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ASH 2025 | Considering the sequencing of CAR T-cell therapy and bispecific antibodies in multiple myeloma

Amrita Krishnan, MD, City of Hope, Duarte, CA, discusses the sequencing of CAR T-cell therapy and bispecific antibodies in multiple myeloma. Dr Krishnan notes that the current paradigm typically involves CAR-T before bispecifics, but as bispecifics evolve, the question of whether CAR-T can be successfully administered after bispecifics remains to be seen. This interview took place at the 67th ASH Annual Meeting and Exposition, held in Orlando, FL.

These works are owned by Magdalen Medical Publishing (MMP) and are protected by copyright laws and treaties around the world. All rights are reserved.

Transcript

Sequencing of these therapies is still the million-dollar question. And the reason I say that is because, yes, most of the current paradigm is still CAR-T before bispecific. But as bispecifics evolve and we give them for a fixed duration, then the question becomes if you have a certain interval after a bispecific, perhaps you can do CAR-T quite successfully. So I think the sequencing question still remains to be seen...

Sequencing of these therapies is still the million-dollar question. And the reason I say that is because, yes, most of the current paradigm is still CAR-T before bispecific. But as bispecifics evolve and we give them for a fixed duration, then the question becomes if you have a certain interval after a bispecific, perhaps you can do CAR-T quite successfully. So I think the sequencing question still remains to be seen. The other question is really when you give bispecifics and the mechanism of resistance, if it’s loss of target antigen, that does have implications for CAR T-cell use downstream.

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