Evidence map›Paper›PMID 37471687›Full record

ReviewJournal of clinical oncology : official journal of the American Society of Clinical Oncology2023

Chimeric Antigen Receptor T-Cell and Bispecific Antibody Therapy in Multiple Myeloma: Moving Into the Future.

Sarah A Holstein, Shakira J Grant, Tanya M Wildes

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07320326 (A Multi-center, Ambispective, Non-interventional, Observational, Registry Study of the Effectiveness of Elranatamab in Patients With Triple-class Exposed Relapsed/Refractory Multiple Myeloma in Routine Clinical Practice in China), which is not on this map. Cited by 58 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 3 pooled it
16.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07320326 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

A Multi-center, Ambispective, Non-interventional, Observational, Registry Study of the Effectiveness of Elranatamab in Patients With Triple-class Exposed Relapsed/Refractory Multiple Myeloma in Routine Clinical Practice in China(ASPIRE: A Registry Study Of Chinese Patients With TCE-RRMM Treated By Elranatamab)

Typeobservational_patient_registrySponsorPeking University People's HospitalRan2025 to 2028Enrolled159ConditionsTCE-RRMMArmsElranatamab
3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 3 syntheses or guidelines pooled it, 70 citations in OpenAlex.

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  10. Biologics for cardiovascular diseases: from bench to bedside.Signal transduction and targeted therapy · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Sarah A HolsteinDivision of Oncology and Hematology, University of Nebraska Medical Center, Omaha, NE.ORCID 0000-0002-9342-5635
Shakira J GrantDivision of Hematology, The University of North Carolina at Chapel Hill, Chapel Hill, NC.ORCID 0000-0002-8481-3046
Tanya M WildesDivision of Oncology and Hematology, University of Nebraska Medical Center, Omaha, NE.ORCID 0000-0002-1479-7626
University of Nebraska Medical Center · USUniversity of North Carolina at Chapel Hill · US

Funding

UNC Oncology K12K12CA120780 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI WILLIAM Y. KIM · 2007 to 2026
$9.6M
Functional Trajectories and Illness Experiences of Older Adults with Multiple MyelomaR03AG074030 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI GRANT, SHAKIRA JEANENE · 2021 to 2022
$311k
NCI NIH HHS K12 CA120780NIA NIH HHS R03 AG074030
6 · The paper itself

Abstract

Historically, the outcomes for individuals with triple-class refractory and penta-drug refractory multiple myeloma (MM) have been poor because of a dearth of effective treatment options. However, the advent of chimeric antigen receptor (CAR) T-cell and T-cell redirecting bispecific antibody (BsAb) therapies has led to unprecedented response rates and durations of response in heavily relapsed/refractory (R/R) populations. Currently, two B-cell maturation antigen (BCMA)-directed CAR T-cell therapies (idecabtagene vicleucel and ciltacabtagene autoleucel) as well as one BCMA/CD3 BsAb (teclistamab) have been approved for late-line (greater than four previous lines) R/R MM in the United States. The purpose of this review is to analyze the recent data for these approved therapies as well as provide an overview of other related CAR T-cell and BsAb therapies under development, including non-BCMA-targeting agents. We review efficacy and safety considerations, with particular focus on cytokine release syndrome, neurotoxicity, and infection risk. The relative merits and limitations of each class of therapy are discussed, as well as the areas of unmet need with respect to optimal sequencing and supportive care measures. We examine the factors that challenge equitable access to these novel therapies across minoritized racial, ethnic, and socioeconomic populations. Although it is evident that CAR T-cell and BsAb therapies will transform treatment paradigms in MM for years to come, significant work remains to identify the optimal utilization of these novel therapies and ensure equitable access.

Indexed as

Antibodies, BispecificMultiple MyelomaReceptors, Chimeric AntigenHumansImmunotherapy, AdoptiveT-LymphocytesTreatment OutcomeAntibodies, BispecificReceptors, Chimeric Antigen

Identifiers

PMID37471687
PMCPMC10522112
OpenAlexW4384925575

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.