drug_type
RELEVANT_DRUG
intervention_type
Biological
drug_description
Bispecific T‑cell–engaging monoclonal antibody (ELREXFIO) that binds BCMA on myeloma cells and CD3 on T cells to redirect and activate cytotoxic T cells against BCMA-positive malignant plasma cells; immunotherapy with CRS/ICANS risk.
nci_thesaurus_concept_id
C146860
nci_thesaurus_preferred_term
Elranatamab
nci_thesaurus_definition
A bispecific monoclonal antibody against human CD3, a T-cell surface antigen, and human B-cell maturation antigen (BCMA; TNFRSF17), a tumor-associated antigen (TAA) expressed on plasma cells, with potential antineoplastic activity. Upon administration, elranatamab binds to both CD3 on T-cells and BCMA expressed on malignant plasma cells. This results in the cross-linking of T-cells and tumor cells, and induces a potent cytotoxic T-lymphocyte (CTL) response against BCMA-expressing plasma cells. BCMA, a member of the tumor necrosis factor receptor superfamily that is specifically overexpressed on malignant plasma cells, plays a key role in promoting plasma cell survival.
drug_mesh_term
Elranatamab
drug_category
BISPECIFIC T ENGAGER
drug_class
Engager
drug_delivery_route
Subcutaneous
drug_mechanism_of_action
Elranatamab is a bispecific monoclonal antibody that binds BCMA on malignant plasma cells and CD3 on T cells, physically linking T cells to BCMA+ myeloma cells to form an immune synapse. This activates cytotoxic T cells to release perforin and granzymes and kill target cells, with associated cytokine release that can lead to CRS and ICANS.
drug_name
Elranatamab
nct_id_drug_ref
NCT06479954