BCMAxCD3 Bispecific Yields Robust Responses in Myeloma

    Cancer Discovery
    |April 19, 2023
    PubMed

    Insights

    Investigational drug REGN5459 shows promise for relapsed/refractory multiple myeloma patients. However, the bispecific T-cell engager still carries a risk of cytokine release syndrome despite its design.

    Area of Science:

    • Oncology
    • Immunotherapy
    • Clinical Trials

    Background:

    • Multiple myeloma is a hematologic malignancy.
    • Relapsed/refractory disease presents treatment challenges.
    • Bispecific T-cell engagers targeting BCMA are a novel therapeutic approach.

    Purpose of the Study:

    • To evaluate the safety and efficacy of REGN5459 in patients with relapsed/refractory multiple myeloma.
    • To assess the relationship between drug affinity and toxicity.

    Main Methods:

    • Phase I/II clinical trial.
    • REGN5459, a BCMA-targeting bispecific T-cell engager, administered to patients.
    • Monitoring for efficacy and adverse events, including cytokine release syndrome.

    Main Results:

    • Emerging data show positive patient responses to REGN5459.
    • Cytokine release syndrome was observed as a common toxicity.
    • Low affinity for CD3 on T cells did not prevent this toxicity.

    Conclusions:

    • REGN5459 demonstrates potential as a treatment for relapsed/refractory multiple myeloma.
    • The drug's design did not eliminate the risk of cytokine release syndrome.
    • Further investigation is warranted to optimize safety and efficacy.