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Refractory multiple myeloma is a form of blood cancer that becomes resistant to standard treatments, making it difficult to manage. It accounts for a significant and increasing proportion of multiple myeloma cases. The average lifetime risk of developing multiple myeloma in the United States is less than 1%, with a risk of about 1 in 108 for men and 1 in 133 for women. The pipeline for refractory multiple myeloma is witnessing notable growth, with a strong focus on CAR-T cell therapies, bispecific antibodies, and novel immunotherapies. The refractory multiple myeloma pipeline analysis by Expert Market Research emphasizes the rising R&D activities and advanced treatment options driving the treatment market expansion.
Major companies involved in the refractory multiple myeloma pipeline market include Regeneron Pharmaceuticals, AbbVie, and others.
Leading drugs currently in the pipeline include bb2121, PHE885, REGN5459, and others.
Advancements in bispecific antibodies, expansion of CAR-T cell therapies, and progress in next-generation immunomodulators are driving significant growth in the refractory multiple myeloma drug pipeline.
The Refractory Multiple Myeloma Pipeline Analysis Report by Expert Market Research gives comprehensive insights into refractory multiple myeloma therapeutics currently undergoing clinical trials. It covers various aspects related to the details of each of these drugs under development for refractory multiple myeloma. The refractory multiple myeloma report assessment includes the analysis of over 100 pipeline drugs and 50+ companies. The refractory multiple myeloma pipeline landscape will include an analysis based on efficacy and safety measure outcomes published for the trials, including their adverse effects on patients suffering from the condition, and alignment with refractory multiple myeloma treatment guidelines to ensure optimal care practices.
The assessment part will include a detailed analysis of each drug, drug class, clinical studies, phase type, drug type, route of administration, and ongoing product development activities related to refractory multiple myeloma.

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Refractory multiple myeloma is a type of blood cancer where malignant plasma cells resist standard treatments. It often develops when patients no longer respond to therapies such as proteasome inhibitors, immunomodulatory agents, or monoclonal antibodies. This resistance may emerge after several treatment cycles or during relapse, complicating disease control and requiring alternative or advanced treatment options.
Refractory multiple myeloma is treated with targeted therapies, immunotherapies, CAR-T cell therapies, or antibody-drug conjugates to help overcome resistance and prolong patient survival. In April 2024, Carvykti (ciltacabtagene autoleucel) received U.S. FDA approval for earlier-line treatment in relapsed or refractory multiple myeloma, reducing disease progression risk by 59% in the Phase 3 CARTITUDE-4 study.
Refractory multiple myeloma remains a critical challenge in oncology, with an increasing incidence of multiple myeloma among aging populations. According to the American Cancer Society, an estimated 36,110 new cases of multiple myeloma and 12,030 deaths due to multiple myeloma are expected in the United States in 2025. The average age at diagnosis is 69 years. A 2023 study from Japan reported multiple myeloma incidence rising from 5.9 to 6.1 per 100,000 from 2016- 2020, with an average diagnosis age of 67 years.
This section of the report covers the analysis of refractory multiple myeloma drug candidates based on several segmentations, including:
By Phase
By Drug Class
By Route of Administration
The report covers phase I, phase II, phase III, phase IV, and early-phase drugs. The coverage includes an in-depth analysis of each drug across these phases. According to EMR analysis, phase II covers a major share of the total refractory multiple myeloma clinical trials, with 49.06%, underscoring a strong emphasis on mid-stage clinical development and therapeutic validation. The remaining pipeline is comprised of phase I at 47.88%, early phase I at 5.07%, phase III at 7.23%, and phase IV at 0.47%. This reflects robust research momentum and continued innovation, positively shaping the future of the refractory multiple myeloma pipeline.
The drug molecule categories covered under the refractory multiple myeloma pipeline analysis include monoclonal antibodies, antibody-drug conjugates, bispecific T-cell engagers (BiTEs) and bispecific antibodies, CAR-T cell therapies, small molecules, and others. The refractory multiple myeloma report provides a comparative analysis of the drug classes for each drug in various phases of clinical trials for refractory multiple myeloma.
B-cell lymphoma 2 (BCL-2) inhibitors are being explored as a promising drug class in the treatment of relapsed or refractory multiple myeloma. For instance, ABBV-453, an oral small molecule inhibitor targeting BCL-2, is currently undergoing clinical development. It aims to induce apoptosis in malignant plasma cells, potentially improving outcomes in heavily pretreated patients.
The EMR report for the refractory multiple myeloma pipeline covers the profile of key companies involved in clinical trials and their drugs under development. It provides a detailed refractory multiple myeloma therapeutic assessment, analyzing the competitive dynamics of the clinical trial landscape. Below is the list of a few players involved in refractory multiple myeloma clinical trials:
This section covers the detailed analysis of each drug under multiple phases, including phase I, phase II, phase III, phase IV, and emerging drugs for refractory multiple myeloma. It includes product description, trial ID, study type, drug class, mode of administration, and recruitment status of refractory multiple myeloma drug candidates.
BMS-986393 is a GPRC5D-directed autologous CAR-T cell therapy sponsored by Juno Therapeutics, Inc., a Bristol-Myers Squibb Company. This Phase 3 study is evaluating its efficacy and safety compared to standard regimens in relapsed or refractory and lenalidomide-refractory multiple myeloma. The trial aims to determine therapeutic benefit, durability of response, and overall tolerability in heavily pretreated patients.
PHE885, sponsored by Novartis Pharmaceuticals, is a BCMA-directed CAR-T cell therapy developed using the T-Charge platform. It is a part of a Phase II study, where it is being evaluated for its efficacy and safety in adult patients with relapsed and refractory multiple myeloma. The trial is examining the overall response rate in 90 evaluable patients after at least three prior therapies, with ongoing recruitment and long-term monitoring planned.
REGN5459 is a BCMA × CD3 bispecific antibody sponsored by Regeneron Pharmaceuticals. It is currently undergoing a Phase 1/2 trial in adults with relapsed or refractory multiple myeloma. This study is evaluating the drug’s safety, tolerability, and anti-tumor activity. REGN5459 is designed to provide deep responses with reduced cytokine release syndrome risk due to its low CD3 affinity.
*Please note that this is only a partial list; the complete list of drugs will be available in the full report.*
The Refractory Multiple Myeloma Pipeline Analysis Report provides a strategic overview of the latest and future landscape of treatments for refractory multiple myeloma. It provides necessary information for making informed investment decisions along with research, development, and strategic planning efforts. The stakeholders will benefit from the essential insights into refractory multiple myeloma collaborations, regulatory environments, and potential growth opportunities.
Multiple Myeloma Drug Pipeline Analysis Report
*While we strive to always give you current and accurate information, the numbers depicted on the website are indicative and may differ from the actual numbers in the main report. At Expert Market Research, we aim to bring you the latest insights and trends in the market. Using our analyses and forecasts, stakeholders can understand the market dynamics, navigate challenges, and capitalize on opportunities to make data-driven strategic decisions.*
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