BCMA 或 GPRC5D 靶向的双特异性抗体在多发性骨髓瘤中的疗效、安全性和耐药机制。

BCMA- or GPRC5D-targeting bispecific antibodies in multiple myeloma: efficacy, safety, and resistance mechanisms.

机构信息

Department of Medicine, Divisions of Hematology and Oncology, Arnie Charbonneau Cancer Institute, University of Calgary, Calgary, Alberta, Canada.

出版信息

Blood. 2024 Mar 28;143(13):1211-1217. doi: 10.1182/blood.2023022499.

Abstract

Bispecific antibodies that engage T cells to target B-cell maturation antigen or G-protein-coupled receptor class C group 5 member D have demonstrated remarkable efficacy in heavily pretreated relapsed or refractory multiple myeloma (MM), leading to the recent accelerated approval of teclistamab, elranatamab, and talquetamab by health agencies. Future challenges, however, remain to define their optimal dosing schedule and duration, sequencing, and integration with established anti-MM therapeutics as well as delineating the biological and clinical mediators of immune escape.

摘要

双特异性抗体可将 T 细胞与 B 细胞成熟抗原或 G 蛋白偶联受体 C 族 5 成员 D 结合,在经过大量预处理的复发或难治性多发性骨髓瘤(MM)中显示出显著疗效,这导致了卫生机构最近加速批准了 teclistamab、elranatamab 和 talquetamab。然而,未来仍存在挑战,需要确定其最佳剂量方案和持续时间、序贯治疗以及与既定的抗 MM 治疗药物的整合,以及描绘免疫逃逸的生物学和临床介导因素。

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