Evidence map›Paper›PMID 39441177›Full record

ArticleBlood cancer discovery2025

Bispecific Antibodies as Bridging to BCMA CAR-T Cell Therapy for Relapsed/Refractory Multiple Myeloma.

David Fandrei, Sabine Seiffert, Michael Rade, Susanne Rieprecht, Nico Gagelmann, Patrick Born, Thomas Wiemers, Heike Weidner, Markus Kreuz, Tamara Schassberger and 20 more

Abstract read
In one paragraph

Article in Blood cancer discovery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. T-Cell Engagers TargetingInternational journal of molecular sciences · 2026
    Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Balancing Efficacy and Safety in Multiple Myeloma Patients Receiving B cell Maturation Antigen-Directed CAR T-Cell Therapy.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. 2025 Update of Cellular Immunotherapy for Plasma Cell Disorders.Turkish journal of haematology : official journal of Turkish Society of Haematology · 2026
    Review
  19. Article
  20. Review
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

30 authors.

David Fandrei *Department of Hematology, Hemostaseology and Cellular Therapy, University Hospital Leipzig, Leipzig, Germany.ORCID 0009-0006-4014-6030
Sabine Seiffert *Department of Clinical Immunology, University Hospital Leipzig, Leipzig, Germany.ORCID 0000-0002-6850-4796
Michael RadeFraunhofer Institute for Cell Therapy and Immunology IZI, Leipzig, Germany.ORCID 0000-0001-6247-9289
Susanne RieprechtPharmacy, University Hospital Leipzig, Leipzig, Germany.ORCID 0009-0009-2648-7316
Nico GagelmannDepartment of Bone Marrow Transplantation, University Hospital Hamburg-Eppendorf UKE, Hamburg, Germany.ORCID 0000-0002-0891-1744
Patrick BornDepartment of Hematology, Hemostaseology and Cellular Therapy, University Hospital Leipzig, Leipzig, Germany.ORCID 0009-0002-8463-5179
Thomas WiemersDepartment of Hematology, Hemostaseology and Cellular Therapy, University Hospital Leipzig, Leipzig, Germany.ORCID 0009-0000-2053-3857
Heike WeidnerBone Lab Dresden, Universitätsklinikum Carl Gustav Carus, TU Dresden, Dresden, Germany.ORCID 0009-0001-6045-3349
Markus KreuzFraunhofer Institute for Cell Therapy and Immunology IZI, Leipzig, Germany.ORCID 0000-0002-0520-8391
Tamara SchassbergerDepartment of Clinical Immunology, University Hospital Leipzig, Leipzig, Germany.ORCID 0009-0004-7915-640X
Jannik KoßmannDepartment of Clinical Immunology, University Hospital Leipzig, Leipzig, Germany.ORCID 0009-0005-3431-5611
Marlene MangoldDepartment of Clinical Immunology, University Hospital Leipzig, Leipzig, Germany.ORCID 0009-0000-4301-5059
Daniel FürstInstitute of Clinical Transfusion Medicine and Immunogenetics Ulm, German Red Cross Blood Transfusion Service, Baden Wuerttemberg-Hessen, Ulm, University Hospital Ulm, Ulm, Germany.ORCID 0000-0001-9542-3169
Luise FischerDepartment of Hematology, Hemostaseology and Cellular Therapy, University Hospital Leipzig, Leipzig, Germany.ORCID 0009-0006-3619-2958
Ronny BaberInstitute of Laboratory Medicine, Clinical Chemistry, and Molecular Diagnostics, University Hospital Leipzig, Leipzig, Germany.ORCID 0009-0004-2539-7849
Simone HeynDepartment of Hematology, Hemostaseology and Cellular Therapy, University Hospital Leipzig, Leipzig, Germany.ORCID 0009-0000-8884-3210
Song Yau WangDepartment of Hematology, Hemostaseology and Cellular Therapy, University Hospital Leipzig, Leipzig, Germany.ORCID 0000-0001-5433-8750
Enrica BachDepartment of Hematology, Hemostaseology and Cellular Therapy, University Hospital Leipzig, Leipzig, Germany.ORCID 0000-0002-0919-7730
Sandra HoffmannDepartment of Hematology, Hemostaseology and Cellular Therapy, University Hospital Leipzig, Leipzig, Germany.ORCID 0009-0002-4261-2104
Klaus H MetzelerDepartment of Hematology, Hemostaseology and Cellular Therapy, University Hospital Leipzig, Leipzig, Germany.ORCID 0000-0003-3920-7490
Marco HerlingDepartment of Hematology, Hemostaseology and Cellular Therapy, University Hospital Leipzig, Leipzig, Germany.ORCID 0000-0001-7473-7476
Madlen JentzschDepartment of Hematology, Hemostaseology and Cellular Therapy, University Hospital Leipzig, Leipzig, Germany.ORCID 0000-0002-2270-0804
Georg-Nikolaus FrankeDepartment of Hematology, Hemostaseology and Cellular Therapy, University Hospital Leipzig, Leipzig, Germany.ORCID 0000-0001-8239-002X
Ulrike KöhlFraunhofer Institute for Cell Therapy and Immunology IZI, Leipzig, Germany.ORCID 0000-0002-8159-9160
Maik FriedrichDepartment of Clinical Immunology, University Hospital Leipzig, Leipzig, Germany.ORCID 0000-0002-7221-4222
Andreas BoldtDepartment of Clinical Immunology, University Hospital Leipzig, Leipzig, Germany.ORCID 0009-0009-5682-044X
Kristin ReicheFraunhofer Institute for Cell Therapy and Immunology IZI, Leipzig, Germany.ORCID 0000-0002-4452-4872
Uwe PlatzbeckerDepartment of Hematology, Hemostaseology and Cellular Therapy, University Hospital Leipzig, Leipzig, Germany.ORCID 0000-0003-1863-3239
Vladan VucinicDepartment of Hematology, Hemostaseology and Cellular Therapy, University Hospital Leipzig, Leipzig, Germany.ORCID 0000-0002-8398-285X
Maximilian MerzDepartment of Hematology, Hemostaseology and Cellular Therapy, University Hospital Leipzig, Leipzig, Germany.ORCID 0000-0002-2805-5973

Funding

Bundesministerium für Bildung und Forschung (BMBF) 03ZU111MBDeutsche Forschungsgemeinschaft (DFG) SPPy boneDeutscher Akademischer Austauschdienst (DAAD) 57616814European Commission (EC) 101136379International Myeloma Society (IMS)
6 · The paper itself

Abstract

Establishing a strategy for sequencing of T cell-redirecting therapies for relapsed/refractory multiple myeloma (RRMM) is a pressing clinical need. We longitudinally tracked the clinical and immunologic impact of bispecific T cell-engaging antibodies (BsAb) as bridging therapy (BT) to subsequent B-cell maturation antigen-directed chimeric antigen receptor T (CAR-T) cell therapies in 52 patients with RRMM. BsAbs were a potent and safe option for BT, achieving the highest overall response rate (100%) to BT compared with chemotherapy, anti-CD38, or anti-SLAMF7 antibody-based regimens (46%). We observed early CD4+CAR+ and delayed CD8+CAR+ T-cell expansion in patients receiving BsAbs as BT. In vitro cytotoxicity of CAR-T cells was comparable among BT options. Single-cell analyses revealed increased clonality in the CD4+ and CD8+ T-cell compartments in patients with previous exposure to BsAbs at leukapheresis and on day 30 after CAR-T cell infusion. This study demonstrates the feasibility and efficacy of BT with BsAbs for CAR-T cell therapy in RRMM. Significance: CAR-T cell therapy and BsAbs have revolutionized treatment of triple-class refractory multiple myeloma; however, optimal sequencing is unknown. We demonstrate that BT with BsAb before B-cell maturation antigen-directed CAR-T cell therapy is safe and effective, which might have implications for other hematologic malignancies as well. See related commentary by Bal and Costa, p. 10.

Indexed as

Antibodies, BispecificB-Cell Maturation AntigenImmunotherapy, AdoptiveMultiple MyelomaAdultAgedFemaleHumansMaleMiddle AgedNeoplasm Recurrence, LocalReceptors, Chimeric AntigenT-LymphocytesAntibodies, BispecificB-Cell Maturation AntigenReceptors, Chimeric Antigen

Identifiers

PMID39441177
PMCPMC11707513

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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.