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This combination is an investigational regimen for relapsed or refractory multiple myeloma, currently in early phase clinical trials. **Elranatamab** is a bispecific monoclonal antibody targeting **B-cell maturation antigen (BCMA)** on myeloma cells and **CD3** on T cells, designed to redirect T cells to recognize and kill myeloma cells. **Carfilzomib** is a proteasome inhibitor, which leads to the accumulation of unwanted proteins in cancer cells, promoting apoptosis. **Dexamethasone** is a synthetic glucocorticoid corticosteroid used to reduce inflammation and enhance anti-myeloma effects. The combination is designed to attack myeloma cells through immune-mediated killing (via elranatamab), direct cytotoxicity (via carfilzomib), and modulation of the microenvironment and immune system (via dexamethasone)[1][4][8].
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