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September 5, 2026HaematologicaOpen Access

Efficacy and safety of bridging therapy prior to CAR T-cell therapy in relapsed or refractory multiple myeloma

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Authors

MWMarie Christine WesenerUDUta M. DemelTPThomas Pabst

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Overview

Multicenter cohort study reveals bridging therapy efficacy varies by regimen in relapsed or refractory multiple myeloma, indicating the importance of optimizing pre-infusion disease control.

Key Points

  • To evaluate the clinical impact, efficacy, and safety of bridging therapy administered between leukapheresis and cell infusion in patients undergoing BCMA-directed CAR T-cell therapy.
  • Multicenter real-world cohort study of N=399 patients with relapsed or refractory multiple myeloma receiving BCMA-directed CAR T-cell therapy.
  • Evaluated clinical characteristics and treatment outcomes among 348 patients (87%) who received bridging therapy compared to those who did not.
  • Patients receiving bridging therapy presented with more advanced, biologically aggressive disease, demonstrating higher rates of high-risk cytogenetics and penta-class refractoriness.
  • Disease control and response to bridging therapy differed significantly depending on the specific treatment regimen administered prior to CAR T-cell infusion.

Cite This Study

Wesener et al. (2026) studied this question.

synapsesocial.com/papers/6a9bd4436b95aff0620ebc8dhttps://doi.org/10.3324/haematol.2026.301082
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Bridging Therapy's effects on clinical outcomes after commercial BCMA CAR T-cell therapy used in the standard of care treatment of relapsed and refractory multiple myeloma2025
  2. 2Understanding the Role and Clinical Management of Bridging Therapy During CAR T-Cell Therapy for Relapsed or Refractory Multiple Myeloma2025 · 4 citations
  3. 3BRIDGE-2M: Optimizing Bridging Therapy Prior to CAR-T Therapy in Multiple Myeloma: A Modified Double-Blind Delphi Panel of US Physicians2026
  4. 4Outcome of bridging therapy in chimeric antigen receptor T cell treatment for Relapsed/Refractory B-cell non-Hodgkin lymphoma: A retrospective study.2025
  5. 5Efficacy and hematopoietic recovery of high-dose melphalan with stem cell rescue as bridging to CAR-T compared with non-intensive bridging in relapsed/refractory multiple myeloma.2026