[Novel therapies for multiple myeloma].

Masaki Ri
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Abstract

B-cell maturation antigen (BCMA)-targeting therapy is the most common approach to immunotherapy and cellular therapy for multiple myeloma (MM). Three major agents, CAR-T cells, bispecific antibodies, and ADC have been developed as novel therapeutic agents. CAR-T therapy showed favorable efficacy in the treatment of relapsed and refractory MM (RR MM) and was tried in early lines of therapy. Similarly, bispecific antibodies targeting BCMA or other targets have also shown promising effects in treatment of RR MM, and have been now tested in combination with other agents. Although issues such as poor fitness or exhaustion of T cells and increased susceptibility to viral infection remain to be fully resolved, novel immunotherapies and cellular therapies should further improve the prognosis of patients with RR MM.

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[多发性骨髓瘤的新疗法]。
B细胞成熟抗原(BCMA)靶向疗法是多发性骨髓瘤(MM)最常用的免疫疗法和细胞疗法。CAR-T 细胞、双特异性抗体和 ADC 这三种主要药物已被开发为新型治疗药物。CAR-T 疗法在复发和难治性 MM(RR MM)的治疗中显示出良好的疗效,并在早期治疗中试用。同样,靶向 BCMA 或其他靶点的双特异性抗体在治疗 RR MM 方面也显示出良好的疗效,目前已与其他药物进行了联合试验。尽管T细胞体能低下或耗竭以及对病毒感染的易感性增加等问题仍有待完全解决,但新型免疫疗法和细胞疗法应能进一步改善RR MM患者的预后。
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