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Updated: May 17, 2025

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Published on: May 1, 2015
T-Cell Engagers In Multiple Myeloma: A Clinical Review
Ahmad Al-Jarrad1, Samhar Samer Alouch1, Yogesh Chawla1
1Division of Hematology, Mayo Clinic, Rochester, MN, USA.
Abstract:
T-cell engagers (TCEs) are engineered to bind both the CD3 subunit on T-cells and specific antigens on tumor cells, triggering T-cell activation and tumor cell lysis. TCEs targeting B-cell maturation antigen (BCMA) and G-protein-coupled receptor, class C, group 5, member D (GPRC5D) have demonstrated significant clinical activity in heavily pretreated patients with relapsed/refractory multiple myeloma (RRMM). As a monotherapy, TCEs have had overall response rates (ORRs) of over 60%, with deep and durable hematological responses. Common toxicities include cytokine release syndrome (CRS), infections, and on-target off-tumor effects. Ongoing research looks to enhance the efficacy and tolerability of TCEs for the next generation of products to play an even bigger role in treating patients with MM.
Insights
T-cell engagers targeting BCMA and GPRC5D show high response rates in relapsed/refractory multiple myeloma. Further research aims to improve efficacy and reduce side effects for next-generation therapies.
Area of Science:
- Oncology
- Immunology
- Biotechnology
Background:
- T-cell engagers (TCEs) leverage T-cell activity against cancer.
- BCMA- and GPRC5D-targeted TCEs show promise in multiple myeloma.
Purpose of the Study:
- To review the clinical activity and toxicities of BCMA- and GPRC5D-targeted TCEs.
- To discuss the future directions for TCE development in multiple myeloma.
Main Methods:
- Review of clinical trial data for TCEs targeting BCMA and GPRC5D.
- Analysis of response rates, durability, and safety profiles.
Main Results:
- TCE monotherapy achieved over 60% overall response rates in relapsed/refractory multiple myeloma.
- Deep and durable hematological responses were observed.
- Common toxicities included cytokine release syndrome and infections.
Conclusions:
- BCMA- and GPRC5D-targeted TCEs are effective in heavily pretreated multiple myeloma patients.
- Ongoing research focuses on enhancing efficacy and tolerability for future TCE generations.
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