[Bispecific antibodies targeting CD3 in oncology and hematology]

Bull Cancer. 2021 Oct;108(10S):S181-S194. doi: 10.1016/j.bulcan.2021.06.003.
[Article in French]

Abstract

Bispecific therapies targeting CD3, so-called T-cell engagers (TCE), belong to the new spectrum of anti-tumor immunotherapies stimulating T-lymphocytes. TCE are unique constructs targeting the MHC-independent CD3 epsilon subunit (CD3e) and a tumor antigen. To date, only blinatumomab have reached market agreements in lymphoid malignancies with constructs targeting CD3exCD19. Other TCE are in advances development, with promising results targeting CD20 and BSMA in lymphoma and myeloma. These successes have relaunched the development of TCE in solid tumors, bringing mixed results so far (notably in terms of tolerance). Still, TCE pave the way to new immunotherapy in tumors considered to be refractory to inhibitors of immune checkpoints such as prostate cancer or colorectal cancer.

Keywords: Anticorps bispécifiques; BiTEs; Bispecifi-antibodies; Immunotherapy; Immunothérapie; T-cell engagers.

Publication types

  • Review

MeSH terms

  • Antibodies, Bispecific / immunology*
  • Antibodies, Bispecific / therapeutic use
  • Antigens, CD19 / immunology
  • Antigens, CD20 / immunology
  • Antigens, Neoplasm / immunology*
  • Breast Neoplasms / immunology
  • Breast Neoplasms / therapy
  • CD3 Complex / immunology*
  • Digestive System Neoplasms / immunology
  • Digestive System Neoplasms / therapy
  • Female
  • Humans
  • Immune Tolerance
  • Immunotherapy, Adoptive / methods*
  • Leukemia / immunology
  • Leukemia / therapy
  • Lung Neoplasms / immunology
  • Lung Neoplasms / therapy
  • Lymphoma / immunology
  • Lymphoma / therapy
  • Male
  • Multiple Myeloma / immunology
  • Multiple Myeloma / therapy
  • Neoplasms / immunology
  • Neoplasms / therapy*
  • Prostatic Neoplasms / immunology
  • Prostatic Neoplasms / therapy
  • Small Cell Lung Carcinoma / immunology
  • Small Cell Lung Carcinoma / therapy
  • T-Lymphocytes / immunology*

Substances

  • Antibodies, Bispecific
  • Antigens, CD19
  • Antigens, CD20
  • Antigens, Neoplasm
  • CD19 molecule, human
  • CD3 Complex
  • CD3E protein, human
  • blinatumomab