Evidence map›Paper›PMID 40534130›Full record

ArticleMolecular therapy : the journal of the American Society of Gene Therapy2025

Effective use of BCMA-targeting bispecific T cell-engaging antibody in treatment-refractory LRP4

Stefanie Schreiber, Marwa Al-Dubai, Stefan Vielhaber, Lora Lefterova, Sascha Dietrich, Tobias Ruck, Sven Meuth, Denise Walther, Dimitrios Mougiakakos

Registry-linked trialAbstract readCase Reports
In one paragraph

Article in Molecular therapy : the journal of the American Society of Gene Therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07689578 (Safety and Efficacy of the Bispecific T-Cell Engager), which is not on this map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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.

NCT07689578 phase4recruitingnot on this mapstarted 2026, after this paper: background citation

Safety and Efficacy of the Bispecific T-Cell Engager (BiTE) in Kidney Transplant Recipients With Chronic Active Antibody-Mediated Rejection

TypeinterventionalSponsorTurun SongRan2026 to 2029Enrolled50ConditionsAntibody Mediated Rejection After Kidney TransplantationArmsBiTE (BCMA x CD3 Bispecific Antibody)
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Review
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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

9 authors.

Stefanie SchreiberDepartment of Neurology, Otto-von-Guericke University Magdeburg, 39120 Magdeburg, Germany. Electronic address: stefanie.schreiber@med.ovgu.de.
Marwa Al-DubaiDepartment of Neurology, Otto-von-Guericke University Magdeburg, 39120 Magdeburg, Germany.
Stefan VielhaberDepartment of Neurology, Otto-von-Guericke University Magdeburg, 39120 Magdeburg, Germany.
Lora LefterovaDepartment of Neurology, Otto-von-Guericke University Magdeburg, 39120 Magdeburg, Germany.
Sascha DietrichDepartment of Hematology and Oncology, University Hospital Düsseldorf and Center for Integrated Oncology Aachen Bonn Cologne, 40225 Düsseldorf, Germany.
Tobias RuckDepartment of Neurology, University Hospital and Medical Faculty Düsseldorf, Heinrich Heine University Duesseldorf, 40225 Duesseldorf, Germany.
Sven MeuthDepartment of Neurology, University Hospital and Medical Faculty Düsseldorf, Heinrich Heine University Duesseldorf, 40225 Duesseldorf, Germany.
Denise WaltherDepartment of Hematology, Oncology, and Cell Therapy, Otto-von-Guericke University Magdeburg, 39120 Magdeburg, Germany.
Dimitrios MougiakakosDepartment of Hematology, Oncology, and Cell Therapy, Otto-von-Guericke University Magdeburg, 39120 Magdeburg, Germany. Electronic address: dimitrios.mougiakakos@med.ovgu.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Myasthenia gravis (MG) is an antibody-mediated autoimmune disease affecting the neuromuscular junction. Refractory MG, particularly in cases associated with rare anti-low-density lipoprotein receptor-related protein 4 (LRP4) antibodies, presents significant treatment challenges. Teclistamab, a bispecific antibody targeting B cell maturation antigen (BCMA) and CD3, redirects T cells against plasma cells and is approved for multiple myeloma treatment. Increasing interest surrounds the use of T cell-based therapies in B cell-mediated autoimmune diseases, particularly chimeric antigen receptor (CAR)-T cells, which have demonstrated efficacy in achieving deep B cell depletion and durable remissions. Additionally, emerging data support the use of T cell engagers (TCEs) as an alternative strategy for targeting autoreactive B cells. We report the case of a 47-year-old woman with severe, refractory, LRP4

Indexed as

Antibodies, BispecificB-Cell Maturation AntigenLDL-Receptor Related ProteinsMyasthenia GravisT-LymphocytesFemaleHumansMiddle AgedTreatment OutcomeAntibodies, BispecificB-Cell Maturation AntigenLDL-Receptor Related ProteinsLRP4 protein, humanautoimmune disorderB cell depletionBCMAimmune resetimmunotherapymyasthenia gravisplasma cellsT cell engager

Identifiers

PMID40534130
PMCPMC12432888

What OpenQuestion holds

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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.