Beyond BCMA: The next wave of CAR T cell therapy in multiple myeloma Review


Authors: Miller, K.; Hashmi, H.; Rajeeve, S.
Review Title: Beyond BCMA: The next wave of CAR T cell therapy in multiple myeloma
Abstract: Chimeric antigen receptor (CAR) T cell therapy has transformed the treatment landscape of relapsed/refractory multiple myeloma. The current Food and Drug Administration approved CAR T cell therapies idecabtagene vicleucel and ciltacabtagene autoleucel both target B cell maturation antigen (BCMA), which is expressed on the surface of malignant plasma cells. Despite deep initial responses in most patients, relapse after anti-BCMA CAR T cell therapy is common. Investigations of acquired resistance to anti-BCMA CAR T cell therapy are underway. Meanwhile, other viable antigenic targets are being pursued, including G protein-coupled receptor class C group 5 member D (GPRC5D), signaling lymphocytic activation molecule family member 7 (SLAMF7), and CD38, among others. CAR T cells targeting these antigens, alone or in combination with anti-BCMA approaches, appear to be highly promising as they move from preclinical studies to early phase clinical trials. This review summarizes the current data with novel CAR T cell targets beyond BCMA that have the potential to enter the treatment landscape in the near future. Copyright © 2024 Miller, Hashmi and Rajeeve.
Keywords: unclassified drug; review; t lymphocyte; cell survival; multiple myeloma; protein p53; immunological tolerance; immunotherapy; chimeric antigen receptor; g protein coupled receptor; drug binding; syndecan 1; phase 3 clinical trial (topic); phase 1 clinical trial (topic); april protein; human; b cell maturation antigen; chimeric antigen receptor t-cell immunotherapy; car t cell therapy; ciltacabtagene autoleucel; idecabtagene vicleucel; non-bcma; g protein-coupled receptor class c group 5 member d; signaling lymphocytic activation molecule
Journal Title: Frontiers in Oncology
Volume: 14
ISSN: 2234-943X
Publisher: Frontiers Media S.A.  
Date Published: 2024-01-01
Start Page: 1398902
Language: English
DOI: 10.3389/fonc.2024.1398902
PROVIDER: scopus
PMCID: PMC11116580
PUBMED: 38800372
DOI/URL:
Notes: Review -- Source: Scopus
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  1. Sridevi Rajeeve
    34 Rajeeve
  2. Hamza Hashmi
    42 Hashmi
  3. Kevin Charles Miller
    10 Miller