Recent updates on CAR T clinical trials for multiple myeloma

Mol Cancer. 2019 Nov 5;18(1):154. doi: 10.1186/s12943-019-1092-1.

Abstract

Proteasome inhibitors, immunomodulatory agents and monoclonal antibodies have dramatically changed the natural history of multiple myeloma (MM). However, most patients eventually suffer a relapse and succumb to the disease. Chimeric antigen receptor (CAR) engineered T cells targeting B cell maturation antigen (BCMA), CD138, CS1 glycoprotein antigen (SLAMF7) and light chains are in active development for therapy of refractory /relapsed (RR) MM. CD19- targeted CAR T cells in conjunction with autologous stem cell transplantation also showed activity in RRMM. Dual- target CAR T cells are in clinical trials for RRMM. This review summarized the recent updates of ongoing CAR T clinical trials for multiple myeloma.

Keywords: B cell maturation antigen; BCMA; CAR T; Chimeric antigen receptor; Multiple myeloma.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Antigens, CD19 / immunology
  • Antigens, Neoplasm / immunology
  • B-Cell Maturation Antigen / antagonists & inhibitors
  • B-Cell Maturation Antigen / immunology
  • B-Cell Maturation Antigen / metabolism
  • Clinical Trials as Topic
  • Combined Modality Therapy / methods
  • Humans
  • Immunotherapy, Adoptive* / methods
  • Multiple Myeloma / diagnosis
  • Multiple Myeloma / immunology*
  • Multiple Myeloma / therapy*
  • Receptors, Antigen, T-Cell / genetics
  • Receptors, Antigen, T-Cell / metabolism*
  • Receptors, Chimeric Antigen / genetics
  • Receptors, Chimeric Antigen / metabolism*
  • T-Lymphocytes / immunology*
  • T-Lymphocytes / metabolism*

Substances

  • Antigens, CD19
  • Antigens, Neoplasm
  • B-Cell Maturation Antigen
  • CD19 molecule, human
  • Receptors, Antigen, T-Cell
  • Receptors, Chimeric Antigen