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anti-CD138 × anti-CD3 bispecific engager-armed T cells (CD138-BATs) are an adoptive cellular immunotherapy being investigated for the treatment of multiple myeloma. The therapy involves coating (arming) T cells with a bispecific protein engager (BiPE) that possesses dual specificity for the CD3 epsilon chain on T cells and CD138 (syndecan-1) on tumor cells. CD138 is a heparan sulfate proteoglycan highly expressed on malignant plasma cells in multiple myeloma, making it an ideal target for redirection. By arming the T cells ex vivo, the BiPE acts as a bridge, redirecting the T cells' natural cytotoxic capacity toward CD138-positive cancer cells without the need for genetic modification, such as that required for CAR-T cells. This approach aims to combine the immediate availability and specificity of bispecific antibodies with the sustained effector function and trafficking capabilities of live T cells, potentially offering a safer and more persistent alternative to soluble bispecific T-cell engagers (BiTEs).
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