Evidence map›Paper›PMID 41714747›Full record

ArticleNature medicine2026

Bispecific T cell engagers for treatment-refractory autoimmune connective tissue diseases.

Christina Düsing, Andrea-Hermina Györfi, Ayla Nadja Stütz, Laura-Marie Lahu, Franca Sophie Deicher, Yi-Nan Li, Peter-Martin Bruch, Alexandru-Emil Matei, Alexandru Micu, Tim Filla and 21 more

Abstract read
In one paragraph

Article in Nature medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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

14 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
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  5. Article
  6. Review
  7. New treatments in myositis on the horizon.EULAR rheumatology open · 2026
    Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Potential new targets for rheumatic diseases.EULAR rheumatology open · 2026
    Review
  14. 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

31 authors.

Christina Düsing *Department of Rheumatology, University Hospital Düsseldorf, Medical Faculty of Heinrich-Heine University, Düsseldorf, Germany.
Andrea-Hermina Györfi *Department of Rheumatology, University Hospital Düsseldorf, Medical Faculty of Heinrich-Heine University, Düsseldorf, Germany.
Ayla Nadja Stütz *Department of Rheumatology, University Hospital Düsseldorf, Medical Faculty of Heinrich-Heine University, Düsseldorf, Germany.ORCID http://orcid.org/0009-0004-9123-4044
Laura-Marie LahuDepartment of Rheumatology, University Hospital Düsseldorf, Medical Faculty of Heinrich-Heine University, Düsseldorf, Germany.
Franca Sophie DeicherDepartment of Rheumatology, University Hospital Düsseldorf, Medical Faculty of Heinrich-Heine University, Düsseldorf, Germany.
Yi-Nan LiDepartment of Rheumatology, University Hospital Düsseldorf, Medical Faculty of Heinrich-Heine University, Düsseldorf, Germany.ORCID http://orcid.org/0000-0001-8934-9361
Peter-Martin BruchSpatial & Functional Screening Core Facility, Medical Faculty, Heinrich Heine University, Düsseldorf, Germany.ORCID http://orcid.org/0000-0002-9992-3109
Alexandru-Emil MateiDepartment of Rheumatology, University Hospital Düsseldorf, Medical Faculty of Heinrich-Heine University, Düsseldorf, Germany.ORCID http://orcid.org/0000-0003-1248-3145
Alexandru MicuDepartment of Rheumatology, University Hospital Düsseldorf, Medical Faculty of Heinrich-Heine University, Düsseldorf, Germany.
Tim FillaDepartment of Rheumatology, University Hospital Düsseldorf, Medical Faculty of Heinrich-Heine University, Düsseldorf, Germany.
Sarah KozielSpatial & Functional Screening Core Facility, Medical Faculty, Heinrich Heine University, Düsseldorf, Germany.ORCID http://orcid.org/0009-0003-8002-5127
Alexander Sebastian HölscherSpatial & Functional Screening Core Facility, Medical Faculty, Heinrich Heine University, Düsseldorf, Germany.
Manuel RöhrichDepartment of Nuclear Medicine, Universitätsmedizin Mainz, Mainz, Germany.ORCID http://orcid.org/0000-0001-7609-243X
Hanns-Martin LorenzDivision of Rheumatology, Department of Hematology, Oncology and Rheumatology, Internal Medicine V, University Hospital Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0001-8197-8681
Mareike CramerDepartment of Cardiology, Pneumology, and Angiology, University Hospital Düsseldorf, Medical Faculty of Heinrich-Heine University, Düsseldorf, Germany.
Gerald AntochDepartment of Diagnostic and Interventional Radiology, Medical Faculty, Heinrich-Heine University Düsseldorf, Düsseldorf, Germany.
Jörg TimmInstitute of Virology, University Hospital Düsseldorf, Medical Faculty of Heinrich-Heine University, Düsseldorf, Germany.ORCID http://orcid.org/0000-0001-7799-3045
Yousef AbusabhaDepartment of Neurosurgery, Medical Faculty, Heinrich-Heine University Düsseldorf, Düsseldorf, Germany.
Tobias RuckBG University Hospital Bergmannsheil, Heimer Institute for Muscle Research, Bochum, Germany.
Bernhard HomeyDepartment of Dermatology, University Hospital Düsseldorf, Medical Faculty of Heinrich-Heine University, Düsseldorf, Germany.
Alexander KreuterDepartment of Dermatology, Venereology and Allergology, HELIOS St. Elisabeth Clinic Oberhausen, University Witten-Herdecke, Oberhausen, Germany.
Björn BuehringDepartment of Rheumatology, University Hospital Düsseldorf, Medical Faculty of Heinrich-Heine University, Düsseldorf, Germany.
Aleksandar RadujkovicSpatial & Functional Screening Core Facility, Medical Faculty, Heinrich Heine University, Düsseldorf, Germany.
Claus Peter HeußelDepartment of Diagnostic and Interventional Radiology, University Hospital Heidelberg, Heidelberg, Germany.
Melanie HagenDepartment of Internal Medicine 3, Rheumatology and Clinical Immunology, Friedrich-Alexander University (FAU) Erlangen-Nürnberg and Universitätsklinikum Erlangen, Erlangen, Germany.
Ricardo Grieshaber-BouyerDepartment of Internal Medicine 3, Rheumatology and Clinical Immunology, Friedrich-Alexander University (FAU) Erlangen-Nürnberg and Universitätsklinikum Erlangen, Erlangen, Germany.ORCID http://orcid.org/0000-0002-2873-5135
Georg SchettDepartment of Internal Medicine 3, Rheumatology and Clinical Immunology, Friedrich-Alexander University (FAU) Erlangen-Nürnberg and Universitätsklinikum Erlangen, Erlangen, Germany.ORCID http://orcid.org/0000-0001-8740-9615
Anna BrunnInstitute of Neuropathology, Medical Faculty, Heinrich-Heine University and University Hospital Düsseldorf, Düsseldorf, Germany.
Sascha DietrichSpatial & Functional Screening Core Facility, Medical Faculty, Heinrich Heine University, Düsseldorf, Germany.ORCID http://orcid.org/0000-0002-0648-1832
Wolfgang Merkt *Department of Rheumatology, University Hospital Düsseldorf, Medical Faculty of Heinrich-Heine University, Düsseldorf, Germany.ORCID http://orcid.org/0000-0002-3108-154X
Jörg H W Distler *Department of Rheumatology, University Hospital Düsseldorf, Medical Faculty of Heinrich-Heine University, Düsseldorf, Germany. joerg.distler@med.uni-duesseldorf.de.ORCID http://orcid.org/0000-0001-7408-9333

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Autoimmune-mediated connective tissue diseases such as antisynthetase syndrome (ASyS) and systemic sclerosis (SSc) have a high unmet medical need. Here we report on treatment under compassionate use with the CD19×CD3 T cell engager (TCE) blinatumomab and the BCMA×CD3 TCE teclistamab in five patients with treatment-refractory ASyS and in five patients with treatment-refractory SSc, respectively. Induction therapy with blinatumomab or teclistamab reduced target cells in affected muscle and skin, respectively, and decreased autoantibody titers. Blinatumomab induced rapid clinical, serological and histological improvement of myositis and stabilization of interstitial lung disease (ILD) in patients with ASyS. Teclistamab improved skin fibrosis, stabilized ILD and resolved tendon friction rubs in patients with SSc. Inhibition of B cell redifferentiation by maintenance therapy with rituximab (RTX) enabled prolonged disease control, even for patients previously unresponsive to RTX. Treatment was associated with adverse events including cytokine release syndrome (CRS) up to grade 3, in two patients with ASyS and in all patients with SSc. No immune effector cell-associated neurotoxicity syndrome (ICANS) occurred. Respiratory infections treated with antibiotics occurred in six patients. Blinatumomab and teclistamab may offer potential as rescue therapies for patients with treatment-refractory ASyS and SSc.

Indexed as

Antibodies, BispecificAutoimmune DiseasesConnective Tissue DiseasesMyositisScleroderma, SystemicT-LymphocytesAdultAgedAntigens, CD19AutoantibodiesB-LymphocytesCD3 ComplexFemaleHumansLung Diseases, InterstitialMaleAntibodies, BispecificAntigens, CD19AutoantibodiesblinatumomabCD3 ComplexRituximab

Identifiers

PMID41714747
PMCPMC13099420

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