The emergence of bispecific T-cell engagers in the treatment of follicular and large B-cell lymphomas

Clin Adv Hematol Oncol. 2024 Dec;22(10):510-519.

Abstract

The rapid emergence of CD20-targeting T-cell engagers in follicular lymphoma and large B-cell lymphoma has further expanded the treatment options for patients with relapsed or refractory disease. Herein, we review and discuss the standard-of-care products and indications for mosunetuzumab, epcoritamab, and glofitamab. We provide a detailed overview of the registrational clinical trials, as well as a review of ongoing trials and likely future indications. We also address how we incorporate T-cell engagers in our current treatment paradigm, with particular emphasis on their use with and as alternatives to chimeric antigen receptor T-cell therapy. We further discuss our management of immune effector cell-related toxicities.

Publication types

  • Review

MeSH terms

  • Antibodies, Bispecific* / therapeutic use
  • Antineoplastic Agents, Immunological / adverse effects
  • Antineoplastic Agents, Immunological / therapeutic use
  • Clinical Trials as Topic
  • Humans
  • Lymphoma, Follicular* / drug therapy
  • Lymphoma, Follicular* / therapy
  • Lymphoma, Large B-Cell, Diffuse / drug therapy
  • Lymphoma, Large B-Cell, Diffuse / therapy
  • T-Lymphocytes* / drug effects
  • T-Lymphocytes* / immunology
  • T-Lymphocytes* / metabolism

Substances

  • Antibodies, Bispecific
  • Antineoplastic Agents, Immunological