How do you choose between the approved Bispecific Antibodies for Relapsed/Refractory Multiple Myeloma?
What will be your 'default' BCMA bispecific antibody, assuming all are approved?
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I would pick BCMA directed BsAbs first, treat on label (weekly or q 2 week) to best response and then space out the schedule to q 4 weeks (or even q 8 weeks). Basing this on 6+ years experience of using BsAbs in FIH/PI-III as well in the commercial setting. The way to mitigate infections/AEs will be...
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We are fortunate to have so many bispecific antibodies (bsAbs) either being approved or getting closer to it in myeloma. As of August 19, 2023, here's the list I can think of - I am likely missing one, and this list will likely be out of date by this time next year if not earlier:
- Teclistamab (FDA ...
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There's little reason that I can think of to give these antibodies on different schedules. We will probably find that patients with good response after 1-2 months may need dosing quite infrequently, like every 3 months comes to mind.
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