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《BCMA双特异性T细胞衔接器治疗多发性骨髓瘤中国临床专家共识(2025年版)》

[The Chinese clinical expert consensus for the BCMA bispecific T cell engager in the treatment of multiple myeloma (2025)].

出版信息

Zhonghua Xue Ye Xue Za Zhi. 2025 Mar 14;46(3):209-215. doi: 10.3760/cma.j.cn121090-20250202-00050.

DOI:10.3760/cma.j.cn121090-20250202-00050
PMID:40355350
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12038466/
Abstract

Multiple myeloma is an incurable disease. The bispecific T cell engager, one of the immune therapies targeting tumor cell surface antigens, has shown promising clinical efficacy. However, bispecific T cell engager therapy has a unique anti-myeloma mechanism and adverse effects. To further standardize the clinical application of B cell maturation antigen bispecific T cell engager, the Chinese Myeloma Committee of the Chinese Hematology Association, the Plasma Cell Disease Group, Chinese Society of Hematology, Chinese Medical Association and the Society of Hematology of Chinese Geriatrics Association organized experts to formulate the expert consensus by referring to recent domestic and international guidelines, consensus, research progress, and clinical practice, to guide clinical applications better.

摘要

多发性骨髓瘤是一种无法治愈的疾病。双特异性T细胞衔接器作为靶向肿瘤细胞表面抗原的免疫疗法之一,已显示出有前景的临床疗效。然而,双特异性T细胞衔接器疗法具有独特的抗骨髓瘤机制和不良反应。为进一步规范B细胞成熟抗原双特异性T细胞衔接器的临床应用,中华医学会血液学分会中国骨髓瘤委员会、中国医师协会血液科医师分会浆细胞疾病学组、中华医学会血液学分会老年血液学组组织专家,参考近期国内外指南、共识、研究进展及临床实践,制定本专家共识,以更好地指导临床应用。

相似文献

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[The Chinese clinical expert consensus for the BCMA bispecific T cell engager in the treatment of multiple myeloma (2025)].《BCMA双特异性T细胞衔接器治疗多发性骨髓瘤中国临床专家共识(2025年版)》
Zhonghua Xue Ye Xue Za Zhi. 2025 Mar 14;46(3):209-215. doi: 10.3760/cma.j.cn121090-20250202-00050.
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Int Immunopharmacol. 2024 Dec 25;143(Pt 2):113480. doi: 10.1016/j.intimp.2024.113480. Epub 2024 Oct 29.
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本文引用的文献

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Efficacy, safety, and pharmacokinetics of teclistamab in Chinese patients with relapsed/refractory multiple myeloma from the China cohort of MajesTEC-1.在中国MajesTEC-1队列的复发/难治性多发性骨髓瘤患者中,替西妥单抗的疗效、安全性和药代动力学。
Cancer. 2025 Jan 1;131(1):e35665. doi: 10.1002/cncr.35665. Epub 2024 Dec 11.
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[Guidelines for the diagnosis and management of multiple myeloma in China (2024 revision)].中国多发性骨髓瘤诊断与治疗指南(2024年修订版)
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Impact of COVID-19 on outcomes with teclistamab in patients with relapsed/refractory multiple myeloma in the phase 1/2 MajesTEC-1 study.在1/2期MajesTEC-1研究中,COVID-19对复发/难治性多发性骨髓瘤患者使用替西帕单抗治疗结局的影响。
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FDA Approval Summary: Teclistamab-A Bispecific CD3 T-Cell Engager for Patients with Relapsed or Refractory Multiple Myeloma.美国食品药品监督管理局批准摘要:替西妥单抗——一种用于复发或难治性多发性骨髓瘤患者的双特异性CD3 T细胞衔接器。
Clin Cancer Res. 2024 Dec 16;30(24):5515-5520. doi: 10.1158/1078-0432.CCR-24-1872.
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Long-term survival and safety of elranatamab in patients with relapsed or refractory multiple myeloma: Update from the MagnetisMM-3 study.埃拉纳单抗治疗复发或难治性多发性骨髓瘤患者的长期生存及安全性:来自MagnetisMM-3研究的更新
Hemasphere. 2024 Jul 24;8(7):e136. doi: 10.1002/hem3.136. eCollection 2024 Jul.
6
International Myeloma Working Group immunotherapy committee consensus guidelines and recommendations for optimal use of T-cell-engaging bispecific antibodies in multiple myeloma.国际骨髓瘤工作组免疫治疗委员会关于在多发性骨髓瘤中优化使用T细胞衔接双特异性抗体的共识指南和建议。
Lancet Oncol. 2024 May;25(5):e205-e216. doi: 10.1016/S1470-2045(24)00043-3.
7
Characteristics and incidence of infections in patients with multiple myeloma treated by bispecific antibodies: a national retrospective study.双特异性抗体治疗多发性骨髓瘤患者的感染特征和发生率:一项全国性回顾性研究。
Clin Microbiol Infect. 2024 Jun;30(6):764-771. doi: 10.1016/j.cmi.2024.02.023. Epub 2024 Mar 1.
8
Teclistamab impairs humoral immunity in patients with heavily pretreated myeloma: importance of immunoglobulin supplementation.特卡昔单抗可损害经大量预处理的骨髓瘤患者的体液免疫:免疫球蛋白补充的重要性。
Blood Adv. 2024 Jan 9;8(1):194-206. doi: 10.1182/bloodadvances.2023011658.
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Elranatamab in relapsed or refractory multiple myeloma: the MagnetisMM-1 phase 1 trial.埃尔拉纳他单抗治疗复发/难治性多发性骨髓瘤:MagnetisMM-1 期临床试验。
Nat Med. 2023 Oct;29(10):2570-2576. doi: 10.1038/s41591-023-02589-w. Epub 2023 Oct 2.
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Increased risk of infection reporting with anti-BCMA bispecific monoclonal antibodies in multiple myeloma: A worldwide pharmacovigilance study.多发性骨髓瘤中抗B细胞成熟抗原双特异性单克隆抗体感染报告风险增加:一项全球药物警戒研究。
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