drug_type
RELEVANT_DRUG
intervention_type
Biologic drug (bispecific monoclonal antibody; T-cell–redirecting)
drug_description
Bispecific IgG4 monoclonal antibody that binds BCMA on myeloma cells and CD3 on T cells to redirect T-cell cytotoxicity against BCMA-expressing plasma cells; administered with step-up dosing.
nci_thesaurus_concept_id
C136823
nci_thesaurus_preferred_term
Teclistamab
nci_thesaurus_definition
A bispecific humanized 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, teclistamab 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
Teclistamab
drug_category
BISPECIFIC T ENGAGER
drug_class
Engager
drug_delivery_route
Subcutaneous
drug_mechanism_of_action
Bispecific humanized IgG4 monoclonal antibody that binds BCMA on malignant plasma cells and CD3 on T cells, cross-linking them to form an immune synapse and activate T-cell cytotoxicity (perforin/granzyme release and cytokines), resulting in targeted lysis of BCMA-expressing myeloma cells.
drug_name
Teclistamab
nct_id_drug_ref
NCT06062537