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CM336 + isatuximab is a combination therapy being investigated for the treatment of newly diagnosed multiple myeloma (NDMM), particularly in patients with severe renal impairment. CM336 is a bispecific antibody that targets B-cell maturation antigen (BCMA) on plasma cells and CD3 on T cells, acting as a T-cell engager to facilitate the direct lysis of malignant cells. Isatuximab is a monoclonal antibody that targets CD38, a glycoprotein highly expressed on myeloma cells, inducing cell death through multiple pathways including antibody-dependent cellular cytotoxicity (ADCC), antibody-dependent cellular phagocytosis (ADCP), complement-dependent cytotoxicity (CDC), and direct apoptosis. This combination aims to provide a synergistic anti-tumor effect by targeting two distinct myeloma-associated antigens and engaging different arms of the immune system.
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