BCMA-targeted immunotherapy for multiple myeloma

J Hematol Oncol. 2020 Sep 17;13(1):125. doi: 10.1186/s13045-020-00962-7.

Abstract

B cell maturation antigen (BCMA) is a novel treatment target for multiple myeloma (MM) due to its highly selective expression in malignant plasma cells (PCs). Multiple BCMA-targeted therapeutics, including antibody-drug conjugates (ADC), chimeric antigen receptor (CAR)-T cells, and bispecific T cell engagers (BiTE), have achieved remarkable clinical response in patients with relapsed and refractory MM. Belantamab mafodotin-blmf (GSK2857916), a BCMA-targeted ADC, has just been approved for highly refractory MM. In this article, we summarized the molecular and physiological properties of BCMA as well as BCMA-targeted immunotherapeutic agents in different stages of clinical development.

Keywords: Antibody-drug conjugate; B cell maturation antigen; BCMA; Belantamab mafodotin; Bispecific T cell engager; CAR-T.

Publication types

  • Review

MeSH terms

  • Antibodies, Bispecific / therapeutic use
  • Antibodies, Monoclonal, Humanized / therapeutic use
  • Antineoplastic Agents / therapeutic use
  • B-Cell Maturation Antigen / antagonists & inhibitors*
  • B-Cell Maturation Antigen / genetics
  • B-Cell Maturation Antigen / immunology
  • B-Cell Maturation Antigen / physiology
  • B-Lymphocytes / immunology
  • B-Lymphocytes / metabolism
  • B-Lymphocytes / pathology
  • Clinical Trials as Topic
  • Humans
  • Immunoconjugates / therapeutic use
  • Immunotherapy*
  • Immunotherapy, Adoptive
  • Molecular Targeted Therapy*
  • Multicenter Studies as Topic
  • Multiple Myeloma / immunology
  • Multiple Myeloma / therapy*
  • Neoplasm Proteins / antagonists & inhibitors*
  • Neoplasm Proteins / genetics
  • Neoplasm Proteins / immunology
  • Neoplasm Proteins / physiology
  • Plasma Cells / drug effects
  • Plasma Cells / metabolism
  • Protein Isoforms / antagonists & inhibitors
  • Protein Isoforms / immunology
  • Randomized Controlled Trials as Topic

Substances

  • Antibodies, Bispecific
  • Antibodies, Monoclonal, Humanized
  • Antineoplastic Agents
  • B-Cell Maturation Antigen
  • Immunoconjugates
  • Neoplasm Proteins
  • Protein Isoforms
  • TNFRSF17 protein, human
  • belantamab mafodotin