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Clinical cohort study demonstrates improved progression-free survival when CAR T precedes bispecific antibodies in multiple myeloma, indicating up-front CAR T maximizes clinical benefit.
Summary: In this issue of Blood Cancer Discovery, Merz and colleagues study more than 600 recipients of chimeric antigen receptor T-cell (CAR T) and/or bispecific antibody therapy in multiple myeloma with an emphasis on patients who received both modalities sequentially. They find a clear progression-free survival advantage when CAR T therapy was used first; importantly, because outcomes with both modalities were similar when following progression after the converse modality, this advantage was driven by CAR T therapy’s up-front benefits. See related article by Merz et al, p. XX .
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Rahul Banerjee (2026) studied this question.
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