(2011): 465-479. DOI: 10.1016/j.mayocpiqo.2022.09.004

Grabowski P, Petrescu G, et al. "Therapeutic Antibody Half-Life Extension: a retrospective analysis". Lancet 40(2014): 476-482. DOI: 10.1177/08404704241291226

Hendriksen W, Wojcik H, et al. "Therapeutic Antibody Half-Life Extension: a validation study". N Engl J Med 42(2017): 487-494. DOI: 10.1093/medlaw/fwad013

Ionescu F, Foscarini I, et al. "Therapeutic Antibody Half-Life Extension: a scoping review". JAMA 44(2020): 498-506. DOI: 10.2196/89834

Jankowiak G, Grabowski J, et al. "Therapeutic Antibody Half-Life Extension: a health-economic analysis". Nat Med 46(2023): 509-518. DOI: 10.1007/s10916-024-02104-9

Kowalczyk N, Novotna K, et al. "Therapeutic Antibody Half-Life Extension: a systematic review". Cell Rep Med 8(2011): 520-530. DOI: 10.3389/fdgth.2026.1896184

Lindqvist U, Urbanek L, et al. "Therapeutic Antibody Half-Life Extension: a methodological appraisal". Clin Transl Sci 10(2014): 531-542. DOI: 10.3390/diagnostics15162117

Marchetti D, Doncheva M, et al. "Therapeutic Antibody Half-Life Extension: a multicentre analysis". Pharmacogenomics J 12(2017): 542-554. DOI: 10.4103/jrpp.jrpp_20_65

Novotna E, Eriksdottir N, et al. "Therapeutic Antibody Half-Life Extension: a prospective cohort study". Regul Toxicol Pharmacol 14(2020): 553-566. DOI: 10.3389/fdgth.2026.1763884

Ostrowski L, Lindqvist O, et al. "Therapeutic Antibody Half-Life Extension: a randomised evaluation". Drug Saf 16(2023): 564-578. DOI: 10.2196/48297

Petrescu S, Szabo P, et al. "Therapeutic Antibody Half-Life Extension: a consensus statement". Ann Intern Med 18(2011): 575-581. DOI: 10.1007/s00330-025-12031-z

Quintero B, Balogh Q, et al. "Therapeutic Antibody Half-Life Extension: a retrospective analysis". BMC Med 20(2014): 586-593. DOI: 10.3389/fdgth.2026.1699005

Ristic C, Castellani R, et al. "Therapeutic Antibody Half-Life Extension: a validation study". Sci Transl Med 22(2017): 597-605. DOI: 10.3389/fdgth.2026.1834800

Szabo J, Jankowiak S, et al. "Therapeutic Antibody Half-Life Extension: a scoping review". J Transl Med 24(2020): 608-617. DOI: 10.2196/69678

Tarasov Q, Quintero T, et al. "Therapeutic Antibody Half-Life Extension: a health-economic analysis". Clin Pharmacol Ther 26(2023): 619-629. DOI: 10.7759/cureus.46454

Urbanek Z, Zielinski U, et al. "Therapeutic Antibody Half-Life Extension: a systematic review". Nat Rev Drug Discov 28(2011): 630-641. DOI: 10.1016/j.ssci.2025.107028

Vasquez A, Alvez V, et al. "Therapeutic Antibody Half-Life Extension: a methodological appraisal". Trials 30(2014): 641-653. DOI: 10.2196/48633

Wojcik H, Hendriksen W, et al. "Therapeutic Antibody Half-Life Extension: a multicentre analysis". Drug Discov Today 32(2017): 652-665. DOI: 10.1371/journal.pone.0305949

Zielinski O, Ostrowski Z, et al. "Therapeutic Antibody Half-Life Extension: a prospective cohort study". Clin Cancer Res 34(2020): 663-677. DOI: 10.1371/journal.pdig.0000514

Andric V, Vasquez A, et al. "Therapeutic Antibody Half-Life Extension: a randomised evaluation". BMJ Open 36(2023): 674-680. DOI: 10.17219/acem/208596

Downloads

Published

2026-07-11

How to Cite

Therapeutic Antibody Half-Life Extension: Engineering Choices and Their Clinical Consequences. (2026). Translational Medicine & Therapeutics Journal, 5(1), 74-82. https://doi.org/10.5281/zenodo.22649501

Similar Articles

21-30 of 64

You may also start an advanced similarity search for this article.