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.

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.

Related Concept Videos

T Cell Activation and Clonal Selection01:22

T Cell Activation and Clonal Selection

T cells are integral to our adaptive immune system, recognizing and effectively responding to foreign antigens. T cell activation and clonal selection are pivotal in orchestrating this immune response. This article elucidates these mechanisms, detailing the roles of cluster of differentiation (CD) markers, major histocompatibility complex (MHC) molecules, costimulatory signals, and the process of clonal selection.
Naive T cells that have not yet encountered an antigen express two primary CD...
596