Bispecific Antibody Use in Patients With Lymphoma and Multiple Myeloma

Adam Braun*, Sushanth Gouni, Astrid Pulles, Paolo Strati, Monique C Minnema, Lihua E Budde

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

This article endeavors to navigate the clinical journey of bispecific antibodies (BsAbs), from elucidating common toxicities and management strategies to examining novel agents and broadening access in community health care. These drugs, commonly through T-cell activation, result in shared adverse events such as cytokine release syndrome and immune effector cell-associated neurotoxicity syndrome. Variations in target antigens and designs, however, might introduce unique toxicities for different BsAbs, warranting specific management approaches. Recent US Food and Drug Administration approvals of BsAbs targeting CD3 + T cells linked to CD20 for non-Hodgkin lymphoma and to B-cell maturation antigen or GPRC5D for multiple myeloma have transformed the treatment landscape for hematologic malignancies. Emerging new agents promise further enhancement and safety, exploring novel antigen targets, innovative structures such as trispecific antibodies, and the engagement of diverse immune cells. Simultaneously, the expansion of BsAbs into community practices is underway, demanding a multifaceted strategy that encompasses educational initiatives, operational adaptations, and collaborative frameworks. This ensures comprehensive treatment access, allowing every patient, irrespective of geographical or socioeconomic status, to benefit from these advancements in cancer therapy.

Original languageEnglish
Article numbere433516
Number of pages11
JournalAmerican Society of Clinical Oncology educational book
Volume44
Issue number3
DOIs
Publication statusPublished - Jun 2024

Keywords

  • Humans
  • Antibodies, Bispecific/therapeutic use
  • Multiple Myeloma/drug therapy
  • Lymphoma/drug therapy
  • Antineoplastic Agents, Immunological/therapeutic use

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