Dual targeting of BCMA and GPRC5D with the trispecific antibody ramantamig addresses antigenic heterogeneity in myeloma - Takeaways - MDSpire
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Ramantamig’s trispecific targeting of BCMA and GPRC5D may overcome antigen heterogeneity in multiple myeloma

  • By

  • Chloe O'Neill

  • Marloes E. C. Broekmans

  • Charlotte L. B. M. Korst

  • Maria Krevvata

  • Giada Dal Collo

  • Richard W. Groen

  • Bing Li

  • Serena R. Baglio

  • Ulrike Philippar

  • Kodandaram Pillarisetti

  • Sonja Zweegman

  • Deeksha Vishwamitra

  • Tuna Mutis

  • Niels W. C. J. van de Donk

  • October 7, 2026

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  • 1

    Ramantamig is a trispecific antibody that engages CD3 on T cells and targets BCMA and GPRC5D on multiple myeloma cells.

  • 2

    Variable BCMA and GPRC5D expression and genetic or epigenetic target inactivation can contribute to resistance to single-target bispecific antibodies.

  • 3

    The study assessed ramantamig activity against myeloma cell lines using healthy-donor T cells and against primary myeloma cells in 32 patient bone marrow samples.

  • 4

    The patient bone marrow samples contained 1% to 68% myeloma cells, with a median of 15%, and assays used autologous effector cells.

  • 5

    Ex vivo efficacy was evaluated by measuring surviving CD138-positive myeloma cells after 48 hours of exposure to ramantamig or control antibodies.

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