Monoclonal Antibodies to Treat Multiple Myeloma: A Dream Come True

Immunotherapy is increasingly used in the treatment of multiple myeloma (MM). Monoclonal antibodies (mAbs) are safe and effective ways to elicit immunotherapeutic responses. In 2015, daratumumab has become the first mAb approved by the Food and Drug Administration for clinical use in MM and, in the...

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Main Authors: Mattia D’Agostino, Salvatore Innorcia, Mario Boccadoro, Sara Bringhen
Format: Article
Language:English
Published: MDPI AG 2020-11-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/21/21/8192
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author Mattia D’Agostino
Salvatore Innorcia
Mario Boccadoro
Sara Bringhen
author_facet Mattia D’Agostino
Salvatore Innorcia
Mario Boccadoro
Sara Bringhen
author_sort Mattia D’Agostino
collection DOAJ
description Immunotherapy is increasingly used in the treatment of multiple myeloma (MM). Monoclonal antibodies (mAbs) are safe and effective ways to elicit immunotherapeutic responses. In 2015, daratumumab has become the first mAb approved by the Food and Drug Administration for clinical use in MM and, in the last 5 years, a lot of clinical and preclinical research has been done to optimize the use of this drug class. Currently, mAbs have already become part of standard-of-care combinations for the treatment of relapsed/refractory MM and very soon they will also be used in the frontline setting. The success of simple mAbs (‘naked mAbs’) prompted the development of new types of molecules. Antibody–drug conjugates (ADCs) are tumor-targeting mAbs that release a cytotoxic payload into the tumor cells upon antigen binding in order to destroy them. Bispecific antibodies (BiAbs) are mAbs simultaneously targeting a tumor-associated antigen and an immune cell-associated antigen in order to redirect the immune cell cytotoxicity against the tumor cell. These different constructs produced solid preclinical data and promising clinical data in phase I/II trials. The aim of this review article is to summarize all the recent developments in the field, including data on naked mAbs, ADCs and BiAbs.
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spelling doaj.art-131196bdbf13441e9a5a4bd500ffba262023-11-20T19:27:39ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672020-11-012121819210.3390/ijms21218192Monoclonal Antibodies to Treat Multiple Myeloma: A Dream Come TrueMattia D’Agostino0Salvatore Innorcia1Mario Boccadoro2Sara Bringhen3Myeloma Unit, Division of Hematology, University of Torino, Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino, 10126 Torino, ItalyMyeloma Unit, Division of Hematology, University of Torino, Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino, 10126 Torino, ItalyMyeloma Unit, Division of Hematology, University of Torino, Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino, 10126 Torino, ItalyMyeloma Unit, Division of Hematology, University of Torino, Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino, 10126 Torino, ItalyImmunotherapy is increasingly used in the treatment of multiple myeloma (MM). Monoclonal antibodies (mAbs) are safe and effective ways to elicit immunotherapeutic responses. In 2015, daratumumab has become the first mAb approved by the Food and Drug Administration for clinical use in MM and, in the last 5 years, a lot of clinical and preclinical research has been done to optimize the use of this drug class. Currently, mAbs have already become part of standard-of-care combinations for the treatment of relapsed/refractory MM and very soon they will also be used in the frontline setting. The success of simple mAbs (‘naked mAbs’) prompted the development of new types of molecules. Antibody–drug conjugates (ADCs) are tumor-targeting mAbs that release a cytotoxic payload into the tumor cells upon antigen binding in order to destroy them. Bispecific antibodies (BiAbs) are mAbs simultaneously targeting a tumor-associated antigen and an immune cell-associated antigen in order to redirect the immune cell cytotoxicity against the tumor cell. These different constructs produced solid preclinical data and promising clinical data in phase I/II trials. The aim of this review article is to summarize all the recent developments in the field, including data on naked mAbs, ADCs and BiAbs.https://www.mdpi.com/1422-0067/21/21/8192multiple myelomaimmunotherapymonoclonal antibodiesantibody–drug conjugatesbispecific antibodies
spellingShingle Mattia D’Agostino
Salvatore Innorcia
Mario Boccadoro
Sara Bringhen
Monoclonal Antibodies to Treat Multiple Myeloma: A Dream Come True
International Journal of Molecular Sciences
multiple myeloma
immunotherapy
monoclonal antibodies
antibody–drug conjugates
bispecific antibodies
title Monoclonal Antibodies to Treat Multiple Myeloma: A Dream Come True
title_full Monoclonal Antibodies to Treat Multiple Myeloma: A Dream Come True
title_fullStr Monoclonal Antibodies to Treat Multiple Myeloma: A Dream Come True
title_full_unstemmed Monoclonal Antibodies to Treat Multiple Myeloma: A Dream Come True
title_short Monoclonal Antibodies to Treat Multiple Myeloma: A Dream Come True
title_sort monoclonal antibodies to treat multiple myeloma a dream come true
topic multiple myeloma
immunotherapy
monoclonal antibodies
antibody–drug conjugates
bispecific antibodies
url https://www.mdpi.com/1422-0067/21/21/8192
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AT salvatoreinnorcia monoclonalantibodiestotreatmultiplemyelomaadreamcometrue
AT marioboccadoro monoclonalantibodiestotreatmultiplemyelomaadreamcometrue
AT sarabringhen monoclonalantibodiestotreatmultiplemyelomaadreamcometrue