← Back to the archive
Cancer Treatment

First-in-class FcRH5×CD3 bispecific antibody shows activity in heavily pretreated myeloma

Phase 1 · 324 patientsFrom the archive

This article is preserved from an earlier edition. It reflects the evidence and regulatory position reported at the time. See the latest edition →

A molecular representation of an IgG antibody
Illustrative image; not a photograph from the reported study · Tokenzero / Wikimedia Commons · CC BY-SA 4.0

What happened?

A Nature Medicine phase 1 study enrolled 324 patients with relapsed or refractory multiple myeloma, most of whom were heavily pretreated. Across target-dose levels, the objective response rate was about 42%; at the selected 160 mg dose it was 44%, and higher among patients without previous BCMA-targeted therapy.

Why does it matter?

FcRH5 is expressed broadly on myeloma cells and offers a target distinct from BCMA. That matters because resistance to one immune target can limit later treatment options.

How to interpret the evidence

This remains phase 1 evidence. The study was designed primarily to characterize safety and dosing, and serious adverse events were common in this very heavily treated population. Later-phase comparative evidence is needed.

What remains uncertain?

A response signal in phase 1 does not mean cevostamab is already a standard treatment or superior to existing bispecific antibodies or CAR-T therapy.

Medical News provides general health education. Individual treatment decisions depend on your circumstances and the advice of your clinical team.

Call WhatsApp Book