CD38-Targeted Molecular Imaging Probes for Multiple Myeloma: Advances, Challenges, and Opportunities
Meng Zheng1,2,3, Kaijie Zhang1,4, Huiwen Mu1,2
1Department of Clinical Pharmacology, The First Affiliated Hospital of Soochow University, NO.899 Pinghai Road, Suzhou 215006, China.
Molecular Pharmaceutics
|January 26, 2026
Summary
Molecular imaging targeting CD38 shows promise for multiple myeloma (MM) diagnosis and treatment. This approach allows for noninvasive monitoring of CD38 expression, aiding personalized patient management strategies.
Area of Science:
- Oncology
- Radiochemistry
- Molecular Imaging
Background:
- Multiple myeloma (MM) is a common hematologic malignancy often diagnosed late due to subtle early symptoms.
- CD38 is a key biomarker on malignant plasma cells, with its expression correlating negatively with patient outcomes.
- Accurate and dynamic measurement of CD38 is crucial for precise MM diagnosis and tailored treatment.
Purpose of the Study:
- To review recent advancements in CD38-targeted molecular imaging probes for multiple myeloma.
- To highlight the potential of these probes in improving MM characterization and therapeutic monitoring.
- To discuss the role of these agents in personalized management strategies for MM patients.
Main Methods:
- Development of various CD38-targeted imaging agents, including antibodies, antibody fragments, nanobodies, and peptides.
- Utilizing radionuclide-based molecular imaging for noninvasive in vivo assessment of CD38 expression.
- Summarizing preclinical evaluations and early-phase clinical trials of these novel probes.
Main Results:
- CD38-targeted imaging enables repeated, in vivo assessments of CD38 expression.
- This allows for monitoring of molecular heterogeneity and temporal changes during MM progression or treatment.
- Several CD38-targeted probes are progressing through preclinical and early clinical development.
Conclusions:
- CD38-targeted molecular imaging offers a powerful tool for the noninvasive evaluation and management of multiple myeloma.
- These imaging agents have the potential to significantly enhance disease characterization and guide personalized treatment decisions.
- Further development and clinical application of these probes are expected to improve outcomes for MM patients.
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