DOI: 10.1002/jha2.70388 ISSN: 2688-6146

Reduced Pathogen‐Specific T Cell Response With BCMA‐Targeted T Cell‐Engaging Therapy to Multiple Myeloma

Ida Steiro, Synne Stokke Tryggestad, Eli Svorkdal Hess, Hanne Hella, Pegah Abdollahi, Kari Lenita Falck Moore, Margrete Friestad, Magne Børset, Tobias S. Slørdahl, Anne Marit Sponaas

ABSTRACT

Introduction

Bispecific antibody (BsAb) treatment can lead to increased infections in myeloma patients.

Methods

We used ELISpot and flow cytometry to test the T cell response to BCMA‐CD3‐bispecific T cell engager (BiTE) pavurutamab (PAV) and BCMA‐expressing myeloma cells after in vitro culture.

Results

Reduced pathogen‐specific responses were found in T cells cultured with PAV yet they killed myeloma cells. In an exploratory study, reduced pathogen‐specific memory T cell responses were detected in PBMCs from four myeloma patients responding to BCMA‐targeted BsAb therapy.

Conclusion

Our preliminary observation and its link to infection should be followed up in a larger study.

Trial Registration

The authors have confirmed clinical trial registration is not needed for this submission.