T cell redirecting bispecific antibodies for multiple myeloma : emerging therapeutic strategies in a changing treatment landscape

In recent years, the treatment landscape of multiple myeloma has continued to evolve with the introduction of novel immunotherapies. This progress has translated to improved overall survival for patients, but an unmet need remains in the heavily pretreated and high-risk subsets of patients. Emerging immunotherapies in the form of CAR-T cell therapies have been approved for multiple myeloma. However, CAR-T cell therapy has logistical limitations and there is a need for immunotherapies that are readily available, safe, and effective in RRMM. Currently, pending approval, there are many "off the shelf" bispecific antibodies being developed that target BCMA, GPRC5D, FcRH5 and other cell surface proteins. Preliminary efficacy data has suggested that these bispecific antibody therapies have similar response rates (∼50-80%) in heavily pretreated patients. Similarly, to CAR-T cell therapy, cytokine release syndrome and immune effector cell associated neurotoxicity syndrome are adverse events of key interest and incidence range from ∼40 to 90% and 3 to 20%, respectively. In this review, we highlight the various bispecific immunotherapies under development in the treatment of multiple myeloma with a focus on the data from clinical phase I and II studies.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:63

Enthalten in:

Leukemia & lymphoma - 63(2022), 13 vom: 27. Dez., Seite 3032-3043

Sprache:

Englisch

Beteiligte Personen:

Kazandjian, Dickran [VerfasserIn]
Kowalski, Andrew [VerfasserIn]
Landgren, Ola [VerfasserIn]

Links:

Volltext

Themen:

Antibodies, Bispecific
B-Cell Maturation Antigen
BiTE therapies
Bispecific antibodies
CAR-T
Immunotherapy
Journal Article
Multiple myeloma
Receptors, Chimeric Antigen
Research Support, N.I.H., Extramural
Review

Anmerkungen:

Date Completed 20.12.2022

Date Revised 02.12.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/10428194.2022.2113532

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM345764536