Bispecific Antibodies: A New Era of Treatment for Multiple Myeloma

Despite the introduction of novel agents such as proteasome inhibitors, immunomodulatory drugs, and autologous stem cell transplant, multiple myeloma (MM) largely remains an incurable disease. In recent years, monoclonal antibody-based treatment strategies have been developed to target specific surf...

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Main Authors: Xiang Zhou, Hermann Einsele, Sophia Danhof
Format: Article
Language:English
Published: MDPI AG 2020-07-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/9/7/2166
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author Xiang Zhou
Hermann Einsele
Sophia Danhof
author_facet Xiang Zhou
Hermann Einsele
Sophia Danhof
author_sort Xiang Zhou
collection DOAJ
description Despite the introduction of novel agents such as proteasome inhibitors, immunomodulatory drugs, and autologous stem cell transplant, multiple myeloma (MM) largely remains an incurable disease. In recent years, monoclonal antibody-based treatment strategies have been developed to target specific surface antigens on MM cells. Treatment with bispecific antibodies (bsAbs) is an immunotherapeutic strategy that leads to an enhanced interaction between MM cells and immune effector cells, e.g., T-cells and natural killer cells. With the immune synapse built by bsAbs, the elimination of MM cells can be facilitated. To date, bsAbs have demonstrated encouraging results in preclinical studies, and clinical trials evaluating bsAbs in patients with MM are ongoing. Early clinical data show the promising efficacy of bsAbs in relapsed/refractory MM. Together with chimeric antigen receptor-modified (CAR)-T-cells, bsAbs represent a new dimension of precision medicine. In this review, we provide an overview of rationale, current clinical development, resistance mechanisms, and future directions of bsAbs in MM.
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spelling doaj.art-09fde1c7ec2b4cfdbc3272f727d343082023-11-20T06:15:09ZengMDPI AGJournal of Clinical Medicine2077-03832020-07-0197216610.3390/jcm9072166Bispecific Antibodies: A New Era of Treatment for Multiple MyelomaXiang Zhou0Hermann Einsele1Sophia Danhof2Department of internal medicine II, University Hospital Würzburg, Oberdürrbacher Street 6, D-97080 Würzburg, GermanyDepartment of internal medicine II, University Hospital Würzburg, Oberdürrbacher Street 6, D-97080 Würzburg, GermanyDepartment of internal medicine II, University Hospital Würzburg, Oberdürrbacher Street 6, D-97080 Würzburg, GermanyDespite the introduction of novel agents such as proteasome inhibitors, immunomodulatory drugs, and autologous stem cell transplant, multiple myeloma (MM) largely remains an incurable disease. In recent years, monoclonal antibody-based treatment strategies have been developed to target specific surface antigens on MM cells. Treatment with bispecific antibodies (bsAbs) is an immunotherapeutic strategy that leads to an enhanced interaction between MM cells and immune effector cells, e.g., T-cells and natural killer cells. With the immune synapse built by bsAbs, the elimination of MM cells can be facilitated. To date, bsAbs have demonstrated encouraging results in preclinical studies, and clinical trials evaluating bsAbs in patients with MM are ongoing. Early clinical data show the promising efficacy of bsAbs in relapsed/refractory MM. Together with chimeric antigen receptor-modified (CAR)-T-cells, bsAbs represent a new dimension of precision medicine. In this review, we provide an overview of rationale, current clinical development, resistance mechanisms, and future directions of bsAbs in MM.https://www.mdpi.com/2077-0383/9/7/2166bispecific antibodymultiple myelomarelapserefractoryimmunotherapy
spellingShingle Xiang Zhou
Hermann Einsele
Sophia Danhof
Bispecific Antibodies: A New Era of Treatment for Multiple Myeloma
Journal of Clinical Medicine
bispecific antibody
multiple myeloma
relapse
refractory
immunotherapy
title Bispecific Antibodies: A New Era of Treatment for Multiple Myeloma
title_full Bispecific Antibodies: A New Era of Treatment for Multiple Myeloma
title_fullStr Bispecific Antibodies: A New Era of Treatment for Multiple Myeloma
title_full_unstemmed Bispecific Antibodies: A New Era of Treatment for Multiple Myeloma
title_short Bispecific Antibodies: A New Era of Treatment for Multiple Myeloma
title_sort bispecific antibodies a new era of treatment for multiple myeloma
topic bispecific antibody
multiple myeloma
relapse
refractory
immunotherapy
url https://www.mdpi.com/2077-0383/9/7/2166
work_keys_str_mv AT xiangzhou bispecificantibodiesaneweraoftreatmentformultiplemyeloma
AT hermanneinsele bispecificantibodiesaneweraoftreatmentformultiplemyeloma
AT sophiadanhof bispecificantibodiesaneweraoftreatmentformultiplemyeloma